Exposure and response prevention (ERP) for obsessive-compulsive disorder (OCD) is often highly effective, yet some patients experience relapses following a seemingly successful course of treatment. In this article we describe the conceptual basis of ERP, and then present a client who relapsed after seemingly achieving substantial improvement following 11 sessions of ERP. Likely reasons for the relapse and strategies for enhancing ERP to achieve better long-term treatment outcomes are discussed from the perspective of acceptance and commitment therapy (ACT). These strategies mainly apply to the implementation of situational (in vivo) and imaginal exposure therapy, but also include suggestions for optimizing the use of cognitive therapy for OCD.

中文翻译：

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当暴露和认知疗法成为强迫症治疗的仪式时，使用接受和承诺疗法。

强迫症（OCD）的暴露和反应预防（ERP）通常非常有效，但是一些患者在看似成功的治疗过程中会复发。在本文中，我们描述了ERP的概念基础，然后介绍了一个客户，该客户在经过11次ERP培训后似乎取得了显着改善，但又复发了。从接受和承诺治疗（ACT）的角度讨论了复发的可能原因和增强ERP以获得更好的长期治疗效果的策略。这些策略主要适用于情境（体内）和虚构暴露疗法的实施，但也包括针对OCD优化使用认知疗法的建议。