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ERP does not always progress in a straight line. Practice can become diluted, rituals can slip back in, treatment can stall and apparent setbacks can provide important information about what needs to change.
This pack supports the middle and later stages of ERP — helping clinicians review what was actually practised, understand stalled work, respond constructively to lapses and prepare clients to maintain gains beyond regular therapy.
Clinician guidance + printable worksheets | Adults 18+

Look beyond whether homework was simply “done” and examine what was approached, what remained active and what the client actually learned.
Track changes in rituals, avoidance, response prevention, functioning and behavioural freedom rather than relying on distress ratings alone.
Step back and inspect formulation, task design, response prevention, access, context and therapeutic process before simply increasing exposure difficulty.
Treat lapses as useful clinical information and support a purposeful return to the treatment plan without blame or overanalysis.
Help clients recognise returns to the old OCD process, retrieve useful learning and continue approaching ordinary life without constant symptom surveillance.
Clarify when treatment can step down, when a booster may help and when changes in presentation require broader clinical reassessment.

Practical support for interpreting progress, stalled ERP and setbacks without reducing review to scores or adherence.

Structured review, troubleshooting and maintenance resources designed to support the next useful clinical decision.

Collaborative tools for reviewing progress, responding to lapses and developing a realistic maintenance plan.
Who is it for?
Clinicians delivering ERP who want structured support for reviewing progress, understanding stalled work and preparing clients for the end of active treatment.
How is it designed to be used?
Use at planned review points or when treatment raises a specific question. The intention is to generate a clearer next clinical decision — not create another checking or paperwork routine.
What will I receive?
A 73-page digital PDF containing clinician guidance and printable review, troubleshooting and maintenance resources.
Professional use
Changes in progress or presentation should remain subject to clinical judgement. Stalled ERP may sometimes indicate a need to revisit formulation, risk, diagnosis, access or another treatment need rather than simply intensifying exposure.
For individual clinician use. Team and organisational licences are also available -licensing options are provided at checkout.

A complete six-pack clinical resource for assessing OCD, planning and delivering ERP, addressing mental compulsions and imaginal exposure, reviewing progress and supporting clients between sessions.
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