More on Pure-O Dr. Seay brings attention to a barrier to successful treatment for Pure-O.  For those with Pure-O, while many of the compulsions done are not observable behaviors, he discusses the value of identifying the mental rituals that accompany obsessions.  It is vital to address these rituals and incorporate them into the response prevention … Continue reading

Pure-O Article from the Guardian (UK) This is a must-read article about a person’s struggle with purely obsessional OCD (intrusive thoughts, HOCD) and the process of treatment.


The understanding and treatment of the obsessional doubt related to sexual orientation and relationship substantiation by Steven Phillipson, Ph.D. Center for Cognitive-Behavioral Psychotherapy  The television program is “Seinfeld.” The setting is a professional office of a masseuse. One of the main characters, George Costanza, has agreed to receive the first professional massage of his life. Jerry … Continue reading

Thinking the Unthinkable

As I conceptualize Obsessive-Compulsive Disorder, the tree of the overall syndrome has three main branches: the “obsessive-compulsive,” the “responsibility O-C,” and the focus of this paper, the purely obsessional thinker “Pure-O” (Baer, 1994). With this branch, the anxiety emerges in response to an unwanted thought or question, which in the future will be referred to … Continue reading