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OCD guilt, shame, disgust, anxiety & depression: Why treatment sometimes fails (and what to do about it)

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OCD isn’t just about anxiety. Although anxiety is certainly a prominent feature of the disorder, clinicians who only attend to anxious symptoms can easily overlook some of its other core features. As a psychologist in Palm Beach, Florida, I work closely with kids, teens, and adults throughout the greater Palm Beach, Fort Lauderdale, and Miami areas on strategies for recovering from OCD. In the patients I treat, anxiety is often accompanied by significant guilt, shame, disgust, and depression. These features are not necessarily related to, or caused by, anxiety; they can be distinct processes. If you (or your psychologist) conceptualize exposure and response prevention (ERP) as only a means to habituate to anxiety but fail to consider how treatment must also address these other features, you are likely to have a suboptimal treatment response and will continue to experience significant...

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The beginning of something new

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Welcome to my blog. My name is Steven J. Seay, Ph.d., and I am a licensed psychologist in Florida and Missouri. I am currently the Director of the Center for Psychological & Behavioral Science. Over the coming weeks and months, I plan to use this blog to offer a variety of useful resources for individuals experiencing symptoms of anxiety and depression. Because obsessive-compulsive disorder (OCD) has always been an area of primary interest for me, I will begin by adding blog posts focusing primarily on OCD and other related conditions. These conditions include compulsive hoarding and trichotillomania (compulsive hair pulling), as well as a variety of other conditions. I will discuss evidence-based treatments for these conditions, symptoms associated with these disorders, strategies for selecting a therapist, and a variety of other topics. If you are interested in learning more...

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