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| Acknowledgments | |
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| Introduction: Overview of OCD | |
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| Who Are We? | |
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| Is This Book for You? | |
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| Will This Book Help You? | |
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| What's Ahead | |
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| Using This Book | |
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| Pacing and Timing | |
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| Our Treatment Approach | |
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| Medication and OCD | |
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| Cognitive Behavioral Therapy and OCD | |
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| Same Thought, Different Reaction | |
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| The Difference Is in the Interpretation | |
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| What Does CBT Do? | |
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| The Behavioral Part | |
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| Do You Have Obsessions and Compulsions? | |
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| Some Faces of OCD | |
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| What Are Obsessions? | |
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| Repugnant Obsessions | |
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| Are Your Thoughts Obsessions? | |
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| "Normal" Obsessions | |
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| Can Obsessions Turn Ugly? | |
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| Scrupulosity: A Special Case of Religious Obsessions | |
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| Compulsions and Neutralizing | |
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| Examples of Compulsions and Neutralizing | |
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| Thought Control and Avoidance | |
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| The Making of an Obsession | |
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| Why Do You Have Obsessions and Compulsions? | |
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| Engaging Obsessional Thoughts | |
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| Thinking About Thoughts | |
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| The Cognitive Behavioral Model | |
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| A Treatment Rationale | |
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| Establishing Your Symptom Profile | |
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| Your Own OCD Symptoms | |
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| Establishing Your Symptom Profile: The Behavioral Component | |
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| Establishing Your Symptom Profile: The Cognitive Component | |
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| Why Does Your OCD Persist? | |
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| Why Does Your OCD Persist? | |
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| Behavioral Factors | |
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| Putting It All Together | |
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| Are You Ready to Make Changes? | |
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| Change Can Be Difficult | |
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| Concealment of Obsessions | |
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| Overvalued Ideation | |
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| Concerns About Overcoming OCD | |
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| Addressing Specific Fears and Concerns About Overcoming OCD | |
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| Costs of OCD: Do They Outweigh Your Concerns? | |
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| Weighing and Balancing | |
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| The Paradox of Mental Control | |
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| Introduction | |
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| Attention and Thoughts | |
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| Deliberate Attempts to Control Thoughts | |
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| Research on Mental Control | |
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| Why the Paradox? | |
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| Factors Influencing the Success of Mental Control | |
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| Consequences of Failed Mental Control | |
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| Effectiveness of Mental Control Strategies | |
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| Thwarting the Paradox | |
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| Overcoming Obsessions with Themes of Harm, Violence, and Sex | |
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| Violent and Sexual Obsessions | |
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| What Are Your Appraisals? | |
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| Thought-Action Fusion | |
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| Making Use of This Information | |
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| Taking the Plunge: Exposure | |
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| Religious Obsessions and Compulsions | |
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| Introduction | |
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| Religious Diversity | |
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| Does Religion Cause OCD? | |
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| Religious Devotion: How Much Is Too Much? | |
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| Faulty Appraisals and Beliefs | |
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| Challenging Appraisals | |
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| Religious Counseling and OCD Treatment | |
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| Taking the Plunge: Exposure | |
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| Taking the Risk: Phasing Out Coping Strategies | |
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| Rationale for Phasing Out Coping Strategies | |
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| Taking It One Step at a Time: The Exposure Ladder | |
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| Is It Dangerous to Experience This Level of Distress? | |
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| Doing Exposure Exercises | |
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| Keys to Successful Exposure | |
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| How Tos of Exposure | |
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| Troubleshooting | |
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| Exposure Exercises and Your Family | |
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| Quitting Cold Turkey | |
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| Maintaining Your Gains | |
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| Reviewing Your Gains | |
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| Strategies for Maintaining Gains | |
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| Managing the Return of Symptoms | |
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| Coping with Stress | |
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| Stress Management | |
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| References | |