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Edna B. Foa - Stop Obsessing!: How to Overcome Your Obsessions and Compulsions

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Newly Revised and Updated!

Are you tormented by extremely distressing thoughts or persistent worries?
Compelled to wash your hands repeatedly?
Driven to repeat or check certain numbers, words, or actions?
If you or someone you love suffers from these symptoms, you may be one of the millions of Americans who suffer from some form of obsessive-compulsive disorder, or OCD.
Once considered almost untreatable, OCD is now known to be a highly treatable disorder using behavior therapy. In this newly revised edition of Stop Obsessing! Drs. Foa and Wilson, internationally renowned authorities on the treatment of anxiety disorders, share their scientifically based and clinically proven self-help program that has already allowed thousands of men and women with OCD to enjoy a life free from excessive worries and rituals.
You will discover:
Step-by-step programs for both mild and severe cases of OCD
The most effective ways to help you let go of your obsessions and gain control over your compulsions
New charts and fill-in guides to track progress and make exercises easier
Questionnaires for self-evaluation and in-depth understanding of your symptoms
Expert guidance for finding the best professional help
The latest information about medications prescribed for OCD

Edna B. Foa: author's other books


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Stop Obsessing DO ANY OF THESE SYMPTOMS SOUND FAMILIAR You tend to worry - photo 1
Stop Obsessing!

DO ANY OF THESE SYMPTOMS
SOUND FAMILIAR?

  • You tend to worry and you cant get the worrisome thoughts out of your mind

  • You leave the house, but go back again and again to check whether you locked the door turned off the stove left the iron on

  • You save years and years of old magazines and newspapers because someday you might need an article

  • You repeat certain numbers or words in your head to feel good or safe

  • You need to arrange objects-like the things on a shelf or in a drawerin a certain way or in a special pattern

  • You wont use a public bathroom because you might become contaminated

  • You get upset if other people touch your things

  • You have violent, bizarre, or frightening thoughts or fear you might hurt someone you love

IF SO, THEN YOU MIGHT BE SUFFERING FROM AN
OBSESSIVE-COMPULSIVE DISORDER. FIND OUT
HOW YOU CAN STOP OBSESSING!

Foa and Wilson have provided a sensitive and knowledgeable description of the steps, the challenges, and the value of self-treatment. This guide will prove extremely useful for anyone with OCD, either with or without medical treatment.

Thomas R. Insel, M.D.,
Center for Behavioral Neuroscience
Yerkes Research Center
Emory University

At last an accessible, readable, and comprehensive account of one of the most successful treatments for obsessive-compulsive problems. Written by acknowledged experts, this book brings fresh hope to millions. Invaluable for both sufferers and practitioners.

David M. Clark, D.Phil.,
Department of Psychology
Institute of Psychiatry
University of London

To all the patients who taught us how to teach the others Contents P ART I - photo 2

To all the patients who taught us
how to teach the others

Contents

P ART I:

1:

2:
Thinking Ritualizers,
Worriers, and Pure Obsessionals

3:

P ART II:

4:

5:

6:

P ART III:

7:

8:

9:

10: G RADUATING FROM THE P ROGRAM :
Encouraging Stories from Recovered
Obsessive-Compulsives

Foreword

T WO VERY IMPORTANT developments have occurred during the last ten years in the field of mental health and mental disorders. First, we have made great strides in understanding the biological basis of many psychological disorders; second, serious and intensive clinical research from a number of our leading centers has demonstrated that certain drugs can be very useful in treating some of these disorders.

In addition, an equally important development that has not received much attention has also occurred: Effective, brief psychological treatments have become available.

Nevertheless, it is very difficult to spread the word about the effectiveness of these treatments. As of yet there are no large multinational corporations that are making these treatments available to health practitioners and their patients, as is the case with drugs. Until that development takes place, there remains only one satisfactory method to get our best treatments to the public: the self-help program presented in book form. Unfortunately for people suffering from a variety of disorders, the majority of self-help books present programs with no proven effectiveness. Rather, these programs simply represent the thoughts, feelings, and sometimes whims of an individual health professional. But the small minority of self-help books that do present programs with proven effectiveness can be godsends. Stop Obsessing! is one of these books.

This book is important for three reasons. First, the programs described herein have been evaluated at leading clinical centers for over thirty years and have proven to be the treatment of choice for obsessive-compulsive disorder. Second, the authors of this book include one of the leading scientists working in this area, Dr. Edna Foa, who, in her long experience with people suffering from obsessive-compulsive disorder, has produced some of the most important scientific evidence on this treatment and its variations. In addition, Dr. Reid Wilson, a national consultant in the area of anxiety and its disorders, has had wide experience in making these treatments as user friendly as possible. Third, there are few disorders that need a book such as this more than the obsessive-compulsive disorder.

Unfortunately, very few mental-health practitioners are skilled in carrying out this program since only recently has it been included in the curriculum of medical schools, doctoral psychology programs, and other programs that train mental-health practitioners. Therefore, when this program is recommended to someone suffering from the disorder, the most likely result is that there is no professional in the area who is familiar with it. This book solves that problem by presenting the program in an easy-to-use format. For milder cases, the individual can simply work through the program by himself or herself. For more severe cases, as the authors recommend, it would be helpful to work with a mental-health practitioner in following the more intensive version of this program. In either case, this book may be the best news ever for the millions of people suffering from obsessive-compulsive disorder in all of its forms.

David H. Barlow, Ph.D.,
Professor of Psychology and
Director of Clinical Programs,
Department of Psychology,
Boston University; Research Professor
of Psychiatry; and Director, Center for
Anxiety and Related Disorders at
Boston University

Introduction

T HE CURSE OF endless worrying has been with us since the beginning of humankind. It is the price we pay for being the only animal with the capacity to look at ourselves and think about how things should be. Under normal circumstances this can lead to great achievements, but occasionally the ability to wonder, to want, to plan, to feel, becomes an affliction.

  • Do you find yourself worrying about things beyond your control?

  • Do you constantly think about something that has happened or might happen to you? Do you have trouble stopping these thoughts no matter how hard you try?

  • Do you become upset when things around you are not perfect?

  • Do you find yourself repeating tasks again and again without a reason?

  • Do you repeatedly seek reassurance for these thoughts or actions from family and friends?

Elise faces another sleepless night. Once again the stock market showed a moderate decline before closing today. Each time this has occurred in the last six months, she has begun to worry about losing all her savings in a market crash. And fueling those fearful thoughts are images of her children being unable to go to college, her husband leaving her, and losing her house and job. Elise will run through these pictures endlessly tonight until her mind exhausts itself into a few brief hours of rest.

Just as he was about to shave, Fred thought be noticed a lump in the side of his neck. He pressed the spot with his fingers and wasnt quite sure of what he felt, but it concerned him. His father had died of cancer at forty-eight, and now Fred was forty-six. Could it be a tumor? For the next two days, several times each hour, he found himself palpating that area. His agitated preoccupation disrupted most of his thinking throughout the day. Each evening he unloaded his burden on his wife while asking her to probe the same spot on his neck. Having been party to similar worries in the past, she attempted to reassure him. However, no reassurance seemed to last. Anxious and exhausted, Fred called his physician for his fifth emergency evaluation in six months.

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