Stuff That’s Loud

Integrating ERP and ACT for Youth with Anxiety and OCD

CE Hours available ( How do I get my CE? )
Lisa Coyne, PhD Leading ACT expert and author
Ben Sedley, PhD, PGDipClinPsyc Clinical psychologist and author

About This Course

Do you feel unsure about how to treat the children and adolescents who come to your practice with anxiety or OCD? Are you hesitant to use exposure therapy because it’s tough to ask youngsters to face their fears? Or do you find young people with anxiety getting stuck in treatment, and you’re not sure why? If so, this course is for you. Youth with anxiety and OCD are often overwhelmed with “stuff that’s loud,” or thoughts, emotions, and bodily sensations that can be terrifying. Thus, they get stuck in spirals of avoidance that lead to deep social, academic, and family costs. Without effective therapy, this can go on for months or years. Despite the need for intervention, it often takes families years to find clinicians trained in exposure-based treatment, a potent and effective approach. However, many clinicians are hesitant to engage young people in Exposure and Response Prevention (ERP) because it’s challenging to help individuals face their fears; a significant proportion of youngsters refuse treatment; of those who engage, 20-40% fail to make or maintain gains. During this course, Lisa Coyne and Ben Sedley will teach you how to use exposure-based treatment from a process-based perspective, tied to evidence-based principles. You will learn about exposure from the bottom up, to look at the barriers in using exposure in your own practice, and to use this approach for young people flexibly, with various anxiety disorders, OCD, and across commonly comorbid conditions. They will show you how to integrate ERP with basic acceptance and commitment therapy (ACT) so that you can help transform the lives of young people who are suffering with OCD and anxiety. Based on strong scientific evidence and delivered by two master clinicians with years of experience in work with anxiety and OCD in outpatient and residential levels of care, this 8-week course will empower you to help young people with anxiety and OCD in their struggle with the “stuff that’s loud” through shaping curiosity, willingness, and flexibility. Lisa and Ben will show how to motivate and engage clients, how to address common stuck points in exposure, how to teach youngsters to do exposure therapy well, and how to support robust generalization. This course will help you to strengthen and expand your practice with children and teens with OCD and anxiety, especially when they feel stuck, or are difficult to motivate, or are moving slowly through treatment. During this course, Lisa and Ben will:
  1. Help you understand exposure-based treatment in terms of behavioral principles, based on the most current research.
  2. Address best practices in assessment for child anxiety and OCD to support developing effective treatment plans.
  3. Help you develop a strong therapeutic alliance that supports engagement in exposure-based treatment.
  4. Teach you how to conduct exposure-based treatment with various presentations of anxiety and OCD for children 4-19 years old.
  5. Demonstrate how to integrate specific ACT interventions into flexible exposure.
  6. Show you best practices for working with families, which is essential to supporting the progress of young people.
  7. Address your own barriers in conducting exposure-based treatment.
  8. Support robust generalization and maintenance of gains.
  9. Troubleshoot tricky, difficult-to-treat cases, and address comorbid conditions.
You will get a chance to learn experientially through exercises, role- and real-plays, and case discussions in which to practice the principles taught. You’ll leave this course with helpful resources to guide your assessment, treatment, and track progress of young clients in your sessions and beyond. Prior to registering, please review speaker-planner conflict of interest disclosures and complete CE information.


Session 1 September 5, 2019, 4 pm-6 pm EDT
Overview of ACT/ERP Model; Intro to Inhibitory Learning
Session 2 September 12, 2019, 4 pm-6 pm EDT
Assessment: Functional Analysis and Clinical RFT
Session 3 September 19, 2019, 4 pm-6 pm EDT
Creating a Secure Base: Therapeutic Alliance, Bond, and Task Agreement
Session 4 September 26, 2019, 4 pm-6 pm EDT
Shaping Curiosity: Mindful Attention and Flexible Exposure
Session 5 October 3, 2019, 4 pm-6 pm EDT
Increasing Willingness and Motivation: Creative Hopelessness and Acceptance
Session 6 October 10, 2019, 4 pm-6 pm EDT
Perspective-Taking: Defusion and Self-As-Context
Session 7 October 17, 2019, 4 pm-6 pm EDT
Building Flexibility: Values Discovery and Generalization Work
Session 8 October 24, 2019, 4 pm-6 pm EDT
Troubleshooting: Issues of Function and Context, Building a Support Team

Learning Objectives

Participants will be able to:
  1. Explain ERP and ACT from a behavior analytic perspective.
  2. Describe how exposure based on ACT differs from exposure conducted from a traditional habituation model.
  3. Prepare a functional behavioral assessment and case conceptualization.
  4. Utilize this process in order to develop a collaborative exposure plan with clients.
  5. Build an effective therapeutic alliance base that supports exposure engagement.
  6. Use present moment awareness to support effective engagement in exposure.
  7. Employ creative hopelessness to develop shared agenda.
  8. Use clinical RFT techniques to coach exposure engagement.
  9. Use defusion and self-as-context exercises to support exposure engagement.
  10. Use values exercises across contexts and comorbid conditions to support generalization and maintenance.
  11. Describe how to effectively address stuck points with challenging clients.

Continuing Education

Please review complete CE and conflict-of-interest disclosure information prior to registering. This course is jointly sponsored by Praxis CET and Institute for Better Health (IBH) and is approved for 16 CE Hours by the following:

  • APA – Psychologists
  • BACB – Behavior Analysts
  • NBCC – National Counselors
  • NY State – Counselors and Social Workers
  • Other State Level Counselors, MFTs, and Social Workers
  • WESPSB – Educators
  • ACCME – Physicians
  • ANCC – Nurses




Mental health professionals, beginners to advanced, who work with young people with anxiety and OCD, or who wish to expand their practice to include these groups.

Recommended Reading

Stuff That Sucks by Ben Sedley. New Harbinger Publications: Oakland, CA. 2017.

The Mindfulness Workbook for OCD by Jon Hershfield. New Harbinger Publications: Oakland, CA. 2013.


Craske, M. G, Kircanski, Zelikowsky, M., Mystkowski, J., Chowdhury, N. & Baker, A. (2008). Optimizing inhibitory learning during exposure therapy, Behavior Research and Therapy, 46, 5-27.

Twohig, M. P., Hayes, S. C., Plumb, J. C., Pruitt, L. D., Collins, A. B., Hazlett-Stevens, H., &
Woidneck, M. R. (2010). A randomized clinical trial of acceptance and commitment therapy
versus progressive relaxation training for obsessive-compulsive disorder. Journal of
Consulting and Clinical Psychology
, 78(1), 705-716.

Twohig, M. P., Abramowitz, J. S., Bluett, E. J., Fabricant, L. E., Jacoby, R. J., Morrison, K.
L., Reuman, L. & Smith, B. M. (2015) Exposure therapy for OCD from an acceptance and
commitment therapy (ACT) framework. Journal of Obsessive Compulsive Disorders, 6, 167 –
173. 33(3), 229-237.

Refund and Cancellation Policy

We understand, sometimes things come up!

Praxis will offer a full refund to registrants of both live and live-online trainings who cancel their registration prior to 14 days before an event/course. If a registrant would like to cancel their registration within 14 days of the event, no refund will be offered. However, the registrant can elect to receive a credit to be used toward another Praxis event within 1 calendar year.