Deliver ERP without the years of specialty training
Bia gives you the validated hierarchies, paced sessions, and structured homework that make ERP deliverable in any practice, not just in a specialty clinic.
What ERP actually is
Exposure and Response Prevention (ERP) is the first-line behavioral treatment for OCD and a core component of treatment for most anxiety disorders. The clinician helps the client confront feared situations or thoughts (exposure) while declining the rituals or avoidance the client typically uses to reduce anxiety (response prevention). Over repeated trials, the client's nervous system updates: the feared outcome doesn't materialize, and the anxiety becomes tolerable.
ERP is among the most evidence-supported treatments in mental health, with effect sizes that consistently outperform medication-alone treatment for OCD. But it's also one of the hardest treatments to deliver well: it requires a structured hierarchy, real-time pacing decisions in session, and reliable between-session homework.
The ERP elements Bia handles for you
Bia takes the structural and tracking burden of ERP off your plate so you can focus on the therapeutic relationship and clinical judgment.
Validated hierarchies, prebuilt
Hierarchies for contamination OCD, harm OCD, scrupulosity, just-right OCD, social anxiety, panic, specific phobias, and more. Each built by clinicians and refined across thousands of completed exposure sessions.
Real-time SUD pacing
In-session live mode collects subjective distress ratings from the client and adapts the next step based on tolerance. Prevents over-exposure that drives dropout.
Response-prevention timers
Built-in timers for delaying or eliminating compulsions. The client sees the urge curve flatten, the foundational learning of ERP.
Between-session homework that tracks itself
Assigned exposures auto-track completion. No more "did you do your exposures?" at the start of session.
Outcome data, automatically
Y-BOCS, GAD-7, PHQ-9, and custom measures auto-administered at assigned intervals. The treatment course becomes self-documenting.
Built on inhibitory learning principles
Modern ERP design draws on inhibitory learning theory (Craske et al.): the idea that exposure works not by extinguishing the original fear association but by creating a competing safety association that wins out over time. Bia's exposure design follows the inhibitory learning recommendations.
- Varied contexts, exposures repeated across different situations, locations, and times to strengthen generalization.
- Expectancy violation focus, exposures designed to surprise the client about what doesn't happen, not just to reduce in-the-moment distress.
- Retrieval cues, the app surfaces reminders of past successful exposures when distress returns.
- Removal of safety signals, the client learns to engage with feared stimuli without reliance on subtle avoidance.
New to ERP? Bia removes the barriers to delivering it well
You don't need years of dedicated ERP fellowship to use Bia. The hardest parts of doing ERP well, building a good hierarchy, calibrating exposure difficulty, knowing when to advance, are handled by the platform.
- You bring the therapeutic alliance, clinical judgment, and the moments of "yes, you can do this" that make exposure tolerable.
- Bia brings the protocol, the content, the pacing, and the documentation.
- Continuing education content and case-based examples are available within the platform to deepen your ERP skills as you go.
Already doing ERP? Bia is the workflow tool you've been improvising
- Stop rebuilding hierarchies from scratch for each new client.
- Stop chasing self-reported homework completion.
- Stop assembling outcome reports by hand for insurance or supervision.
- See your clients' between-session work in real time, so you can adjust the next session before they arrive.
Try a full ERP hierarchy in Bia, no risk to set up.
Free provider account, full access to the exposure library. Build, assign, and run an ERP plan end-to-end before you commit.
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