In last weeks post I touched on the subject of expectancy violation and I thought it was such an important topic that it deserved its own post.   

What is Expectancy Violation I hear you ask?

It is a core mechanism in Exposure and Response Prevention (ERP) therapy, where a patient’s obsession is disproven by facing the fear (obsession) without doing the compulsion. By violating this expectation, the patient learns that their fear (obsession) is manageable, and their obsessive beliefs are false, which promotes long-term recovery. 

ERP therapy is all about proving to your brain that your OCD obsessions are unfounded and based on dodgy data.  We can only prove this to our brains by sitting with the obsession when it comes in and not partaking in the compulsion. 

Sounds easy right?  Well last weeks post was all about how the brain can make, ‘just sitting with it’, feel like a life or death situation and no I’m not exaggerating, anyone suffering from OCD knows this first hand.

The brain believes what it sees and it’s only action or sometimes inaction that can rewire the ‘faulty OCD circuitry’, currently running.    

I realise ‘taking action’ can be hard and sometimes it can feel useful to sit and consume podcasts, books, blog posts and reels on OCD instead. This can make us feel like we’re ‘doing the work’, and don’t get me wrong I do truly believe psychoeducation plays a large part in OCD recovery but the real work is done out there in the real world, when you’re not making your life smaller to avoid triggers.

It’s only when you take part in your exposures, reframe from doing the compulsion and see that the ‘expected’ outcome doesn’t actually happen, that you receive this unbelievably important input – the expectancy violation – which then starts to rewire your brain with better more accurate data.

You have to remember to keep on pushing outwards so OCD can’t push you inwards. In my experience if you don’t continue to push yourself out of your comfort zone regularly then the ‘weeds’ (OCD obessions) start to sneak back in.

My advice therefore is to try and make ERP a lifestyle choice. When we accept our anxiety, knowing it’s a normal part of being human and carry on anyway we are winning against OCD. 

Are you still pushing out of your comfort zone each week? I’d love to know what you’ve been up to, let me know in the comments below so we can help inspire each other.

If you, like me, need a reminder now and again to keep on trying new challenges and exposures, then you might find one of my wellbeing journals useful. They have a weekly ‘Comfort Zone Cracker’, where you can set yourself small manageable targets to hit. It’s a fab companion for ERP therapy and life in general, they’re available from amazon and you can find the links to them here.

I really hope this post has been helpful,
As always, Stay Strong xxx