Exposure Response Prevention therapy, ERP for short, is the first and foremost treatment option for OCD.  However, some people find that ERP is not effective, or more commonly, not well tolerated.  That's where Intensive Cognitive-Behavioral Therapy (I-CBT) comes in.

I-CBT is a form of therapy that combines elements of ERP with other therapeutic techniques, such as Cognitive Therapy, Acceptance and Commitment Therapy (ACT), and Mindfulness-Based Stress Reduction (MBSR).

I-CBT may be delivered over a shorter period of time than traditional therapy, with intensive daily sessions lasting several hours.

The goal of I-CBT is to provide a highly individualized and targeted approach to therapy that addresses the unique needs and challenges of individuals with difficult-to-treat OCD. I-CBT recognizes that OCD is a complex and multifaceted condition that can be influenced by a variety of factors, including genetics, environment, and individual personality traits.

I-CBT may incorporate traditional exposure exercises (ERP) that are tailored to the individual's specific obsessions and compulsions. For example, someone with religious obsessions might be asked to attend a religious service and resist the urge to pray or perform religious rituals. Someone with harm-related obsessions might be asked to hold a knife and resist the urge to harm themselves or others.

However, while incorporating some ERP,  I-CBT does not centralize this technique.  In I-CBT, you must use cognitive strategies that help the individual to challenge and modify their beliefs about their obsessions and compulsions. 

This can include techniques such as cognitive restructuring, where the individual learns to identify and challenge their negative and irrational thoughts, as well as mindfulness-based techniques that help the individual to stay present and aware in the moment.

I-CBT also places a strong emphasis on building self-compassion and self-care skills. 

Individuals with OCD often struggle with feelings of shame, guilt, and low self-esteem, and I-CBT works to address these issues by helping the individual to cultivate a greater sense of self-worth and self-acceptance.

While I-CBT can be a challenging and intensive form of therapy, research has shown that it can be highly effective in treating difficult-to-treat OCD. In fact, some studies have shown that I-CBT can produce significant improvements in OCD symptoms in as little as two weeks.

In conclusion, Intensive Cognitive-Behavioral Therapy (I-CBT) is a highly individualized and targeted form of therapy that combines elements of ERP with other therapeutic techniques to treat difficult-to-treat OCD. By tailoring exposure exercises to the individual's specific obsessions and compulsions, challenging negative and irrational thoughts, and building self-compassion and self-care skills, I-CBT can produce significant improvements in OCD symptoms in a shorter period of time than traditional therapy. If you are struggling with difficult-to-treat OCD, talk to a mental health professional to see if I-CBT may be right for you.

To learn more about I-CBT and the OCD therapy we offer, please contact Kairos Wellness Collective today.