OCD
this subtype involves obsessions related to the nature of reality, the meaning of existence, and life’s purpose.
existential OCD
*bonus if you can give an example of an existential obsession and/or compulsion
What does I-CBT stand for
Inference Based Cognitive Behavioral Therapy
a strategy of noticing and acknowledging the present moment
Mindfulness
The process when your brain confuses something imagined for something real. Confusion between imagination and reality.
Inferential Confusion
When you purposefully choose not to do something in hopes of not triggering your OCD.
Avoidance
What are the 3 functions of a compulsion?
1. Get rid of the obsession
2. reduce or eliminate the distress caused by the obsession
3. or prevent something bad from happening as a result of the obsession
Who is the founder of I-CBT
Frederick Aardema
A strategy to answer your reassurance questions without giving them the power and answers your OCD is looking for.
Non-engagement responses
*bonus point for every one you can name - what are the 4 main types of none engagement responses
What are the 3 types of Obsessional Reasoning that make up Inferential Confusion
Over reliance on Possibility
Dismissal of Actual Evidence
Irrelevant Associations
**Bonus points for giving an example of each
Mental Reviewing
a psychological process where someone believes that the presence of a thought will have an effect on one’s self, behaviors, character, or world around them.
Thought-Action Fusion
*bonus point for any other type of fusion belief you can name
What are the two models ERP is based on?
Inhibitory Learning Model
Habituation
*bonus if you can explain the difference
technique designed to strengthen voluntary control of attention by teaching you how to deliberately shift, widen, and flexibly direct your focus — instead of getting stuck on threat cues, worry, or intrusive thoughts.
Attention Training
*bonus point: what treatment modality is attention training from?
What "OCD trick" is this an example of "A person is concerned he will impulsively swerve his car in the other lane so he tests this by seeing how much he can move towards the center line without going over."
Testing it out
What is the term called when what you fear is fear itself.
What subtype are these obsessions an example of?
I might be secretly unethical or manipulative. -Did I lie on purpose? -What if I’m hiding something even from myself? -Could I be the kind of person who fails to live up to my own standards without even knowing it?
moral OCD - or moral scrupulosity OCD
In treating disgust-based OCD, this approach shifts focus from “getting used to the disgusting trigger” to “gradually resuming meaningful life activities despite the trigger, reducing accommodations over time” — emphasizing response prevention and functional mastery rather than purely exposure to fear.
Mastery Approach
**Bonus question - who came up with this?
this key ACT skill helps you see your thoughts as just words or pictures in your head, rather than facts you must obey.
cognitive defusion
*bonus if you can give an example of it
What should you ask yourself if you are having a hard time identifying the obsessional doubt?
What would I need to be certain of in order for me to not feel the need to do this compulsion?
When your parent or family does things to participate in your OCD or help you avoid anxiety
Family Accomodation
Approximately this percentage of individuals with OCD experience significant improvement when treated with specialized, evidence-based therapy like ERP or I-CBT
60-70%
This treatment modality is focused on changing how you relate to your thoughts—by modifying beliefs about worry, rumination, and threat-monitoring—rather than changing the content of the thoughts themselves.
Metacognitive Therapy
what are the 4 steps in ERP when you experience an obsession?
1. pause and identify the fear
2. Allow and accept the presence of that thought (or agree with it, or don't engage with it)
3. Resist the compulsion
4. Accept and Embrace the feeling of anxiety
what "ocd trick" is this an example of: "I could be faking my emotions, if that's true maybe my affection feels forced and I just don't know it.
Reverse Reasoning
When someone becomes mentally immersed in a feared scenario “as if” it’s real, strengthening OCD doubt and emotional conviction.
Imaginal Absorption