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It is usually recommended that with OCD sufferers cognitive behavioral therapy is a better combination than with college students. Cognitive behavioral therapy decreases the urge to ritualize, to avoid situations that trigger thoughts or feelings associated with anxiety, and to use the ameliorating method of response prevention. The pattern in which people with OCD respond to such situations may be characterized in several understandable ways. For example, some people with OCD avoid thoughts that cause anxiety; they may fast when anxiety is an issue, or they may ritualize in an attempt to cope. Some engage in repetitive hand washing or checking behaviors (e.g., sometimes after mistakenly touching an infectious disease agent, people go back and wash their hands several times). Finally, people may engage in compulsive behaviors to reduce the likelihood of the feared consequences. In OCD, these dysfunctional behaviors are something apart from the thoughts that drive them. The familiar example of a woman trying to prevent a recurrence of breast cancer by undergoing a mastectomy is problematic in this manner. Her thoughts about breast cancer may be merely transitory sensations of anxiety, but the unwanted surgical procedure itself is a compulsive behavior. d2c66b5586
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