OCD Treatment (ERP Therapy)

Break Free from the Cycle of Obsessions and Compulsions

Living with OCD can feel like your brain is holding you hostage.

You know the thoughts aren’t logical, but they still feel powerful. The more you try to push them away, the stronger they seem to become.

You might find yourself checking, cleaning, repeating, or seeking reassurance just to get a moment of relief — only for the anxiety to come rushing back.
That endless loop is exhausting. But there’s a proven way to break it.

At Outside Therapy, we use Exposure and Response Prevention (ERP) — the gold standard for treating Obsessive-Compulsive Disorder — to help you regain control of your thoughts, your body, and your peace of mind.

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Understanding OCD

Obsessive-Compulsive Disorder isn’t about being tidy or perfectionistic. It’s about anxiety taking the wheel through cycles of intrusive thoughts (obsessions) and repetitive actions (compulsions).

These might include:

  • Fears of contamination or illness

  • Repetitive checking of doors, appliances, or tasks

  • Mental rituals — replaying scenarios, counting, or praying to “neutralize” a thought

  • Fear of harming someone accidentally

  • Needing things to feel “just right”

  • Avoiding triggers altogether to keep anxiety low

OCD tricks the brain into believing relief only comes through these rituals — but ERP therapy teaches your brain a new way forward.

How ERP Therapy Works

ERP (Exposure and Response Prevention) is a structured and compassionate approach that retrains how the brain reacts to fear and uncertainty.

  1. Exposure: You’ll gently and safely face triggers that normally cause anxiety — thoughts, images, or situations — at a pace that feels manageable.

  2. Response Prevention: Instead of performing the usual compulsion, you’ll learn how to ride out the anxiety and let it fade naturally.

  3. Retraining: Over time, your brain learns that discomfort doesn’t equal danger — and the anxiety loses its power.

ERP doesn’t erase intrusive thoughts; it changes how you respond to them.

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What Makes Our Approach Unique

While ERP is evidence-based, our delivery at Outside Therapy goes beyond textbook methods.
We integrate:

  • Somatic awareness — helping you regulate the body’s physical stress response.

  • Mindfulness and ACT principles — learning to coexist with discomfort while staying connected to your values.

  • Lifestyle support — addressing sleep, nutrition, and physical health to stabilize mood and energy.

You’re not just learning techniques — you’re rewiring how your mind and body process fear.

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What to Expect in Therapy

Sessions typically last 50 minutes and progress at your pace.
Your therapist will:

  • Build a complete understanding of your triggers and compulsions

  • Teach strategies to reduce rituals gradually and safely

  • Help you practice exposures during and between sessions

  • Track your progress and celebrate measurable wins

Sessions are available in person in Cheyenne or online statewide in Wyoming through secure telehealth.

Many clients begin noticing shifts in as few as 6–8 weeks
Less anxiety, fewer compulsions, and a greater sense of control.

Alyse-Pfankuch
Outside Therapy

Who This Is For

ERP therapy is highly effective for people experiencing:

  • Obsessive-Compulsive Disorder (OCD)

  • Intrusive thoughts

  • Health anxiety or contamination fears

  • Relationship OCD (ROCD)

  • Moral or religious obsessions (Scrupulosity)

  • Perfectionism and control patterns

  • Anxiety disorders that overlap with compulsive behaviors

If you’ve tried talk therapy before and didn’t feel like it helped, ERP may be the missing piece — it’s action-based, not just insight-based.

The Results

Recovery isn’t about eliminating anxiety — it’s about gaining freedom from it.
When you stop obeying OCD’s rules, life starts to expand again.

Our clients often share that after ERP, they:

  • Feel calmer, even in triggering situations

  • Spend less time stuck in rituals

  • Reclaim mental space for relationships, hobbies, and rest

  • Trust themselves again — without reassurance or avoidance

OCD doesn’t have to define your story. The right therapy can help you live without fear calling the shots.

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Why Outside Therapy

Our work doesn’t stop at the office door. We believe mental wellness includes sleep, nutrition, movement, and connection — all the factors that shape your ability to function and feel fulfilled.

That’s why our team partners with local wellness providers, outdoor programs, and nutrition services to support whole-person healing.

When you take care of the full picture, progress becomes permanent.

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Your Next Step

You don’t have to have everything figured out — you just have to start the conversation.
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