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How to Stop Ruminating

Please note that Rumination-Focused ERP is a new and evolving approach to ERP.  Neither this exercise nor the rest of the treatment has been researched, and therefore neither is evidence-based.  Please also note that this article is for your information only and does not constitute clinical advice or establish a patient-psychologist relationship. This article describes […]

I Know How to Stop Ruminating but I Can’t Seem to Stop All the Time

(How to Stop Ruminating addressed the problems people most frequently encounter when learning how to turn off rumination.  If you don’t know how to turn off rumination at all, start with that article.  This article addresses the problems that people most frequently encounter when they know How to Stop Ruminating, but can’t seem to stop all the […]

ERP Exercises for Compulsive Rumination

I use the series of exercises in this article to help patients practice eliminating compulsive rumination.  Since Exposure is About Learning, Not Habituation, the goal of these exercises is not to make patients anxious.  Rather, the goal is for them to learn that they can control rumination, even when they encounter a trigger. Some notes to therapists: […]

How to Stop Paying Attention

As discussed here, directing attention is a controllable mental process, and as discussed here, directing attention is part of our definition of rumination.  Sometimes people feel like they can’t stop paying attention to something; this is especially a problem for people with sensorimotor OCD. The key to solving this problem is differentiating between something being […]

The Core Fear

Understanding the Core Fear is foundational to effective treatment of OCD, and can unlock even the most baffling cases. Dr. Elna Yadin introduced the idea that each person with OCD has a ‘Core Fear,’ and that their avoidance and compulsions are aimed at preventing it.  This idea is very powerful, because OCD symptoms can seem […]

Awareness, Attention, Distraction, and Rumination

An essential part of treating OCD is distinguishing between mental processes that can and cannot be controlled.  This can be especially confusing when it comes to attention.  Confusion about this leads, in turn, to confusion about distraction, as well as to difficulty eliminating rumination. The purposes of this article are: (1) to explain what aspects […]

ERP Exercises for Compulsive Rumination

I use the series of exercises in this article to help patients practice eliminating compulsive rumination.   Per Targets and Rationales for RF-ERP Exposures, the goal of these exercises is not to make the patient anxious.  Rather, the goal is for them to learn that they can control rumination, even when they encounter a trigger. Some […]

Treating Two Types of Contamination OCD

This article discusses two types of Contamination OCD.  As discussed below, some contamination cases may reflect aspects of both types. Type 1 In the first type, the person is afraid of contamination because they are afraid that the contamination could cause something else bad to happen that could have permanent emotional consequences.  An example of this would […]