Most of ERP happens between sessions, and that is where treatment most often stalls: assignments that never get attempted, exposures that drift from the plan, and a next session that starts with little idea of what actually happened. This talk covers practical methods for structuring between-session work: designing assignments patients will actually do, calibrating difficulty, and reviewing what happened in a way that moves treatment forward. The material comes from Dr. Fisher's caseload at the Anxiety Relief Clinic.

Disclosure: Dr. Fisher is the founder of Conicia (conicia.com), a commercial program for structured between-session work in OCD. It is publicly available; patients sign up directly and can connect the clinician they work with. The talk draws on lessons from building and using it, and none of the methods discussed require it.