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    <title>The Patterns Blog</title>
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    <description>Plain-language guides to OCD subtypes and ERP, plus honest essays from someone who lives with OCD.</description>
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    <lastBuildDate>Thu, 06 Aug 2026 00:00:00 GMT</lastBuildDate>
    <item>
      <title>Checking OCD: Why One More Check Never Feels Like Enough</title>
      <link>https://patternsocd.com/blog/checking-ocd</link>
      <guid isPermaLink="true">https://patternsocd.com/blog/checking-ocd</guid>
      <description>There is a specific and well-replicated finding here that is worth knowing: checking makes your memory feel less reliable, not more. That is why the tenth check is worse than the first.</description>
      <pubDate>Thu, 06 Aug 2026 00:00:00 GMT</pubDate>
      <category>subtypes</category>
      <category>compulsions</category>
      <category>erp</category>
    </item>
    <item>
      <title>Compulsion Delay: Creating a Gap Between the Urge and the Ritual</title>
      <link>https://patternsocd.com/blog/compulsion-delay-technique</link>
      <guid isPermaLink="true">https://patternsocd.com/blog/compulsion-delay-technique</guid>
      <description>Never doing the compulsion again is a plan almost nobody can execute. Waiting five minutes is. Here is why delay works and how to use it without turning it into a ritual.</description>
      <pubDate>Thu, 06 Aug 2026 00:00:00 GMT</pubDate>
      <category>compulsions</category>
      <category>erp</category>
      <category>ocd-basics</category>
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    <item>
      <title>Contamination OCD: More Than a Fear of Germs</title>
      <link>https://patternsocd.com/blog/contamination-ocd</link>
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      <description>Everyone thinks they know this one. Most of what they know is the stock photo. Contamination OCD is broader, stranger, and more treatable than the stereotype suggests.</description>
      <pubDate>Thu, 06 Aug 2026 00:00:00 GMT</pubDate>
      <category>subtypes</category>
      <category>compulsions</category>
      <category>erp</category>
    </item>
    <item>
      <title>ERP vs CBT for OCD: Why the Distinction Matters</title>
      <link>https://patternsocd.com/blog/erp-vs-cbt-for-ocd</link>
      <guid isPermaLink="true">https://patternsocd.com/blog/erp-vs-cbt-for-ocd</guid>
      <description>People are often told to get CBT for OCD, start generic CBT, and find it does not help. The reason is that the CBT that treats OCD is a specific branch of it called ERP.</description>
      <pubDate>Thu, 06 Aug 2026 00:00:00 GMT</pubDate>
      <category>cbt</category>
      <category>erp</category>
      <category>ocd-basics</category>
    </item>
    <item>
      <title>Harm OCD: Intrusive Thoughts About Hurting Someone You Love</title>
      <link>https://patternsocd.com/blog/harm-ocd-intrusive-thoughts</link>
      <guid isPermaLink="true">https://patternsocd.com/blog/harm-ocd-intrusive-thoughts</guid>
      <description>The thoughts are horrifying, they attach to the people you love most, and the horror you feel about them is the clearest sign of what they actually are.</description>
      <pubDate>Thu, 06 Aug 2026 00:00:00 GMT</pubDate>
      <category>subtypes</category>
      <category>intrusive-thoughts</category>
      <category>erp</category>
      <category>compulsions</category>
    </item>
    <item>
      <title>How to Build an Exposure Hierarchy (With Worked Examples)</title>
      <link>https://patternsocd.com/blog/how-to-build-an-exposure-hierarchy</link>
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      <description>A hierarchy is the plan that makes ERP possible: your triggers, rated and ordered, so there is always a next rung you can actually reach.</description>
      <pubDate>Thu, 06 Aug 2026 00:00:00 GMT</pubDate>
      <category>erp</category>
      <category>ocd-basics</category>
    </item>
    <item>
      <title>OCD vs Anxiety: How to Tell the Difference</title>
      <link>https://patternsocd.com/blog/ocd-vs-anxiety-difference</link>
      <guid isPermaLink="true">https://patternsocd.com/blog/ocd-vs-anxiety-difference</guid>
      <description>Both involve fear and both involve worry. The difference is the compulsion - and it is the reason advice that works for anxiety often makes OCD worse.</description>
      <pubDate>Thu, 06 Aug 2026 00:00:00 GMT</pubDate>
      <category>ocd-basics</category>
      <category>compulsions</category>
      <category>erp</category>
    </item>
    <item>
      <title>Pure O: Why &quot;Purely Obsessional&quot; OCD Still Has Compulsions</title>
      <link>https://patternsocd.com/blog/pure-o-mental-compulsions</link>
      <guid isPermaLink="true">https://patternsocd.com/blog/pure-o-mental-compulsions</guid>
      <description>Pure O is a useful description and a misleading name. The rituals have not gone anywhere. They have moved inside your head, where they are much harder to spot.</description>
      <pubDate>Thu, 06 Aug 2026 00:00:00 GMT</pubDate>
      <category>subtypes</category>
      <category>intrusive-thoughts</category>
      <category>compulsions</category>
      <category>erp</category>
    </item>
    <item>
      <title>Real-Event OCD: When the Obsession Is Something You Actually Did</title>
      <link>https://patternsocd.com/blog/real-event-ocd</link>
      <guid isPermaLink="true">https://patternsocd.com/blog/real-event-ocd</guid>
      <description>Most OCD themes are hypothetical. This one is not, which is why people conclude it cannot be OCD - and why they spend years trying to solve it instead of treating it.</description>
      <pubDate>Thu, 06 Aug 2026 00:00:00 GMT</pubDate>
      <category>subtypes</category>
      <category>intrusive-thoughts</category>
      <category>compulsions</category>
      <category>erp</category>
    </item>
    <item>
      <title>Reassurance Seeking: The Compulsion That Hides in Plain Sight</title>
      <link>https://patternsocd.com/blog/reassurance-seeking-ocd</link>
      <guid isPermaLink="true">https://patternsocd.com/blog/reassurance-seeking-ocd</guid>
      <description>Reassurance does not look like a ritual. It looks like coping, or caring, or due diligence. It is the compulsion most people miss for longest.</description>
      <pubDate>Thu, 06 Aug 2026 00:00:00 GMT</pubDate>
      <category>compulsions</category>
      <category>erp</category>
      <category>ocd-basics</category>
    </item>
    <item>
      <title>Relationship OCD (ROCD): When Doubt Attaches to Your Partner</title>
      <link>https://patternsocd.com/blog/relationship-ocd-rocd</link>
      <guid isPermaLink="true">https://patternsocd.com/blog/relationship-ocd-rocd</guid>
      <description>The question feels like the most important one in your life, and answering it is the compulsion. Here is what relationship OCD is and why &quot;just work out if you love them&quot; is the trap.</description>
      <pubDate>Thu, 06 Aug 2026 00:00:00 GMT</pubDate>
      <category>subtypes</category>
      <category>intrusive-thoughts</category>
      <category>erp</category>
      <category>compulsions</category>
    </item>
    <item>
      <title>Scrupulosity: Religious and Moral OCD</title>
      <link>https://patternsocd.com/blog/scrupulosity-religious-ocd</link>
      <guid isPermaLink="true">https://patternsocd.com/blog/scrupulosity-religious-ocd</guid>
      <description>When OCD attaches to faith or ethics, the compulsions look like devotion and the doubt looks like conscience. That is what makes this one so hard to see from inside.</description>
      <pubDate>Thu, 06 Aug 2026 00:00:00 GMT</pubDate>
      <category>subtypes</category>
      <category>intrusive-thoughts</category>
      <category>erp</category>
      <category>compulsions</category>
    </item>
    <item>
      <title>Sexual Orientation OCD (SO-OCD): What It Is and What It Isn&apos;t</title>
      <link>https://patternsocd.com/blog/sexual-orientation-ocd</link>
      <guid isPermaLink="true">https://patternsocd.com/blog/sexual-orientation-ocd</guid>
      <description>This theme is about intolerance of uncertainty, not about sexuality. It happens to straight people, gay people, and bisexual people alike, and the mechanism is identical each time.</description>
      <pubDate>Thu, 06 Aug 2026 00:00:00 GMT</pubDate>
      <category>subtypes</category>
      <category>intrusive-thoughts</category>
      <category>compulsions</category>
      <category>erp</category>
    </item>
    <item>
      <title>The SUDS Scale: Rating Distress from 0 to 10 During Exposures</title>
      <link>https://patternsocd.com/blog/suds-scale-ocd</link>
      <guid isPermaLink="true">https://patternsocd.com/blog/suds-scale-ocd</guid>
      <description>A single number, rated in the moment, is what turns an exposure from a bad hour into data you can learn from. Here is how to use the SUDS scale properly.</description>
      <pubDate>Thu, 06 Aug 2026 00:00:00 GMT</pubDate>
      <category>erp</category>
      <category>ocd-basics</category>
    </item>
    <item>
      <title>What Is ERP? A Plain-English Guide to Exposure and Response Prevention</title>
      <link>https://patternsocd.com/blog/what-is-erp-exposure-response-prevention</link>
      <guid isPermaLink="true">https://patternsocd.com/blog/what-is-erp-exposure-response-prevention</guid>
      <description>ERP is the front-line therapy for OCD, and it is far less mysterious than it sounds. Here is what it is, what a session looks like, and why the response prevention half is the part that does the work.</description>
      <pubDate>Thu, 06 Aug 2026 00:00:00 GMT</pubDate>
      <category>erp</category>
      <category>ocd-basics</category>
      <category>cbt</category>
    </item>
    <item>
      <title>Is Patterns a CBT app? ERP, CBT, and what actually helped me</title>
      <link>https://patternsocd.com/blog/is-patterns-a-cbt-app</link>
      <guid isPermaLink="true">https://patternsocd.com/blog/is-patterns-a-cbt-app</guid>
      <description>A question I get a lot: is Patterns a CBT app? The short answer is yes-ish, and the honest answer is more interesting than that.</description>
      <pubDate>Tue, 21 Jul 2026 00:00:00 GMT</pubDate>
      <category>ocd-apps</category>
      <category>cbt</category>
      <category>erp</category>
      <category>patterns</category>
    </item>
    <item>
      <title>What I actually wanted from an OCD app</title>
      <link>https://patternsocd.com/blog/what-i-wanted-in-an-ocd-app</link>
      <guid isPermaLink="true">https://patternsocd.com/blog/what-i-wanted-in-an-ocd-app</guid>
      <description>Before I built Patterns, I kept downloading apps and deleting them. This is what I was actually looking for in an OCD app, and why it was so hard to find.</description>
      <pubDate>Tue, 21 Jul 2026 00:00:00 GMT</pubDate>
      <category>ocd-apps</category>
      <category>patterns</category>
      <category>personal</category>
      <category>erp</category>
    </item>
    <item>
      <title>The loop, and how I loosen it</title>
      <link>https://patternsocd.com/blog/the-loop-and-how-i-loosen-it</link>
      <guid isPermaLink="true">https://patternsocd.com/blog/the-loop-and-how-i-loosen-it</guid>
      <description>Obsession, distress, compulsion, relief. Then it starts again. Here is how I learned to see the loop instead of living inside it.</description>
      <pubDate>Sat, 11 Jul 2026 00:00:00 GMT</pubDate>
      <category>personal</category>
      <category>ocd-basics</category>
      <category>compulsions</category>
      <category>erp</category>
    </item>
    <item>
      <title>Why I built Patterns</title>
      <link>https://patternsocd.com/blog/why-i-built-patterns</link>
      <guid isPermaLink="true">https://patternsocd.com/blog/why-i-built-patterns</guid>
      <description>I have OCD. I built Patterns because I kept looking for the tool I needed and never finding it. This is the honest version of why.</description>
      <pubDate>Sat, 11 Jul 2026 00:00:00 GMT</pubDate>
      <category>personal</category>
      <category>patterns</category>
      <category>erp</category>
    </item>
    <item>
      <title>Why Patterns stays private (and always will)</title>
      <link>https://patternsocd.com/blog/why-patterns-stays-private</link>
      <guid isPermaLink="true">https://patternsocd.com/blog/why-patterns-stays-private</guid>
      <description>The things people with OCD write down are exactly the things they least want anyone to see. So Patterns keeps all of it on your device. Here is why.</description>
      <pubDate>Sat, 11 Jul 2026 00:00:00 GMT</pubDate>
      <category>personal</category>
      <category>privacy</category>
      <category>patterns</category>
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