Saturday, April 22 • 7:45pm - 8:45pm
The Use of Exposure in the Treatment of BFRBs

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Exposure and response prevention (ERP) entails intentionally activating anxiety, “leaning into” or staying with the anxiety while refraining from rituals or compulsive behaviors until distress naturally subsides. As a therapeutic intervention, ERP is widely used to treat anxiety disorders and obsessive-compulsive disorder, with solidly demonstrated efficacy and effectiveness for a variety of presentations and populations. We believe that ERP also has a role in the treatment of BFRBs. In this workshop, the theoretical underpinnings of ERP will be presented, and the rationale for applying to the treatment of BFRBs will be provided. We will discuss two major ways in which ERP can be used in the treatment of BFRBs. The first is to help target urges to pull or pick. ERP can be particularly effective for individuals who pull or pick due to perfectionism or sensory stimuli. ERP can also be beneficial for reducing fear and shame that often accompanies BFRBs, especially when interacting with others. For example, many individuals with BFRBs experience significant anxiety about others finding out or judging them or their appearance. These fears can be alleviated via exposure. Presenters will model this technique via live role-play. Attendees will be invited to ask questions or share their own cases to facilitate discussion of real-world applications. Finally, common pitfalls will be presented to help attendees avoid potential problems.


Shala M Nicely LPC

Shala Nicely, LPC is a cognitive-behavioral therapist specializing in treatment of OCD and related disorders at Cornerstone Family Services in Atlanta. She was keynote speaker for the 2013 IOCDF national conference with the story of her own triumph over OCD, “Is Fred in the Refrigerator... Read More →

Ashley J Smith PhD

Dr. Ashley Smith has been a senior staff psychologist at the Kansas City Center for Anxiety Treatment (KCCAT) since 2009. She holds extensive experience in treating anxiety and OC spectrum disorders across the lifespan, and she facilitates a monthly BFRB support group. She is a frequent... Read More →

William C Oakley PsyD

Dr. William Oakley is an Associate Psychologist at the KCCAT. He received his Doctorate in Clinical Psychology from Midwestern University. He completed his pre–doctoral internship at the Carson Center for Adults and Families and conducted research at Brown University’s Center... Read More →

Saturday April 22, 2017 7:45pm - 8:45pm
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