Exposure and Response Prevention (ERP) is the gold-standard, evidence-based treatment for Obsessive-Compulsive Disorder (OCD).

Snow-capped mountain in the distance with a small town and forest in the foreground.

Dr. Prairie is an ERP specialist for OCD.

ERP will help you break free from the cycle of rumination, fear, anxiety, and compulsive behaviors. Together, we gently practice facing the thoughts, feelings, or situations that OCD tells you to avoid, while learning not to rely on compulsions or reassurance to make the discomfort go away. Over time, you learn that you can handle uncertainty, tolerate uncomfortable feelings, and choose what matters to you rather than letting OCD make those decisions.

ERP isn’t about getting rid of every unwanted thought or never feeling anxious again; it’s about becoming less afraid of your mind and more free to live the life you want.

Feeling the fear + doing the scary thing = BRAVERY

Dr. Prairie works with all ages and most severity levels, in partnership with collaborative care teams.

Learn more about ERP here.

  • OCD can take many different forms, but the underlying cycle of obsessions and compulsions can be treated with the same evidence-based principles of ERP. No matter what your OCD looks like, you deserve a space where you can talk openly without judgment. Dr. Prairie is experienced in working with often-stigmatized or “taboo” OCD themes, including sexual orientation/sexuality OCD, pedophilic OCD (POCD), and harm OCD. All OCD subtypes are welcome here. Learn more about OCD subtypes here.

  • The length of OCD treatment varies from person to person and depends on factors such as symptom severity, how often we meet, and how much ERP practice happens between sessions. Progress is often faster when clients are able to practice ERP regularly between appointments, since these real-life opportunities are where new skills become stronger and more natural. Together, we’ll adjust the pace and frequency of treatment based on your needs and goals.

  • Support network involvement is helpful in Exposure and Response Prevention (ERP) for people of all ages because supportive others can reinforce new, adaptive behaviors, help reduce avoidance, and provide encouragement during distressing exposures. For very young children, family support is critical: parents and caregivers guide exposures, manage safety behaviors, and create a consistent, predictable environment that reinforces therapy goals. For adolescents and adults, partners, friends, teachers, or other allies can collaborate with the clinician to modify triggers, offer accountability, and help generalize gains across settings.

  • Therapy is an investment in yourself and in creating a life that feels more aligned with what matters to you.

    • Initial Intake: $250

    • Individual Therapy Sessions: $200

    Dr. Prairie is committed to making high-quality therapy accessible. A limited number of sliding scale slots are reserved each month. If you’d like to see if you qualify for a sliding-scale fee, please contact us. We’ll guide you through the process of verifying eligibility and determining an appropriate fee based on your financial situation.

  • We are an out-of-network provider and do not bill insurance directly. However, most insurance plans offer out-of-network coverage, and many clients receive substantial reimbursement for our services. While reimbursement amounts vary depending on your plan, the amount you pay out-of-pocket is often much closer to what you'd pay for in-network care than you may expect.

    • You are responsible for full payment at the time of the initial interview. We will provide you with a superbill to submit to your insurance company for possible reimbursement.

    • We accept payments via credit/debit cards, checks, and HSA/FSA cards.

    As a courtesy to our clients, we’ve partnered with a few Out Of Network Companies to assist you in filing claims. Mentaya checks your Out of Network benefits and if you’d like, they can file your claims (for a 5% filing fee) to help you get money back from insurance for your therapy visits.

  • You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost.

    Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.

    You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.

    Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.

    If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.

    Make sure you save a copy or picture of your Good Faith Estimate.

    For questions or more information about your right to a Good Faith Estimate, visit https://www.cms.gov/nosurprises.