2 thoughts on “Mysterious Miracle Treatment for Obsessive Compulsive Disorder (OCD)?

  • May 4, 2010 at 8:05 pm

    Just to so one knows, ERP isn’t always the only treatment one needs for OCD, but should certainly be tried. Sometimes you really do have to get to the root of the problem. For example, some of my obsessions are based on things that part of me wants to happen (ego-syntonic) or are somewhat related to past traumatic events. So, my therapist (an anxiety specialist) told me that I can’t do ERP for those. It might be unethical actually. But maybe those are the exceptions.

    I also don’t find ERP to be very helpful because I can get over most of my OCD obsessions & compulsions by myself once I realize that they are unrealistic. So for me, figuring out what is an OCD symptom, is most important (I think it’s called cognitive therapy). And also identifying if the obsession is purely OCD or somewhat based in reality or linked with my PTSD or depressive symptoms.

    So anyway, I might be the exception whether than the rule, but I need a much more complex treatment plan than just doing a bunch of exposures. I need to really get to the bottom of the OCD (or OCD-like) symptoms.

    Also, I think one of the reasons therapists are reluctant to do ERP is because they don’t know enough about OCD & anxiety to be sure the obsession is really an OCD obsession and they don’t want to take the risk that they are wrong. For example, if the client reports violent obsessions, they don’t want to take the risk that the person will actually hurt themselves or others, so they decide on a less risky approach instead. Or the therapist doesn’t want to force or strongly encourage a reluctant client with OCD to do ERP for fear they’ll lose the client’s trust or the client entirely.

    Reply
  • May 6, 2010 at 12:57 pm

    Hi OCD sufferer,
    Thanks for your comments. I agree that for some, cognitive (the c of CBT) therapy can be the most important piece in unraveling OCD. We write about some of those techniques in our OCD For Dummies book. Throughout these blogs we try to make clear that research studies, for the most part, target groups of people. There are always individual differences. Keep up the good work and take care.

    Reply
 

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