The Journal

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What’s Accommodation in Anxiety and OCD?

Accommodation occurs when family members change routines, provide reassurance, participate in rituals, or help someone avoid distress in an effort to reduce anxiety. Although accommodation often comes from a place of care, it can unintentionally reinforce anxiety and OCD over time.

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How Reassurance Makes Anxiety Worse

For many people, repeated reassurance can unintentionally teach the brain:

  • uncertainty is dangerous

  • anxiety must be resolved immediately

  • reassurance is necessary to feel safe

  • confidence should come from other people rather than from one’s own ability to tolerate uncertainty

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