Pure Obsessionals (Worriers, Thinking Ritualizers) Situations that cause distress: Any situation in which harm could come to someone, a situation in which the child could make a bad mistake or decision, any other place or event that, for the child, produces distressing thoughts Thoughts/Images: Self-criticism and criticism from others, Ive made mistake/I did that all wrong Something terrible will happen Something I do/dont do will harm someone The world is dangerous I will never get better I had sex with my cousin when I was 5 What if Im gay.
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