Cognitive Behavioral Therapy (CBT)
First Line, Gold Standard Treatment
Though there are many effective therapy treatments to date for a range of issues, CBT comes out as the most researched, most helpful for the widest range of problems, and can be highly personalized.
This triangle reflects no particular order or prioritization.
- A = Affect, or feelings and emotions
- B = Behavior, or actions
- C= Cognition, or thoughts and beliefs
CBT capitalizes on how each of these three domains have strong relationships to each other. The heart of the theory and practice is based on the knowledge that changing one or more of these domains leads to changes in the other. Another way of looking at it is that the more a person lines up their feelings, thoughts, and behaviors with reality, the more they achieve well-being, and many problems can be alleviated.
Exposure Therapy (ET and ERP)
Relevant Videos
Curated to get you started.
What is Exposure Therapy and How Do You Do It?
Exposure therapy can sound intense. What is it? How is it done? Why is it so effective? Justin K Hughes, MA, LPC explains simply an extremely effective FIRST LINE and “GOLD STANDARD” treatment for anxiety disorders and more.
The 4 Types of Exposure Therapy
Exploring the 4 Types of Exposure Therapy- In Vivo, Imaginal, Interoceptive, and Virtual Reality- Justin offers punctual clarity to the approach of how fears that are being treated can be accessed, whether situationally, in one’s thoughts/imagination, through sensations, or a combination.
"Security is mostly a superstition. It does not exist in nature, nor do the children of men as a whole experience it. Avoiding danger is no safer in the long run than outright exposure."
Specially Curated Resources
These are handpicked, referenced in ACTUAL therapy sessions.
(Sorry, I cannot accommodate outside requests to add to resources.)This page may contain affiliate links. This means that some links on this site will produce a small commission from affiliate sites. Read more
Distinguishing Information-Seeking and Reassurance Seeking
This helpful chart is an educational guide separating info-seeking from reassurance.
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Overcoming Unacceptable Thoughts (Houston OCD)
Check out this presentation by several notable clinicians on “overcoming unacceptable thoughts.”
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Relapse Prevention in OCD (Shala Nicely)
“As you go into recovery from OCD, it’s good to keep in mind that relapse
prevention is a process, and living how we want to live requires some
maintenance….”
“May” or “May Not” Exposure Scripting (Shala Nicely)
“…MOMN statements, which are a type of exposure scripting, can be used with any type of OCD content…because OCD is not about the content!”
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Exposure and Desensitization (U of Mich)
“We spoke about sensitization in the section “Anxiety Fuel.” Now we’ll talk
about desensitization, which means we work to make our anxiety alarm less
sensitive, so it doesn’t go off as often or as loudly.”
Facing Your Fears: Exposure (Anxiety BC)
“An important step in managing anxiety involves facing feared situations, places or
objects. It is normal to want to avoid the things you fear. However, avoidance prevents
you from learning that the things you fear are not as dangerous as you think.”
Key Research Articles on Imaginal Exposure (Science Direct)
“Imaginal exposure refers to patients intentionally confronting specific memories….in their imaginations either by verbally describing … or by writing a description…”
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Stopping the Noise In Your Head (Dr. Reid Wilson)
“Dr. Reid Wilson proposes a groundbreaking, paradoxical approach to overcoming anxiety, worry, OCD, panic, and phobias by moving away from comfort, confidence, and security and willingly moving toward uncertainty, distress and discomfort.”
View >From My Blog
Related posts from my blog
Protestant Christianity and OCD
This article (with a few grammatical edits updated here) is published on the International OCD Foundation’s (IOCDF) Faith & OCD Resource center. You can go there to find multiple other articles, video, and content on the same, including several other contributions I have had the privilege of being a part. Protestant Christians who present with […]
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Principles of Effective And Religiously-Sensitive Exposures
By Ted Witzig, Jr., PhD, Updated for Clinicians by Justin K. Hughes, MA, LPC This edited article is updated for mental health clinicians to consider implementing effective and sensitive exposures for any client of faith. The original article (found here) was written for Christian individuals with OCD. Hopefully this document can guide you in developing […]
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“I Don’t Want to Do This”—The Starting Point for Exposure, Discipline, and Conquering Fear
An enduring reality of life: we all have to do things we don’t want or like. An enduring principle of life: discipline builds strength and character. A curious paradox of life: doing disciplined things we don’t like often leads to greater contentment. An enduring joy of life: experiencing discipline and seeing it pay dividends brings […]
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Being in a Relationship with Religious Scrupulosity- FREE Livestream
Faith & OCD Roundtable October 18 at 7:00 pm – 8:00 pm EDT Topic: Being in a Relationship with Religious Scrupulosity Join Lead Advocate Rev. Katie O’Dunne and clinicians Dr. Caitlin Clagget Woods & Justin K. Hughes, LPC, along with Carolyn Ringenberg of the Faith & OCD Task Force to discuss the topic of being […]
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#OCDWeek 2022
The IOCDF and its Advocates invite you to celebrate OCD Awareness Week, October 9–15, 2022! “#OCDWeek began in 2009 to share knowledge and reduce stigma around OCD and related disorders. Each year in October, individuals, community groups, service organizations, and clinics around the world celebrate with OCD-inspired educational talks, youth events, grassroots fundraisers, yoga, creative […]
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Family Accommodation in OCD- Addressing Specific and Systemic Accommodations
Everyone Loses Lucas* regularly expressed frustration about his parents’ “nagging” him. Though he is a young adult, he lives out home and is mostly dependent on his parents for all essentials. He gave permission to involve his parents in treatment, which is ideal in many cases. It was frustrating for his compulsions to impair his […]
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