For clinicians · New book

Exposure and Response Prevention for OCD

A clinician’s treatment manual for delivering evidence-based ERP with confidence. Written for the therapist who finished graduate school without ever being taught how to run an exposure.

Buy on Amazon See what is inside

Paperback, 138 pages. Published June 2026. By Emily Pierce, LPC-A, LCMHC-A.

Cover of ERP for OCD: A Clinician's Treatment Manual by Emily Pierce

Why this manual exists

ERP is the gold standard, and most of us were never taught it

Exposure and Response Prevention is the most effective evidence-based treatment for obsessive-compulsive disorder. Yet many clinicians finish training without ever learning how to deliver it, which means clients who need ERP often receive supportive talk therapy instead. This manual closes that gap.

It is written by a clinician trained in ERP through the University of Pennsylvania’s Center for the Treatment and Study of Anxiety, and it walks through the full arc of treatment: assessment and case formulation, building exposure hierarchies, running in-session exposures, and helping clients hold the line against compulsions and reassurance-seeking.

I created this manual to give fellow clinicians the practical, hands-on tool I wished I’d had earlier in my own work with OCD.

Contents

What is inside

Session-ready material you can bring into your next appointment, not theory you have to translate first.

  • A clear framework for assessing OCD and distinguishing it from related anxiety presentations
  • Step-by-step guidance for constructing and using exposure hierarchies
  • Scripts and language for introducing ERP and building client buy-in
  • In-session and homework exposure planning tools
  • Strategies for managing avoidance, accommodation, and treatment ambivalence
  • Psychoeducation handouts and worksheets you can use with clients
  • Guidance on common subtypes, including contamination, harm, and pure-O presentations

Who it is for

  • Newly licensed counselors seeing a first OCD case
  • Experienced therapists sharpening an existing protocol
  • Supervisors and trainers who need a structured teaching text
  • Graduate students preparing for anxiety and OCD work

The training behind it

  • Certified Ex/RP Therapist through the University of Pennsylvania’s Center for the Treatment and Study of Anxiety
  • Intensive CBT training
  • Intensive EMDR training through an EMDRIA-approved program
  • Interoceptive exposure therapy for panic and feared physical sensations
  • Habit Reversal Training for hair pulling, skin picking, and related behaviors
  • Active clinical practice treating OCD, anxiety, and trauma

Get the manual

Bring ERP into your next session

The manual is available in paperback on Amazon. If you are looking for more clinician materials, the Therapy Haven Resource Library adds worksheets, handouts, and session activities on an ongoing basis.

Exposure and Response Prevention for OCD

Paperback, 138 pages. A clinician’s treatment manual for delivering evidence-based ERP with confidence.

Buy on Amazon

Bulk or training use, and speaking or consultation requests, are welcome by email.