The Journal

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What Is Family Accommodation?

Have your family’s routines started revolving around your child’s anxiety or OCD? Learn what family accommodation is, why it develops, how it can unintentionally maintain anxiety, and how parents can respond in more helpful ways.

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What Is Hit-and-Run OCD?

Hit-and-run OCD involves persistent fears about accidentally injuring or killing someone while driving and not realizing it. Although the fear centers on driving, the core issue is often a need for certainty and repeated attempts to determine whether harm occurred.

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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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What Is Thought-Action Fusion?

Many people with OCD become frightened not only by what they think, but by what they believe their thoughts mean. Thought-action fusion is a common OCD process in which people begin treating thoughts as though they are morally equivalent to actions or capable of causing events to occur.

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School Accommodations vs. Modifications: What’s the Difference?

When parents hear terms like “accommodations” and “modifications” in school meetings, psychological evaluations, or discussions about IEPs and 504 Plans, the language can quickly become confusing.

The two terms are often used interchangeably in casual conversation, but they don’t mean the same thing in educational settings.

Understanding the distinction matters because accommodations and modifications affect students in different ways and are designed for different kinds of needs.

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Why Sleep Hygiene Alone Sometimes Isn’t Enough

Many people with chronic insomnia have already tried sleep hygiene recommendations such as limiting caffeine, reducing screen time, and maintaining a consistent schedule. Learn why sleep hygiene alone often isn’t enough and how CBT-I addresses the factors that keep insomnia going.

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Understanding False Memory OCD

False memory OCD is a form of Obsessive-Compulsive Disorder involving obsessive doubt about past events, actions, or memories.

The person becomes preoccupied with the possibility that they forgot something terrible, misremembered events, caused harm unknowingly, behaved immorally, or committed a serious mistake without realizing it. The fears often feel vivid and emotionally convincing, even when objective evidence is limited or absent.

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What Causes Chronic Insomnia?

What causes chronic insomnia? Learn why sleep problems often continue long after the original trigger has passed and how Cognitive Behavioral Therapy for Insomnia (CBT-I) addresses the factors that keep insomnia going.

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Why Can’t I Sleep Even When I’m Exhausted?

Many people with insomnia feel exhausted but still cannot sleep. Learn why fatigue alone does not guarantee sleep, how hyperarousal and sleep anxiety can interfere with rest, and how CBT-I helps address the factors that maintain chronic insomnia.

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What Is Trichotillomania?

Do you find yourself pulling out your hair even though you want to stop? Learn what trichotillomania is, why hair pulling happens, and how Habit Reversal Training (HRT) can help.

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Autism or Social Anxiety? How to Tell the Difference

Many people wonder whether lifelong social difficulties are caused by autism or social anxiety. Although the two conditions can look similar, the underlying reasons are often different, and many people experience both. Learn how clinicians distinguish between them and why a comprehensive evaluation matters.

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What Is Habit Reversal Training (HRT)?

Habit Reversal Training (HRT) helps people become more aware of repetitive behaviors and develop new ways of responding to urges. Learn how HRT is used for tics, hair pulling, skin picking, and related conditions.

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