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Index
Cover Contents Introduction
How to Get the Most out of This Book
Chapter 1: Recovering from Unwanted Intrusive Thoughts
Natural Voices of the Mind Why Thoughts Get Stuck Thoughts That Get Stuck Intrusive Thoughts Versus Impulses When Intrusive Thoughts Are Likely to Happen Trigger: Personal Experiences Trigger: The Media and Current Events
Chapter 2: Varieties of Intrusive Thoughts
Morally Repugnant Thoughts
Harming and Self-Harming Thoughts Forbidden Sexual Thoughts Impure or Blasphemous Religious Thoughts Disgust-Causing Intrusions
“Big Issue” Thoughts
Uncertainty and Unknowability Thoughts Questioning Reality Purpose-of-Life Thoughts Questioning Beliefs
Nonsensical Thoughts
Losing-Your-Mind Thoughts Mental Checking Doubts About Relationships
Scrupulous Thoughts Sexual-Orientation and Sexual-Identity Thoughts
What If I’m Really Gay? What If I’m Really Straight? What If I’m Transgender?
Intrusive Visual Images
Crazy or Humiliating Actions Illness, Dying, and Death Scenes Traumatic Memories
Worry
Single-Topic Worrying Multi-Topic Worrying Meta-Worry (Worry About Worry)
Not Entirely Unwanted Intrusive Thoughts
Revenge Bereavement Love Sickness Resentment
Personal Loss, Failure, or Mistake Somatosensory Intrusions
Chapter 3: What Thoughts Mean: Myths and Facts
Myth 1: Our Thoughts Are Under Our Control Myth 2: Our Thoughts Indicate Our Character Myth 3: Our Thoughts Indicate the Inner Self Myth 4: The Unconscious Mind Can Affect Actions Myth 5: Thinking Something Makes It Likely to Happen Myth 6: Thinking Something Makes It Unlikely to Happen Myth 7: Only Sick People Have Intrusive Thoughts Myth 8: Every Thought Is Worth Thinking Myth 9: Thoughts That Repeat Are Important
Chapter 4: Unwanted Intrusive Thoughts Q and A Chapter 5: How the Brain Creates Unwanted Intrusive Thoughts
The Neurology of Anxious Arousal The Alarm Response The Amygdala Learns to be Fearful First Fear: The Amygdala’s Automatic Alarm Two Paths to the Amygdala The Amygdala and Unwanted Intrusive Thoughts How Inner Voices Create Unwanted Intrusive Thoughts
Fear-Increasing Cycle Fear-Diminishing Cycle
Anxious Thinking
Thought-Action Fusion All Risks Seem Unreasonable Thoughts Feel Sticky Intolerance of Uncertainty
Chapter 6: Why Nothing Has Worked
Three Factors That Get in the Way
Sticky Mind Paradoxical Effort Entanglement
Ineffective Strategies
Self-Reassurance Reassurance from Others Prayer Healthy Living Other Counter-Productive Techniques Popular Advice
Chapter 7: How to Handle Thoughts When They Happen
Six Steps to Reduce Distress Over a Thought
Step 1: Recognize Step 2: Just Thoughts Step 3: Accept and Allow Step 4: Float and Feel Step 5: Let Time Pass Step 6: Proceed
Enemies of Acceptance
Guilt Doubt Urgency
Some Helpful Metaphors
The Intruder at the Party Whack-a-Mole Don’t Dignify the Question The Waterfall Mud on the Windshield Noisy Neighbors Headache
Chapter 8: Getting Over Unwanted Thoughts for Good
Get Uncomfortable on Purpose Changing Your Brain: How Extinction Works
Emotional Processing Explained Inhibitory Learning Explained
Planned Practice vs. Incidental Practice Five A’s for Optimal Practice
Attitude of Acceptance Assign Accurate Assessment Active Allowance of Awareness and Affect Avoid Avoidances (Always-Attempt Approach) Action: Advance Activities Anyway
The Nitty Gritty of Planned Practice
Go at Your Own Pace Think the Thought—the Worst Thought—but with a Twist
Avoid Getting Caught Up in Content Examples of Planned Practice
“My son was in a car accident.” “What If I Kill Myself? I Don’t Want to Die!” “I might oversleep.”
Chapter 9: What Does Recovery Mean?
Starting the Cycle of Recovery Setback Congratulations If You Want More
Chapter 10: When to Seek Professional Help
Invited Thoughts Real Suicidal Preoccupations Real Pedophilia If Perspective Is Entirely Lost
Hopelessness Agitation
Acknowledgments Appendix:: A Recipe for Unwanted Intrusive Thoughts (What Not to Do)
A Recipe for Creating an Unwanted Intrusive Thought
Ingredients Directions
Bibliography
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