Virtual CBT Therapy and ERP Treatment for OCD

Online ERP Therapy: My practice

I am Jaime G. Miralles an Online CBT Therapist, specialising on ERP Therapy Online for OCD. You cand read more about me.

I have special interest in Online CBT Therapy for OCD, also known as virtual cognitive behavioral therapy. I deliver a tailored made intervention to the needs of the individual. We identify what it is important for the person the values, and we work using online Cognitive Behavioural Therapy and Exposure and Response Prevention (EPR). The use of these two approaches has been shown to be more effective in some studies for the treatment of Obsessive Compulsive Disorder – OCD.

I work with people to come up with a plan to maintain changes in therapy and we work to a time limit intervention, usually lasting 12 to 20 sessions. This, more often than not, is very individual and sessions differ greatly between people.

With online cbt treatment for OCD, or other difficulties, you can have virtual cbt therapy always near you. This is particularly useful for people needing flexibility, specially now a days with dynamic working. As well as businesses with remote workers. You can read on how online cbt therapy for businesses and companies can be of a help to you.

You can talk to me by clickcing on Schedule a Free consultation, to enquire about Online CBT counselling for OCD.

For More information on how ocd treatment may look like you can read further on ERP for ocd.


Definition of OCD as Set by the American Psychiatric Association

It is important to remember that not everyone agrees with this definition, however, this definition is the one that is used for research and dignoses purposes.

DSM-5 Diagnostic Criteria for Obsessive-Compulsive Disorder (300.3)

A.- Presence of obsessions, compulsions, or both:

Obsessions are defined by (1) and (2):

  1. Recurrent and persistent thoughts, urges, or impulses that are experienced, at some time during the disturbance, as intrusive and unwanted, and that in most individuals cause marked anxiety or distress.
  2. The individual attempts to ignore or suppress such thoughts, urges, or images, or to neutralize them with some other thought or action (i.e., by performing a compulsion).

Compulsions are defined by (1) and (2):

  1. Repetitive behaviours (e.g., hand washing, ordering, checking) or mental acts (e.g., praying, counting, repeating words silently) that the individual feels driven to perform in response to an obsession or according to rules that must be applied rigidly.
  2. The behaviours or mental acts are aimed at preventing or reducing anxiety or distress, or preventing some dreaded event or situation; however, these behaviours or mental acts are not connected in a realistic way with what they are designed to neutralize or prevent, or are clearly excessive.

B.- The obsessions or compulsions are time-consuming (e.g., take more than 1 hour per day) or cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.

C.- The obsessive-compulsive symptoms are not attributable to the physiological effects of a substance (e.g., a drug of abuse, a medication) or another medical condition.

D. The disturbance is not better explained by the symptoms of another mental disorder (e.g., excessive worries, as in generalized anxiety disorder; preoccupation with appearance, as in body dysmorphic disorder; difficulty discarding or parting with possessions, as in hoarding disorder; hair pulling, as in trichotillomania [hair-pulling disorder]; skin picking, as in excoriation [skin-picking] disorder; stereotypies, as in stereotypic movement disorder; ritualized eating behaviour, as in eating disorders; preoccupation with substances or gambling, as in substance-related and addictive disorders; preoccupation with having an illness, as in illness anxiety disorder; sexual urges or fantasies, as in paraphilic disorders; impulses, as in disruptive, impulse-control, and conduct disorders; guilty ruminations, as in major depressive disorder; thought insertion or delusional preoccupations, as in schizophrenia spectrum and other psychotic disorders; or repetitive patterns of behaviour, as in autism spectrum disorder).

Specify if:

With good or fair insight: The individual recognizes that obsessive-compulsive disorder beliefs are definitely or probably not true or that they may or may not be true.

With poor insight:  The individual thinks obsessive-compulsive disorder beliefs are probably true.

With absent insight/delusional beliefs: The individual is completely convinced that obsessive-compulsive disorder beliefs are true.

Specify if:

Tic-related: The individual has a current or past history of a tic disorder.

Reprint permission pending from the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, (Copyright 2013). American Psychiatric Association.

Free online OCD Test

Here there are some online questionnaires you could take to measure your OCD difficulties. These are not diagnostic tools. I use them in my practice to guide therapy, but I do not diagnose any disorder.

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