Now that you have populated the anxiety hierarchy up to the Action Point column, it will soon be time to bite the bullet and face your fears. The premise in ERP for the treatment of Harm OCD is...
Since you are going to start the process of ERP from the next section, it is important that you understand a small crucial aspect. This merits a separate chapter because I did not want this...
We shall now rationalize the sixteen dimensions of Harm OCD so that you can customize your own plan. We do this exercise to form the response prevention script that you can use to face your fears...
Table 3.21.1: Dimension 1 – Me Accidentally Hurting Myself Harm caused bySelf - What if I cause harm?Nature of HarmAccidental - What if I cause harm accidentally?Harm caused toSelf - What if I cause...
If you check the response prevention script of all the dimensions, you will observe that the methodology for...
In this final section, we shall be getting into the thick of things. We shall learn how to do some exposures, and...
ACTIONAnxiety Experienced DateBeginning10 Min20 Min30 Min40 Min50 Min60 MinReflection1st January 2023898654 Very difficult but I could do...
Before your OCD is diagnosed, you may have already begun to do some compulsions even if not too many or too...
When you do your exposures start with the fears that would cause you the lowest anxiety if you had to face them....
When you start facing your fears, you may either be able to handle your fears well, or you may find some fears too large for your state of readiness. It may still not be easy for you to face a large...
SituationObsession Compulsion Action point Mini-hierarchyStep 1 Step 2 Step 3 Step 4 Step 5 Step 6 Step 7 Step 8 Step 9 Step...
After you have completed your exposures, the next step is to fill in the Reflection column with your experience. This is the feedback to yourself about how your exposure went. Say, you step out...
When you start facing your fears, there are three stages that you might have to go through with each compulsion...
One of the craftiest features of OCD is that it can pick on any habit or activity and convert that into an obsession. Including the recovery process itself. Some sufferers try to spend some time...
Sometimes despite being told that our thoughts are untrue, we keep seeing evidence of our fears coming true. You...
Most times, a Harm OCD attack is not a simple attack. Harm OCD attacks in various layers, at various levels. When...
Think back to when you have had a baseless, futile argument with someone. Who wins a baseless argument? The...
One of the sneakiest features of OCD is the backdoor spike. When you get into therapy, you learn to handle these...
What we have discussed so far about ERP, about how it is done, is called in-vivo exposure. In ERP, the combination of in-vivo exposures and imaginal exposures yields the best results (Gillihan et...
Sometimes it is not going to be possible for you to expose yourself directly to your trigger. For example, one of your obsessions may be ‘What if I want to push my friend into oncoming traffic?’ In...