Treatment centers on Exposure and Response Prevention (ERP). After a focused intake, we map obsessions, triggers, and rituals (including subtle reassurance and avoidance), set clear goals, and teach how OCD works. You’ll build a graded hierarchy and run exposures—situational, imaginal, and interoceptive—while not doing the compulsion. We use an inhibitory-learning approach: design exercises that violate feared predictions, vary context and duration, remove safety behaviors, and add retrieval cues so learning sticks. Subtypes addressed include contamination/washing, checking, “just-right”/symmetry, harm, sexual or religious scrupulosity, health, and taboo thoughts—handled directly, without moralizing or reassurance. Expect daily at-home practice, data tracking (e.g., Y-BOCS/OCI-R plus functional wins), and a relapse-prevention plan tailored to flare-ups. Caregiver coaching reduces family accommodation when relevant. Medication coordination (e.g., SSRIs) is available if clinically appropriate. The goal: fewer rituals, less time lost, and a durable ability to choose action over certainty-seeking.
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