Cognitive Model of OCD Trigger Intrusive thought Thought, image, feeling, urge, or doubt Interpretation of intrusive thought What does this thought mean? What does it say about you? Avoidance PSYCHOLOGYT LS Emotion Neutralization http://psychology.tools Cognitive Model of OCD Trigger 1. At the park with my family 2. At home with my baby 3. Discarded food packets Intrusive thought Thought, image, feeling, urge, or doubt Past experiences will influence the kinds of interpretations we make about our intrusive thoughts 1. Intrusive image of naked child 2. Intrusive thought about harm coming to my children 3. Image of dirt & decay, and loved ones dying Interpretation of intrusive thought Interpretation is a key target for intervention - collect and test evidence for the client’s appraisal What does this thought mean? What does it say about you? 1. “I’m a bad person & must be dangerous” 2. “If I am having thoughts of harming my child then I must be a bad mother” 3. “I’m responsible for keeping everyone safe but this contamination is a danger” Avoidance Emotion 1. Avoidance of any reminders of children 2. Avoidance of looking after own child Fear, disgust, shame PSYCHOLOGYT LS Intrusive thoughts are verry common amongst the general population The interpretation might be of the form of a belief, an appraisal, or a conditional assumption (if ... then ...) Common themes include concern about being: mad, bad, dangerous, or responsible Neutralization 1. Avoidance of any reminders of children 2. Avoid looking after own child, seek reassurance 3. Clean / wash http://psychology.tools
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