Cognitive Behavioural Therapy with Exposure and Response Prevention, known as ERP, is one approach that may be considered for OCD through individual assessment. OCD can involve intrusive thoughts, repeated responses, checking, contamination concerns and relationship difficulties, but a webpage cannot establish a diagnosis, recommend an exposure task or predict a result for an individual. An appropriately trained clinician can explore symptoms, daily impact, physical and mental health, safety, previous support and personal goals. When ERP is relevant, it is planned collaboratively after assessment, with attention to consent, pace, safety and alternatives. It should not be attempted as a self directed internet challenge. New, severe or changing physical symptoms should be discussed with an appropriate medical professional rather than automatically attributed to anxiety or OCD. At The Lyceum, suitability, format and likely effect can be discussed with Sanah Younis, a BABCP accredited therapist. Face to face arrangements are available in Chiswick (86A Chiswick High Road, W4 1SY), Hammersmith (36 Paradise Road, TW9 1SE) and Ealing (12B St Mary's Road, W5 5ES), subject to current availability and suitability. Virtual sessions may also be discussed for adults across the UK and Gulf. Sessions are £110 virtual and £140 face to face. If you plan to use insurance or a cash plan, confirm individual cover, referral or authorisation requirements, payment route and reimbursement terms with the provider before booking. Current availability can be confirmed when you enquire. If you are in immediate danger, feel unable to keep yourself safe or need urgent help, use an appropriate emergency or urgent service rather than relying on this webpage.