I struggle with OCD and anxiety. I picked this book up as part of a mental health Humble Bundle so I didn’t have high expectations but thought it can’t hurt to read it. Overall I think this book does a good job illustrating several ways OCD manifests and how it affects patients and their loved ones, but it’s also repetitive and chances are only one of the case studies will apply to a particular reader. I found myself skimming and skipping a lot of the stuff in between.

The four step method is simple and accessible and I’m cautiously optimistic that it’ll be helpful, based on trying it out over a few days. But there are some weird Christian religious tangents and sometimes the author’s train of thought goes back and forth in a way that’s a little confusing.

Update: Reading more about OCD I also question the author's assertion that this method can integrate cleanly with Exposure Response Prevention (ERP) approaches, and wonder whether the reframing the author suggests could also become a form of compulsion for some patients.