ERP is considered the best-evidence treatment for OCD. It is essential for the therapist to be skilled in CBT and ERP. To date, no other treatment modality possesses the efficacy of ERP.
The therapist must not be squeamish. The clinician may need to touch urine and fecal matter, handle insects, use graphic language, and engaging in so-called blasphemous religious practices, among other things, to teach the patient the skills needed for habituation.
The OCD therapist is family friendly. It is essential to work within the context of the family to support patient recovery. Family members need to be educated about what works to help their loved one. They must be encouraged not to accommodate the patient through cooperating with rituals. It is sometimes also necessary to treat the person with OCD in their home.
The OCD therapist supports the use of medication for treating symptoms when warranted. Cooperation with physicians and medical specialists facilitates recovery. Quality of life matters.