OCD

Goal 1: Reduce OCD Interference and Increase Daily Functioning

Client will reduce the frequency and duration of obsessive-compulsive symptoms that interfere with daily functioning.
Patient will increase participation in work, school, relationships, self-care, and other daily responsibilities despite the presence of OCD symptoms.
Client will reduce avoidance and behavioral patterns that limit engagement in meaningful activities due to obsessive-compulsive concerns.
Patient will improve overall functioning by reducing the amount of time and energy devoted to obsessions, compulsions, and related avoidance.

Client will increase ability to tolerate uncertainty, intrusive thoughts, and emotional distress without engaging in compulsive responses.
Patient will develop greater willingness to experience discomfort without attempting to eliminate, neutralize, or resolve it.
Client will increase ability to allow intrusive thoughts, bodily sensations, and uncomfortable emotions to occur without assigning excessive meaning or threat to them.
Patient will strengthen distress tolerance and acceptance of uncertainty while reducing reliance on certainty-seeking behaviors.

Client will reduce behavioral and mental compulsions that maintain obsessive-compulsive symptoms.
Patient will decrease reliance on reassurance seeking, checking, rumination, reviewing, researching, and other certainty-seeking behaviors.
Client will increase ability to respond to obsessive thoughts without engaging in rituals or neutralizing behaviors.
Patient will strengthen response-prevention skills and increase ability to resist compulsive behaviors despite experiencing distress or uncertainty.

Client will increase engagement in personally meaningful activities that have been limited by obsessive-compulsive symptoms.
Patient will increase participation in relationships, responsibilities, recreation, work, school, and other valued areas of life despite the presence of OCD symptoms.
Client will reduce avoidance and behavioral restrictions that interfere with living consistently with identified personal values.
Patient will strengthen ability to prioritize meaningful life activities rather than organizing behavior primarily around avoidance of OCD-related distress.

Client will increase confidence in managing obsessive thoughts and uncertainty without relying on reassurance or external validation.
Patient will strengthen independent coping and decision-making skills while reducing reliance on compulsive certainty-seeking.
Client will increase ability to make decisions and move forward without requiring complete certainty or resolution of intrusive doubts.
Patient will develop greater confidence in allowing unanswered questions, uncertainty, and uncomfortable possibilities without engaging in compulsive attempts to resolve them.