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OCD Worksheet: Challenge Intrusive Thoughts

A tool to help clients begin to question their OCD thoughts in real-time.

Last updated: September 2025

OCD Worksheet: Challenge Intrusive Thoughts

With this resource, you'll learn how to:

  • Pause and examine your thoughts more clearly

  • Identify your personal OCD rules and patterns

  • Practice challenging OCD thoughts with real examples provided

Supporting clients as they begin to identify and challenge intrusive thoughts is a key aspect of early OCD treatment. This worksheet breaks down the process into six clear steps, from identifying what triggered the thought through developing realistic alternatives. The helpful examples demonstrate what challenging thoughts looks like in practice. Perfect for homework assignments and walking a client through the process during a therapy session.

We believe that when clinicians have the support they need, mental health care gets better for everyone.

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We believe that when clinicians have the support they need, mental health care gets better for everyone.