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ChristianityFaith track at launchIssue available after launch

Emily Carter, 27

Emily checked the hob, the locks and the windows for an hour before she could leave. An 8-week ERP plan, alongside her therapist.

Primary school teacherLeeds, UKIssue: OCD

Illustrative example. These people are made up to show how a plan works. They are not real users, and results differ from person to person.

Where Emily started

Emily went back to check the hob up to 20 times before work, asked her partner "are you sure it’s off?" every evening, and lost hours to "what if" thoughts about a fire.

Goal

Leave the house after one check, and go away for a weekend without going back.

Alongside a professional

Emily was on the waiting list for NHS Talking Therapies. She started the plan while she waited, then used it between sessions with her therapist.

The science behind the plan

Every step comes from these methods, each backed by published research.

Acceptance (ACT)

Naming the thought: "I’m having the thought that the house will burn down", then getting on with the day.

Source: Twohig et al. (2010), ACT for OCD, Journal of Consulting and Clinical Psychology

A typical day

  • ERP step 6: check the hob once, then leave for 30 minutesScience · 30 min
  • Urge log: rate the urge at 0, 10 and 30 minutesScience · 3 min
  • One reassurance question you didn’t ask todayScience · 1 min
  • The Lord’s Prayer, said once in the morningFaith · 2 min
Christianity

Optional faith track

Emily chose to add these. They sit next to the science steps, never instead of them. Sources are pending scholar review.

For OCD, the faith track is careful: one set prayer at a set time, said once. It never suggests repeating prayers to feel sure, because that can become another ritual. Intrusive thoughts are never treated as a sign of weak faith.

The Lord’s Prayer, once each morning

Source: Matthew 6:9–13

Why it fits: A steady start to the day, said once, not repeated for reassurance.

Reflection on not carrying tomorrow’s worries today

Source: Matthew 6:34

Why it fits: Fits the ERP step of letting "what if" thoughts be, without solving them.

These practices are data-based suggestions drawn from cited scripture. They are not pastoral counsel or a church teaching. Please speak to your pastor or priest for personal spiritual guidance.

Emily’s calendar

Week 1Day 1: DoneDay 2: DoneDay 3: DoneDay 4: Partly doneDay 5: DoneDay 6: DoneDay 7: Done
Week 2Day 8: DoneDay 9: SkippedDay 10: SkippedDay 11: DoneDay 12: Partly doneDay 13: DoneDay 14: Done
Week 3Day 15: DoneDay 16: DoneDay 17: Partly doneDay 18: DoneDay 19: DoneDay 20: DoneDay 21: Done
Week 4Day 22: DoneDay 23: SkippedDay 24: DoneDay 25: DoneDay 26: DoneDay 27: DoneDay 28: Done
Week 5Day 29: DoneDay 30: Partly doneDay 31: Partly doneDay 32: DoneDay 33: DoneDay 34: DoneDay 35: Done
Week 6Day 36: DoneDay 37: DoneDay 38: SkippedDay 39: DoneDay 40: DoneDay 41: DoneDay 42: Done
Week 7Day 43: DoneDay 44: Partly doneDay 45: DoneDay 46: DoneDay 47: DoneDay 48: DoneDay 49: Done
Week 8Day 50: DoneDay 51: DoneDay 52: DoneDay 53: DoneDay 54: DoneDay 55: DoneDay 56: Done
  • Done
  • Partly done
  • Skipped

46 days done, 6 partly done, 4 skipped. Missed days never reset progress.

Week by week

  1. Weeks 1–2Logging every check and every "what if", then building her 10-step ladder with the plan.
  2. Weeks 3–4First ERP steps. The urge peaked at 8 out of 10 and fell to 3 within half an hour. She missed two days in week 2, and the plan picked up where she left off.
  3. Weeks 5–6Halfway up the ladder. Her partner stopped giving reassurance, which was hard for both of them for a week.
  4. Weeks 7–8Leaving after one check on most days. The weekly check-in moved her to the final steps.

Score, week by week

OCI-R (obsessions and compulsions)

38Start1234567148
38 → 14 (out of 72)

Lower is better. Her score moved below the range where OCD usually gets in the way of life.

What helped most

  • The ERP ladder, one rung at a time
  • Watching the urge fall on its own
  • Her partner’s new answer
“The urge still shows up. I just don’t do what it says any more.”

Where Emily is now

In week 8 Emily and her partner went to the Lake District for a weekend. She checked the hob once, locked the door, and didn’t go back.

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