Exposure and Response Prevention (ERP/EXRP) - OCD Therapy in Houston, Texas
Are you or a loved one struggling with Obsessive-Compulsive Disorder (OCD) in Houston, Austin, Dallas, or elsewhere in Texas? Are intrusive thoughts or images and compulsions taking control of your life?
OCD can be incredibly challenging, but there is hope. At Sanna Khoja’s practice, the ERP/EXRP (Exposure and Response Prevention) online therapy program offers an evidence-based approach to help you regain control over your life and manage your OCD symptoms effectively.
OCD is one of the most misunderstood and undertreated mental health conditions. A lot of people with OCD spend years in therapy that helps them understand their patterns but doesn't actually change them. That's usually because the therapist isn't using the right treatment. The evidence-based treatment for OCD is Exposure and Response Prevention therapy, known as ERP. I'm trained in ERP. That's not the same as being OCD-informed, which typically means a therapist knows what OCD is and will talk with you about it. ERP is a specific, structured treatment approach. For OCD, that difference matters.
What ERP actually is:
ERP works by gradually exposing you to the thoughts, images, or situations that trigger your OCD while helping you resist the compulsive response. Over time, this breaks the cycle. The obsession loses its grip. The urge to do the compulsion decreases. It sounds simple. It's not easy. But it works, and it works better than any other approach for OCD.
What I treat:
OCD shows up differently in different people. I work with:
Contamination OCD
Harm OCD
Relationship OCD (ROCD)
Pure O and intrusive thoughts
Scrupulosity and religious OCD
Health anxiety and OCD overlap
OCD with co-occurring anxiety, trauma, or ADHD
If you've been told you have OCD but aren't sure, or if you've done therapy that hasn't helped, reach out. We can figure out together whether ERP is the right fit.
My approach:
I don't do ERP in a vacuum. OCD has a strong body component that pure behavioral work doesn't always reach. I integrate somatic approaches where it makes sense, because sometimes the nervous system needs more than exposure exercises to fully shift. I also understand that OCD is often wrapped up in shame. A lot of people with OCD have carried their obsessions alone for years because they were too afraid to say them out loud. That's one of the first things we work on.
Questions about how this works? Read the FAQ.

