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OCD · Response Prevention

Sitting with the Urge

OCD — response prevention without white-knuckling

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Response prevention is not white-knuckling. It is staying in contact with the discomfort while not performing the compulsion. The discomfort always falls. The brain always learns.

The intrusive thought
The compulsion I'm resisting
1
Label it

‘That's an OCD thought, not a fact.’ Name the messenger — don't argue with it.

2
Don't reassure

No checking, googling, asking, mental reviewing. Reassurance feeds the loop.

3
Let the wave rise

Anxiety will spike. It will not break you. Watch it like weather.

4
Stay in the moment

Notice the room. Feet on floor. One slow breath. Stay present, not safe.

5
Carry on

Do the next ordinary thing while the wave is there. The wave will pass without you doing anything.

The wave

Distress now
none
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10
most
Distress in 10 minutes
none
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most
Distress in 30 minutes
none
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most

The OCD bargain

"If I do the compulsion just once, the anxiety will go." True. And next time it will be louder, sooner, and demand more. Every refused compulsion is a deposit in your future.

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