AreasWorry and anxietyObsessions and compulsions

Five minutesAny ordinary dayCBTWorry and anxiety

If stopping the ritual is out of reach for now, do it differently every time. Different order, different hand, different room, as long as it is never the same twice.

Compulsions take a lot of their grip from exactness, and disturbing the shape loosens that grip while you are still allowed to do the thing. It also leaves you in charge, which matters if you have already said no to stopping outright. Think of it as a way in rather than the place you are heading.

Before you use this

Obsessive thoughts and compulsions respond well to a specific kind of therapy. What is here is for understanding them, not for treating them by yourself.

Qur’an and Sunnah

do not be too loud in your prayer, or too quiet, but seek a middle way (Quran 17:110). A middle way is offered inside the act of worship itself, so exactness was never the measure of a thing done well.

قُلِ ٱدۡعُواْ ٱللَّهَ أَوِ ٱدۡعُواْ ٱلرَّحۡمَٰنَۖ أَيࣰّ ا مَّا تَدۡعُواْ فَلَهُ ٱلۡأَسۡمَآءُ ٱلۡحُسۡنَىٰۚ وَلَا تَجۡهَرۡ بِصَلَاتِكَ وَلَا تُخَافِتۡ بِهَا وَٱبۡتَغِ بَيۡنَ ذَٰلِكَ سَبِيلࣰ ا

Say [to them], ‘Call on God, or on the Lord of Mercy- whatever names you call Him, the best names belong to Him.’ [Prophet], do not be too loud in your prayer, or too quiet, but seek a middle way

Qur’an 17:110read it in the library

Translation: M.A.S. Abdel Haleem, The Qur'an, Oxford University Press, 2004.

What the research says

A review of experimental work suggests compulsions may be over-learned habits running largely on their own rather than considered attempts to prevent a feared outcome, which would make the obsession something closer to an explanation added afterwards. If the urge is habit, breaking its exact form is a sensible thing to aim at. That is a reading of laboratory studies, not a trial of this particular technique.

Gillan CM, Robbins TW. (2014). Goal-directed learning and obsessive-compulsive disorder.. Philosophical transactions of the Royal Society of London. Series B, Biological sciences doi

Strength of evidence: one line of research. A single study, or a theoretical account.

Why it works

A habit that is never performed the same way twice becomes harder to run on automatic.

When not to

This is a step towards stopping, and if the varied version quietly hardens into a new fixed routine it has stopped doing its job.

This one is still a draft. It is waiting on a scholar and a clinician to read it before it is published.

Near this one

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