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	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 • Psychotherapy • Neurosurgery • Unproven Treatments	27
	PART II
Chapter 4	Cognitive-Behavior Therapy for OCD: The Self-Directed Program Why ERP Works • Exposure In Vivo • Ritual Prevention • Getting Ready for Change • Preparing for Change • Helping Your Family Get Ready for Change	41
Chapter 5	Preparing for the Challenge – Self-Assessment Assessing Your OCD Problem • Target Your Symptoms	51
Chapter 6	Your Intervention Strategy Tips for Writing Your Personal Anxiety/Exposure List • Exposure and Ritual Prevention (ERP): Step-by-Step • Doing ERP for Some Common OCD Problems	61
Chapter 7	Imaginal Exposure Doing Imaginal Exposure • When Imaginal Exposure Doesn’t Work	85
Chapter 8	Challenging Your Faulty Beliefs The ABCDs of Faulty Beliefs • Correcting Faulty Beliefs • Additional Challenges to Faulty Beliefs • What If My Beliefs Aren’t Changing?	93
	PART III
Chapter 9	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	113
Chapter 10	Scrupulosity: When OCD Gets Religious What Is Scrupulosity? • Differentiating Between Strong Religious Beliefs and Scrupulosity • Hypermorality and Hyperresponsibility • The Self-Directed Program for the Overly Scrupulous	123
Chapter 11	Hyperresponsibility – Hit ’n Run OCD Self-Directed Program for Hit ’Run OCD	135
Chapter 12	Hoarding OCD Self-Directed Program for Hoarding OCD	145
Chapter 13	Two Steps Forward, One Step Backwards: Maintaining Your Gains and Managing Relapse It’s Not Working: Common Problems • Relapse: It will Happen • Make CBT a Part of Your General Lifestyle	153
Chapter 14	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 (P.A.N.D.A.S.) • OCD and Related Disorders • Family Help for Children with OCD	163
Chapter 15	OCD and Company Trichotillomania • Body Dysmorphic Disorder • Depression	179
	PART IV
Chapter 16	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	187
Chapter 17	Where Do I Get Help? Professional Help for OCD • Questions to Ask Prospective Therapists • Support Groups • Help in Cyberspace	199
	Appendix A Brief Introduction to Obsessive-Compulsive Disorder for Family and Friends • Yale-Brown Obsessive-Compulsive Scale (YBOCS)	205
	Resources	211
	References	215