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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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