Step-by-Step Treatment Manual

Abstract

The embarrassing nature of unwanted sexual thoughts in individuals with obsessive-compulsive disorder (OCD) increases shame and generates feelings of disgust. This requires a specialized approach by clinicians to address the challenges associated with the sexual subtype of OCD (S-OCD). This chapter first addresses psychoeducation as it relates to unwanted sexual thoughts, facing fears, and building mental fitness. The authors then provide a session-by-session guide designed to assist clinicians in the provision of exposure and response prevention therapy (Ex/RP) to S-OCD sufferers. The protocol provides strategies aimed at increasing a client’s behavioral flexibility and control in the specialized treatment of S-OCD using Ex/RP and also includes cognitive therapy, acceptance and commitment therapy (ACT), and mindfulness techniques.