DOC: The Contagion Obsession (HIV, Hepatitis, Herpes)
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Dr Gaspare Costa Psychologist and Psychotherapist for Online Consultations or Appointments in the Office 340.7852422 WhatsApp or http://www.attacchidipanico-ansia.it/... Contagion Obsessive Compulsive Disorder manifests itself with the presence of obsessive mental contents (thoughts, images and impulses) that insinuate the doubt of having been infected (AIDS, hepatitis herpes etc.) following inappropriate conduct with people or for having touched objects such as, for example, an infected syringe. These contagion obsessions cause enormous anguish that the individual tries to neutralize by resorting to compulsions which, for the most part, are behavioral. Frequent and prolonged compulsive hand washing, endless showers and other de-contamination rituals are among the most common rituals; People who suffer from contagion-induced OCD (AIDS, HIV, Hepatitis, etc.) can become compulsive blood donors, as this behavior reassures them that their blood is clean. They usually undergo numerous tests to reassure themselves. In contagion-induced OCD, people may think they have been infected by coming into contact with an infected syringe, as their selective attention does not discriminate between objects, so when in doubt, anything with an elongated shape that resembles a syringe triggers doubt. Sometimes, people who are obsessed with having contracted HIV think that perhaps, without remembering it, they have had unprotected sex with prostitutes, homosexuals, or transsexuals and that they have become infected. The stakes in Contagion OCD are very high: 1) The person blames himself for having become infected due to his own immoral or negligent behavior (if he was asking for it!) 2) The possibility that he could contaminate his innocent partner, thus making himself guilty of something terrible 3) The fact of contaminating his partner with AIDS following his own immoral behavior such as betrayal. Contagion OCD responds very well to Cognitive Behavioral Psychotherapy, in particular to Exposure with Response Prevention which is associated with cognitive restructuring, psycho-education which can be integrated with technical strategies of Third Generation CBT.
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