The OCD Stories Dr Michael Greenberg: Q&A on RF-ERP (#429)
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Apr 14, 2024 Dr. Michael Greenberg, an expert in Rumination-Focused ERP, discusses how RF-ERP has helped individuals with OCD and the importance of letting go of rumination. He explores challenges with persistent obsessions, justifications for rumination, and the integration of different therapeutic approaches for comprehensive treatment.
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Shameful urge
- One patient's urge to perform a shameful behavior was significantly reduced through RF-ERP.
- By learning to stop ruminating, the patient found another way out of the distressing urge.
Emetophobia
- Traditional ERP worsened a patient's emetophobia (fear of vomiting) by increasing anxiety.
- RF-ERP helped by keeping anxiety low during exposures, allowing the patient to eat feared foods without distress.
Contamination Example
- Some contamination OCD cases involve a fear of the feeling of contamination becoming inescapable.
- Dr. Greenberg uses exposures focused on not keeping track of contamination, spreading it everywhere to help patients let go.