At Rogers, we use proven, evidence-based treatment components that help people with obsessive-compulsive disorder, OC-spectrum disorders and other anxiety disorders significantly reduce their symptoms and live more productive lives.
Our approach is the comprehensive application of cognitive-behavioral therapy (CBT) and medication management if needed. Research supports that CBT is the most effective method for treating anxiety disorders.
Personalized treatment plans address each patient’s needs. Patients meet individually with member of the treatment team to complete a comprehensive exposure hierarchy, which ranks the level of anxiety for each feared situation. The hierarchy becomes the road map for treatment and is used to direct the team as to what areas need to be address and at what pace. During treatment, patients work closely with a behavioral specialist who develops the treatment goals and exposure hierarchy, then facilitates and monitors progress.
For OCD, the main emphasis is a technique called exposure and ritual prevention (ERP). ERP has been found to be the “treatment of choice” for OCD. Exposure refers to the gradual and repetitive exposure of an individual to their feared situations (for example, someone with contamination obsessions touching a doorknob), or ideas (for example, someone with contamination obsessions thinking about AIDS).
Exposure work targets the obsessions, and seeks to prolong the obsessional thought, image, or impulse long enough for the process of habituation to occur. Habituation is the natural, normal process of anxiety levels reducing with nothing more than the passage of time. Research has shown that 97% of people experience the process of habituation. Ritual prevention is the blocking of the ritual or compulsion that would normally be performed upon exposure (for example, hand washing, checking).
In addition to ERP, cognitive restructuring strategies are also taught. Cognitive restructuring or ‘thought challenging” is the identification and correction of “errors” in thought that create anxiety. Two errors in thought most focused on are “probability overestimation errors” and “catastrophizing errors.”
There are two key points that differentiate Rogers’ approach to treating OCD and other anxiety disorders: