Exposure Response Prevention Therapy for OCD. OCD ka bina dawa ke ilaaj kaise kare.

#ExposureAndResponsePrevention #DrGyanendraJha #BestPsychiatristInJabalpur
Obsessive compulsive disorder is an anxiety disorder whereby you have either obsessions or compulsions or both. Most people have both but you can have one or the other. Some people use the term Pure O OCD to refer to only having obsessions. It’s less common to have only obsessions, but it’s not separate illness or diagnosis. In this video I discuss what obsessions and compulsions look like. I also give an example of what kind of treatment you would get for OCD.
In this Video Dr. Gyanendra Jha is covering following topics :
1. Exposure and response prevention therapy for Obsessive Compulsive Disorder.
2. OCD ka ilaaj bina dawa ke.
3. OCD treatment without medications.
4. OCD treatment in Hindi.
5. Exposure Response Prevention Treatment.
6.Kya OCD ko Bina Dawaon Ke Theek Kar Sakte Hain.
7. Is OCD is Curable.
8. Psychotherapy / Counseling for Depression.
9. Behaviour Therapy for OCD
10. How do you stop repetitive thoughts.
12. How does ERP work for intrutive thoughts.
13. How can one handle OCD without medication.
14.How does CBT treats OCD.
15.Can you do ERP on your own.
16. Does exposure helps social anxiety.
17.What is the success rate of exposure therapy.
18.How long does it take for exposure therapy to work.
19. What therapy is best for OCD.
Disclaimer: All of the information on this channel is for educational purposes and not intended to be specific/personal medical advice from me to you. Watching the videos or getting answers to comments/question, does not establish a doctor-patient relationship. If you have your own doctor, perhaps these videos can help prepare you for your discussion with your doctor.
Social Network Links : Do not forget to follow me on these for regular updates.
Instagram :
dr.gyanendrajha...
Twitter:
GyanendraIn?=09
Facebook Page :
/ gyanendrajha1980

[@user-qo9fm1mi8k]

Shandaar se bhi shaandaar sir ji Grand Salute.pls generate 2nd part of this video

[@jayautomobiles5672]

Sir respect you from heart you're spreading positivity and smile🙂🙂 to everyone.

[@r-1844]

Very Very helpfull video dr shab 💗 Very thanks so much 👍

[@sashisah2209]

Bahut Bahut Sunder Video.

[@Talhapathan61]

Good information 👍 sir ji absolutely Aapke smjhane ka treeka bhut accha h

[@krishna__1984]

Read the comment of me at the comment section of this video I have written about the psychiatry don't go to them go to homeopathy only Homeopathy can cure these kind of mind disorder from root slowly but surely

[@hridayparlia9110]

बहुत शानदार तरीका है आपका समझाने का

[@amarrandive2199]

OCD के बारे मे 100% सही बात कही है सर आपने

[@umeshchandra9935]

You are great sir, aapki jankari bahut achchhi lgi

[@krishna__1984]

Read the comment of me at the comment section of this video I have written about the psychiatry and explained about the psychiatry don't go to them go to homeopathy only Homeopathy can cure these kind of mind disorder from root slowly but surely

[@jamunayadav2602]

Very nice information

[@mathschanel5557]

Bhut shandar

[@prashantchoudhari8892]

Bhohat ache sir salute hai

[@skmozaffarsaba805]

Very informative video Sir...🙏😊

[@krishna__1984]

Read the comment of me at the comment section of this video I have written about the psychiatry don't go to them go to homeopathy only Homeopathy can cure these kind of mind disorder from root slowly but surely

[@Jyoti_0725]

मुझे 20 साल से ओसीडी है

[@ManojChauhan-wf4zf]

सर जी इतनी सुंदर जानकारी देने के लिए आपका हाथ जोड़कर दिल से बार बार बहुत बहुत धन्यवाद 🙏🙏

[@shivamtiwari9229]

बहोत बहोत धन्यवाद सर 🙏

[@nikhiluparkar5172]

You are correct sir thank you🙏

[@gaurangparmar100]

Thank you Sir For This informations

[@krishna__1984]

Read the comment of me at the comment section of this video I have written about the psychiatry don't go to them go to homeopathy only Homeopathy can cure these kind of mind disorder from root slowly but surely

[@vastuhealthguides98]

Sir aapke aawaz dil ko chu jati Hain dhanyawad

[@krishna__1984]

Read the comment of me at the comment section of this video I have written about the psychiatry I have explained about the psychiatry don't go to them go to homeopathy only Homeopathy can cure these kind of mind disorder from root slowly but surely

[@mmandal6300]

​@@krishna__1984 name likne मे इतना डर, तुम क्या हो सोचो खुद को।mad

[@anumeha7258]

Excellent 👌🏼

[@PrinceKumar-mv2br]

Very thank full 🙏

[@vikashmishra9692]

Very nice sir

[@nautiyalentertainments4805]

Nice information sir

[@krishna__1984]

Read the comment of me at the comment section of this video I have written about the psychiatry and fully explained about the psychiatry don't go to them go to homeopathy only Homeopathy can cure these kind of mind disorder from root slowly but surely

[@gurpreetsinghdadyala3618]

well done

[@drtahirhussainofficial7449]

Excellent wonderfully explained sir

[@rahvlkumar8737]

में अभी हाथ धो कर बैठा था ,और बार बार हाथ धोने के विचार आराहे थे । मैने आप की वीडियो देखी और मेरे बार बार हाथ धोने के विचार खतम हो गए। हमको हाथ धोने की दिक्कत covid के टाइम से सुरु हुई है और तब काम थी । होली2023 के आस पास जादा हो गई थी। 1.9.23 को आज आप का वीडियो देखी आज शान्ति मिली । और भी वीडियो देखी तो बताया गया की चीजे गंदी नही होती है आप को लगती है । यह सब आप अपने आप रोक लो कुछ दिन में सही हो जाएगी।

[@gauravramdev3266]

Thank you soo much sir🙏

[@krishna__1984]

Read the comment of me at the comment section of this video I have written about the psychiatry don't go to them go to homeopathy only Homeopathy can cure these kind of mind disorder from root slowly but surely

[@anmolarora5119]

Very nice video sir

[@krishna__1984]

Read the comment of me at the comment section of this video I have written about the psychiatry I have explained about the psychiatry don't go to them go to homeopathy only Homeopathy can cure these kind of mind disorder from root slowly but surely

[@Rajputrulz]

Sir u r doing great work. And biggest hope for ocd sufferers.

[@nitinthakur2275]

Bhai aapko bhi ocd hai kya

[@krishna__1984]

Read the comment of me at the comment section of this video I have written about the psychiatry don't go to them go to homeopathy only Homeopathy can cure these kind of mind disorder from root slowly but surely

[@harishbapat4994]

Sir mere ko tv dekhane ka or padneka time aju baj wala sab sound notice karta hu. Isliye dyan nshi hota. Kaise handle karoo. Ek saal se Horaham hi.

[@harinderdalal1178]

Thank s dr shab

[@DineshSharma-vw4by]

Bhut acha smjaayah aapnh

[@krishna__1984]

Read the comment of me at the comment section of this video I have written about the psychiatry I have explained about the psychiatry don't go to them go to homeopathy only Homeopathy can cure these kind of mind disorder from root slowly but surely

[@lalsinhparmar2106]

Nice sir 🙏

[@CricketStar381]

Thanks sir

[@DrGyanendraJhaPSYCHIATRIST]

Welcome

[@nasirpervez6627]

nice n very helpful video nasir pskistan

[@dickmund2612]

bohut dhanyabad sir aap ko meri umar bhi lag jae🙏🙏🙏🙏

[@annuannu5176]

Sir aapki video bhot achi h bhot

[@krishna__1984]

Read the comment of me at the comment section of this video I have written about the psychiatry don't go to them go to homeopathy only Homeopathy can cure these kind of mind disorder from root slowly but surely

[@AshokKumar-fv2fw]

Thank Sir

[@manishasingh8987]

Thanks sir ji 🙏🙏🙏🙏,

[@rajeshmishra2526]

great sir

[@krishna__1984]

Read the comment of me at the comment section of this video I have written about the psychiatry don't go to them go to homeopathy only Homeopathy can cure these kind of mind disorder from root slowly but surely I have explained about the psychiatry on the comment section of this video.

[@SalimShaikh-cs8cu]

Dhanyvad

[@rajanandi6057]

Thankyou sir

[@virenderyadav7837]

Great.sir

[@krishna__1984]

Read the comment of me at the comment section of this video I have written about the psychiatry I have explained about the psychiatry don't go to them go to homeopathy only Homeopathy can cure these kind of mind disorder from root slowly but surely

[@sonugurjar7153]

Thank you sir

[@krishna__1984]

Read the comment of me at the comment section of this video I have written about the psychiatry don't go to them go to homeopathy only Homeopathy can cure these kind of mind disorder from root slowly but surely

[@supriyakankoriya2511]

Sir plz rply mujhe GAD he 6 year se overthinking ki problem he .mood hmesha off rhta he mind pr load sa rhta he.sir plz rply concentrate nahi kr pati kya me bina medicine ke therk ho jayengi mene abi tk koi medicine nahi li.

[@mitukumar3693]

Nice sir

[@hawasinghyadav1589]

Thanx sir

[@krishna__1984]

Read the comment of me at the comment section of this video I have written about the psychiatry I have explained about the psychiatry don't go to them go to homeopathy only Homeopathy can cure these kind of mind disorder from root slowly but surely

[@bijaytanty8434]

Thanks

[@niharkantamohanty4641]

Sir apko Koti pranam

[@susheel2851]

sir aapne gandhgi ke bare mai kha lekin mujhe alg ocd hai mere man mai hath dhote wqkt man mai vichar ata hai ki mere parivar ka koi mar gaya ho gaya hai our uski image ke roop mai man mai vichar aaye to jobhi kam karta hoon jaise ki ye msg type karna hath dhona mandir mai bhgvan ke mandir jana to bar bar compltion karta hoon to ise erp therpy kaise mainej kare plese help me

[@vikramshinde1805]

Sir.. I am unable to energize or encourage myself. Or I can say I can not give myself a positive energy from within. I look at my strengths and achievements to have a good feelings , but unfortunately I have severally my mood off and hereby I can't proceed. For how much time I will stay in this ? I don't understand.

[@krishna__1984]

Read the comment of me at the comment section of this video I have written about the psychiatry don't go to them go to homeopathy only Homeopathy can cure these kind of mind disorder from root slowly but surely

[@NarendraSingh-yz2mp]

Thank u

[@krishna__1984]

Read the comment of me at the comment section of this video I have written about the psychiatry I have explained about the psychiatry don't go to them go to homeopathy only Homeopathy can cure these kind of mind disorder from root slowly but surely

[@user-ki8uo8nr3r]

Sir maju bachao, logo ki neck dabna ka ocd h ilaj chal raha h effect nahi h, positive solution cbt ki pratice karya please de. Bhi es topic par kam baat karta h please video banyao

[@abdheshkumarchoudhary283]

Pranam.

[@krishna__1984]

Read the comment of me at the comment section of this video I have written about the psychiatry l have explained about the psychiatry don't go to them go to homeopathy only Homeopathy can cure these kind of mind disorder from root slowly but surely

[@anughai625]

थेकयु सर

[@suriledun2964]

Sir m 12 saal se ocd Ki dava le rahi hu lkin ab tak thick nahi ho paayee jab mujhe lagata h m gandi ho gayee to cheej mare sampark m aayeegi un sabhi ko doh dalti hu yaha tak rupaye KO bhi do dalti hu mujhe kuch samhj m nahi aa raha asa lagta h m mar jaao kuyki ye bimary marne se hi metegi sir plz help me m 33 years ki hu

[@bongkrishna9303]

Nice

[@arvindbishtabsm900]

मैं पिछले 4साल से फ्लूक्सोटाइन कैप्सूल ले रहा हूं,क्या मुझे side effects हो सकते हैं sir

[@humairanoor6878]

Sir mujhe sexual ocd hai dwai khati hun tu sexual thoughts nhi aate dwai bnd krti hun tu again strt ho jate hai kia krun

[@imranhussain6979]

Sir mai ocd safai ki bimari se bahut zada pareshan 😢 hu please help karye

[@DineshSharma-vw4by]

C BT kya hoti hai or kaish kr esko bhi saral bhasha mai smjaahna

[@chandakumarkumar1453]

Good sir

[@krishna__1984]

Read the comment of me at the comment section of this video I have written about the psychiatry I have explained about the psychiatry don't go to them go to homeopathy only Homeopathy can cure these kind of mind disorder from root slowly but surely Homeopathic

[@shivamtiwari9229]

Sir please erp therapy religious ocd par banaye sir please bana dijiye sir please please sir please sir 🙏

[@ashutoshkumarpandey6311]

सर आप से पुर्णतः सहमत हुँ !

[@krishna__1984]

Read the comment of me at the comment section of this video I have written about the psychiatry don't go to them go to homeopathy only Homeopathy can cure these kind of mind disorder from root slowly but surely

[@henisharabari2839]

Yehi hai upchar

[@ankurchoudhary9786]

Sir apse kse mil skte h ...address btaiye plz sir

[@puspendrasavita98]

Thnx sir

[@krishna__1984]

Read the comment of me at the comment section of this video I have written about the psychiatry l have explained about the psychiatry don't go to them go to homeopathy only Homeopathy can cure these kind of mind disorder from root slowly but surely

[@abdheshkumarchoudhary283]

Sir, pranam.

[@krishna__1984]

Read the comment of me at the comment section of this video I have written about the psychiatry l have explained about the psychiatry don't go to them go to homeopathy only Homeopathy can cure these kind of mind disorder from root slowly but surely

[@sobivlogger7994]

Sir cdt vedio bnye

[@user-fm9xg8er4h]

Thanks sir I am heartly thanks to u U r really great for me mere man bath aur hai per mai batha nahi paraha hoon 😢 iam sorry sir iam unable to say words to you

[@sourabhpatel1081]

Sir apko contact kaise kre

[@bablusingha2624]

Part 2 video upload karea.... please please And all doubts and checking, counting OCD ka special therapy ,tips video upload karea please please please.... please help me... Dr... please help..

[@krishna__1984]

Read the comment of me at the comment section of this video I have written about the psychiatry don't go to them go to homeopathy only Homeopathy can cure these kind of mind disorder from root slowly but surely

[@KaranSingh-lm7pi]

Sir...psychogenic voice disorder ke upar ek full detailed video banaiye with treatment...

[@mr.mrs.mudgal2265]

kzbin.info/www/bejne/kHKWYoKKrZV2gqc

[@krishna__1984]

Read the comment of me at the comment section of this video I have written about the psychiatry I have explained about the psychiatry don't go to them go to homeopathy only Homeopathy can cure these kind of mind disorder from root slowly but surely

[@vijayparadkar1284]

Does 25mg quttipin Increase BP? If yes ban it

[@saifahmad8959]

वेरी नाइस

[@SachinMalgade-fj4rr]

Ocd hmesha ke liy thik hota kya

[@suriledun2964]

Sir m 12 se ocd Ki madicion le rahi hu lkin m ab tak thik nahi huee hu yaha tak ki m her cheej ko doh date hu

[@krishna__1984]

Read the comment of me at the comment section of this video I have written about the psychiatry l have explained about the psychiatry don't go to them go to homeopathy only Homeopathy can cure these kind of mind disorder from root slowly but surely

[@santoshbankar9479]

Sir maza mulga 13 varshacha aahe to school che name kadle ki to hand dhota hai Aamhi sare pareshan zalo aahe to school che name kadle ki chid chid pna karto sir please upay sanga 🙏🙏🙏🙏

[@krishna__1984]

Read the comment of me at the comment section of this video I have written about the psychiatry l have explained about the psychiatry don't go to them go to homeopathy only Homeopathy can cure these kind of mind disorder from root slowly but surely

[@rinkigupta7280]

Sir thanks

[@krishna__1984]

Read the comment of me at the comment section of this video I have written about the psychiatry l have explained about the psychiatry don't go to them go to homeopathy only Homeopathy can cure these kind of mind disorder from root slowly but surely

[@nidhimishra1240]

Humko pregnancy mein ocd ho gya hai hand wash Krna washroom Jane pr baar baar clean Krna aur uskey baad nhaye Bina nhi aa pate na hi study kr pa rhe na koi aur kaam ekdum pareshan ho gye hai apni pregnancy bhi nhi enjoy kr pa rhe

[@rosemerry8549]

12 th me beta padhta usko OCD ka problem shuru huwa apne he vicharo me aur kahi bat ka Man me dar tha thode se koi chij me vichar karta kuch hone wala hai ye bolta ham uske upar koi bat ka dabav dal rahe aisa lagta psychiatric ko dikhaya dawa diya per aaram nahi uska dimag ne kam karna chod diya chidchid ho gaya pagal jaisa karne laga Online OCD ke video me ye ASSICON SYRUP BRANOCON SYRUP Dekha 5_6 mahine diya uska ye problem thik ho gaya Accha hai...

[@riteshjhaentertainment3291]

Kya yai technique pure o par bhi apply kar saktai hai

[@DrGyanendraJhaPSYCHIATRIST]

Yes

[@yogendrapalsinghyadav9431]

Sir m flunil 60 tablets use karte hai.esse koi problem to nahi hogi.

[@arvindbishtabsm900]

Aap kb se le rhe hein

[@majulirgavoru2198]

Sir mei 6 din hua OCD tablet le raha hun... Tablet lene ke bad mera sexual power totally bondh hua.... Sir tablet lena bondh hone ke bad bhi ye ho sakta hei kya

[@akashy9891]

Kon c tablet le rehe ha app

[@abdulmajid4176]

ocd ky sath depersonalization or derealization ky baray main video banya. main 27 sal sy es main mubtalan hon ocd 90/.thik hogi ha likan derealization thik nahen how rahi .medcin chal rahi 25 sal sy.flovoxamin 400mg or benzdiazpin

[@shrinathv827]

Abdul Majid , R u taking Fluvoxmine 400 mg same drug from 27 years....... before any other drug you have taken...

[@krishna__1984]

Read the comment of me at the comment section of this video I have written about the psychiatry I have explained about the psychiatry don't go to them go to homeopathy only Homeopathy can cure these kind of mind disorder from root slowly but surely

[@Kartiksenvlog]

सर ocd में सिर अपने आप विचार उठता है तो सिर गर्म हो जाता है,ऐसा होता है क्या

[@krishna__1984]

Read the comment of me at the comment section of this video I have written about the psychiatry l have explained about the psychiatry don't go to them go to homeopathy only Homeopathy can cure these kind of mind disorder from root slowly but surely

[@azadsingh8850]

Sir jb mai hand wash krta hu to mujhe ye lgta hai mera hath basin se tough kr gya hoga aur mai phir continew hand wash krta hu 20 minutes continew hand wash krta hu sir bhut presan hu sir please help me

[@Geetesh1992]

Bhai ocd ki suruaat ho sakti h

[@vikasjakhar3492]

Same problem

[@rosemerry8549]

12 th me beta padhta usko OCD ka problem shuru huwa apne he vicharo me aur kahi bat ka Man me dar tha thode se koi chij me vichar karta kuch hone wala hai ye bolta ham uske upar koi bat ka dabav dal rahe aisa lagta psychiatric ko dikhaya dawa diya per aaram nahi uska dimag ne kam karna chod diya chidchid ho gaya pagal jaisa karne laga Online OCD ke video me ye ASSICON SYRUP BRANOCON SYRUP Dekha 5_6 mahine diya uska ye problem thik ho gaya

[@PriyaGupta-oi9nm]

Sir hum ocd h kisi thike hug

[@pallabibiswas2592]

Sir mai bahut parishan ho gayi hu OCD se 😢

[@rosemerry8549]

12 th me beta padhta usko OCD ka problem shuru huwa apne he vicharo me aur kahi bat ka Man me dar tha thode se koi chij me vichar karta kuch hone wala hai ye bolta ham uske upar koi bat ka dabav dal rahe aisa lagta psychiatric ko dikhaya dawa diya per aaram nahi uska dimag ne kam karna chod diya chidchid ho gaya pagal jaisa karne laga Online OCD ke video me ye ASSICON SYRUP BRANOCON SYRUP Dekha 5_6 mahine diya uska ye problem thik ho gaya Try kr sakte hai. ...

[@akashawate6137]

Sir ji mujhy bhut hard ja rha hai sir mainy 4 time treatment karva ya hai but fhir bhut pro ho rha hai please help me sir reply

[@krishna__1984]

Read the comment of me at the comment section of this video I have written about the psychiatry I have explained about the psychiatry don't go to them go to homeopathy only Homeopathy can cure these kind of mind disorder from root slowly but surely

[@akashawate6137]

@@krishna__1984 ha Gaya tha udhar bhi but mujhy bhut hard hora tha homeopath tablet kuch work nhi Kary thay 4 days tablet lay kar band kar diya.......

[@vishalsingh-vv3cc]

Sir mujhe Rabies OCD hai . PLZZ reply for solutions ?

[@loveleshkurmi3738]

Mujhe bhi ocd thi ab thik hu bilkul

[@Blue_velvet266]

@@loveleshkurmi3738 kese

[@krishna__1984]

Read the comment of me at the comment section of this video I have written about the psychiatry l have explained about the psychiatry don't go to them go to homeopathy only Homeopathy can cure these kind of mind disorder from root slowly but surely

[@ajitlama9115]

Relation to food and stomach with these symptoms.

[@krishna__1984]

Read the comment of me at the comment section of this video I have written about the psychiatry l have explained about the psychiatry don't go to them go to homeopathy only Homeopathy can cure these kind of mind disorder from root slowly but surely

[@amitkumarsingh3157]

@@krishna__1984 kaun se homeopathy doctor bhai Homeopathy wale kewal majak krte hai 10 10 medicine dekar

[@sursanj]

app nai ekdam Sahi bola..hath kise ko bh laganai se aisa ganda feel hota hai

[@krishna__1984]

Read the comment of me at the comment section of this video I have written about the psychiatry I have explained about the psychiatry don't go to them go to homeopathy only Homeopathy can cure these kind of mind disorder from root slowly but surely

[@anmolarora5119]

Is par aage aur videos banaiyega please.

[@krishna__1984]

Read the comment of me at the comment section of this video I have written about the psychiatry I have explained about the psychiatry don't go to them go to homeopathy only Homeopathy can cure these kind of mind disorder from root slowly but surely

[@snehlatanagwanshi764]

Sir mn ke dr ko kese nikala Jay please btayen

[@Talhapathan61]

Aap us fear fobia drr ko face kro Jb regular face krogi to drr aap ka pichha chod dega Mujhe bhi thi drr ki problem but ab m isse Bahar nikala hu

[@Talhapathan61]

Contact us WhatsApp

[@samsudensamsuden5377]

❤

[@sobivlogger7994]

Eft teqniq Kam krti hhh

[@chainsinghpatel1646]

Sir I am from pipariya distic(hoshangabad) want to appointment please give me feed back

[@krishna__1984]

Read the comment of me at the comment section of this video I have written about the psychiatry l have explained about the psychiatry don't go to them go to homeopathy only Homeopathy can cure these kind of mind disorder from root slowly but surely

[@jyotimehra8440]

Sir mujhe period ke time me ocd bahut jyada bd jati hai mujhe lal colour ka kuchh bhi dikhta hai to mujhe period hi dikhta hai mujhe nahana padta please medicine ke naam send kre please help me me bahut jyada pareshan hun

[@krishna__1984]

Read the comment of me at the comment section of this video I have written about the psychiatry I have explained about the psychiatry don't go to them go to homeopathy only Homeopathy can cure these kind of mind disorder from root slowly but surely Homeopathic

[@harneetkour4534]

Techniques----1)Exposure( expose ) Response Prevention (ERS). Hand washing n cleaning ka obsession kaise dur krey 😢😢 kyuki conpulsion itna jada hota g ki anciety ho jati h agr habd wash n cleaning krna compulsory ho jata h 🤔🙄 Jo b btaya shi btaya kyu ki jeh sb experience unke sath hota jinko jeh ocd prblm h.🤔🤔

[@humairanoor6878]

Sir i have also major depressive disorder

[@rosemerry8549]

12 th me beta padhta usko OCD ka problem shuru huwa apne he vicharo me aur kahi bat ka Man me dar tha thode se koi chij me vichar karta kuch hone wala hai ye bolta ham uske upar koi bat ka dabav dal rahe aisa lagta psychiatric ko dikhaya dawa diya per aaram nahi uska dimag ne kam karna chod diya chidchid ho gaya pagal jaisa karne laga Online OCD ke video me ye ASSICON SYRUP BRANOCON SYRUP Dekha 5_6 mahine diya uska ye problem thik ho gaya....

[@rohitnehamaurya7619]

Sir aapka clinic kaha hai

[@krishna__1984]

Read the comment of me at the comment section of this video I have written about the psychiatry don't go to them go to homeopathy only Homeopathy can cure these kind of mind disorder from root slowly but surely