I just discovered a great blog, linked from Lolly's blog. It's by Dr. Steven Seay, a therapist in Florida. He writes a lot about OCD, including this post about the fact that simply not avoiding feared events and ideas is not enough. You must actively do exposures, on a regular basis. Now, I don't think his example of being in the same room with a spider while wearing a hazmat suit is a good example at all (what is a hazmat suit but avoidance after all), but the theory is sound.
I often think that if I just go out and do my thing, I'll get better. But there are so many subtle ways to continue compulsions. Not to mention that some exposures just won't happen unless you try to find them. You've got get all up in the face of your fears. Scary.
And also, why are some therapists SO in tune with OCD treatment, yet most don't have the tiniest clue!
Brain-Circuit-Based Therapies for OCD
3 days ago