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Likely reasons for the relapse and strategies for enhancing ERP to achieve better long-term treatment outcomes are discussed from the perspective of acceptance and commitment therapy (ACT). These strategies mainly apply to the implementation of situational (in vivo) and imaginal exposure therapy, but also include suggestions for optimizing the use of cognitive therapy for OCD.<\/jats:p>","DOI":"10.1891\/0889-8391.33.3.256","type":"journal-article","created":{"date-parts":[[2019,7,8]],"date-time":"2019-07-08T18:59:07Z","timestamp":1562612347000},"page":"256-268","source":"Crossref","is-referenced-by-count":3,"title":["Using an Acceptance and Commitment Therapy Approach When Exposure and Cognitive Therapy Become Rituals in the Treatment of Obsessive-Compulsive Disorder"],"prefix":"10.1891","volume":"33","author":[{"given":"Jennifer L.","family":"Buchholz","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1721-8060","authenticated-orcid":false,"given":"Jonathan","family":"Abramowitz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"793","published-online":{"date-parts":[[2019,7,8]]},"reference":[{"key":"2019091721154612000_33.3.256.1","unstructured":"Abramowitz, J. 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