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"What if” thinking is not unique to Obsessive-Compulsive Disorder (OCD).  It is a feature to a greater or lesser extent in several other conditions.  Using what we know about Exposure and Response Prevention (E/RP) for OCD might improve treatment for these other conditions.[i]

1. How can you know if something is an intrusive thought, or monkey brain, and what is a genuine desire to do something bad? Where do the intrusive thoughts even stem from? 

Anya, a 26-year-old, was in charge of organizing the schedule for the annual camping trip with her college classmates. She was excited and ready to make phone calls and gather prices for transportation, camping sites, etc.

My OCD (obsessive-compulsive disorder) clients often ask me at some point early in therapy, "Why do I have OCD?

I was recently interviewed for an article on how the behaviors people use to avoid getting Covid 19 might make OCD worse or cause OCD to develop.

If you engage in some positive distracting activities during this crisis, then the flow of the day will move like a steady stream rather than a slow drip.

Body Dysphoric Disorder (BDD) is described as the disease of “self- perceived ugliness” or “self-imagined ugliness.” It is also seen as a distressing preoccupation with one or more physical non-existence “defects.” In the DSM-5, BDD is classified under Obsessive Compulsive and Related Disorders.

In the early 2000s, patients started reporting a new worry to their OCD therapists: what if I’m gay? This thought was often prefaced by patients declaring that they weren’t homophobic, but the fear was still there. The theme was dubbed homosexual OCD or HOCD.

Yesterday I received an email from a former client with the subject line HELP!! Six months ago, Angie came to me with contamination OCD.