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ROCD – Relationship OCD

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In a previous post on mental checking, I talked briefly about ROCD (Relationship OCD), a form of OCD that involves pervasive doubt and uncertainty about interpersonal relationships. This multi-part series of posts will focus primarily on ROCD in the context of romantic relationships. However, it will also discuss “Relationship-Focused OCD” more broadly in the context of other types of relationships, including friendships, parent-child relationships, and professional relationships. Relationship OCD (ROCD) in Romantic Relationships Many individuals with ROCD have symptoms that are most evident in their romantic relationships. They often experience significant doubt and distress about their chosen partners and may have a history of repeatedly breaking up or ending relationships due to recurrent doubts. ROCD sufferers may worry that they’re with the wrong person, that they don’t feel as emotionally connected to their partner as they should, or that...

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Hit-and-Run OCD vs. Other Driving Fears

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What is hit-and-run OCD? Hit-and-run OCD (sometimes called MVA-OCD) is a subtype of obsessive-compulsive disorder that involves persistent and recurrent worries that you’ve hit someone while driving. While most people with hit-and-run OCD worry, “What if I accidentally hit a pedestrian?”, some worry about unintentionally causing car accidents, bike accidents, or property damage. Hit-and-run OCD is frequently misdiagnosed as panic disorder given that many people with panic disorder (with agoraphobia) also report a fear of driving. However, hit-and-run OCD and panic disorder are distinct conditions that may often be differentiated on the basis of their core fears. Driving Fears Related to Panic Disorder (with Agoraphobia) For someone who has panic disorder with agoraphobia, driving fears might arise because: Driving may have been associated with panic attacks in the past. Some people with panic disorder have a history of having...

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Anger and OCD – Getting Mad…

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“I hate having OCD! Why can’t these thoughts just stop?!?! How can I be the person I was before?!?!” Many people with OCD are extremely familiar with the anxiety-related aspects of the disorder. OCD is an anxiety disorder after all, so it’s not terribly surprising that anxiety is often core to its experience. But anxiety is certainly not the only emotion that shows up in OCD. I’ve discussed briefly how some people with OCD have symptoms of guilt, shame, disgust, and depression, and how treatment may sometimes need to be modified when these emotions are primary aspects of the disorder. Today, though, I’d like to comment briefly on anger and OCD, which I don’t think I’ve mentioned explicitly in previous posts. Anger can be a powerful force in many people’s OCD. What’s the relationship between anger and OCD? Actually,...

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ERP Tip of the Day #2

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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 the following link for all the posts in this series. Exposure and Response Prevention (ERP) Tips for OCD Without further ado, here’s another ERP tip to consider when designing your next exposure. ERP Tip #2 When completing your next exposure, avoid rules that dictate what you’re allowed to think during the exposure. If you try to complete an exposure without having a certain bad thought, chances are that you’re setting yourself up to think that very thought. Instead, design your exposure around having that very same unwanted thought. I love it when people with OCD do exposure, but I don’t love it when they have a long list of...

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Contamination OCD – Long Shower Exposures

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Long shower times? Just a quick announcement… I’m pleased to announce that with our recent office renovations, we now have a spa-like therapeutic shower room that is perfect for individuals with contamination OCD who have excessively long shower times. This room is ideal for those with contamination OCD who wish to work on shower-based response prevention. For individuals with contamination OCD who take really long showers, we are now able to provide office-based interventions for reducing your long shower times. We’ve had great success with reducing our patients long shower times from multiple hours to a mere 10-15 minutes. Reduce Long Shower Times to Short OCD Shower Times We do this first by developing shower-based response prevention guidelines and modeling non-OCD based shower behavior in-session. We essentially use a shower script to help individuals identify normal shower routines (which,...

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