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What is the Treatment Approach for Harm OCD?

Question:

 I am wondering how treatment for intensive thought OCD relates to a person with fears of having a personality disorder?

More specifically, if the person is afraid that they are a narcissist/manipulative and are going to harm other people psychologically. How could this person approach this? What exposures can one engage in?


Light On Anxiety Answer:

Thanks for your question. While we canโ€™t give specific clinical advice, some ways to play around with the fear of โ€œI ย am a narcissistโ€ or โ€œI am manipulativeโ€ is to engage in exposure and response prevention (ERP) around common compulsions such as reading about these disorders online, reviewing your experiences to assess if youโ€™re only caring about yourself and not caring about other peoples experiences, viewing others reactions to you and obtaining reassurance from other others. ย In addition when you find your brain scanning and trying to figure out, โ€œam I a narcissist?โ€ you can do an exposure where you tell yourself over and over again โ€œI AM a narcissistโ€ฆ I AM a narcissistโ€ instead of trying to prove to your brain that you are not one. ย The more you try to prove to yourself you are not a narcissist the more uncertain you will feel, causing you to experience more anxiety.ย 


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