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Inference-based Cognitive-Behavior Therapy (I-CBT)

Inference-based Cognitive-Behavior Therapy (I-CBT) is an evidence-based treatment built on the central idea that obsessions are abnormal doubts about what “could be”, or “might be” (e.g. “I might have left the stove on”; “I might be contaminated”; “I might be a deviant”).

According to this approach, obsessional doubts arise as the result of a faulty reasoning narrative characterized by an over-reliance on the imagination and a distrust of the senses. In particular, the reasoning distortions contained in obsessional narratives often camouflage the fact that there is no real basis in reality for obsessional doubt. As a result, obsessions are able to persist and can never be resolved with compulsions.

I-CBT aims to bring real resolution to obsessional doubts by showing the client that obsessional doubts arise as the result of faulty reasoning, confusion between reality and imagination, a lack of trusting sensory information, and a distorted obsessional narrative.  

This model encourages those with OCD to develop alternative narratives/stories that are more in line with reality and the senses.

I-CBT is a promising alternative treatment option for treatment for those who have been unable to benefit from other treatments.