A Simple Explanation of OCD
Many people think that OCD symptoms are random. They are not. The goal of this article is to provide a simple framework for beginning to see the coherency in these symptoms. The framework begins with the idea that everyone has a worst fear. While most people would describe their worst fear in terms of a […]
How are You Justifying Rumination?
This article is for you if you already know that You Are Not Having Intrusive Thoughts All Day, You Are Ruminating; know that Rumination is a Compulsion, Not an Obsession, and That Means You Have to Stop; and know How to Stop Ruminating. Whenever you find it difficult to stop ruminating, the first question to ask yourself is […]
What to Do When You’re Triggered
This article offers some guidance regarding how to handle some experiences that people with OCD deal with. Case #1: An Average Trigger or No Trigger You’re walking down the street minding your own business when your obsession comes into awareness. There may have been a trigger or it may just have occurred to you out […]
Why ACT and Other Mindfulness-Based Interventions are Not the Solution to ‘Pure O’
I’m sure this article will elicit some harsh responses from people who use ACT to treat ‘Pure O.’ I did not write this article to cause a stir. I wrote it because I feel compelled to speak out against an approach that I believe hurts patients. Please read with this in mind, and feel free […]
Targets and Rationales for RF-ERP Exposures
Please note that Rumination-Focused ERP is a new and evolving approach to ERP. It has not yet been researched, and therefore to the extent that it differs from classical ERP, it is not evidence-based. How you conceptualize OCD and ERP affects not only how you do exposure but also what you do as exposure. By […]
Rumination-Focused Case Conceptualization
Please note that Rumination-Focused ERP is a new and evolving approach to ERP. It has not yet been researched, and therefore to the extent that it differs from classical ERP, it is not evidence-based. An effective treatment plan starts with an accurate understanding of what’s causing the problem, also known as a case conceptualization. RF-ERP […]