OCD and Related Disorders
OCD and Related Disorders spans OCD, body dysmorphic disorder, hoarding disorder, trichotillomania, and excoriation—conditions linked by repetitive thoughts/behaviors and relief-seeking cycles. We provide a unifying framework: identify triggers and beliefs, plan exposure or stimulus control, and target the “relief loop” with skills that hold discomfort without rituals. If you’re comparing approaches at an OCD-related disorders conference, you’ll find ERP adaptations for BDD (mirror and photo exposures), hoarding (in-home discard practice and harm-reduction first), and body-focused repetitive behaviors (habit reversal, competing responses, stimulus control). Medications (SSRIs, clomipramine) are aligned for OCD/BDD; for hair/skin picking, we emphasize behavioral first-line with cautious pharmacologic adjuncts. Culture, identity, and stigma shape themes and engagement; we use values-based framing to keep efforts meaningful.
Care works when it fits lives. We design brief, frequent practices; embed sleep/circadian anchors; and use interpreters and low-literacy materials. Families are coached to reduce accommodation and shift toward supportive accountability. Equity features—tele/home visits, transport help, cost navigation—convert interest into continuity. Comorbidity plans address depression, anxiety, and SUD without derailing core work; for eating-disorder overlap or psychosis differentials, we coordinate with dietetics and psychiatry. Dashboards track exposures or HRT minutes practiced, grooming time saved, living-space safety in hoarding, school/work participation, and quality of life. Progress is incremental but meaningful: fewer rituals, safer homes, more presence with the people and roles that matter.
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Unifying model
- Triggers → beliefs → urges → rituals/relief → shrink the loop.
- Choose ERP, HRT, or stimulus control by presentation.
ERP and BDD
- Mirror/photo exposures and response prevention.
- Values framing counters avoidance and reassurance-seeking.
Hoarding protocols
- In-home sorting, discard practice, and harm-reduction.
- Safety first: egress, cooking, pests, and structural risks.
BFRBs (hair/skin)
- Habit reversal with competing responses and stimulus control.
- Track minutes of practice; reinforce small wins.
Delivery, Equity, and Measurement
Family and support systems
Work with families to reduce accommodating behaviors and set clear, collaborative boundaries that reinforce recovery.
Peer connections
Use group formats and peer modeling to build skill confidence and sustain hope through shared experience.
Sleep and daily routines
Maintain consistent wake times and light exposure to strengthen learning and emotional regulation.
Evening stability
Establish calming wind-down routines to prevent late-day rumination or compulsive spirals.
Comorbidity integration
Address coexisting depression or anxiety while continuing behavioral work on compulsions and obsessions.
Coordinated care
Collaborate closely with substance use disorder (SUD) or eating disorder (ED) teams when overlaps exist.
Outcome dashboards
Monitor practice time, functional outcomes, safety markers, and quality of life to guide ongoing decisions.
Learning cycles
Adjust treatment plans when progress stalls and highlight measurable gains to maintain motivation.
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