Treatment-Resistant Obsessive-Compulsive Disorder does not respond quickly to evidence-based treatment approaches such as exposure and response prevention (ERP). The intensity of exposures in briefer treatment programs can be overwhelming and cause increases in anxiety, obsessional thoughts, and compulsive behaviors in some individuals. Monarch’s slower-paced approach allows individuals to modulate exposures and lean on staff who help them co-regulate intense emotions stirred by the hard work of ERP.