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Rumination-Focused ERP: Turning Exposure On Its Head

Please note that Rumination-Focused ERP is a new and evolving approach to ERP. It has not yet been researched, and therefore to the extent that it differs from classical ERP, it is not evidence-based. In classical ERP, it is considered important that the patient feel anxious during exposure, because the goal of exposure is habituation.  […]

Targets and Rationales for RF-ERP Exposures

Please note that Rumination-Focused ERP is a new and evolving approach to ERP. It has not yet been researched, and therefore to the extent that it differs from classical ERP, it is not evidence-based. How you conceptualize OCD and ERP affects not only how you do exposure but also what you do as exposure.  By […]

Defining and Demarcating Compulsion *

* Published December 2022 Defining Compulsion In RF-ERP, the defining characteristic of an OCD symptom is the person’s subjective lack of agency, or their feeling that they don’t have a choice about whether they engage in that symptomatic behavior (1). According to this definition, no behavior is ever objectively OCD.  Rather, it is a person’s […]

Rumination-Focused Case Conceptualization

Please note that Rumination-Focused ERP is a new and evolving approach to ERP. It has not yet been researched, and therefore to the extent that it differs from classical ERP, it is not evidence-based. An effective treatment plan starts with an accurate understanding of what’s causing the problem, also known as a case conceptualization.  RF-ERP […]

RF-ERP Order of Operations *

* Published December 2022 Please note that Rumination-Focused ERP is a new and evolving approach to ERP. It has not yet been researched, and therefore to the extent that it differs from classical ERP, it is not evidence-based. RF-ERP Order of Operations Intake Core Fear Psychodynamic Case Formulation Rumination-Focused Case Formulation and Treatment Plan How […]