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Obsessive-compulsive disorder

Working with obsessions and compulsions — ERP and CBT.

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Obsessive-compulsive disorder

What is this service?

Obsessive-compulsive disorder (OCD) severely reduces quality of life: intrusive thoughts and compulsive actions consume hours a day. Modern therapy can significantly loosen OCD\u2019s grip on daily life.

OCD

The main method at LOQOS is ERP (Exposure and Response Prevention) combined with CBT. For complex cases, metacognitive therapy and flexibility training are used.

Indications

  • Intrusive thoughts about contamination, harm, or order
  • Compulsive checking (locks, stove, windows)
  • Washing, counting, symmetry rituals
  • Moral and religious obsessions
  • Doubts about relationships and health
  • Mental rituals and checking

Methods

  • ERP — gradual exposure to triggers without rituals
  • CBT — working with responsibility and catastrophizing
  • Metacognitive therapy — changing the relationship with thoughts
  • ACT — acceptance and values-based commitment
  • Family support — teaching loved ones not to participate in rituals

Outcomes

  • Reduced time spent on rituals
  • Weaker intensity of intrusive thoughts
  • Return to normal social functioning
  • Ability to tolerate uncertainty
  • Lower overall anxiety

Course duration: 12–20 sessions; ERP with between-session exposures

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