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...
Harm OCD S4 C5: Reflection after exposures
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Harm OCD S4 C6: The stages of compulsion handling
When you start facing your fears, there are three stages that you might have to go through with each compulsion...
Harm OCD S4 C7: The bi-directionality of OCD
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...
Harm OCD S4 C8: Why the evidence then?
Sometimes despite being told that our thoughts are untrue, we keep seeing evidence of our fears coming true. You...
Harm OCD S4 C9: The layered attack of Harm OCD
Most times, a Harm OCD attack is not a simple attack. Harm OCD attacks in various layers, at various levels. When...
Harm OCD S4 C10: Winning the argument
Think back to when you have had a baseless, futile argument with someone. Who wins a baseless argument? The...
Harm OCD S4 C11: The backdoor spike
One of the sneakiest features of OCD is the backdoor spike. When you get into therapy, you learn to handle these...
Harm OCD S4 C12: In-vivo exposure
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...
Harm OCD S4 C13: Imaginal exposures / Scripts
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...
Harm OCD S4 C13: Worksheet – The Escape Hatch
For each of the following statements, write ‘Yes’ if it is a good statement for a script and ‘No’ if it has an escape hatch. Sr NoStatementResponse1I throw stones at strangers but I miss.2I keep...
Harm OCD S4 C14: Interoceptive exposure
When you are anxious, how do you know? You know it through some physical sensations in the body. You may have...
Harm OCD S4 C14: Worksheet – Interoceptive Exposure
Do the following interoceptive exposures to get habituated to the physical manifestations of your anxiety. During the exposure, notice the thoughts flashing in your mind and make a note of them in...
Harm OCD S4 C15: Sneaky compulsions during exposures
Sometimes in the midst of our exposures, we end up doing some sneaky compulsions without realizing that we have...
Harm OCD S4 C16: Reassurance, deassurance and coping
The reassurance compulsion is an important element of OCD (Haverkampf, 2017) and one of the most deceitful...
Harm OCD S4 C16: Worksheet – Reassurance, Deassurance and Coping
Look at the statements below and categorize them as reassurance (R), deassurance (D) or coping (C). Write R, D or C in the spaces provided. Sr No.StatementsAnswer1I am sure I have to fight this...
Harm OCD S4 C17: The trickery of reassurance-seeking
You know that reassurance seeking is a compulsion. Yet, reassurance seeking is...well...reassuring. When your...
Harm OCD S4 C17a: Worksheet – List of Reassurances
Sr...
Harm OCD S4 C17b: Worksheet – Reducing Reassurance Seeking
1Use this worksheet to reduce the number of instances of reassurance seeking2Each day, write Y in the cell of the relevant day every time you seek reassurance.3Add up the entries every day and write...
Harm OCD S4 C18: Anticipatory anxiety
Obsessions cause anxiety. Anxiety is the reason why you start doing compulsions. You want to relieve the anxiety and, in the beginning, doing compulsions seems like a good way to relieve anxiety....
Harm OCD S4 C19: What is a correct exposure?
When you have decided to get into ERP for getting your Harm OCD under control, you should also know the correct...