He then asks the patient to “talk back to the OCD” by writing logical thoughts that could counteract the illogical assumptions. “The talk back section might include thoughts about the actual evidence of getting sick from using a public bathroom, for instance, or an observation that friends use public restrooms and don't contract diseases from them and facts about how diseases are transmitted.”
Families should be included in the therapeutic process for optimum reinforcement, he said. “We want to teach parents to implement everything we do 24 hours a day, 7 days a week.”
