Forms from Chapter 6
Found in chapter 6, the Obsessive Concerns Checklist is a self‑administered survey of all the obsessive categories we could think of. Its purpose is to identify your obsessions. If you are a sufferer, you know what you main obsessions are, but we often find that sufferers have other OCD manifestations that they didn’t recognize. If you see an item and you aren’t sure what it is referring to, it most likely means it is not one of your problems. It has been my experience that somewhere, there is a sufferer exclaiming, “I know what that is!”
Found in chapter 6, the Compulsive Activities Checklist is a self‑administered survey of all the compulsive rituals, both mental and behavioral, that we could think of. It’s purpose is to identify your compulsions. It is a companion to the Obsessive Concerns Checklist. Again, you know what your main compulsions are, but we often find that sufferers have other OCD manifestations that they didn’t recognize. If you see an item and you aren’t sure what it is referring to, it most likely means it is not one of your problems. It has been my experience that somewhere, there is a sufferer exclaiming, “I do that!”
The Daily Self Monitoring Log, found in Chapter 6, is to help give you an idea of how much time you actually spend obsessing and ritualizing. Obviously, it will be an estimate, since you won’t be able to perfectly record all you do. It has 6 columns. The first two columns are for you to record the date and time the event occurred. The next column is the event that prompted you to ritualize or avoid. It can be something that happened, e.g., “I saw a red spot on the ground and thought it was blood,” or mental, e.g., “I had thoughts of hurting my wife.” You should be very brief in writing this down. Again, it is okay if you don’t get every event. The next column is labeled ritual; briefly, how did you respond to the event: with avoidance or rituals? The next column is time spent B how much time did you lose to ritualizing? The last column is an anxiety rating scale. You can use 1- 10 or 1 – 100. Remember, you can’t put a higher number than the top of the scale and if you do use the top rating, you are saying this is the worst you could feel.
Forms from Chapter 7
The Downward Arrow Charting Form found in Chapter 7 is designed to help you analyze your obsessions and to understand what your worst feared consequences are. Sometime these are obvious, e.g., “I’m afraid of getting sick,” and other times they may be subtle, e.g., “I’m afraid I will obsess (see Chapter 12 in the section entitled Obsessions about Obsessing for a discussion of this problem).”
ERP Motivators I and II in Chapter 7 are two very important forms. Often when confronted with a naturally occurring exposure or even the idea of treatment, you are immediately flooded with your fears of why taking the risk seems too overwhelming, and outside of wanting to get better, all of your reasons for doing so are forgotten. The ERP Motivator I is the place for you to record everything you’ve lost to OCD. It is very important to be detailed. So rather than saying you’ve lost jobs or been late to events, describe in painful detail what you lost. ERP Motivator II is similar to ERP Motivator I, except now you are to record all of the ways you have hurt your family. It does not matter if hurting them was not your intention. The more painful these forms feel, the better, because that is going to be part of your motivation to confront your OCD.
The Cost Benefit Analysis in Chapter 7 is the place for you to record all of the advantages and disadvantages of both engaging in treatment and of not engaging in treatment. This is to help you choose to continue to suffer from endless rituals or to put an end to rituals.
Forms From Chapter 8
It is often very hard to keep up your motivation in treatment. Sometimes you may be doing well, but the work is so hard, you are not even aware of your success. The Daily Self Monitoring Log of Success found in Chapter 8 is a tool to help you combat this. It is important to remember that initially success is less about how you feel and more about you actually doing the homework. Behavioral change will take place before feeling better. The Daily Self Monitoring Log of Success is similar to the Daily Self Monitoring form you filled out when you were evaluating your OCD. The first two columns have the time and date for the Event. The event is where you record the exposure that took place and whether or not it was planned or just a part of living. The next column is for recording how you responded to the event. If you have contamination fears and accidentally touched something dirty, did you respond by doing more exposure? Did you engage in response prevention? If this was a planned contamination exposure, the event is contamination by “x” and the next column would contain what you did for exposure and response prevention.
Treatment Interfering Behaviors (TIBs) are discussed in Chapter 8. These are behaviors you engage in or don’t engage in that interfere with treatment. Rather than judging yourself for what you didnt do in treatment, the TIBs form is too help you identify exactly what is interfering with treatment. The form provided is an adaptation of Alec Pollard’s work in this area. You may want to periodically check this site to see if we have made further refinements to this instrument.
Forms from Chapter 15
The Red Flag Trigger Sheet found in Chapter 15 is a very important document. Although you would like to go through treatment and then be done with it, this is not a realistic goal. For anyone making a behavioral change, maintaining that change is as important as the initial work. Imagine a neglected weed-filled garden. You may spend a weekend cleaning out all the weeds and replanting and re-mulching the garden. It looks beautiful. But to keep it that way, you have to keep weeding. Chapter 15 discusses why slipping is normal and what you can do to avoid slips. The Red Flag Trigger Sheet is an important tool in designing your maintenance program. The first column is for the time and date a trigger occurred. The second column is for the trigger/red flag. A trigger is defined as what was happening that seemed to set the stage for a slip. Was it a surprise exposure? Were you stressed because you were sick? Was a very judgmental relative visiting? Were you on vacation? The next three columns are for describing the characteristics of the red flag. Was it an internal (feeling sick) or an external (seeing dog feces) event? Was it controllable (we went on vacation) or uncontrollable (I was diagnosed with arthritis)? And finally was it predictable (I face it every day at work) or unpredictable (I had a car accident). All of these will play a role for the coping plans you will include in the next column. In the last column, you will rate your anxiety on a scale of 1 – 10 or 1 – 100. Chapter 15 contains further information how to use this in planning your maintenance program.
The Cost Benefit Readiness Form does not appear in the updated edition of the book. It is a way to further examine and quantify your Cost Benefit Analysis to help you motivate yourself for treatment. On this sheet, fill in the pros and accepting and of rejecting treatment and then in the space provided, rate their importance on a 1 to 10 scale. Then add the columns to determine whether you or OCD is the winner.