OCD & Checking: Part 2 (Mental Checking)

On May 4, 2012, in Checking-Related Symptoms, OCD, by Steven J. Seay, Ph.D.

Behavioral Checking (Overt Checking)

Many examples of compulsive checking rituals in OCD involve direct inspection of a target stimulus by sight, sound, or feel.

Common OCD checking behaviors include relocking doors, visually examining the position of one’s parking brake, or holding one’s hands above stove burners in order to detect warmth.

Behavioral checking is often  (read more)

Checking & OCD: Part 1 (Checking for Safety)

On April 17, 2012, in Checking-Related Symptoms, OCD, by Steven J. Seay, Ph.D.

Compulsive checking often begins innocently enough. One check here, two checks there…

But OCD’s greed knows no bounds.

What starts out as a simple check “just to make sure” eventually spirals into disabling OCD doubt that can come to predominate innumerable situations and scenarios.

Checking behaviors often emerge in situations in which “being irresponsible” might …  (read more)

HOCD: Homosexual OCD & Sexual Orientation OCD

On April 12, 2012, in OCD, Sexual Symptoms, “Pure-O” Symptoms, by Steven J. Seay, Ph.D.

Fear of Being Gay (Homosexual OCD / HOCD)

Emerging sexuality can be confusing for any teen or young adult, and gay teens face a variety of unique challenges over the course of adolescence.

In addition to learning to understand their own sexuality, gay teens must navigate complex situations and pressures that may not be relevant …  (read more)

Sexual Obsessions in OCD (Obsessive-Compulsive Disorder)

On April 10, 2012, in OCD, Sexual Symptoms, “Pure-O” Symptoms, by Steven J. Seay, Ph.D.

Sexual obsessions in OCD are recurrent unwanted sexual thoughts, such as the fear of being attracted to something unwanted, taboo, or morally “unacceptable” based on one’s particular worldview.  Although all forms of OCD can be debilitating, sexual obsessions can be especially confusing and disabling for sufferers because sexual obsessions target one’s fundamental identity as a …  (read more)

Hit-and-Run OCD

On February 18, 2012, in Checking-Related Symptoms, Harm-Related Symptoms, OCD, by Steven J. Seay, Ph.D.

“Hit and run” OCD involves the fear of accidentally hitting a pedestrian while driving.  In most cases of hit-and-run obsessive-compulsive disorder, fears focus on unintentionally killing, injuring, or maiming a victim.  Other individuals worry about causing car accidents or causing other vehicles to swerve and hit pedestrians.

Fear of Driving

Hit-and-run OCD, or motor …  (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)

Fear of Saliva Swallowing & Choking: Treatment & Symptoms (OCD)

On January 10, 2012, in Body-Focused/Sensorimotor Symptoms, ERP, OCD, Social Anxiety, by Steven J. Seay, Ph.D.

Question: I have sensorimotor OCD, and I’m suffering from conscious swallowing. My main fear is that I’ll choke or swallow my own saliva whenever I’m speaking or singing. Any tips for how to tackle this fear via exposure and response prevention (ERP)?

Great question. Consistent with general exposure and response prevention (ERP) principles, your …  (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)

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