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...Cognitive behavioural therapy for ocd advances in psychiatric treatment vol doi apt bp obsessive compulsive disorder david veale abstract the uk national institute health and clinical excellence s guidelines on recommend including exposure response prevention as an effective this article introduces a model of maintenance symptoms it discusses process engagement how to develop formulation guide strategies overcoming delivering cbt example is urge push someone onto railway requires track difference between normal intrusive detailed understanding phenomenology thought obsessional lies both mechanism by which specific meaning that individuals with attach processes behaviours maintain occurrence or content intrusions their textbook definition obsession image unwanted doubt repeatedly enters person mind action fusion obsessions are distressing ego dystonic but acknowledged originating important way being unreasonable excessive thoughts images become fused reality minority regarded overvalued...