If ruminating eventually leads to someone systematically being able to explain to him/herself (to a reasonable degree) how every scenario may turn out if the intrusive thought happens / is true to the point where one can explain to him/herself that in the worst case scenario things will be not be as apocalyptic as it seems, why is this not therapeutic? Can't this not have a long term reduction in stress and intrusive thoughts if a situation is finally "thought through" to a satisfactory degree? Why is accepting uncertainty (ERP) a better therapeutic response?

  • $\begingroup$ If there is no compulsion to do something, doesn't that just make it more of an anxiety than OCD? I would think though, briefly looking at it, that ERP would be more helpful. Maybe some people would get stuck in some kind of circular reasoning. $\endgroup$ May 9 at 0:44

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