I use the series of exercises in this article to help patients practice eliminating compulsive rumination. Per Targets and Rationales for RF-ERP Exposures, the goal of these exercises is not to make the patient anxious. Rather, the goal is for them to learn that they can control rumination, even when they encounter a trigger. Some […]| Dr. Michael J. Greenberg
Please note that this is an older article. Thinking about exposure in terms of learning was a conceptual stepping stone between thinking in terms of habituation (the classical model) and thinking in terms of restoring agency (my current model). Rumination-Focused ERP: Turning Exposure On Its Head and Targets and Rationales for RF-ERP Exposures offer the most […] The post Exposure Is About Learning, Not Habituation appeared first on Dr. Michael J. Greenberg.| Dr. Michael J. Greenberg
Please note that Rumination-Focused ERP is a new and evolving approach to ERP. Neither this exercise nor the rest of the treatment has been researched, and therefore neither is evidence-based. Please also note that this article is for your information only and does not constitute clinical advice or establish a patient-psychologist relationship. This article describes […]| Dr. Michael J. Greenberg
Understanding the Core Fear is foundational to effective treatment of OCD, and can unlock even the most baffling cases. Dr. Elna Yadin introduced the idea that each person with OCD has a ‘Core Fear,’ and that their avoidance and compulsions are aimed at preventing it. This idea is very powerful, because OCD symptoms can seem […]| Dr. Michael J. Greenberg
Please note that Rumination-Focused ERP is a new and evolving approach to ERP. It has not yet been researched, and therefore to the extent that it differs from classical ERP, it is not evidence-based. How you conceptualize OCD and ERP affects not only how you do exposure but also what you do as exposure. By […]| Dr. Michael J. Greenberg
Please note that Rumination-Focused ERP is a new and evolving approach to ERP. It has not yet been researched, and therefore to the extent that it differs from classical ERP, it is not evidence-based. In classical ERP, it is considered important that the patient feel anxious during exposure, because the goal of exposure is habituation. […]| Dr. Michael J. Greenberg