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Exposure therapy for POCD

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Exposure therapy for POCD

Postby anonymouslyP » Wed Jan 16, 2013 1:33 am

I've suggested to my therapist that maybe some type of exposure therapy would be helpful. He seemed open to the idea even though he doesn't think I actually have OCD because I don't have any compulsions. He also said that it would have to be very structured so as not to provoke guilt and shame. It didn't occur to me at the time to ask, but now I'm wondering what that structure would look like. Has anyone ever been through this - exposure therapy for POCD without compulsions? I know that's a really specific question, and I am also interested in other more general experiences, too. So if you've had some other form of OCD and had exposure therapy for it and feel like sharing, please do. I'd appreciate it. I'm really curious/anxious about what to expect. I know this is going to be really hard, but hope that it will be worth it. I still have days where I have like mini panic attacks every time I see a kid or even a kid's toy laying in the yard in front of my apartment. Which is bad because there's always toys in the yard in front of my apartment.
Thanks...
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Re: Exposure therapy for POCD

Postby afraidofdiseases » Wed Jan 16, 2013 8:32 am

Exposure therapy isn't always the best strategy. In my opinion it works best when you have a clear obsessive-compulsive chain. For example, if you are afraid of germs and wash your hands all the time. In that case, exposure therapy would be to not wash your hands and see that you're still alive and healthy.

The problem with sexual OCD and harm OCD is that the "enemy" is you and your thoughts. So the compulsive urges are more directed towards protecting something (in your case, children) from you, as you believe it's necessary.

OCD can be further complicated in the setting of self-harm OCD and HOCD, where the "victim" also is you. POCD can also fall into this category, it depends on what you are afraid of. If you are afraid of getting turned on by children and/or being a pedophile, the "victim" is you. If you are afraid of assaulting or raping children, your OCD is more like violent OCD (harm OCD), just like being afraid of stabbing your family.

You do have compulsions. They are just not visible. You are having trouble with this and you are constantly battling your own mind. Just coming here searching for answers is a compulsion.

The fatal mistake some people with POCD do, is downloading child porn, etc, to make sure they are not turned on by it (or believing they are doing exposure therapy). Their activities are logged and they are prosecuted and sentenced for being pedophiles. In lack of a better word; epic fail.

I believe that "pure-obsessional OCD" is best treated by accepting the thoughts, but at the same time, to be aware that the thoughts are just thoughts and nothing else. Your thoughts can't make you do something you don't want to do. You need to detach yourself from your thoughts.

You can google "detached mindfullness" to find some useful techniques.
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Re: Exposure therapy for POCD

Postby anonymouslyP » Sat Jan 19, 2013 8:57 pm

I googled "detached mindfulness" and found a couple helpful articles. Thanks

I do however think exposure therapy will be helpful. I can see how it would be more clearly effective in the example you gave, but I'm still hopeful that it will help me some, too. But I'll see Tuesday. If we start it then, that is.

Thanks again.
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