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)

Obsessive-Compulsive Disorder (OCD) – Decision Making Abnormalities

On July 29, 2011, in OCD, OCD - General, by Steven J. Seay, Ph.D.

Does OCD affect decision making processes?

Now that we have reviewed the neurobiology of OCD and cognitive deficits associated with OCD, what relevance might this have for predicting abnormalities on tasks of decision making?

Sachdev and Malhi (2005) recently have drawn attention to the substantial overlap between the circuitry implicated in OCD and the …  (read more)

Obsessive-Compulsive Disorder (OCD) – Cognitive Deficits

On July 29, 2011, in OCD, OCD - General, by Steven J. Seay, Ph.D.

What cognitive deficits are associated with OCD?

Research has been successful in characterizing the underlying neurobiology of OCD, and cognitive abnormalities associated with the disorder have been documented within the domains of basic learning processes, attention, and executive functioning, each of which arguably is requisite for intact decision making.  We will begin by …  (read more)

Obsessive-Compulsive Disorder (OCD) – Neurobiology

On July 29, 2011, in OCD, OCD - General, by Steven J. Seay, Ph.D.

What causes OCD?

Researchers have had much recent success in elucidating the neural circuitry involved in obsessive-compulsive disorder (OCD).  Advances in functional neuroimaging have identified robust alterations in neural activity within particular functional circuits in individuals with the disorder (Graybiel & Rauch, 2000).  Specifically, OCD is associated with pervasive disruptions in frontal subcortical circuitry …  (read more)

Obsessive-Compulsive Disorder (OCD) – Overview

On July 29, 2011, in OCD, OCD - General, by Steven J. Seay, Ph.D.

What is OCD?

Obsessive-compulsive disorder (OCD) is a debilitating mental illness that affects nearly 2.5% of the population (American Psychiatric Association, 2000).  The primary features of the disorder include obsessions, which are recurrent and persistent thoughts, impulses, or images that cause severe anxiety and distress; and compulsions, repetitive behaviors or mental acts performed …  (read more)

Parenting Kids & Teens with OCD: Don’t Feed the Reassurance Monster…and Other Quick Tips

On July 19, 2011, in OCD, OCD - General, OCD - Treatment, by Steven J. Seay, Ph.D.

Many excellent parents struggle with how to appropriately parent their child/teen with obsessive-compulsive disorder (OCD). Unfortunately, this process is rarely straightforward and is often counter-intuitive, which leaves many parents feeling anxious and confused.

As a psychologist in Palm Beach County, Florida, I work closely with kids, teens, and parents throughout the greater Palm Beach, …  (read more)

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