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perfectionism and - Obsessive-Compulsive Foundation

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6/14/13<br />

ERP HIERARCHY #1<br />

BDD ISSUE: HAIR CONT.<br />

ERP HIERARCHY #2<br />

BDD ISSUE: USE OF MAKE-UP<br />

<br />

<br />

<br />

Look at comb/brush with hair in it<br />

Look at floor of bathtub after showering<br />

In shower, look at h<strong>and</strong>s after shampooing<br />

<br />

<br />

While at home, take make-up off for a<br />

period of 1 hour prior to bed<br />

While at home, take make-up off after<br />

work, <strong>and</strong> leave off until next morning.<br />

<br />

<br />

After towel drying hair, look for hair on<br />

towel<br />

Take hair from comb/brush <strong>and</strong> place in<br />

sink, look at it, <strong>and</strong> leave it there for several<br />

hours<br />

<br />

<br />

<br />

Pick up mail without wearing any makeup<br />

At night, drive around neighborhood<br />

without any make-up<br />

Same as above, but in daylight hours<br />

ERP HIERARCHY #2<br />

BDD ISSUE: USE OF MAKE-UP<br />

Do not wear make-up at home in the<br />

presence of family members<br />

Go out to the mall without make-up<br />

Go to dinner with family without make-up<br />

Go to dinner with friends without make-up<br />

RELAPSE PREVENTION<br />

CBT exercises need to continue after<br />

formal therapy ends<br />

Continue with medication for agreed upon<br />

time<br />

Anticipate likely stressors<br />

Practice healthy stress management<br />

Periodic “booster” sessions<br />

-121-<br />

9

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