The OCD Workbook

	Contents
	Acknowledgments	vii
	Introduction Who We Are • How This Book Can Help You • About This Book	1
	PART I
Chapter 1	What is OCD? Basic Types of OCD • OCD Through the Ages • Breaking Free from OCD	7
Chapter 2	So You Have a Problem: What Is It? A Closer Look at OCD • What OCD is Not • The Symptoms of OCD • How Is OCD Diagnosed? • OCD and Shame • Does OCD Run in Families? • What Causes OCD?	15
Chapter 3	What Can Be Done? Medication therapy • Cognitive-Behavior Therapy • Medication, CBT, or Both? • Psychotherapy • Neurosurgery • Unproven Treatments • Make Wise Treatment Choices	27
	PART II
Chapter 4	Cognitive-Behavior Therapy for OCD: The Self-Directed Program Why ERP Works • Exposure "In Vivo" • Response Prevention • Getting Ready for Change • Preparing for Change • Helping Your Family Get Ready for Change • Make Breaking Free from OCD a Priority	41
Chapter 5	Preparing for the Challenge – Self-Assessment Assessing Your OCD Problem • Target Your Symptoms • Assessment is the First Step on the Road to Recovery	51
Chapter 6	Your Intervention Strategy Tips for Writing Your Personal Anxiety/Exposure List • Exposure and Response Prevention (ERP): Step-by-Step • Doing ERP for Some Common OCD Problems • Reach Beyond Your Fears	61
Chapter 7	Imaginal Exposure Doing Imaginal Exposure • When Imaginal Exposure Doesn’t Work	89
Chapter 8	Challenging Your Faulty Beliefs Faulty Beliefs • The ABCDs of Faulty Beliefs • Correcting Faulty Beliefs • Additional Challenges to Faulty Beliefs • What If My Beliefs Aren’t Changing? • Challenging Your Faulty Beliefs Enhances ERP	93
Chapter 9	Mortals for Breaking Free - First Aid for OCD A Mindful Response to OCD • Mindful Techniques Compliment ERP
	PART III
Chapter 10	Breaking Free From Pure Obsessions The Nature of Pure Obsessions • Anatomy of a Pure Obsession: Overview • Four Steps to Breaking Free from Pure Obsessions • Thought Habituation Exercises • Dealing with Covert Rituals • Hope for Mental Compulsions	125
Chapter 11	Hyperresponsibility – Hit ’n Run OCD Self-Directed Program for Hit ’Run OCD • The Role of Hyperresponsibility	137
Chapter 12	Scrupulosity: When OCD Gets Religious What Is Scrupulosity? • Differentiating Between Strong Religious Beliefs and Scrupulosity • Hypermorality and Hyperresponsibility • The Self-Directed Program for Scrupulosity • Challenge OCD Daily	151
Chapter 13	Hoarding OCD Self-Directed Program for Hoarding OCD • Uncluttering Will Help You Maximize Usable Living Space	163
Chapter 14	Two Steps Forward, One Step Backwards: Maintaining Your Gains and Managing Relapse It’s Not Working: Common Problems • Managing Lapses and Preventing Relapse • Make CBT a Part of Your General Lifestyle Relapse • Welcome Lapses As Opportunities for Growth	169
Chapter 15	It Happens to Children Too Children and Rituals: Could It Be OCD? • Cleaning, Checking, Counting, and Children • Help for Children with OCD • Pediatric Autoimmune Neuropsychiatric Disorder Associated with Streptococci (PANDAS) • OCD and Related Disorders • Family Help for Children with OCD • Hope for the Future	181
Chapter 16	OCD and Company Body Dysmorphic Disorder • Trichotillomania • Depression • When OCD is Not the Only Problem	197
	PART IV
Chapter 17	OCD is A Family Affair Support Starts with Each Family Member • How Family Members Can Help the Person in the Self-Directed Program • How to Deal with Obsessive Reassurance Seeking • Additional Guidelines for Dealing with OCD in the Family • Family Members Play an Important Role	205
Chapter 18	Where to Get Help? Professional Help for OCD • Questions to Ask Prospective Therapists • Support Groups • Help in Cyberspace • This is Only the Beginning	217
	Appendix A Brief Introduction to Obsessive-Compulsive Disorder for Family and Friends • Yale-Brown Obsessive-Compulsive Scale (Y-BOCS)	223
	Resources	229
	References	235