A conversation with a person with OCD (with David Adam)

Read the full transcript here.

Where is the line between ordinary intrusive thoughts and an OCD pattern that hijacks the day? How do obsessions and compulsions condition each other so that brief relief entrenches the loop? What clinical markers - ego-dystonic content and intact reality testing - separate OCD from psychosis? How do thought–action fusion, inflated responsibility and “zero-risk” striving amplify checking and covert mental rituals? Why does repeated checking degrade memory confidence and widen doubt? How should ERP be structured to target hidden mental rituals as well as visible behaviors, and what metrics best define succes...