It WORKS! The BEST Treatment for OCD: Exposure & Response Prevention (ERP) | Dr. Rami Nader

[@milochamp1586]

Very good explanation. Issue is OCD person develops new OCDs while previous avoidance no longer bothers that much usually after a new crisis or new event the person was forced into. There must be an underlying trauma/fear developed as a child Example Fear of dying has creeped in as a child or feeling lack of safety within, due to neglect or negative events as a child. Both OCD and childhood trauma must be treated to successfully treat someone with ocd in 80% of the cases.

[@Sarah-tr9nx]

Thank you, that makes a lot of sense. I tried it last night (wanted to go back to the shop and check incase I’d dropped something) it was very hard to ignore and I couldn’t stop thinking about it from 3pm until the shop was finally closed at 10pm. I succeeded and will continue with this as I know my future self will thank me for it 😊

[@DrRamiNader]

Hi Sarah, glad you found the video helpful. I wish you all the best in your efforts to feel better.

[@annadicarlo8381]

Best explanation ever! Thank you so much Dr Rami

[@DrRamiNader]

You're welcome. Thank you for your kind words and I'm glad you found the video helpful.

[@krishnakumarshetti9334]

Excellent presentation, Dr. Rami! Very clear and lucid explanation of the roller-coaster approach and how to counter it with the rainbow approach. One small query- during the rainbow approach, when the patient tries to avoid their compulsions, should they think of some positive constructs/visualizations to keep their mind occupied when the anxiety wave passes through them?

[@DrRamiNader]

I encourage people, as much as possible, to tolerate the anxiety and not try to do anything to make it go away any faster. Just let it come and go on its own.

[@hip-hopman6636]

Your videos are really useful for me. I'm currently on worry course. It has significantly decreased👌

[@DrRamiNader]

Glad to hear you're feeling better!

[@ThisMichaelBrown]

Great explanation, thanks

[@DrRamiNader]

Glad you liked it

[@locknstock9423]

Very insightful, thank you. Would this work regarding a tendency/urge to constantly stay updated with bad news (e.g. "doomscrolling")?

[@DrRamiNader]

Depending on the situation, it could.

[@michaelpeter1829]

What happen to the hands being dirty when we hold on?

[@jayjain961]

Dear Sir Thanks for this Valuable Video..Request to Prepare Video for Application of ERP on Pure OCD where Obsessive Thoughts are Coming that I will become Crazy and I have to give reassurance to myself that whatever i am doing and thinking is rationally ok and I will not become Crazy. Your Earliest Response will be Highly Appreciated..!

[@DrRamiNader]

Hi Jay - that is on my list of topics for future videos, so please keep an eye out for that video when it comes out.

[@Ian-io3yt]

Would this treatment work for someone with the A word (KZbin censors for some reason but is synonymous with "neuro atypical") and with sensory issues (like visual processing difficulties but 20/20 eyesight otherwise)? This type of therapy seemed kind of silly to me at first, because it seemed obvious that the person should expose themselves to their OCD triggers, but they obviously can't because their compulsions are too strong

[@lucasf.v.n.4197]

u need to consider ocd will cause other symtoms such as apathy, numbness and anhedonia everytime u attempt to resist; so u end up creating another problem, even though u're in compliance with treatment

[@hugobarbosa1119]

I don't speak english (i'm using google translator right now). You leaving the subtitle in English helped a lot. Thank you very much!! Because I put it to translate automatically and I understand everything. This explanation was the best I've seen so far!!!

[@DrRamiNader]

Hi Hugo - I'm very pleased you were able to watch and translate the video and I'm glad you found it helpful.

[@elenora67]

I wonder if psychologists/ psychiatrists deal with these issues or they heal themselves

[@Jay_CW]

Hi Dr. Nadir I know it's been a while since you posted this so not sure if you'll respond. But I was wondering if you had any tips for what to do if you overestimate an object and ERP for that object is too overwhelming

[@DrRamiNader]

In situations like this, the idea is to scale back the exposure to something that is not so intense. Essentially, reducing the intensity of the exposure.

[@Jay_CW]

@@DrRamiNader Gotcha, thanks!

[@VelvetAngel4047]

Hey Dr, I have a question about anhedonia, if you can’t find pleasure in anything, how can one accept these feelings of uncertainty and stress?

[@DrRamiNader]

I'm sorry Sara, I'm not sure I understand the question.

[@careersteering]

Thank you. How about for somatic ocd?

[@DrRamiNader]

Hi Rosa - what do you mean by somatic OCD?

[@careersteering]

@@DrRamiNader Sensorimotor (relating to bodily obsessions such as breathing, etc.).

[@DrRamiNader]

Hi Rosa - I have added that to my list of future video topics. Thanks!

[@DrRamiNader]

@floopstuh I can't say why your therapist didn't bring up sensorimotor OCD. While it is a subtype of OCD (and there are a lot of subtypes), it's typically not as common as other versions of OCD, such as contamination, symmetry etc. I have it on my list of future videos, so will get around to making a video about it at some point. The principles described in this video also apply to sensorimotor OCD ad well though. The theme mat differ, but the underlying principles are all the same.

[@thelmaviaduct]

Dr, please can you do a vid on neuroticism and fixing it 👍🏿😘❤️🍻

[@DrRamiNader]

Neuroticism is a personality trait that is correlated with anxiety. There's not much that people can do to change that, but they can learn to manage the anxiety and resulting symptoms - I have posted a number of videos about that and will continue to post more.

[@mmc0729]

is it effective for sensorimotor ocd

[@DrRamiNader]

Yes, ERP is considered the most effective treatment for OCD.

[@yl5757]

I have the very compulsion Dr Nader was talking about. It probably worked for Covid though😆

[@abidabilal6208]

😊

[@darzphonegraves3705]

But I don't trust it or therapy. I wouldn't do it.

[@yl5757]

Is anyone supposed to rub their hands all over a public toilet seat ?!😃

[@DrRamiNader]

You'd be surprised by some of the things OCD-therapists will do with their clients as part of exposure and response prevention!

[@banerjees4481]

@@DrRamiNader I have ruminating ocd thoughts. After doing something I ruminate inside of my head the same thought over and over and over again. But the temporary relief is just for 4 minutes. I tried erp many times but not working