Questions/Psychotherapy/Q8 of 50
intermediateOCDERPexposure and response preventionhabituationcontamination obsessions
A 33-year-old man with OCD experiences intrusive thoughts that he will contract a fatal illness from touching doorknobs. He washes his hands 40-50 times daily until they bleed. His therapist develops a fear hierarchy, then asks him to touch a doorknob in session and resist washing his hands afterward while his anxiety naturally decreases over time. What is the therapist's primary rationale for preventing the handwashing ritual?
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