“NOW I LAY ME DOWN TO SLEEP”: COGNITIVE-BEHAVIOURAL TREATMENT OF AN UNUSUAL OBSESSIONAL RITUAL
The assessment and treatment of an unsuaul pre-sleep ritual are described. The patient had unusual ideas about the probability and consequences of self-harming behaviour in sleep, and averted such behaviour through a ritual with possibly dangerous consequences. The origin and maintaining factors of the ritual are described; a cognitive-behavioural approach was used to treat the ritual, with successful results.
Key Words: OCD; rituals; phobia and exposure treatment.
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