OCD Self-Management Exercise Program

A Structured Guide for Patients with Obsessive-Compulsive Disorder

Psychiatry

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Last updated: Mar 24, 2025

Introduction

This structured exercise program is designed to help you manage Obsessive-Compulsive Disorder (OCD) symptoms using evidence-based techniques. Work with your mental health provider to customize this program to your specific needs.

Core Components

1. Exposure and Response Prevention (ERP)

  • Start with: 15-minute daily exercises
  • Gradually increase: to 30-45 minutes
  • Focus: Face triggering situations without performing compulsions

2. Mindfulness Exercises

  • Morning routine: 5-10 minutes of mindful breathing
  • Throughout day: Brief mindfulness checks
  • Evening practice: Body scan meditation

3. Cognitive Restructuring

Thought Record Exercise

  1. Identify triggering thoughts
  2. Rate anxiety level (0-10)
  3. Challenge irrational beliefs
  4. Develop alternative perspectives
  5. Re-rate anxiety

Weekly Progress Plan

Week 1-2: Foundation

  • Learn breathing techniques
  • Start anxiety journal
  • Identify primary triggers

Week 3-4: Implementation

  • Begin ERP exercises
  • Practice response prevention
  • Use thought records

Week 5-6: Advanced Practice

  • Increase exposure duration
  • Add challenging situations
  • Develop maintenance strategies

Daily Exercise Schedule

  1. Morning

    • Mindfulness practice
    • Review daily goals
  2. Afternoon

    • ERP exercise
    • Thought recording
  3. Evening

    • Progress review
    • Relaxation technique

Progress Monitoring

  • Keep daily symptom logs
  • Track exercise completion
  • Note successful resistance to compulsions
  • Record anxiety levels

Safety Guidelines

  • Start gradually
  • Stay within prescribed limits
  • Contact your provider if distress becomes severe
  • Use support resources as needed

Support Resources

  • Crisis hotline: [Insert local number]
  • Support group information
  • Provider contact details

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