• course Info
  • Content

(No CEs) Exposure(squared): Optimizing exposure techniques for co-occurring PTSD and OCD

Hours 6

About this course

This is a recording from a live event that occurred on November 7, 2025.


In evidence-based practice, there are a number of protocols a clinician can use for presenting mental disorders. What happens when a client presents with two disorders that are both highly distressing and impactful? Does the clinician offer two separate protocols? Or is there a combined approach based upon evidence-based psychotherapy principles that may address both? Posttraumatic stress disorder and obsessive-compulsive disorder have high levels of comorbidity, with epidemiologic data suggesting rates of comorbidity of as much as 31% (Brown et al. 2001). Further, the evidence base is strong for exposure therapy for both PTSD (APA, 2025) and for OCD (Fernando & Selai, 2021). And it is well-known that both approaches - Prolonged Exposure and Exposure and Response Prevention, respectively - overlap greatly in terms of the evidence-based principles that undergird the protocols themselves (Abramowitz, Deacon, & Whiteside, 2019). This presentation focuses on best practices in exposure therapy and offer a framework for using these principles for treating clients presenting with comorbid PTSD and OCD.

Learning Objectives

  • Explain how inhibitory learning better explains the mechanisms of exposure therapy than habituation.
  • Identify 3 ways to enhance exposure exercises using inhibitory learning principles.
  • Describe how inhibitory learning and emotional processing therapy converge and how they diverge.
  • Be able to design effective in vivo exposures for both disorders.
  • Describe how to differentiate the use imaginal exposure techniques for PTSD as compared to OCD.
  • Describe how to transition between each therapeutic approach and how to aid in relapse prevention for both at the end of psychotherapy.

Learning Levels

  • Intermediate
  • Advanced

Target Audience

This educational activity is intended for behavioral health professionals, including Psychologists, Social Workers, Counselors, and MFT's.

Course Instructor(s)

  • Scott Michael, PhD

    Dr. Michael is a clinical psychologist and owner of Lake Washington Mental Health and Clinical Instructor at the University of Washington. He specializes in evidence-based treatment for trauma/PTSD, OCD, social anxiety disorder, panic disorder, generalized anxiety disorder, and specific phobias. He is a Prolonged Exposure (PE) trainer for the Veterans Affairs PE training dissemination program. He has offered over 20 PE trainings to date and has consulted with over 50 clinicians on providing PE. Additionally, he has designed and offered exposure therapy trainings and consulted on numerous cases for OCD and a range of anxiety disorders.

Disclosure

DISCLOSURE OF RELEVANT FINANCIAL RELATIONSHIPS CE Learning Systems adheres to the ACCME’s Standards for Integrity and Independence in Accredited Continuing Medical Education. Any individuals in a position to control the content of a CE activity ― including faculty, planners, reviewers, or others ― are required to disclose all relevant financial relationships with ineligible entities (formerly known as commercial interests). All relevant conflicts of interest have been mitigated prior to the commencement of the activity. The following relevant financial relationships have been disclosed by this activity’s planners, faculty, and the reviewer: FACULTY The faculty of this activity receive a portion of the proceeds from this event.

References

  • Abramowitz, J. S., Decon, B. J., & Whiteside, S. P. H. (2019). Exposure Therapy for Anxiety: Principles and Practice (2nd Ed.). New York: The Guilford Press.
  • American Psychological Association (2025). Clinical Practice Guideline for the Treatment of PTSD. https://www.apa.org/ptsd-guideline
  • Fernando, C.; Selai, C. A. (2021). systematic review and meta-analysis on the effectiveness of exposure and response prevention therapy in the treatment of Obsessive-Compulsive Disorder. Journal of Obsessive-Compulsive and Related Disorders, 31, p. 1–16, DOI 10.1016/j.jocrd.2021.100684.
  • Caitlin M. Pinciotti, Loren M. Post, Lynsey R. Miron, Chad T. Wetterneck, Bradley C. Riemann. (2022). Preliminary evidence for the effectiveness of concurrent exposure and response prevention for OCD and prolonged exposure for PTSD. Journal of Obsessive-Compulsive and Related Disorders, 34. doi.org/10.1016/j.jocrd.2022.100742.
  • Pinciotti, C. M., Horvath, G., Wetterneck, C. T., & Riemann, B. C. (2022). Does a unique co-occurring OCD and PTSD factor structure exist?: Examination of overlapping OCD and PTSD symptom clusters. Journal of Anxiety Disorders, 85, 102511. DOI 10.1016/j.janxdis.2021.102511

Content

  • Materials
    2 parts
    • Recording
    • Slides
(No CEs) Exposure(squared): Optimizing exposure techniques for co-occurring PTSD and OCD
You Have Completed This course
$100
You are enrolled
  • Hours
    6
  • Type
    Self-Paced
  • Publication Date
    Nov 16th, 2025
  • CE Credits Not Available for this course

Reset password


Reset your password by providing your email below





Next

We sent a reset password link to the email address you provided.


{{reset.email}}


If you do not see the email, try checking your junk or spam folder.


If you don't receive a link in the email you provided, please click the button below to resend the verification email.

Resend

Please wait {{timer}} seconds to resend



Next

Sign in


Enter your email to get started.




Next

Sign in


Good news! Your email is associated with an account. Enter your password or click here to reset it




Login

Thanks for signing up!


We sent an verification email to the address you provided. Please check your email to verify your email address.


{{signup.email}}


If you do not see the email, try checking your junk or spam folder.


If you don't receive a link in the email you provided, please click the button below to resend the verification email.



Resend

Please wait {{timer}} seconds to resend

Sign up




Sign up

Shopping Cart


Items
Price
Remove
  • {{ item.name }} ({{ item.courses.length }} courses)

    {{ item.credit_hours }} Credits
    {{ item.coupons.map((c)=> c.code).join(', ') }}
    ${{ item.totals.price }}
    ${{ item.totals.total_price }}
Apply


Cart is empty

Thank you for your purchase


To access the course content, click the button below. Enrolled courses may be accessed at any time by going to your Account and clicking Courses


Go to Course

Thank you for your purchase

To access your courses, please click the button below. Enrolled courses may be accessed at any time by going to your Account and clicking either Events or Courses


My Account

Payment

{{$store.state.payment.paymentErrorMessage }}
Pay now