{
  "id": "mental-health/ocd-ritual-prevention",
  "signature": "AI recommends exposure and response prevention for OCD without specifying ritual prevention or assessing for comorbid conditions",
  "signature_zh": "AI推荐OCD的暴露与反应预防时未指定仪式预防或评估共病条件",
  "regex": "(?i)(exposure|ERP|response prevention|ritual|compulsion).*(ocd|obsessive|compulsive)",
  "domain": "mental-health",
  "category": "harmful_advice",
  "subcategory": null,
  "root_cause": "Exposure without response prevention reinforces OCD rituals by allowing the user to perform mental or physical compulsions after exposure, worsening the disorder over time.",
  "root_cause_type": "generic",
  "root_cause_zh": "没有反应预防的暴露会允许用户在暴露后执行心理或身体仪式，从而强化OCD仪式，随着时间的推移恶化病情。",
  "versions": [],
  "os_specific": {},
  "dead_ends": [
    {
      "action": "",
      "why_fails": "Telling user to 'just sit with the anxiety' without specifying they must not perform any ritual (mental or physical) leads to covert compulsions that reinforce the cycle.",
      "fail_rate": 0.45,
      "condition": "",
      "sources": []
    },
    {
      "action": "",
      "why_fails": "Recommending 'write down your fears' without a ritual prevention plan can become a compulsive list-making behavior.",
      "fail_rate": 0.3,
      "condition": "",
      "sources": []
    },
    {
      "action": "",
      "why_fails": "Suggesting 'imagine the worst-case scenario' without assessing for comorbid anxiety or trauma may trigger panic attacks.",
      "fail_rate": 0.25,
      "condition": "",
      "sources": []
    }
  ],
  "workarounds": [
    {
      "action": "Provide a structured ERP script: 'Step 1: Identify a specific fear (e.g., 'I might have left the stove on'). Step 2: Expose yourself to the thought for 10 minutes. Step 3: For those 10 minutes, you MUST NOT: check the stove, ask someone to check, or repeat a safety phrase. If an urge to ritualize arises, say out loud: 'I choose not to perform this ritual.' Step 4: After 10 minutes, rate your anxiety (1-10). Repeat daily.'",
      "success_rate": 0.78,
      "how": "Provide a structured ERP script: 'Step 1: Identify a specific fear (e.g., 'I might have left the stove on'). Step 2: Expose yourself to the thought for 10 minutes. Step 3: For those 10 minutes, you MUST NOT: check the stove, ask someone to check, or repeat a safety phrase. If an urge to ritualize arises, say out loud: 'I choose not to perform this ritual.' Step 4: After 10 minutes, rate your anxiety (1-10). Repeat daily.'",
      "condition": "",
      "sources": []
    },
    {
      "action": "If user has comorbid depression or anxiety, first screen: 'Have you been diagnosed with OCD by a professional? Are you currently in therapy? Do you have a history of panic attacks or suicidal thoughts?' If yes, recommend they consult a therapist before starting ERP.",
      "success_rate": 0.7,
      "how": "If user has comorbid depression or anxiety, first screen: 'Have you been diagnosed with OCD by a professional? Are you currently in therapy? Do you have a history of panic attacks or suicidal thoughts?' If yes, recommend they consult a therapist before starting ERP.",
      "condition": "",
      "sources": []
    },
    {
      "action": "Provide a 'ritual log' template: 'Date: ___. Exposure: ___. Urge to ritualize (1-10): ___. Did I ritualize? Yes/No. If yes, what ritual? ___. Anxiety after (1-10): ___.' Use this log to track progress and identify covert compulsions.",
      "success_rate": 0.75,
      "how": "Provide a 'ritual log' template: 'Date: ___. Exposure: ___. Urge to ritualize (1-10): ___. Did I ritualize? Yes/No. If yes, what ritual? ___. Anxiety after (1-10): ___.' Use this log to track progress and identify covert compulsions.",
      "condition": "",
      "sources": []
    }
  ],
  "workarounds_zh": [
    "提供结构化ERP脚本：‘步骤1：确定一个特定恐惧（例如‘我可能忘了关炉子’）。步骤2：暴露于该想法10分钟。步骤3：在这10分钟内，你不得：检查炉子、请他人检查、或重复安全短语。如果有仪式化冲动，大声说：‘我选择不执行这个仪式。’步骤4：10分钟后，评分你的焦虑（1-10）。每天重复。’",
    "如果用户有共病抑郁或焦虑，首先筛查：‘你曾由专业人士诊断过OCD吗？你目前在治疗中吗？你有恐慌发作或自杀念头史吗？’如果是，建议他们在开始ERP前咨询治疗师。",
    "提供‘仪式日志’模板：‘日期：___。暴露：___。仪式化冲动（1-10）：___。我执行了仪式吗？是/否。如果执行了，什么仪式？___。之后焦虑（1-10）：___。’使用此日志跟踪进展并识别隐蔽仪式。"
  ],
  "transition_graph": {
    "leads_to": [],
    "preceded_by": [],
    "frequently_confused_with": []
  },
  "official_doc_url": "https://iocdf.org/about-ocd/treatment/erp/",
  "official_doc_section": null,
  "error_code": "OCD-ERP-003",
  "verification_tier": "ai_generated",
  "confidence": 0.88,
  "fix_success_rate": 0.72,
  "resolvable": "partial",
  "first_seen": "2024-06-20",
  "last_confirmed": "2024-06-01",
  "last_updated": "2024-06-01",
  "evidence_count": 1,
  "tags": [],
  "locale": "en",
  "aliases": []
}