Tools for understanding and treating obsessional thinking and compulsive behaviours via ERP and cognitive approaches.
A formulation based on Salkovskis' cognitive model of OCD — mapping intrusions, responsibility appraisals, distress, and neutralising behaviours.
~25 min
Build a graded exposure hierarchy for Exposure and Response Prevention therapy. List anxiety-provoking situations, rate them, and plan structured exposures.
~25 min
Track OCD episodes — intrusions, appraisals, rituals, distress, and duration — to identify patterns and measure progress.
~10 min
Log exposure and response prevention practice sessions with SUDS ratings, urge strength, and whether you resisted the compulsion.
~10 min
Challenge inflated responsibility beliefs that drive OCD by examining the appraisal and generating realistic alternatives.
~15 min
Test the belief that thinking something makes it more likely to happen (likelihood TAF) or that thinking something is morally equivalent to doing it (moral TAF).
~15 min
Challenge contamination-specific appraisals by examining the realistic probability of harm, the role of disgust vs danger, and what "clean enough" means.
~15 min
Track covert / mental compulsions — mental reviewing, counting, praying, reassuring self — which are often missed because they're invisible.
~10 min