The treatment of Pure Obsessional OCD

a variant of ERP has been developed that has also been found to be extremely effective for the treatment of Pure Obsessional OCD. This method, sometimes called "imaginal exposure," involves using short stories based on the client's obsessions. These OCD stories are audiotaped and then used as ERP tools, allowing the client to experience exposure to situations that cannot be experienced through traditional ERP (e.g., killing one's spouse or molesting a child). When combined with standard ERP for the above-noted compulsions, and other cognitive-behavioral techniques, this type of imaginal exposure can greatly reduce the frequency and magnitude of these intrusive obsessions, as well as the individual's sensitivity to the thoughts and mental images experienced in Pure Obsessional OCD.

One of the most effective CBT developments for the treatment of Pure Obsessional OCD ("Pure O") is Mindfulness-Based Cognitive-Behavioral Therapy. The primary goal of Mindfulness-Based CBT is to learn to non-judgmentally accept uncomfortable psychological experiences. From a mindfulness perspective, much of our psychological distress is the result of trying to control and eliminate the discomfort of unwanted thoughts, feelings, sensations, and urges. In other words, our discomfort is not the problem – our attempt to control and eliminate our discomfort is the problem. For an individual with Pure Obsessional OCD ("Pure O"), the ultimate goal of mindfulness is to develop the ability to more willingly experience their uncomfortable thoughts, feelings, sensations, and urges, without responding with avoidance behaviors, reassurance seeking, and/or mental rituals.

Very good read. Insightful. Thank you