What is OCD?

On October 27, 2012, in OCD, OCD - General, by Steven J. Seay, Ph.D.

OCD is a malevolent advisor that wants to deceive us about the fundamental nature of the world.

It wants us to believe that the world shouldn’t have any sharp edges and that our experience should be as smooth and snag-free as possible.

If snags are apparent, it tells us that we should exchange our current experience for …  (read more)

Scary Thoughts as Costumes: The Illusion of Danger

On October 14, 2012, in Harm-Related Symptoms, OCD, OCD - General, Sexual Symptoms, “Pure-O” Symptoms, by Steven J. Seay, Ph.D.

It’s nearly Halloween, and kids around the country are digging through dusty closets and plundering the aisles of local Halloween shops in search of the perfect costume.

Halloween is the one night of the year when we give ourselves permission to be silly, scary, or fantastical. We can act a little weird, and nobody will …  (read more)

OCD Awareness Week

On October 9, 2012, in OCD, OCD - General, by Steven J. Seay, Ph.D.

The International OCD Foundation (IOCDF) is sponsoring OCD Awareness Week, which means that organizations around the world are hosting special OCD-related events this week.

South Floridians, we invite you to join us for our monthly support group meeting tonight (10/9/12) at 6:30pm in our Palm Beach Gardens, Florida office.

You might also want to check out some …  (read more)

OCD Books & OCD Websites

On May 21, 2012, in OCD - General, by Steven J. Seay, Ph.D.

This is a recommended list of OCD books and OCD websites that I consider to be essential reading for individuals with obsessive-compulsive disorder. In addition to my formal training in OCD treatment, these OCD books and websites have had a profound impact on how I conceptualize and treat OCD.

This list is not intended to …  (read more)

Worry & “What If” Questions

On March 5, 2012, in CBT, ERP, Generalized Anxiety Disorder, OCD, OCD - General, by Steven J. Seay, Ph.D.
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 recognizable and start with the obvious, “What if…?” Others are more subtle and begin with phrases like “How am I ever going to…?”

By definition, what if questions …  (read more)

Scrupulosity

On February 8, 2012, in OCD, OCD - General, “Pure-O” Symptoms, by Steven J. Seay, Ph.D.
What is Scrupulosity?

Scrupulosity is a form of obsessive-compulsive disorder (OCD) characterized by religious and/or moral obsessions. Scrupulosity can sometimes be difficult to recognize because even within a single faith community, religious beliefs and practices vary widely. There is no singular belief or behavior that is diagnostic for scrupulosity.

Instead, scrupulosity is best regarded as …  (read more)

Treatment of Unwanted Thoughts & Sensations in OCD

On January 18, 2012, in OCD, OCD - General, “Pure-O” Symptoms, by Steven J. Seay, Ph.D.

In my post about the treatment of sensorimotor OCD, a reader asked about the ultimate goal of treatment. Should the goal of treatment be to never notice an unwanted thought or symptom?

Suppressing Unwanted Thoughts & Sensations in Pure-O & Sensorimotor OCD

Let’s explore this idea in detail. Suppose I adopt the goal of …  (read more)

Thought Control & OCD (Obsessive-Compulsive Disorder)

On January 14, 2012, in OCD, OCD - General, “Pure-O” Symptoms, by Steven J. Seay, Ph.D.
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 unwanted thoughts. When I answer this question with a resounding “no”, there is often much surprise and grief. After all, this is why they’re …  (read more)

Reassurance Seeking in OCD

On January 7, 2012, in Contamination/Health-Related Symptoms, OCD, OCD - General, “Pure-O” Symptoms, by Steven J. Seay, Ph.D.

Although contamination OCD and washing rituals often go hand-in-hand, many rituals in this domain do not actually involve cleaning or disinfecting. These more subtle rituals are often based around reassurance seeking behaviors that become ingrained in everyday habit. In the context of exposure and response prevention (ERP), reassurance seeking OCD rituals are just as …  (read more)

OCD & Contamination: Reasons Why People Do Rituals/Compulsions

On December 15, 2011, in Contamination/Health-Related Symptoms, OCD, OCD - General, by Steven J. Seay, Ph.D.

In my last post, I identified several idiosyncratic feared outcomes in OCD that are associated with contamination/health-related obsessive-compulsive disorder (OCD). Obsessions are intrusive, recurrent, and distressing thoughts, impulses, or images related to these feared outcomes. Today, I’ll discuss the function of compulsions.

Why do people with OCD do rituals?

Compulsions, or rituals, are the …  (read more)

Weboy