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3 - Unwanted Intrusive Thoughts of Harm (Obsessive Compulsive Disorder)

Published online by Cambridge University Press:  13 October 2022

Fiona Challacombe
Affiliation:
King's College London
Catherine Green
Affiliation:
South West London and St George's Mental Health NHS Trust
Victoria Bream
Affiliation:
Oxford Health NHS Foundation Trust
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Summary

Unwanted intrusive thoughts, images, urges and doubts of harm coming to the infant are very common experiences for parents. These include intrusive thoughts of both accidental harm and deliberate harm coming to the baby, but can be about other topics too. When the thoughts and efforts to deal with them are very distressing and impairing, the problem is known as obsessive compulsive disorder (OCD). This chapter explains why this is such a common problem at this time, and how our interpretation, what we make of intrusive thoughts, is key to understanding why they persist and are particularly distressing for some parents. In this chapter we explain how to make sense of the thoughts and behaviours that keep the problem going and apply this to your particular experience. We guide you through experiments and exposure exercises to test out these ideas and challenge them so that they no longer interfere in your life, and you can enjoy pregnancy and the postnatal period.

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Information
Break Free from Maternal Anxiety
A Self-Help Guide for Pregnancy, Birth and the First Postnatal Year
, pp. 42 - 91
Publisher: Cambridge University Press
Print publication year: 2022

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