Imagine you are a psychologist working with a patient who has been diagnosed with obsessive-compulsive disorder (OCD). Your patient frequently experiences intrusive thoughts that lead to compulsive behaviors as a means to reduce their anxiety. In a comprehensive response, apply relevant psychological terminology and concepts to explain the cognitive-behavioral framework of OCD. Specifically, describe how cognitive distortions, reinforcement strategies, and exposure and response prevention would be utilized in treatment. Additionally, include a discussion on the impact of these concepts on the patient's behavior and the therapeutic process.