The Journal
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.
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.
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.
Why Can’t I Stop Thinking About It? Understanding Rumination in OCD
Rumination is a common mental compulsion in OCD that can feel like problem-solving but often keeps people trapped in cycles of doubt, uncertainty, and overanalysis. Learn how rumination works and why it can be so difficult to stop.
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.
Understanding Moral Scrupulosity: When OCD Targets Morality and Responsibility
Moral scrupulosity is a form of OCD characterized by excessive guilt, moral doubt, and a relentless need for certainty about being a good person. People may become trapped in cycles of rumination, reassurance-seeking, confession, and compulsive self-evaluation that never fully resolve their doubts.
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.
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.
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.
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.
Why Can I Sleep on Vacation But Not at Home?
Do you sleep better on vacation than you do at home? Learn why chronic insomnia often follows you home, how the bedroom can become associated with wakefulness, and how CBT-I helps break the cycle.
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.
Can You Take Sleep Medication While Doing CBT-I?
Many people begin CBT-I while taking sleep medication, melatonin, or other sleep aids. Learn how CBT-I and sleep medication can work together and why treatment doesn’t usually require stopping medication immediately.
10 Signs Anxiety Is Running Your Family Instead of Your Family Running Anxiety
Has your child’s anxiety or OCD begun affecting your entire family? Learn the 10 signs that anxiety may be shaping your family’s routines, relationships, and decisions, and how parents can respond in ways that build confidence instead of reinforcing anxiety.
My Child Refuses Anxiety or OCD Treatment. What Can I Do?
Many parents feel stuck when a child refuses therapy for OCD or anxiety. Learn why treatment resistance happens, how accommodation can maintain anxiety, and how SPACE treatment can help parents support change.
How to Support a Loved One With OCD Without Accidentally Reinforcing It
Supporting someone with OCD can be challenging. Learn how reassurance, accommodation, and participation in compulsions can affect OCD, and how to provide support without reinforcing the disorder.
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.
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.
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.
Should I Be Evaluated for Autism as an Adult?
Many adults wonder whether autism might explain lifelong social, sensory, or executive functioning differences. Learn common signs that may indicate an adult autism evaluation could be helpful.