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Harm inducing types of thoughts, images and urges are typically referred to as Harm OCD and they can cause significant distress and anxiety in sufferers.

The ability to be ourselves with clients makes it so much easier to connect, to be real about how challenging treatment is, and enlist their help to ensure that whatever the exposure is, its something they can tolerate, trust in, and most importantly, begin to experience relief from their intrusive thoughts and the compulsions that may dominate their lives. 

Wherever you and your kid fall on the continuum of "I hope you never leave" to "I can't wait until you move out," your child's sudden absence is likely to stir up some stuff. I am a parent and a psychologist. I went to school longer than I needed to and spent the last 20-plus years working with college students. Here's what I've learned about how to handle this change.

The most common rituals for this form of OCD is confessing thoughts to parents and seeking reassurance.  While this is the most distressing part for parents, the good news is that if the parents are involved, they can help their children.