The OCD Stories

Emily Hemendinger: Executive functioning, and decision making in OCD (#387)

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Jun 25, 2023
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ANECDOTE

IQ Test Mistake Revealing Rigidity

  • Emily and her sister filled only part of an IQ test because they over-focused on perfectly shading bubbles.
  • That event revealed early rigidity and prompted parental concern and later support.
ADVICE

Treat Executive Dysfunction Actively

  • Seek therapy (ERP, CBT, ACT), occupational therapy, or coaching to improve executive skills and accommodations.
  • Use DBT for emotion and stress management and request workplace or school supports.
INSIGHT

Executive Skills Return With Symptom Reduction

  • Reducing OCD symptoms often restores executive functioning because intrusive thoughts stop dominating attention.
  • As obsessions quiet, people regain focus, memory, and task completion abilities.
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