Feeling gaslight by OCD? Defeat OCD-related doubt through exposure and response prevention (ERP), not logic!One of OCD's most diabolical tricks is its ability to sow seeds of doubt, even about beliefs we hold strongly. Think of it as a tiny, annoying heckler in your...
Scrupulosity Exposure Help?
Please help us complete this exposure for scrupulosity (religious OCD).So this post is a bit different than my regular posts... Rather than discussing a specific aspect about OCD or anxiety, this post is a request for your assistance in completing an exposure. Here's...
Hit-and-Run OCD vs. Other Driving Fears
Hit-and-run OCD can be distinguished from other driving-related fears on the basis of a person's core fear and his/her response to it.What is hit-and-run OCD? Hit-and-run OCD (sometimes called MVA-OCD) is a subtype of obsessive-compulsive disorder that involves...
OCD About Pets and Animals: Harm
Obsessions focusing on pets and animals incorporate all the common themes: contamination, checking, harm, scrupulosity, and sex.In this 3-part blog series, I discuss some of the common ways obsessions may target our lovable, snuggable friends. This article, Part 1,...
ERP Tip of the Day #2
I’m going to do this and ride the anxiety wave no matter what. Bring on the bad thoughts.It's ERP tip time. This series of posts focuses on tips to enhance the effectiveness of your exposure and response prevention (ERP). If you're interested in more ERP tips, click...
ERP Tip of the Day #1
Don't mistake rituals for exposure and response prevention (ERP). Embrace your exposures with fear, and embrace opportunities for openness, defenselessness, and vulnerability.Starting today, I am going to start posting random ERP tips as they occur to me, as there are...
Imaginal Exposure vs. In Vivo Exposure for OCD
Use imaginal exposure to address OCD based around catastrophic feared outcomes.As I've talked about in numerous posts, overcoming OCD involves learning to co-exist with doubt and uncertainty. This idea can be a bit counter-intuitive at first, as many people initially...
OCD Treatment Group Using ERP
There is strength in numbers. Join us for our first OCD treatment group on Saturday, 8/10/13.OCD Treatment Group! I am pleased to announce the availability of our new exposure and response prevention (ERP)-based treatment group. The intent of this group is to provide...
OCD & Checking: Part 2 (Mental Checking)
Mental checking can involve mentally analyzing whether or not a behavior was completed properly.Behavioral Checking (Overt Checking) Many examples of compulsive checking rituals in OCD involve direct inspection of a target stimulus by sight, sound, or feel. Common OCD...
Worry & “What If” Questions
Answering "What If...?" questions is an anxiety-related avoidance behavior that involves overpreparation.Anxiety, Worry, & What If Questions If you have anxiety, it's likely that you wrestle with worry and "what if" questions. Many what if questions are easily...
Treatment of Unwanted Thoughts & Sensations in OCD
If you insist on being symptom-free, “normal” body- and thought-noise become potential threats. This is because they are perceived as unwanted and dangerous.In my post about the treatment of sensorimotor OCD, a reader asked about the ultimate goal of treatment. Should...
Thought Control & OCD (Obsessive-Compulsive Disorder)
A penguin obsessed with flying is an unhappy penguin. Resist efforts to suppress unwanted thoughts.OCD & Thought Control Can I learn to eliminate my OCD thoughts? I hear this question all the time from new patients who are searching for ways to suppress their...
Reassurance Seeking in OCD
Although contamination-related OCD and washing rituals often go hand-in-hand, many rituals in this domain do not actually involve cleaning or disinfecting. Reassurance seeking is a subtle ritual that involves asking questions or seeking out information regarding the...
“Pure-O” OCD: Common Obsessions & Mental Rituals
The obsessions experienced by individuals with "Pure-O" OCD are commonly accompanied by mental compulsions.As a follow-up to my previous post on Pure-O OCD, I thought it might be helpful to identify some obsessions that are commonly reported by individuals with Pure...
Pure-O OCD (Pure Obsessional OCD): Hidden Rituals
Pure-O OCD (Pure Obsessional OCD) is associated with hidden mental compulsions that interfere with treatment effectiveness."Pure-O" OCD, or Pure Obsessional OCD, is a relatively less common form of OCD that seemingly differs from classic presentations of the illness....















