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Home » exposure

CBT: An Effective Paruresis Treatment Without Medication or Invasive Devices

May 30, 2023 by Gabrielle Ilagan

What Is Paruresis?

Paruresis, also known as “shy bladder syndrome,” is the fear of urinating in public or in the presence of others. If you suffer from paruresis, you may experience extreme anxiety and unease when you need to use a public restroom. The problem occurs when you are unable to urinate in privacy. This can happen at a multi-stall bathroom or at a urinal next to other urinals. It can even happen in a private restroom that you fear isn’t secluded enough.

[Read more…]

Filed Under: Anxiety, Social Anxiety Tagged With: exposure, paruresis, shy bladder

OCD and Depression: How Are They Connected?

December 28, 2020 by Dr. Paul Greene

Many people with OCD also suffer from depression. Dealing with both can be very challenging. Learning how to manage these conditions is important.

Updated: June 28th, 2022

Obsessive-Compulsive Disorder (OCD)

There are a lot of misconceptions about what OCD is. OCD is not simply a term for a preference that things be organized or clean. It is a potentially serious disorder that can become disabling for some people.

[Read more…]

Filed Under: Depression, OCD Tagged With: CBT, exposure, medication

How to Deal With the Torment of Relationship Obsessions

February 15, 2017 by Justin Arocho, Ph.D.

“How do I know if I’m in the right relationship?” “What if my partner isn’t the right one for me?”

relationship obsession - couple

Many people in romantic relationships consider questions like these from time to time. After all, such questions can be helpful to consider, even if anxiety-provoking. Evaluating a relationship can help us to notice how it is or isn’t meeting our expectations or emotional needs.  It can also make it easier to tackle relationship obstacles and to identify ways of keeping relationship satisfaction strong.

[Read more…]

Filed Under: OCD Tagged With: exposure, obsessions

Don’t Worsen Your Social Anxiety with Avoidance

March 14, 2014 by Jennifer Chen, Psy.D.

Social anxiety typically involves avoidance of things we find uncomfortable. Learn more about why this is a problem, and what cognitive-behavioral therapy involves.

Updated: June 26th, 2022

social anxiety and avoidance - Manhattan Center for CBT

“Just imagine them in their underwear!” is often told to those who have a fear of speaking in front of large audiences. Although it can be useful (and entertaining) to use your imagination in this way when giving a presentation. However, it’s typically not enough to overcome the anxiety those situations create.

[Read more…]

Filed Under: Anxiety, Social Anxiety Tagged With: avoidance, exposure

How to Understand the Secret Suffering of “Pure O” OCD

December 27, 2013 by Jennifer Chen, Psy.D.

Obsessive compulsive disorder can have widely varying symptoms. If compulsions are absent, the condition is sometimes called “pure O” OCD. For those that suffer from sexual, violent, blasphemous or racist intrusive thoughts, it can feel unimaginable to tell anyone about their obsessions.

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The “Pure O” Variant of OCD

Obsessive-compulsive disorder (OCD) affects 1 to 2% of the population. That means in the U.S. alone, somewhere between three and seven million people have it. That’s a big group! OCD can look very different from one person in this group to the next.

What all these people have in common is that they experience obsessions and/or compulsions. Most have both. Those that experience only obsessions are sometimes said to have “pure O” OCD. This is not a formal category of OCD, but it’s a useful construct. Why? Because when most people think of OCD, they think of someone washing their hands constantly or fastidiously rearranging their desk. People with “pure O” OCD do not do anything outwardly that gives away their condition. But what are these obsessions, exactly?

What Are Obsessions?

Obsessions are thoughts that cause immediate anxiety. They are often described as intrusive and repetitive by those who have them.

We’ve touched upon violent obsessions that might be common for those with OCD in a previous post about fears of stabbing someone. I want to take some time to address other “bad” thoughts that people sometimes have but feel they must keep to themselves.

[Read more…]

Filed Under: OCD Tagged With: exposure, obsessions

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  • CBT: An Effective Paruresis Treatment Without Medication or Invasive Devices
  • Cognitive-Behavioral Therapy for ADHD
  • A Psychologist’s 5 tips to Help You Cope with Pregnancy Anxiety
  • Relationship Anxiety: How to Spot the Signs, and How to Manage It
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