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Jonny Say: Secondary spikes in OCD (#362)

The OCD Stories

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Secondary Spikes in OCD

Primary spikes are the main way your OCD is presenting its main obsession. In CBT and ERP, you apply skills on primary spike to deal with it. But then OCD generates a secondary spike which switches form or changes quality that hooks people back in. It's an ancient idea from traditional meditation: Your mind will do certain reactions to it. You can't quite see it as obsession and compulsion because those obsessions have disappeared. And we get hooked again into mental or physical compulsions by these secondary spikes.

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