https://icbt.online/ocd-and-coconuts/ The Official site of the New Treatment for Obsessive-Compulsive Disorder (OCD) and Related Conditions Tue, 27 Jan 2026 09:19:16 +0000 hourly 1 https://wordpress.org/?v=7.0 https://icbt.online/ocd-and-coconuts/#comment-357 Tue, 27 Jan 2026 09:19:16 +0000 https://icbt.online/?p=7146#comment-357 Very enlightening.
Could you also please talk about a subclass of OCD I refer to as “catch-22 OCD,” or “two-tailed spike,” as named by Dr. Steven Phillipson? This often arises from artificial dilemmas created by meta-OCD. For instance, an individual with somatosensory OCD concerning their swallowing may find themselves in a catch-22 situation: “When I feel the urge to swallow, if I don’t do it, am I being suppressive? If I do it, am I being compulsive?” As a result, the patient may become paralyzed by these unanswerable questions, for either choice feels like dealing with the OCD the wrong way. According to I-CBT (Inference-based Cognitive Behavioral Therapy), what would you say is the underlying inferential confusion here?

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