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152. Response Prevention: Most Important Part of ERP for OCD
What is Response Prevention and why is it the most important part of ERP?
In this episode of The OCD Whisperer Podcast, Kristina Orlova speaks with therapist Natalia Aiza. Together, they explore Response Prevention (the RP in ERP therapy)—why it’s the most crucial step in breaking free from OCD cycles, and how to actually apply it in daily life.
Natalia opens up about:
• Why exposures without response prevention don’t work
• The difference between physical vs. mental compulsions
• Tools for handling rumination, avoidance, and reassurance-seeking
• How “good enough” ERP (not perfection) helps real people recover
This conversation also dives into:
• How to identify sneaky mental rituals disguised as “thinking”
• Why delaying compulsions builds brain flexibility
• The power of uncertainty, creativity, and new discoveries in recovery
Whether you’re struggling with OCD yourself or supporting someone who is, this conversation offers insight, clarity, and hope to guide your recovery journey.
📲 Natalia Aiza (guest):
✂️TIMESTAMPS:
[00:00] – Welcome back + today’s focus on Response Prevention
[01:07] – What is response prevention in ERP?
[01:45] – Mental vs. physical compulsions
[03:19] – Building a response prevention “ladder”
[04:17] – Identifying mental rituals as compulsions
[05:50] – Why belief in compulsions makes ERP harder
[07:01] – Rumination-focused ERP & breaking mental loops
[08:57] – Mental distortions + using CBT to challenge analysis
[10:47] – Sitting with not knowing vs. “maybe, maybe not”
[13:10] – Distress tolerance + uncertainty in recovery
[15:52] – Opposite action vs. “good enough” ERP
[17:37] – When OCD flares up again: going back to basics
[19:21] – Why response prevention matters long-term
[21:29] – Designing RP: adaptive vs. compulsive behaviors
[22:29] – Reality anchoring: using trusted people as baselines
[23:50] – Creative RP examples & individualizing ERP
✅ Free Resources & Links
📲 Stay Connected
📩 Business Inquiries: [email protected]
✅ About OCD Whisperer
Welcome to OCD Whisperer! Each episode shares tools and insights for OCD recovery, managing intrusive thoughts, ERP therapy, CBT techniques, anxiety relief, and mindfulness practices. Join me for expert interviews and personal insights into overcoming OCD. Subscribe to find support, strategies, and hope for your OCD journey.
⚠️ Disclaimer: Please note while the host is a licensed marriage and family therapist specializing in OCD and anxiety disorders in the state of California, this podcast is for educational purposes only and should not be considered a substitute for therapy.
🔑 SEO Keywords
• response prevention OCD
• ERP therapy explained
• mental compulsions OCD
• breaking OCD cycles
• rumination and OCD
• uncertainty in OCD recovery
© OCD Whisperer
View all episodes
By Kristina Orlova
4.7
7474 ratings
What is Response Prevention and why is it the most important part of ERP?
In this episode of The OCD Whisperer Podcast, Kristina Orlova speaks with therapist Natalia Aiza. Together, they explore Response Prevention (the RP in ERP therapy)—why it’s the most crucial step in breaking free from OCD cycles, and how to actually apply it in daily life.
Natalia opens up about:
• Why exposures without response prevention don’t work
• The difference between physical vs. mental compulsions
• Tools for handling rumination, avoidance, and reassurance-seeking
• How “good enough” ERP (not perfection) helps real people recover
This conversation also dives into:
• How to identify sneaky mental rituals disguised as “thinking”
• Why delaying compulsions builds brain flexibility
• The power of uncertainty, creativity, and new discoveries in recovery
Whether you’re struggling with OCD yourself or supporting someone who is, this conversation offers insight, clarity, and hope to guide your recovery journey.
📲 Natalia Aiza (guest):
✂️TIMESTAMPS:
[00:00] – Welcome back + today’s focus on Response Prevention
[01:07] – What is response prevention in ERP?
[01:45] – Mental vs. physical compulsions
[03:19] – Building a response prevention “ladder”
[04:17] – Identifying mental rituals as compulsions
[05:50] – Why belief in compulsions makes ERP harder
[07:01] – Rumination-focused ERP & breaking mental loops
[08:57] – Mental distortions + using CBT to challenge analysis
[10:47] – Sitting with not knowing vs. “maybe, maybe not”
[13:10] – Distress tolerance + uncertainty in recovery
[15:52] – Opposite action vs. “good enough” ERP
[17:37] – When OCD flares up again: going back to basics
[19:21] – Why response prevention matters long-term
[21:29] – Designing RP: adaptive vs. compulsive behaviors
[22:29] – Reality anchoring: using trusted people as baselines
[23:50] – Creative RP examples & individualizing ERP
✅ Free Resources & Links
📲 Stay Connected
📩 Business Inquiries: [email protected]
✅ About OCD Whisperer
Welcome to OCD Whisperer! Each episode shares tools and insights for OCD recovery, managing intrusive thoughts, ERP therapy, CBT techniques, anxiety relief, and mindfulness practices. Join me for expert interviews and personal insights into overcoming OCD. Subscribe to find support, strategies, and hope for your OCD journey.
⚠️ Disclaimer: Please note while the host is a licensed marriage and family therapist specializing in OCD and anxiety disorders in the state of California, this podcast is for educational purposes only and should not be considered a substitute for therapy.
🔑 SEO Keywords
• response prevention OCD
• ERP therapy explained
• mental compulsions OCD
• breaking OCD cycles
• rumination and OCD
• uncertainty in OCD recovery
© OCD Whisperer
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