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Scrupulosity Exposure Help?

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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 the background… I have a patient with scrupulosity (religious OCD) who is working to resist his prayer rituals. Oftentimes, his OCD will lead him to pray many, many times throughout the day in response to various triggers he encounters. One of his primary treatment goals is to be able to reduce unhealthy, OCD-based prayers throughout the day. Scrupulosity treatment can be challenging, but he’s doing a great job. At this stage, we are trying to ratchet things up a notch by having him purposefully expose himself to situations where people request prayers from him directly. Over the last week or so, I’ve been asking people...

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OCD Scriptathon 2017: A Group Scripting Experience

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What: OCD Scriptathon 2017, A Group Scripting Experience Where: Our office! Located at 11380 Prosperity Farms Road, Ste 209A, Palm Beach Gardens, Florida 33410 When: Tuesday, April 11, 2017 from 8:00 PM – Until It Ends If you’ve ever practiced imaginal exposure, you’ve learned that having freaky thoughts on purpose can actually help you fight your OCD. Please join us for Scriptathon 2017, a group scripting experience.  This is an opportunity to put your worst fears and most horrific thoughts on display for the world to see.   Feel free to incorporate death, blasphemy, sexual thoughts, or any other distressing theme(s) that your OCD uses against you. This exposure experience is not for the faint of heart, and attendees should expect to hear things that might be disturbing or distressing. Also, please note that given the sensitive nature of the topics discussed, this event is for...

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OCD and Uncertainty

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These are difficult times. Lately, it seems, each week brings with it something truly horrifying. A shooting or an act of terrorism, a hate crime committed against an individual, a disease that affects the unborn. You can hardly turn on the news without hearing about something that incites fear. Yet… We get up every day and go about our normal lives. We get in the car, we drive to work, we come home to our families. We live as if we are untouchable. Technically, we’re not, but we’re often happiest when we live as if we are. Some of us do this easily. The awareness of our own fragility doesn’t linger. Others of us are tortured by possibilities. What if this happens to me? What if this happens to someone I love? OCD brings with it superhuman attention to...

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ROCD

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Although ROCD is often characterized by intrusive worries about your relationship, relationship OCD treatment often specifically targets the compulsions and avoidance behaviors related to ROCD (rather than the obsessions themselves). This is because ROCD treatment is based on the premise that compulsions and avoidance behaviors are what strengthen and maintain the condition. In the absence of rituals and avoidance, relationship OCD symptoms tend to diminish and weaken over time. This general principle is true for all types of OCD, not just ROCD. As a quick refresher, this multi-part series of posts on rOCD (aka “relationship OCD”) discusses obsessive thoughts that are common in rOCD, ROCD intrusive impulses and images, ROCD compulsions and avoidance behaviors [THIS PART!], and ROCD in non-romantic relationships [FORTHCOMING!]. Let’s get to it. What are common ROCD compulsions? ROCD (Relationship OCD) & Compulsions/Avoidance Behaviors Compulsions are...

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OCD Treatment: Back to Basics

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In previous posts, I have discussed various aspects of the “OCD Cycle,” but it never hurts to have a quick refresher. After all, understanding how OCD works can help you see through its lies and help mobilize you to stand up and challenge it. What is OCD, and how does OCD treatment work? OCD has two mains parts: obsessions and compulsions. We’ll talk about the obsessions first. Obsessions are unwanted thoughts, impulses, or images that intrude into your awareness, and cause significant anxiety or distress. Thoughts include such examples as, “What if I get sick?”, “What if I secretly want to harm my loved ones?“, “What if I just got sexually aroused by that child?“, and “What if I forgot to lock my front door and someone breaks in?“. Impulses are experienced as urges to commit actions that you...

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Relationship OCD (rOCD) – Unwanted Impulses & Images

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This multi-part series of posts will focus primarily on rOCD, also known as “relationship OCD.” Part 1 focused on obsessive thoughts that are common in rOCD. This part discusses other relationship OCD obsessions, including intrusive impulses and images. Part 3 will review common compulsions and avoidance behaviors that are typical in rOCD (relationship OCD). Part 4 will discuss “Relationship-Focused OCD” more broadly in the context of other types of relationships, including friendships, parent-child relationships, and professional relationships. As I mentioned in my previous post on rOCD, many people with “relationship OCD” experience recurrent doubts about whether or not they are with the “right” person. Many also infer that if they have doubts about their current relationship, they might secretly want to cheat (or will cheat). They may fear that they will be unfaithful, even if they’re committed to their...

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