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Scrupulosity Exposure Help?

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So this post is a bit different than my regular posts… Rather than discussing a specific aspect about OCD or anxiety, this post is a request for your assistance in completing an exposure. Here’s the background… I have a patient with scrupulosity (religious OCD) who is working to resist his prayer rituals. Oftentimes, his OCD will lead him to pray many, many times throughout the day in response to various triggers he encounters. One of his primary treatment goals is to be able to reduce unhealthy, OCD-based prayers throughout the day. Scrupulosity treatment can be challenging, but he’s doing a great job. At this stage, we are trying to ratchet things up a notch by having him purposefully expose himself to situations where people request prayers from him directly. Over the last week or so, I’ve been asking people...

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ROCD

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Although ROCD is often characterized by intrusive worries about your relationship, relationship OCD treatment often specifically targets the compulsions and avoidance behaviors related to ROCD (rather than the obsessions themselves). This is because ROCD treatment is based on the premise that compulsions and avoidance behaviors are what strengthen and maintain the condition. In the absence of rituals and avoidance, relationship OCD symptoms tend to diminish and weaken over time. This general principle is true for all types of OCD, not just ROCD. As a quick refresher, this multi-part series of posts on rOCD (aka “relationship OCD”) discusses obsessive thoughts that are common in rOCD, ROCD intrusive impulses and images, ROCD compulsions and avoidance behaviors [THIS PART!], and ROCD in non-romantic relationships [FORTHCOMING!]. Let’s get to it. What are common ROCD compulsions? ROCD (Relationship OCD) & Compulsions/Avoidance Behaviors Compulsions are...

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Relationship OCD (rOCD) – Unwanted Impulses & Images

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This multi-part series of posts will focus primarily on rOCD, also known as “relationship OCD.” Part 1 focused on obsessive thoughts that are common in rOCD. This part discusses other relationship OCD obsessions, including intrusive impulses and images. Part 3 will review common compulsions and avoidance behaviors that are typical in rOCD (relationship OCD). Part 4 will discuss “Relationship-Focused OCD” more broadly in the context of other types of relationships, including friendships, parent-child relationships, and professional relationships. As I mentioned in my previous post on rOCD, many people with “relationship OCD” experience recurrent doubts about whether or not they are with the “right” person. Many also infer that if they have doubts about their current relationship, they might secretly want to cheat (or will cheat). They may fear that they will be unfaithful, even if they’re committed to their...

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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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