Exposure and Response Prevention for OCD

Warning - This site contains disturbing images that may trigger OCD

Rachel A. Davis, MD
Emily Hemendinger, LCSW, MPH
Stephanie Lehto, PsyD

Forms and Handouts

Obsessions and Compulsions Log

Case Formulation

Exposure Hierarchy

Exposure Instructions

Response Prevention Plan

Common Cognitive Distortions in OCD

Accommodation in Therapy (Hemendinger 2021)

Accommodation in Families (Hemendinger 2021)

Freedom From OCD Forms - Jonathan Grayson, PhD

SEX /

Hover over each image for examples of obsessions and feared consequences.

What if the condom broke? I'm in no place to raise a child.

Am I sinning? Does God disapprove? Will I go to hell?

What if I accidentally get someone pregnant? I might have had my hands near my groin before I touched that door. I would be so ashamed.

What if I want to have sex with my dog? I can't live with the idea that I might be perverted.

I could accidentally give herpes to my child. They would be humiliated and have no chance at a normal life.

What if I accidentally get pregnant? There might be semen on this toilet seat. Everybody would be so disappointed in me.