Does Cognitive Therapy Enhance Exposure Therapy?

A neat study was published recently exploring this topic. In the OCD literature, research has typically compared exposure response prevention (ERP) treatment to cognitive therapy (CT). Both are shown to be effective, but the literature is larger for ERP interventions. However, what about combining them? Here’s the reference: Rector, N. A., Richter, M. A., Katz, […]

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Spoiling Compulsions

OCD can be really tough to treat. On average, people don’t come to treatment for 7 years after the onset of symptoms. That’s a ton of time for the disorder to take a strong grip on someone’s life. OCD involves obsessive thoughts, things that pop into a person’s mind and won’t leave. Often, these thoughts […]

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Anxiety Shorts: The Three Houses Rule

It’s been a while since I last posted because my wife just had a baby! We’re super excited!!!!!!! Now the dust has settled, I’m going to be back writing again. This article is a follow-up to my exposure lifestyle article on checking. Often in exposure therapy, many therapists do hypothesis testing exposures. This is where […]

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The Exposure Lifestyle Day Four: Not Checking

I cycled into work and locked my bike up. When I walked to the building elevator, going up to work, a thought crossed my mind. Thought: “Did I actually lock my bike?” Me: “I’m not sure, I don’t remember it at all.” Thought: “Remember that time you actually didn’t lock your bike? You should probably […]

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The Exposure Lifestyle Day Three: Picking Up Litter

I was walking to facilitate a support group for OCD. On the way I figured it would be a great opportunity to conduct an exposure that might be relevant for contamination OCD. I don’t mean to over-generalize, but with contamination OCD the obsession often involves fear of becoming sick, and the compulsion can include a […]

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The Exposure Lifestyle Day One: Hairdresser

I received a Great Clips coupon in the mail last week so today I decided to go. My hair was getting far too long! First, I accidentally went to a different chain with the coupon, and it was only when I sat down with the hairdresser and mentioned the voucher that they said I was […]

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