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Managing Obsessive Compulsive Disorder Using Meta Cognitive Therapy: A Case Study


Authors : Divisha Rastogi; Dr. Shweta Singh

Volume/Issue : Volume 11 - 2026, Issue 4 - April


Google Scholar : https://tinyurl.com/2ueaf63w

Scribd : https://tinyurl.com/46ra3rzj

DOI : https://doi.org/10.38124/ijisrt/26apr2116

Note : A published paper may take 4-5 working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and ResearchGate.


Abstract : The role of the individuals’ beliefs in development of OCD is associated to people’s misleading metacognitions, implying that their views about their own thinking that are the distorted beliefs are causing maladaptive coping styles which subordinates to psychological symptoms. A number of studies confirming that the specific metacognitions of OCD (thought fusion beliefs, beliefs about rituals and stop signals) as suggested by the Metacognitive Model of OCD are linked to the severity of OCD. Metacognitive therapy was applied to a 32 year old male who was brought to the psychiatry outpatient department with the chief complaints of repeated, unpleasant thoughts about perverse sexual images involving women for the past 10 years. Metacognitive therapy was successful in reduction of OCD symptoms, severity of anxiety and depressive symptoms, unhelpful metacognitions and increase thought control.

Keywords : Obsessive-Compulsive Disorder, Beliefs, Metacognitive Therapy, Case Study.

References :

  1. American Psychiatric Association (2013). Statistical Manual of Mental Disorders (DSM 5) (5th Ed.). Arlington, VA: American Psychiatric Association.
  2. British Psychological Society, National Collaborating Centre for Mental Health (Great Britain), & National Institute for Health and Clinical Excellence (NICE) (Great Britain). (2005). Obsessive-compulsive disorder: Core interventions in the treatment of obsessive-compulsive disorder and body dysmorphic disorder. 
  3. Gururaj G, Varghese M, Benegal V, Rao GN, Pathal K, Singh LK, et al;. National Mental Health Survey of India, 2015-16: Summary Report. Bengaluru: National Institute of Mental Health and Neurosciences; 2016
  4. Jaisoorya, T. S., Janardhan Reddy, Y. C., Nair, B. S., Rani, A., Menon, P. G., Revamma,  M., et al;. (2017). Prevalence and correlates of obsessive-compulsive disorder and subthreshold obsessive-compulsive disorder among college students in Kerala, India. Indian Journal of Psychiatry, 56-62. doi: 10.4103/0019-5545.204438
  5. Myers, S. G., Fisher, P. L., & Wells, A. (2009). An empirical test of the metacognitive model of obsessive-compulsive symptoms: fusion beliefs, beliefs about rituals, and stop signals. Journal of Anxiety Disorders, 436-442. doi:  10.1016/j.janxdis.2008.08.007 
  6. Wells, A., & Matthews, G. (1994). Attention and emotion: A clinical perspective Hove, UK: Erlbaum. doi.org/10.1002/cpp.5640020208 
  7. World Health Organisation. Projections of Mortality and Burden of Disease, 2004-2030.

The role of the individuals’ beliefs in development of OCD is associated to people’s misleading metacognitions, implying that their views about their own thinking that are the distorted beliefs are causing maladaptive coping styles which subordinates to psychological symptoms. A number of studies confirming that the specific metacognitions of OCD (thought fusion beliefs, beliefs about rituals and stop signals) as suggested by the Metacognitive Model of OCD are linked to the severity of OCD. Metacognitive therapy was applied to a 32 year old male who was brought to the psychiatry outpatient department with the chief complaints of repeated, unpleasant thoughts about perverse sexual images involving women for the past 10 years. Metacognitive therapy was successful in reduction of OCD symptoms, severity of anxiety and depressive symptoms, unhelpful metacognitions and increase thought control.

Keywords : Obsessive-Compulsive Disorder, Beliefs, Metacognitive Therapy, Case Study.

Paper Submission Last Date
31 - May - 2026

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