Does Cognitive Behavioural Therapy (CBT Therapy) and Mindfulness Help Pure O or Intrusive Thoughts?
Does CBT Therapy Cure Pure O or Intrusive Thoughts?
Does CBT Therapy Cure Pure O? In short yes, it can help a range of problems including Pure O, OCD and Intrusive thoughts. Let’s look first at what intrusive thoughts actually are.
Intrusive thoughts are unwanted and can be distressing. They might pop up at any time in your head. Even though you might be lying down in bed, cleaning the dishes, driving to work, or sitting on your sofa, these disturbing thoughts or images frequently occur in your head in an upsetting way. There is always a disturbing concern and worry about the future, regardless of whether the ideas are violent or sexual.
Even while intrusive thoughts are a well-known sign of many mental health problems, including depression, PTSD, and OCD (Obsessive-Compulsive Disorder), many people do experience them. 94% of people, according to research, have experienced intrusive thoughts at some point, but this does not necessarily indicate that a person has a mental problem.
A person with OCD will have more troubling intrusive thoughts than someone without OCD, which is what sets them apart from someone who just experiences intrusive thoughts. For instance, if a person with intrusive thoughts is alone and has the bizarre thought of punching a random person they see close by, they will likely just go about their day believing it to be an odd thought. The same intrusive idea would cause anxiety in an OCD sufferer, who would question why they were thinking about it. They are very concerned about the motivation behind their actions.
There are a few things that cause these ideas, like stress and worry. If you want to know if you have intrusive thoughts, here are some symptoms to look out for:
- There are a few things that cause these ideas, like stress and worry. If you want to know if you have intrusive thoughts, here are some symptoms to look out for:
- Your thoughts are odd and very dissimilar from what you often think.
- You are working extremely hard to get rid of your troublesome thoughts from your mind.
- You struggle to regulate your thoughts, and the more you try, the worse it becomes.
It is crucial that you see a mental health expert if you believe you are exhibiting these symptoms. Medication and talking therapy particularly Cognitive-Behavioural Therapy (CBT Therapy), are available as effective treatments.
How to Help Pure O and Intrusive Thoughts
When you are having intrusive thoughts or Pure O, there are a few things you can do for yourself:
- Recognize that your thinking is just intrusive in nature and that it differs from how you typically think or believe.
- Don’t attempt to manage the thought. Accept things as they are rather than trying to change them, and it is likely they will go away.
- Try not to criticise yourself. You may feel that you have a problem or that you are a bad person as a result of these ideas but understand that these thoughts can be normal and don’t mean that something is wrong with you.
On the other hand, there are a few things you can practice as well:
- Mindfulness meditation
- Exercise or physical activity
- Deep breathing or progressive muscle relaxation
- Reframing negative thoughts
- Writing or talking about thoughts with a trusted friend
- Engaging in hobbies or activities that bring joy
- Challenge the thought’s validity by seeking evidence
- Practice self-compassion
- Distract yourself with a new task or activity
- Cognitive Behavioural Therapy (CBT Therapy)
CBT Therapist London
This article was curated by Alistair Bond – Senior CBT Therapist in London. He is the Clinical Director of the CBT Clinic London and he specialises in treating “Pure O” and OCD.
If you or a loved one are struggling with intrusive thoughts, please get in touch with us. You call our friendly reception on 0207 157 9924, email info@cbtcliniclondon.com or simply fill out our new patient registration form and we’ll get back to you.
We offer CBT Therapy either Online or Face to Face in our London Clinic. We also offer the option to combine both to suit your lifestyle and preference.
*We thank Sue (name has been changed) for her kindness and generosity in sharing her success story to help and inspire others.
Learn MoreCBT Therapy Treatment for Intrusive Thoughts
Cognitive Behavioural Therapy (CBT therapy) Treatment for
Intrusive Thoughts or Pure O
Sue’s Story
This case study was written to show how effective CBT Therapy Treatment is for Intrusive Thoughts.
Sue* is a professional dance choreographer in her mid-thirties who lives with her partner and her dog in Greenwich, London.
Nine months ago Sue was walking the dog in her local park when she saw some children playing football. Suddenly out of nowhere, an image came into her head that disgusted her and she found it morally reprehensible.
Sue tried to get the thought to leave her head but it just wouldn’t go away. Over the next few weeks, more horrible and distressing thoughts of a similar nature kept coming into her Mind.
“They would plague me for hours and always be at the back of my mind – I thought I was going crazy or turning into someone I despised”
Everything she tried to “banish the thoughts from her mind” just wasn’t working. She got very scared and that was the point when she reached out to the CBT Clinic London for help. She searched on Google and found that the most effective way to treat Intrusive Thoughts was Cognitive Behavioural Therapy or CBT Therapy.
“Everything I tried to get rid of these frightening and horrible images just wasn’t working”.
CBT Therapy Treatment for Intrusive Thoughts
Sue was assessed by one of our Senior CBT Therapists at the CBT Clinic London who reassured Sue that these thoughts were completely treatable and would not be a feature for the rest of her life. In fact, they were so common that the media had termed them “Pure O” a form of OCD.
“I was greatly relieved to hear this as some of the forums and articles I had found online had said that I would have to live with these distressing thoughts for the rest of my life. “
Sue’s treatment plan was informed by the highly effective and clinically validated* CBT Therapy Model for the treatment of OCD. (see below)*
Although most people in Sue’s case are not doing any “outside world” compulsions which often are present in a classic OCD case the CBT Therapy Model for OCD (see below) is always the one we use said Alistair Bond one of the Senior CBT Therapists at the CBT Clinic London. Often we find that although sufferers of “Pure O” are not doing outward compulsions they are often or always doing inward compulsions. In Sue’s case, just one of the inward compulsions she was engaging in was counting backwards from 100 when the distressing images would intrude into her mind.
Once her treatment was concluded Sue’s distressing Intrusive Thoughts had completely gone away and her anxiety had returned to normal.
“I am so grateful to the clinic and in particular to Alistair Bond. He taught me why and how to accept the images and thoughts and how to reduce and eventually overtime, completely stop the mental compulsions. I learnt to work on the obstacles and barriers inside of me that were stopping me from being able to accept these very difficult and upsetting thoughts. Eventually overtime I was able to accept and learn from the thoughts until one beautiful day they just left me. “
The Clinical Measures we use at the clinic allow us to see Sue’s anxiety had reduced by 90% using Sue’s self-reported scores from when she entered treatment to when she exited treatment, She also reported no further intrusions.
As is our policy at the clinic we always do a 3-month and 6 month follow up. This is best practice in CBT Therapy. We are pleased to report that at the 3 and 6 month follow ups Sue reported no further intrusions and her anxiety had consistently been improving.
“CBT Therapy is amazing for helping you with “Pure O” and OCD. If you haven’t tried it yet my best advice is give it a go, you definitely won’t regret it!”
CBT Therapist London
This article was curated by Alistair Bond – Senior CBT Therapist in London. He is the Clinical Director of the CBT Clinic London and he specialises in treating “Pure O” and OCD.
If you or a loved one are struggling with intrusive thoughts, please get in touch with us. You call our friendly reception on 0207 157 9924, email info@cbtcliniclondon.com or simply fill out our new patient registration form and we’ll get back to you.
We offer CBT Therapy either Online or Face to Face in our London Clinic. We also offer the option to combine both to suit your lifestyle and preference.
*We thank Sue (name has been changed) for her kindness and generosity in sharing her success story to help and inspire others.
Learn MoreAre you suffering with Intrusive Distressing Thoughts or Pure O? Here is a guide to help you?
What are Intrusive Thoughts?
Intrusive thoughts are unwanted, distressing thoughts that occur in people’s minds and repeat or worsen over time. Intrusive thoughts can often be disturbing, causing anxiety and fear. It is very common to have them when around or about loved ones. People often have intrusive thoughts about violence or sexual acts, which can keep people stuck in a vicious cycle. Intrusive thoughts are sudden and stressful. They can “come out of nowhere”. Almost always the thoughts are in direct contrast to people’s value systems and what they really want to be thinking about.
Intrusive thoughts can be mistaken for Obsessive Compulsive Disorder (OCD). OCD can cause intrusive thoughts but following a Programme of OCD targeted CBT Therapy can really help.
Of course, people without OCD can suffer from intrusive thoughts that do not disappear quickly. These thoughts can have lasting detrimental psychological effects usually due to their upsetting and distressing nature.
Are Intrusive Thoughts Normal?
Invasive thoughts are normal. Everyone has random, intrusive thoughts that have no bearing on what they’re doing or thinking. However, persistent, anxiety-inducing negative intrusive thoughts can be distressing and may affect your health and happiness. Seeking professional help will help.
What are the Most Common Intrusive Thoughts?
Intrusions do vary. Some people have disturbing thoughts about hurting themselves, while others worry about hurting others. Intrusive thoughts can hinder happiness, health, and fulfilment. They can cause severe stress, anxiety, and create career disruption if left untreated.
Some of the most common intrusive thoughts:
- Thoughts about hurting yourself, others, or violent scenarios
- Sexual acts or distressing sexual situations (like being attracted to children, family members, or rape)
- Your relationship (overanalysing innocent behaviour, paranoia about infidelity, finding faults in your partner)
- Religion
- Poisoning
- Self-criticism
- Sexuality
Pure O Specialists at the CBT Clinic London
Our specialists have decades of experience diagnosing and treating intrusive thoughts in top UK and international institutions. We know that the right treatment combination can transform lives, so our experts stay up to date on the latest psychological developments to provide you with the best care.
These are some of the most common intrusive thoughts, but the brain is a complex think tank, so you may have intrusive thoughts about personal events and situations that are not listed here. If you want to discuss any aspect of your intrusions please contact us here.
How are Intrusive Thoughts Treated?
Cognitive Behavioural Therapy (CBT Therapy), Mindfulness Meditation and Medication can all be used to treat intrusive thoughts. We’ll tailor a plan to your circumstances, medical history, and underlying conditions to help you live a balanced life free of intrusions.
The CBT Clinic London understands intrusive thoughts and can help. After assessing your symptoms, medical history, and frequency and duration, we can diagnose intrusive thoughts and help you live without them.
Schedule an appointment today to learn how you can master your intrusive thoughts. Your consultation will reveal your diagnosis and a customised treatment plan.
Book online with our intrusive thoughts treatment specialists. Register via our new patient form.
Online intrusive thoughts evaluation and diagnosis.
Prefer flexible payments? We offer payment plans.
How does The CBT Clinic London Treat Intrusive Thoughts?
The CBT Clinic London treats intrusive thoughts holistically. We’ll customise a treatment plan using Cognitive Behavioural Therapy (CBT Therapy), Mindfulness Meditation and Medication (when indicated).
We will first conduct a thorough assessment to determine the cause of your invasive thoughts. After a professional diagnosis, we will create a customised treatment plan to ensure the best therapeutic results. Medication may be part of your treatment.
Intrusive thoughts can make you feel out of control, so a good treatment plan can change your life.
What is the process?
1 -We start with a professional intrusive thoughts diagnosis and a personalised assessment report, which you can share with your GP, to ensure a perfect treatment plan.
2. – Our specialists will tailor a treatment plan to your therapy and medication needs. We know the benefits of each treatment and medication and can explain them to you during your appointment.
3. – We recommend follow-up appointments to review progress, discuss concerns and adjust medication doses to help intrusive thought patients recover.
Intrusive Thought Treatment London
After our thorough assessment and intrusive thoughts diagnosis, you’ll receive a tailored, balanced treatment plan to manage your symptoms and reduce the condition’s impact on your life.
Learn MorePure O – All The Facts You Need To Know
Pure O – All The Facts You Need To Know
Purely Obsessional OCD, or Pure O as it’s more commonly referred to, is a form of OCD (Obsessive Compulsive Disorder) characterised by intrusive, uncontrollable thoughts or obsessions. Although someone experiencing Pure O may not display the more obvious behaviours associated with OCD such as hand-washing, arranging, cleaning and counting, the disorder is instead accompanied by hidden mental rituals.
Pure O is often seen as a less severe form of OCD however that is far from correct. For those experiencing the symptoms of Pure O, the intrusive thoughts that present can be extremely disruptive and distressing.
How Does Pure O differ from OCD?
Those with Puro O experience obsessions without any obvious behavioural compulsions however, they do still engage in mental and unseen rituals. By therapists and mental health professionals understanding these rituals and how they affect sufferers, they can then ask patients about these symptoms.
Often patients with these intrusive thoughts may be reluctant to discuss this and may not actually be aware that by acknowledging them, they can begin to take control of them.
What Are the Symptoms of Pure O?
The nature of Obsessive Compulsive Disorder means having recurring obsessions and displaying compulsive behaviours e.g having uncontrollable thoughts of germs and cleanliness which results in a com[pulsion to wash their hands repeatedly.
Those who experience OCD in a purely obsessional form still encounter a range of OCD symptoms however the outwardly obvious compulsions aren’t displayed. By definition, OCD is characterised by obsessions and compulsions. With Pure O these can be identified in the image below.
What Are Obsessions?
Obsessions can be described as recurring, persistent, intrusive and unwanted thoughts, images or urges which cause distress and anxiety. Obsessions often focus on somatic (related to the body), sexual, religious or aggressive thoughts. Concerns with symmetry, order and contamination can also be present.
What Are Compulsions?
Compulsions are repetitive behaviours or mental acts those with OCD are compelled to perform as a response to an obsession or perhaps, to satisfy a set of rules that govern their thoughts. Compulsions are excessive in comparison to typical reactions to thoughts and not connected realistically to the issue they’re intended to solve.
What Compulsions Are Associated with Pure O?
Intrusive thoughts may also be described as “unacceptable thoughts” or “taboo thoughts” which lead to obsessions and therefore compulsions. Individuals who experience Pure O obsessions engage in mental rituals in order to manage their distress and anxiety. These rituals could include:
- Mentally repeating certain words
- Mentally reviewing memories or information
- Mentally un-doing certain actions
As an example, a simple interaction at a supermarket with a stranger where the patient has mispronounced a word may be played out over and over mentally, with those experiencing this thought, thinking of how the situation would have gone differently if they hadn’t misspoken.
Those in distress by intrusive thoughts may then compulsively seek reassurance, most usually without realising that they are doing this or recognising it as a compulsion. Reassurance-seeking behaviour could look like:
- Researching online
- Seeking self-assurance
- Asking others for assurance
- Avoiding anxiety-provoking situations
Types of OCD
It’s thought that there may be three to six subtypes of OCD including Pure O. When it was first spoken of in a 1994 article (Journal of Clinical Psychiatry, Pure O was described as being composed of “sexual, aggressive and religious obsession that were not accompanied by compulsions”. However, later research went on to further divide aggressive obsession into fears of impulsive harm and unintentional harm. These thoughts of impulsive harm are often related to sex, religion and aggression.
Some common types of OCD experienced by patients with Pure O could include:
Harm OCD: Fears of causing harm to oneself or another including physical harm such as aggression towards or killing oneself or others and sexual harm including sexual harm towards children.
Intrusions about children OCD: Unwanted thoughts of a sexual nature and urges related to children. These can be accompanied by compulsive rituals for example washing or praying to neutralise the thoughts and urges.
Relationship OCD: Intrusive and unwanted thoughts which cause people to doubt their feelings within the relationship including the level of attraction and love for the partner as well as question their sexual desirability or compatibility.
Sexual Orientation obsession in OCD: This can also be called HODC or homosexual OCD Extreme anxiety about sexual orientation.
Treatment for Pure O and OCD
Treatment for OCD, including pure O, can include the use of medication in combination with psychotherapy, which can include cognitive behavioural therapy (CBT) and support groups as well as psychological education.
It has been discovered that CBT therapy can be an extremely effective treatment for Pure O. It is vital that therapists address the underlying mental rituals that characterise Pure O, if the therapist believes that the patient only suffers from obsessions and does not also treat the mental rituals that accompany these thoughts, the treatment will not be as effective.
Although successful treatment of OCD should entail consulting with a qualified mental health professional, there are a number of self-help strategies that you can start using before you start professional treatment to help you or someone you love to cope with pure O symptoms.
Relaxation strategies: As stress is a major trigger of pure O symptoms, one of the best ways to cope is to learn and practise relaxation techniques such as deep breathing, mindfulness meditation, or progressive muscle relaxation.
Exercise: There is growing evidence that engaging in aerobic exercise can reduce the symptoms of OCD. Exercise helps to release endorphins which are our happy hormones so is an important aspect of our daily mental health, exercising outdoors can be even more beneficial.
Support groups: Both online and in-person support groups can be of enormous benefit to people with pure O and their loved ones by providing resources, information, or simply a compassionate, listening ear.
If you or a loved one are suffering from Pure O, contact your healthcare provider and seek advice. They will provide you with a treatment plan as well as ongoing support and resources.
CBT Therapy London
Alistair Bond is principal practitioner at CBT Clinic London. As well as being an expert in CBT therapy and Mindfulness Meditation he specialises in OCD and helping people overcome distressing and upsetting Intrusive Thoughts- what is referred to in the media now as “Pure O”
The CBT Clinic London offers both online and face-to-face CBT Therapy. Just tell us which you’d prefer at your FREE consultation. If you’d like to mix the types of sessions you have, we also have that option. If you choose one type of session and decide you’d like to try another format, you have the freedom to change. Your therapy should be your way and led by you.
Contact us today to arrange your FREE Consultation. Call our friendly reception on 0207 157 9924 or fill out this form:
Learn MoreOCD Therapy CBT Private Clinic East London
OCD Therapy CBT Private Clinic East London
Obsessive-Compulsive Disorder or OCD is a common, chronic and long-lasting disorder of the brain in which an individual has uncontrollable, reoccurring thoughts [obsessions] and behaviours [compulsions] that he or she feels the urge to repeat. The disorder can be treated with medication, psychotherapy or a combination of both. Some individuals respond well to treatment, whereas some continue to experience symptoms. Some individuals with OCD can have other mental disorders, such as anxiety, depression and body dysmorphic disorder.
Obsessive-Compulsive Disorder and CBT Therapy Treatment
We welcome telephone enquiries in the first instance, call our offices on 0207 157 9924 we are closed on Sundays. Opening hours: Monday 8am–9pm, Tuesday 8am–9pm, Wednesday 8am–9pm, Thursday 8am–9pm, Friday 8am–9pm, Saturday 10am–5pm.) or you can send us a message via the Contact Form online.
Age, Sex and Obsessive-Compulsive Disorder Diagnosis
Obsessive-Compulsive Disorder can affect adults, adolescents and children. Most individuals are diagnosed by the age of 19, typically there is earlier onset in boys than in girls, but onset after the age of 35 can happen.
It is common for all individuals to double check things at times however those individuals with Obsessive-Compulsive Disorder cannot control their throughts or behaviour, even when such thoughts and behaviours have been recognised as excessive. Individuals with Obsessive-Compulsive Disorder have symptoms of obsessions, compulsions, or both and they can interfere with every aspect of daily life, from work, to school and personal relationships.
OCD Common Obsessions: Obsessions are repeated thoughts, urges, or mental images that can cause the individual anxiety:
- Fear of germs or contamination
- Unwanted forbidden or taboo thoughts, involving sex, religion and harm
- Aggressive thoughts towards the self or others
- Having things symmetrical or in a perfect order
Individuals with OCD do not want to have these thoughts and can find them disturbing. In most cases individuals with OCD realise that these thoughts do not make sense. These obsessions are typically accompanied by intense and uncomfortable feelings such as fear, disgust, doubt, or a feeling that things have to be done in a way that is just right. These obsessions are time consuming and can get in the way of important daily tasks.
Compulsions are repetitive behaviours than an individual with Obsessive-Compulsive Disorder feels the urge to do in response to an obsessive thought:
- Excessive cleaning and/or hand-washing
- Ordering and arranging things in a particular, precise way
- Repeatedly checking on things, such as checking to see if the dor is locked, or that the oven is turned off
- Compulsive counting
Compulsions are behaviours or thoughts that an individual uses with the intention of neutralising, counteracting, or making their obsessions go away. Individuals with OCD realise that this is only a temporary solution but without a better way to cope they often rely on their compulsions as a temporary escape. These compulsions are time consuming and can get in the way of important daily tasks.
These individuals often spend at least an hour a day on such thoughts or behaviours, they do not get pleasure when performing such behaviours or rituals but they may feel brief relief from the anxiety the thoughts may be causing them, and they can experience significant problems in their daily lives due to those thoughts and behaviours. A tic disorder can also be common with some individuals with Obsessive-Compulsive Disorder. Motor tics are sudden, brief and repetitive in nature such as eye blinking, facial movements, shoulder shrugging or head jerking. Common vocal tics can include repetitive throat clearing, sniffing or grunting.
Canary Wharf OCD Private Therapy CBT Clinic
These symptoms can come and go, ease over time or become worse. CBT Therapy is the most effective treatment for the symptoms of OCD and you can find more about how we treat OCD and many other common mental health difficulties with us here in Canary Wharf.