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Help, I'm Stuck! Exploring Factors Beyond the Nuts and Bolts of OCD Treatment
This presentation was originally reviewed on March 25, 2026, and live streamed online on March 27, 2026, from 12:00 pm – 1:00 pm ET.
The views and opinions expressed by this presenter in this lecture are their own, and do not represent the views of Sheppard Pratt.
While ERP is often presented as a standardized, prescriptive 12–15 session protocol, clinicians frequently encounter patients whose recovery is stalled by deep-seated clinical complexities. This problem exists because the "nuts and bolts" of treatment often fail to account for how trauma, all-or-nothing thinking, and "powering through" anxiety can actually function as subtle forms of emotional avoidance. This lecture will provide clinicians with a framework to recognize when the "perfect" execution of treatment has itself become an obsession. By attending, clinicians will learn to move beyond a manualized mindset and gain tools to navigate the complicated human factors—such as perfectionism and informed trauma—that require a more flexible, nuanced application of ERP.
Target Audience
This activity is intended for physicians, nurses, psychologists, social workers, counselors, and other mental health professionals.
Learning Objectives
At the conclusion of this activity, attendees will be able to:
- Identify three non-mechanical factors that can stall standardized ERP progress.
- Differentiate between a patient’s procedural adherence and "treatment-focused obsessions" where the goal becomes doing therapy perfectly.
- Apply ERP principles with clients.
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Price: Free. All courses offered through Sheppard Pratt are free of charge. There is no need to cancel if you cannot attend or complete a course, as no refund is necessary. Not completing an activity acts as a cancellation.
For more information on how to participate in this course, please read to the bottom of the page to review all of the directions.
For directions on how to participate in the program, refer to the FAQ page.
This is a recorded asynchronous distance learning format course where you will download the handout, watch a video recording, and complete the required pretest, posttest, evaluation, and attestation for credit. Once you have completed all the components of the Course Progress bar, the certificate will be immediately downloadable. The certificate will also be saved in your account transcript.
Outline of Activity:
Introduction- 5 minutes
Presentation- 45 minutes
Q&A- 10 minutes
Price: Free. All courses offered through Sheppard Pratt are free of charge. There is no need to cancel if you cannot attend or complete a course, as no refund is necessary. Not completing an activity acts as a cancellation.
There is no registration required for this course. The course expires and cannot be completed after May 10, 2028.
To request accessibility accommodations please contact [email protected].
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Originally reviewed on March 25, 2026.
Originally broadcast live March 27, 2026, from 1:00 PM- 2:00 PM ET.
Enduring Activity Credit Expiration Date: May 10, 2028.
Activity Time: One hour recorded webinar lecture with a 15-minute evaluation process. Total Time: 1:15.
TO EARN CONTINUING EDUCATION CREDIT FOR YOUR ATTENDANCE
On the OVERVIEW or REGISTER/TAKE COURSE tab, select the GREEN RECTANGLE, TAKE COURSE to begin.
Complete the Pretest and select NEXT in the bottom right corner of the screen. Use the NEXT button for best results.
The PowerPoint handout will be available for download.
After downloading the handout, select NEXT to begin and watch the video.
You may need to select play for the video to begin.
After the video follow the prompts to complete the posttest, evaluation, and attestation of credit.
Once you have completed all the components of the Course Progress bar, the certificate will be immediately downloadable.
FINANCIAL SUPPORT
There is no commercial support for this activity.
Questions? Look at our FAQ’s at https://cme.sheppardpratt.org/content/faq or Email [email protected]
There is no commercial support for this activity.
About the speaker
Michael Stier is a Licensed Clinical Professional Counselor (LCPC) in Illinois, an LPC in Georgia and Missouri, and a National Certified Counselor (NCC) specializing in OCD and related disorders. He currently serves as the Director of Education and Training at Anxiety Specialists of Atlanta, overseeing evidence-based treatment interventions. Michael is also faculty for the Behavioral Therapy Training Institute (BTTI) through the IOCDF. He co-authored The Complete Guide to Overcoming Health Anxiety and developed the associated Overcoming Health Anxiety website, which provides evidence-based information and support for individuals with health anxiety, as well as their families and loved ones.
Disclosure Statements
Sheppard Pratt holds the standard that its continuing medical education programs should be free of commercial bias and conflict of interest. In accord with Sheppard Pratt's Disclosure Policy, as well as standards of the Accreditation Council for Continuing Medical Education (ACCME) and the American Medical Association (AMA), all planners, reviewers, speakers and persons in control of content have been asked to disclose any relationship he /she has with any entity producing, marketing, selling, re-selling, or distributing health care goods or services consumed by, or used on, patients, during the past 24 months. All planners, reviewers and speakers have also been asked to disclose any payments accepted for this lecture from any entity besides Sheppard Pratt, and if there will be discussion of any products, services, or off-label uses of product(s) during this presentation.
Michael Stier, LCPC, LPC, reports being the owner of Overcoming Health Anxiety and being a consultant for the IOCDF within the past 24 months. He will not discuss any products, services, or off-label uses in this presentation. All relationships have been mitigated through review.
Event Planners/Reviewers Disclosures: The following event planners and/or reviewers are reported as having no financial interest, arrangement or affiliation with any entity producing, marketing, selling, re-selling, or distributing health care goods or services consumed by, or used on, patients, during the past 24 months: Jon Hershfield, LCMFT, Todd Peters, MD, Michael C. Hann, MD, MBA, Ronald Means, MD, Rajeev Krishna, MD, PhD, MBA, Louis Marino, MD, Devi Bhuyan, PsyD, Manan Shah, MD, Vittoria DeLucia, MD, Chad J. Lennon, MD, Faith Dickerson, PhD, MPH, Carrie Etheridge, LCSW-C, Tom Flis, MS, BCBA, LBA, LCPC, Paula Bostwick, MSN, RN, CENP, Alfredo Sagisi, DNP, MS, RN, FACHE, Maggie O'Neill MSN, RN, PMH-BC, Lisa Illum, MLIS, MEd, and Jennifer Tornabene.
Physician Statement: Sheppard Pratt is accredited by The Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. Sheppard Pratt takes responsibility for the content, quality, and scientific integrity of this CME activity. Sheppard Pratt designates this enduring activity for a maximum of 1.0 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Nurse Statement: Sheppard Pratt is approved as a provider of nursing continuing professional development by the Maryland Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. Sheppard Pratt takes responsibility for the content, quality, and scientific integrity of this CME activity. This activity provides 1.0 contact hour for nurses.
Psychologist Statement: Sheppard Pratt is authorized by the State Board of Examiners of Psychologists as a sponsor of continuing education. Sheppard Pratt takes responsibility for the content, quality, and scientific integrity of this CE activity. Sheppard Pratt designates this educational activity for a maximum of 1.0 contact hour for Psychologists.
Social Worker Statement: Sheppard Pratt is authorized by the Board of Social Work Examiners of Maryland to offer continuing education for Social Workers. Sheppard Pratt takes responsibility for the content, quality, and scientific integrity of this CE activity. This activity is approved for 1.0 contact hour in Category II credits for Social Workers.
Counselor Statement: Sheppard Pratt has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 5098. Programs that do not qualify for NBCC credit are clearly identified. Sheppard Pratt is solely responsible for all aspects of the program. This activity is available for 1.0 NBCC clock hours.
Available Credit
- 1.00 ACEP NBCC clock hours
- 1.00 AMA PRA Category 1 Credit™
- 1.00 Category II credits for Social Workers
- 1.00 Psychologists
- 1.00 MNA Contact Hours for Nurses
- 1.00 Participation
Directions to attend and complete the activity for credit are located on the Overview tab.
Click the Take Course button to proceed into the course to complete the requirements for credit.
Required Hardware/software
Optimal System Configuration
Flash Player: Adobe Flash Player 10.1+
Browser: Firefox 3+, Internet Explorer 8.0+, Safari 4.0+, or Google Chrome 7.0+
Operating System: Windows XP+ or Mac OS X 10.4+
Internet Connection: 1 Mbps or higher
Minimum Requirements
Windows PC: 500-MHz Pentium II; Windows XP or higher; 128 MB RAM; Video Card at least 64MB of video memory; Sound Card at least 16-bit; Macromedia Flash Player 10 or higher, audio playback with speakers for programs with video content; Firefox 1.1+, Internet Explorer 7.0+, Safari 1.0+, Google Chrome, or Opera
Macintosh: Mac OS X 10.3 or higher with latest updates installed; 1.83MHz Intel Core Duo or faster; RAM: 128MB or more; Video Card: at least 64MB of video memory; Sound Card: at least 16-bit
Hardware/Software Specifications
This internet-based CME activity is best experienced using Internet Explorer 8+, Mozilla Firefox 3+, Safari 4+. This Web site requires that JavaScript and session cookies be enabled. Certain activities may require additional software to view multimedia, presentation, or printable versions of the content. These activities will be marked as such and will provide links to the required software. That software may be: Adobe Flash, Adobe Acrobat, Microsoft PowerPoint, and Windows Media Player.