You have probably been told that OCD is a brain chemistry problem, that the thoughts are meaningless, that the treatment is exposure and response prevention. ERP works for many people. But for many others, it addresses the symptoms without touching the person underneath them. The person who has been living with OCD has built an entire life around shame, secrecy, and rigid control. They have been hiding the intrusive thoughts from everyone, performing normalcy while their internal world is in chaos. ERP can reduce the compulsions. It cannot reach the shame, the anger, or the rigidity that have organized the person's character around the disorder.

OCD takes over your mind. But has anyone asked what it has done to the rest of your life? The shame, the secrecy, the rigidity, the way you have organized your entire personality around containment?

I work with OCD as a characterological issue, not just a symptom set. The obsessions and compulsions matter, but so does the person who has been living inside them.

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PerfectionismThe rigid control in another form. OverthinkingWhen the loop will not stop. My ApproachHow I work with patterns.
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