Did I Lock the Door? Integrating Exposure and Response Prevention and EMDR in the Treatment of OCD (2)
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Obsessive Compulsive Disorder is a notoriously challenging condition to treat, in part because exposure itself is not enough to extinguish the high levels of anxiety. Research clearly indicates that response prevention, simultaneous with exposure to obsessional thoughts, is needed to eventuate extinction or reduction of anxiety. EMDR Therapy can potentiate the anxiety reduction through desensitization and reprocessing, making an arduous treatment not only efficacious but time efficient and more comfortable than pure exposure and response prevention. Additionally, OCD sometimes appears to be a response to developmental trauma sequestered at ages when magical thinking is normal. In such cases, ego state maneuvers will help access the locus of developmental arrest at the time of trauma and disarm loyalty to the aggressor as manifest in perpetrator introjects, where applicable.