Challenging and Complex OCD Cases: Expert Perspectives on Adapting Exposure and Response Prevention Treatment

Saturday, April 7: 1:30 PM  - 2:30 PM 
Mezzanine Level 
Room: Wilson B 
Exposure and Response Prevention (EXRP) is the gold standard treatment for Obsessive Compulsive Disorder (OCD) in both children and adults, however complex cases present unique challenges for clinicians. The primary goal of this clinical roundtable is to discuss how to effectively adapt the delivery of Exposure and Response Prevention (EXRP) for Obsessive Compulsive Disorder (OCD) with complex clinical presentations. Our panel of EXRP experts will discuss case conceptualization, creative treatment adaptations, and cultural considerations for unique and challenging cases from their clinical practice. The panelists will pull from their experience in clinical trials and community settings as they discuss an evidence-supported approach for tailoring EXRP for cases that fall outside of the typical clinical presentation. Topics to be covered in the clinical roundtable will include challenging comorbidities (e.g. Autism Spectrum Disorder, Depression), unique symptom presentation (e.g. fear of identity loss, loss of creativity, transgender obsessions, obsessions about mental health, compulsions involving technology, and obsessions about obsessions), uncommon reactions to exposures (severe disgust response and vomiting, depressive responses to imaginal exposures), and diverse cultural implications (e.g. rural, religious, long distance, and use of video conference). Audience members will have the opportunity to discuss clinical cases with our panel of experts as we navigate advanced treatment modifications.

Learning Objectives

1. Provide case conceptualization of unique and challenging cases of OCD
2. Describe components of therapeutic change in EXRP for unique and challenging cases of OCD
3. Discuss how to tailor EXRP in treatment planning to meet the diverse needs in unique and challenging OCD cases 


Thea Gallagher, PsyD, LPC, University of Pennsylvania
Jeremy Tyler, PsyD, University of Pennsylvania


Marty Franklin, PhD, University of Pennsylvania
Thea Gallagher, PsyD, LPC, University of Pennsylvania
Marina Gershkovich, PhD, Columbia University Medical Center
Dr Eric Storch, PhD, Baylor College of Medicine
Michael Wheaton, PhD, Barnard College

Audience Level





Diversity - Yes


60 minutes


Obsessive Compulsive Disorder

Treatment Approach

Exposure Therapy