This presentation was last reviewed on June 20, 2024, and broadcast live online on June 21, 2024, from 12:00 PM - 1:30 PM ET.

This presentation was last reviewed on June 20, 2024, and broadcast live online on June 21, 2024, from 1:45 PM - 3:15 PM ET.

This presentation was last reviewed on November 6, 2025, and broadcast live online on May 19, 2023, from 1:00 PM- 4:15 PM ET.

This presentation was last reviewed on November 6, 2025, and broadcast live online on September 15, 2023, from 12:00 PM – 1:00 PM ET. 

This presentation was originally reviewed on October 15, 2025, and in person and live streamed online on October 17, 2025, from 12:10 pm- 1:10 pm ET.

This presentation was originally reviewed on October 15, 2025, and in person and live streamed online on October 17, 2025, from 9:10 am- 10:10 am ET.

This presentation was originally reviewed on October 15, 2025, and in person and live streamed online on October 17, 2025, from 10:00 am- 11:00 am ET.

This presentation was originally reviewed on October 15, 2025, and in person and live streamed online on October 17, 2025, from 1:00 pm – 2:00 pm ET.

Although Exposure and Response Prevention (ERP) is the gold-standard therapy for OCD, some clients struggle to achieve lasting gains because subtle compulsions quietly sabotage their progress. These hidden rituals—cognitive, emotional, and behavioral—can undermine ERP by reinforcing the very fears treatment is designed to address. Clinicians may misinterpret plateaus in progress as resistance or non-response, when the real barrier lies in unrecognized compulsive patterns. This presentation illuminates these nuanced obstacles and offers practical strategies for identifying and resolving them, empowering clinicians to deliver more effective ERP and help clients reclaim their lives.

This presentation was originally reviewed on September 10, 2025, and live streamed online on September 12, 2025, from 1:00 pm – 2:00 pm ET.