The OCD Stories

Dr Michael Greenberg: Q&A on RF-ERP (#429)

7 snips
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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ANECDOTE

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.
ANECDOTE

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.
ANECDOTE

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.
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