- Date posted
- 3y
I found this article very informative about how treatment may need to be modified fire for ocd based on disgust instead of fear: https://iocdf.org/blog/2023/04/25/disgust-based-ocd-thoughts-on-a-new-treatment-protocol/ if you have trouble accessing it you can search by “disgust ocd gallagher” as this info is also published elsewhere Here’s an article with info and a table for the meds that could/ may work for disgust based OCD: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4776764/ I wouldn’t replace erp if visual stimuli can be used in a hierarchy or if fear is a factor as well as disgust, but I would supplement with the other approaches. I say this because, at least for me, ocd latched into using disgust as an excuse to keep the compulsions so I’m using an erp hierarchy to chip away at my routine in the restroom especially since this works for the fear I have and the gradual reduction of compulsions also addresses the disgust (but only if I am willing to accept the risk). Poop pics do help with lessening the disgust so for me erp is still my core treatment method but I’m going to be supplementing my ssri with one of the glutamate meds.
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