Scrupulosity Exposure Help?
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...
Read MoreOCD Scriptathon 2017: A Group Scripting Experience
What: OCD Scriptathon 2017, A Group Scripting Experience Where: Our office! Located at 11380 Prosperity Farms Road, Ste 209A, Palm Beach Gardens, Florida 33410 When: Tuesday, April 11, 2017 from 8:00 PM – Until It Ends If you’ve ever practiced imaginal exposure, you’ve learned that having freaky thoughts on purpose can actually help you fight your OCD. Please join us for Scriptathon 2017, a group scripting experience. This is an opportunity to put your worst fears and most horrific thoughts on display for the world to see. Feel free to incorporate death, blasphemy, sexual thoughts, or any other distressing theme(s) that your OCD uses against you. This exposure experience is not for the faint of heart, and attendees should expect to hear things that might be disturbing or distressing. Also, please note that given the sensitive nature of the topics discussed, this event is for adults-only....
Read MoreOCD 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 something that incites fear. Yet… We get up every day and go about our normal lives. We get in the car, we drive to work, we come home to our families. We live as if we are untouchable. Technically, we’re not, but we’re often happiest when we live as if we are. Some of us do this easily. The awareness of our own fragility doesn’t linger. Others of us are tortured by possibilities. What if this happens to me? What if this happens to someone I love? OCD brings with it superhuman attention to...
Read MoreOCD Treatment: Back to Basics
In previous posts, I have discussed various aspects of the “OCD Cycle,” but it never hurts to have a quick refresher. After all, understanding how OCD works can help you see through its lies and help mobilize you to stand up and challenge it. What is OCD, and how does OCD treatment work? OCD has two mains parts: obsessions and compulsions. We’ll talk about the obsessions first. Obsessions are unwanted thoughts, impulses, or images that intrude into your awareness, and cause significant anxiety or distress. Thoughts include such examples as, “What if I get sick?”, “What if I secretly want to harm my loved ones?“, “What if I just got sexually aroused by that child?“, and “What if I forgot to lock my front door and someone breaks in?“. Impulses are experienced as urges to commit actions that you...
Read MoreERP 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) Tips for OCD Without further ado, here’s another ERP tip to consider when designing your next exposure. ERP Tip #2 When completing your next exposure, avoid rules that dictate what you’re allowed to think during the exposure. If you try to complete an exposure without having a certain bad thought, chances are that you’re setting yourself up to think that very thought. Instead, design your exposure around having that very same unwanted thought. I love it when people with OCD do exposure, but I don’t love it when they have a long list of...
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