The article explains that while clients might present with similar OCD symptoms, such as fears of contamination, the underlying core fears can differ significantly. Identifying and addressing these core fears is crucial in effective exposure and response prevention (ERP) therapy. Techniques like the CBT Downward Arrow can help therapists uncover these deeper fears. Understanding that the rituals may appear identical but are motivated by different fears emphasizes the need for individualized treatment plans rather than a one-size-fits-all approach.
While each of these individuals are describing contamination fears on the surface, we haven't yet uncovered what's underneath. The driving force behind them can be worlds apart.
The core fear represents a client's worst-case scenario, the deeply held fear that drives all the ways their obsessions show up on the surface.
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