
I will say the awkward part plainly: describing the specific content of this to someone for the first time is really mortifying for most people, and a good number spend several sessions circling it before arriving at the detail. That is entirely acceptable. Compulsions are often easier to describe than the thoughts driving them, so plenty of people start with the behavior and reach the rest later, which works perfectly well as an order of business. Nothing has to be disclosed on any particular schedule. We can work productively long before you have said the hardest sentence. I worked for years in nonprofit and social-work adjacent settings, where I learned that people disclose in their own sequence and that pushing rarely accelerates anything. If you need several weeks to get to the detail, take them. There is no schedule for disclosure in this room.
OCD, Phobias
ERP specialist for contamination, harm, and relationship OCD.
CBT
Couples Therapy
Adults (18-64), Older adults (65+)
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