PREFACE Is it possible to leave extremely severe OCD, which has been tormenting for years, in the past? Seriously, ask yourself this question - do you believe this? And in just 3 months. It will sound absurd, but even I have a hard time believing it, but I help achieve such results. The high demands on oneself that are characteristic of people with OCD are also inherent in me. This gives rise to eternal skepticism, which forces us not to revel in the feeling of success with or without it, but to work hard, not counting on an easy result. Inside me, too, there is a “punisher”, a “gaslighting voice”, a “meticulous controller”, many of my clients will understand, what I'm talking about. For me, the client’s problem, your problem, is not just a job, but a personal challenge, a test of professional suitability. Therefore, with a feeling of joy and pride, I want to tell you another story of victory over OCD. This story came out massive. This content cannot be called entertaining. It makes you think, helps you understand the depth and essence of this neurosis. I hope that this will not scare my reader. PART 1/11 Client L. Contacted me in September 2022. From the correspondence I learned that she was tormented by strong obsessive thoughts and actions. Moreover, a year of pharmacotherapy did not bring any particular results (but this does not mean that pharmacotherapy is useless). Without unnecessary delay, we scheduled the first consultation, during which I was able to collect the following important information: According to the results of psychodiagnostics, L. has an extremely severe degree of OCD (Yale-Brown Scale), strongly expressed fusional beliefs (TFI Thought Fusion Test) and metacognitive beliefs about danger your thoughts and the need to control them (MCQ-30). Surprisingly, the Beck Depression and Hopelessness Inventory showed the absence of these conditions. According to the DSM-V, all diagnostic criteria for OCD are met. L.’s obsessive thoughts and actions occupied up to 8 hours a day. They usually dealt with the topic of death of loved ones and mourning. Typical thoughts for L. looked like this: I tied my shoelaces, I put on my clothes incorrectly (meaning: someone might die), the color black, a bad number is a sign (meaning: someone might be put in the hospital), this is the last conversation , meeting, visiting a place (meaning: someone may die). L.’s thinking was actively looking for associations that brought her back to discussions about the death of loved ones. This was partly due to the fusional belief that one’s own thoughts (essentially, anxiety) have special properties: “My thoughts are prophetic, they have already been confirmed in the past, and can also influence the future,” “if I think about an unpleasant event , the likelihood that it will happen increases.” These events and the details of the structure of OCD that need to be understood when planning a treatment strategy will be discussed in the next part. If you have any questions or need to better understand your neurosis, you can always ask me a question on the website or in the VK group: https://vk.com/svoboda_ot_okr