Neurology
Treatment
Skills
Obsessions and Compulsions
Miscellaneous
100

This term describes the brain’s ability to change, adapt, and form new neural pathways over time—something OCD treatment relies on.

Neuroplasticity

100

This treatment helps OCD by teaching the brain that anxiety can rise and fall without compulsions, strengthening inhibitory learning.

Exposure and Response Prevention

100

DAILY DOUBLE: In Greek mythology, this figure is condemned to endlessly roll a boulder up a hill, only for it to fall back down—often used as a metaphor for OCD’s impossible demand for complete certainty.

Sisyphus

100

This is the repetitive, obsessive dwelling on negative thoughts, problems, or past events without finding solutions, often worsening feelings of depression and anxiety.

Rumination

100

At its core, OCD is best understood as an intolerance to this.

Uncertainty

200

Anxiety from OCD typically peaks and then falls on its own if compulsions are not performed due to this nervous system process.

Habituation / Regulation

200

This treatment helps OCD by teaching people to make room for thoughts and feelings instead of trying to eliminate them, while still living by their values.

Acceptance and Commitment Therapy

200

These are Jeffrey Schwartz’s four steps

Relabel, Reattribute, Refocus, Revalue

200

This common response to intrusive thoughts—trying to push them away—often makes them come back stronger.

Thought suppression / Thought blocking

200

DAILY DOUBLE: This OCD expert is known for saying, “Give me two servings and give them to me now,” encouraging an aggressive and empowering attitude toward OCD

Reid Wilson

300

This part of the brain rapidly detects emotional salience and helps trigger anxiety responses linked to intrusive thoughts.

Amygdala

300

This treatment helps OCD by identifying unhelpful thought patterns and changing how we respond to them rather than treating them as facts.

Cognitive Behavioral Therapy

300

This skill involves externalizing OCD fears and treating them like they’re coming from an unreliable but loud source

Man in the Park

300

When compulsions exist but happen mentally rather than through visible behaviors

Pure O

300

People with OCD often experience an exaggerated sense of this feeling

Personal responsibility, guilt, or shame

400

This cognitive distortion involves believing that having a thought is morally equivalent to acting on it.

Thought-action fusion

400

This class of medication can help OCD by increasing serotonin availability and reducing the intensity of obsessive-compulsive symptoms.

Selective Serotonin Reuptake Inhibitors

400

This practice involves intentionally focusing on the present moment and observing thoughts and sensations without judgment or trying to change them.

Mindfulness

400

Googling symptoms or scenarios to feel certain is an example of this OCD-maintaining behavior.

Reassurance seeking

400

These three features are strong indicators that a behavior is actually a compulsion.

Urgency, repetition, short-lasting relief

500

This brain circuit is responsible for OCD dysfunction when it gets stuck on “error mode.”

CST loop (cortico-striato-thalamic loop)

500

This mindset shift helps recovery by reducing self-blame and treating OCD thoughts as symptoms, not personal failures.

Self-compassion

500

These four non-engagement responses help reduce compulsions by allowing discomfort instead of trying to neutralize it.

Affirmation of anxiety, uncertainty, possibility, and difficulty

500

This OCD subtype focuses on moral perfection and fears of being a “bad” or unethical person.

Scrupulosity

500

In ACT, this skill helps people with OCD create space between themselves and their thoughts so the thoughts have less control over behavior.

Cognitive defusion

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