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)

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)

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)

Scrupulosity & OCD: Religious/Moral Symptoms

On February 5, 2012, in ERP, OCD, OCD - Treatment, “Pure-O” Symptoms, by Steven J. Seay, Ph.D.

Question: I have scrupulosity (religious/moral obsessive-compulsive disorder), and I am triggered by religious posts on Facebook.

When I see a religious post, I feel like I have to repost it or God will be mad at me. I also worry about what other people think about these reposts, which then leads me to fear that …  (read more)

Exposure and Response Prevention: An Analogy

On January 31, 2012, in ERP, OCD, OCD - Treatment, by Steven J. Seay, Ph.D.
Exposure and Response Prevention (ERP)

Exposure and response prevention (ERP) is just like a fitness program for your brain. However, instead of shaking up your fitness level, it’s designed to shake up stubborn OCD symptoms. Let’s expand on this analogy.

Reasons for Doing Exposure and Response Prevention (ERP)

People don’t adopt fitness routines for no …  (read more)

Starting Exposure Therapy: What’s it Like?

On January 26, 2012, in ERP, OCD, OCD - Treatment, by Steven J. Seay, Ph.D.

For anyone new to exposure-based therapy, such as exposure and response prevention (ERP), there is often much anticipatory anxiety about starting treatment.

“What is it? What will it be like? How bad will it be? Can I handle it? Will I be forced to do things I’m unwilling to do?”

These uncertainties are …  (read more)

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