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)...
OCD and Uncertainty
These are difficult times. Lately, it seems, each week brings with it something truly horrifying. A shooting or an act of terrorism, a hate crime committed against an individual, a disease that affects the unborn. You can hardly turn on the news without hearing about...
ROCD
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...
Relationship OCD (rOCD) – Unwanted Impulses & Images
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...
ROCD – Relationship OCD
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...
Driving Fears & Driving Avoidance in Teens & Young Drivers
Reader Question: My daughter just turned 15, and no matter what I say, I can't seem to convince her to practice her driving. It's strange, because in the past, all she could do is talk about how excited she was to finally get her permit. I truly thought that she'd be...
Hit-and-Run OCD vs. Other Driving Fears
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...
OCD & Pets: Sexual Thoughts & Scrupulosity
Obsessions focusing on pets and animals incorporate all the common themes: contamination, checking, harm, scrupulosity, and sex. In this 3-part blog series, I'll discuss some of the common ways obsessions may target our lovable, snuggable friends. Part 1 focused on...
Pets & OCD: Contamination
Obsessions focusing on pets and animals incorporate all the common themes: contamination, checking, harm, scrupulosity, and sex. In this 3-part blog series, I discuss some of the common ways OCD obsessions may target our lovable, snuggable friends. This article, Part...
OCD About Pets and Animals: Harm
Obsessions focusing on pets and animals incorporate all the common themes: contamination, checking, harm, scrupulosity, and sex. In this 3-part blog series, I discuss some of the common ways obsessions may target our lovable, snuggable friends. This article, Part 1,...
Anger and OCD – Getting Mad…
“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...
ERP Tip of the Day #2
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 Tip of the Day #1
Starting today, I am going to start posting random ERP tips as they occur to me, as there are certain roadblocks that many of my OCD patients tend to encounter. If it's helpful for my patients, maybe it's helpful for you. If you're interested in more ERP tips, click...
Imaginal Exposure vs. In Vivo Exposure for OCD
As I've talked about in numerous posts, overcoming OCD involves learning to co-exist with doubt and uncertainty. This idea can be a bit counter-intuitive at first, as many people initially expect OCD treatment to reduce uncertainty. One therapeutic approach that helps...
OCD Awareness Week 2016
Welcome to #OCDWEEK 2016, a week organized by IOCDF to help raise awareness about OCD and related conditions! If you visit IOCDF’s website, you’ll find information about local and online programs and events designed to help increase the general public’s understanding...
Group Therapy for OCD: Power in Numbers
Group Therapy for OCD Wow. Our first OCD treatment group met yesterday, and IMHO, it was an incredible experience. Thank you to all who attended and showed such courage in standing up to their OCD. I was reminded anew how group therapy for OCD is so different than...
OCD Treatment Group Using ERP
OCD Treatment Group! I am pleased to announce the availability of our new exposure and response prevention (ERP)-based treatment group. The intent of this group is to provide a supportive environment for completing ERPs. Participants wishing to attend are required to...
Postpartum OCD – Fear of Harming Your Baby
Parents brace themselves for many changes when a new baby comes home. As new routines replace old, life quickly becomes a confusing jumble of cherished memories, bottles, and dirty diapers. Parenting can be joyful, but it can also be terrifying. Parenting comes with...
OCD & Checking: Part 2 (Mental Checking)
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...
Treatment of Unwanted Thoughts & Sensations in OCD
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...
Thought Control & OCD (Obsessive-Compulsive Disorder)
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...
Fear of Saliva Swallowing & Choking: Treatment & Symptoms (OCD)
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....
Reassurance Seeking in OCD
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....
OCD: Screaming, Blurting Out Obscenities/Cursing/Profanity, & Other Unwanted Impulses
Question: I'm a teenager and keep having OCD symptoms related to impulse control. I often worry that I'll lose control and scream or blurt out obscenities. I am especially triggered in quiet public places like classrooms, churches, and movie theaters. I have never...
OCD Triggers in Daily Life? Don’t Ritualize. Be Strategic! 3 Tips for Fighting OCD.
Question: I know about ERP, and I understand that OCD symptoms can be reduced by resisting rituals and then habituating to the anxiety brought on by obsessive thoughts. However...what if an obsessional thought requires no ritual? Confused! Great question. I think that...
Sensorimotor OCD & Social Anxiety Differential Diagnosis: “Obsessive Swallowing”
Reader Question: For the past year, I have been dealing with OCD-related sensorimotor obsessions focused on swallowing. My symptoms started during a class discussion in which I noticed myself swallow. Since then, whenever I am in a lecture or quiet place surrounded by...
Treatment for Body-Focused Obsessions & Compulsions in OCD (e.g., Swallowing, Breathing, Blinking)
This post is the last in a series of posts discussing body-focused obsessions and compulsions (aka, sensorimotor, somatosensory, or somatic obsessions and compulsions) in obsessive-compulsive disorder (OCD). This series was inspired by an original article written by...
OCD Core Fears Related to Body-Focused Obsessions & Compulsions (e.g., Swallowing, Breathing, Blinking)
This post is the second in a series of posts discussing body-focused obsessions and compulsions (aka, sensorimotor, somatosensory, or somatic obsessions and compulsions) in obsessive-compulsive disorder (OCD). This series was inspired by an original article written by...
Sensorimotor OCD Body-Focused Obsessions & Compulsions (Swallowing, Breathing)
This post is the first in a series of posts discussing body-focused obsessions and compulsions (i.e., sensorimotor obsessions and compulsions) in obsessive-compulsive disorder (OCD). This series was inspired by an original article written by Dr. David Keuler for...
Pure-O OCD Rituals: Starting Over, Resetting, & Undoing
Question: It's hard to describe this, but I feel like every few days I need to mentally "start over" by doing a variety of mental and behavioral rituals. I don't want to live like this, but I'm afraid that if I undergo treatment and stop my OCD rituals, I won't be the...
Fear, Doubt, Uncertainty, ERP, & the Monster Under the Bed
Everyone I know has, at some point, had to deal with the monster under the bed. Some do it with grace. Others falter. I've always been clumsy. I can vividly recall many terrified nights from my childhood, when I would lie rigidly in my bed, utterly paralyzed by fear....
“Pure-O” OCD: Common Obsessions & Mental Rituals
As a follow-up to my previous post on Pure-O OCD, I thought it might be helpful to identify some obsessions that are commonly reported by individuals with Pure Obsessional OCD. These same obsessions may also be experienced by individuals with non-Pure-O forms of the...
Pure-O OCD (Pure Obsessional OCD): Hidden Rituals
"Pure-O" OCD, or Pure Obsessional OCD, is a relatively less common form of OCD that seemingly differs from classic presentations of the illness. What distinguishes Pure Obsessional OCD from classic OCD is that in Pure-O OCD, symptoms are predominantly obsessive...