Knowing You Have OCD With Certainty

Max in a post to this site asked what about convincing someone, with certainty, that they have OCD, since this would be comforting and reassuring. There are three problems with this approach. First, as I’ve noted elsewhere…

Answer to Patrick’s Obsessing about Obsessing Post

Patrick, I assume you read the post article here about obsessing about obsessing, so I will not repeat what was there.  This form of OCD is a difficult one to help a sufferer understand what to do and I apologize if this doesn’t seem clear.  In your post you ask if you should ruminate and [...]

Susan’s mental obsessions and religious concerns.

Susan’s mental obsessions and religious concerns.We actually have a sizable number of Orthodox Jews in our practice with a variety of religious concerns. You describe a few different problems with your OCD: words and images you have in your head that you don’t like; concerns about your own level of observance and how G-d may [...]

Answer to Ed and his pursuit of the perfect looking princess girlfriend.

What you are describing could be described as reverse BDD (body dysmorphic dysorder). For anyone, if you stare at a face or body long enough, you will find imperfections and if your OCD …

The Cruelest Obsession: Obsessing about Obsessing

Most of the time, the feared consequences don’t occur – your family doesn’t contract AIDS, you don’t turn into a serial killer, you don’t molest your children. For obsessing about obsessing the fear is the obsessions will never end and as a result life will be horrible because. And it’s true…

No one should do exposure and response prevention!

Exposure and response prevention (ERP) is the first line treatment for OCD, but no one should do it! I do believe that any sufferer with OCD who would like to be free of this problem would be well advised to choose…

Coping With Uncertainty – Your Don’t Ritualize Enough

The goal of ERP is NEVER to prove that anything is safe. The goal of treatment is deciding the you need to learn to live with uncertainty. The world is full of low and high probability dangers. You are at greater risk to be in a car accident than you are to suffer from your fears and yet you might risk death to see a movie…

Reverse BDD – Troy’s obsession about his girlfriend’s appearance

Troy, in your comment, you discussed your concerns about your constant questioning about whether or not you find his girlfriend sexually attractive and if not does this mean you needs to break up with her.  You also compare her to other women to figure out if you find her more attractive.  Medication helped for a [...]

Sarah’s writing problem

Sarah, your comments about your writing problems cover a very common area of OCD for many sufferers. As you can imagine, many people have dropped out of school as the result of these issues. Some of the approaches you have tried, we would not expect to work.

Answer to Amanda’s “Gay OCD” Question and the Importance of Acceptance

Answer to a question about “Gay OCD” and the critical importance of acceptance. There is some discussion of what acceptance and denial are and how to work on obtaining them.