A clinical record built for exposure and response prevention.
Your fear hierarchies and SUDS ratings probably live in a spreadsheet next to the chart. In chERP they are the chart. You rate each trial during the session, and the progress note is drafted from those ratings.
Four trials across 25 minutes. Peak SUDS 82 → 78 → 80 → 70; end-of-trial SUDS 55 → 45 → 35 → 30. Final peak 10 below the anticipated 80. Full response prevention maintained.
They were built for talk therapy. ERP produces data they have nowhere to put.
Distress changes every trial
A 60 means whatever your client decided it means, and it moves every few minutes during an exposure. Most EHRs give you one box per session for it. chERP stores each client’s anchors and every trial, so you see the curve instead of rebuilding it from memory.
The same hierarchy item over three sessions. She predicted 80 every time. By the twelfth trial it peaked at 38.
You write every note twice
You jot ratings during the exposure and turn them into prose that night, and somewhere in the retyping the numbers drift. chERP drafts the note from what you recorded and underlines every sentence you wrote yourself. The assessment stays blank on purpose. We don’t think software should write your formulation.
In-vivo exposure to hierarchy item 6, anticipated SUDS 80. Four trials across 25 minutes. Peak SUDS 82 → 78 → 80 → 70.
Full response prevention maintained. One urge reported in trial 3, not acted on; she used the ten-minute delay without being cued to.
chERP will not draft a formulation. It shows you the trend and leaves the judgement to you.
Group notes get copied between members
It’s tempting at six o’clock with seven notes left, and it’s how a payer audit goes badly. chERP won’t sign a member’s note when the narrative matches someone else’s from the same session, even with the name and a comma changed. It tells you whose note it matches.
Rosa Alvarez’s narrative is the same text as Devon Wright’s.
"...reported a peak SUDS in the high range, tolerating the exercise without seeking reassurance."
Devon peaked at 90. Rosa peaked at 65 and asked for reassurance twice. One sentence can’t describe both of them.
What is ERP therapy software?
ERP therapy software is a clinical record designed around exposure and response prevention, the first-line behavioural treatment for OCD. It differs from a general behavioural health EHR by storing what ERP produces: a fear hierarchy, each client’s own SUDS anchors, trial-by-trial distress ratings within an exposure, response prevention instructions, ritual logs, and homework adherence.
No software is HIPAA compliant on its own.
Compliance is your practice’s job, and anyone who says their software handles it for you is overselling. We sign a BAA before you send us anything, and we’ll send you our risk analysis if you ask.
Every control, and how it works
chERP OCD compared with a general behavioural health EHR
| Capability | chERP OCD | General EHR |
|---|---|---|
| Fear hierarchy as structured data | Versioned, with RP and feared outcome | Free text |
| Client-specific SUDS anchors | First-class on the hierarchy | Not modelled |
| Trial-by-trial exposure capture | Live recorder with timer | Single note field |
| Expectancy violation | Computed pre/post | Not captured |
| Willingness separate from distress | Both, before and after | Not modelled |
| Ritual logging with frequency view | Typed, with 14-day view | Free text |
| Homework adherence | Per-repetition, with peak SUDS | Narrative |
| Duplicate group notes | Blocked at signature | Permitted |
| Note built from session data | Assembled, then edited and signed | Typed afterwards |
Also in chERP
Measurement-based care
EPDS and GAD-7 scores, with risk flags that show up on the caseload.
Scheduling and admissions
Recurring sessions and no-show tracking. An enquiry becomes a chart in one step.
Client portal
Clients log homework and fill in forms between sessions. They can’t see the chart.
Worksheet import
Bring your hierarchy spreadsheets. They import and export as CSV without losing anything.
Treatment planning
Plans with objectives and ASAM, and a mental status exam before a note can be signed.
Supervision
Supervisors co-sign their supervisees’ notes and can’t see past those caseloads.
Questions we get asked
What is ERP therapy software?
A clinical record built around exposure and response prevention, the first-line treatment for OCD. It stores the things ERP produces, like fear hierarchies, each client’s SUDS anchors, distress ratings for every trial, ritual logs and homework.
Why do general EHRs not work well for exposure therapy?
Most keep the hierarchy in a free text box and treat SUDS as one number per session. There’s usually nowhere to record expectancy before and after an exposure, and that’s the measure inhibitory learning depends on.
Why do SUDS ratings need client-specific anchors?
Because a 60 means whatever that client decided it means. chERP OCD saves each client’s own words for 0, 50 and 100, so you can compare their ratings over time.
How should group ERP sessions be documented?
Each member needs their own note on what they did, how they responded, their homework and their plan. chERP OCD won’t sign a note that’s blank, too short or copied from another member’s note in the same session.
Is chERP OCD HIPAA compliant?
No software is compliant on its own, because compliance belongs to the practice. chERP OCD is a business associate. We sign a BAA, require two-factor sign-in, encrypt your data, keep a tamper-evident audit log and share our risk analysis if you ask.
Does chERP replace my EHR, or sit beside it?
If your practice is mostly ERP, it can replace your EHR, since scheduling, admissions, notes and supervision are all in it. A mixed practice can use it for its ERP clinicians and keep a general EHR for everyone else.
Can I bill insurance from chERP?
Not yet. We’re building charges, client balances, card payments and superbills first, then insurance claims. For now you’d bill from another system.
Is my data used to train AI models?
No. The note draft is assembled from your structured data, and no language model is involved. If we add transcription, it will be opt-in for each client and we won’t train on it.
Can it import hierarchies we already keep in spreadsheets?
Yes. Hierarchies import and export as CSV without losing anything. Each import creates a new version, so the old ladder stays in the record.
Can clients log homework between sessions?
Yes. They log each repetition and how high their distress got, in a portal that shows their homework and forms. They can’t see the chart.
How do we get started?
Email [email protected] and bring a hierarchy worksheet you already use. We sign a BAA before any client information goes into the system.
See a session from check-in to signed note in twenty minutes.
Bring a hierarchy you really use, and we’ll run it with made-up client data.