Dr. Daniel Fletcher
You say unethical, I say resourceful.
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[X] Gary - Session#39 Transcript
Dr. Fletcher
(writing notes) Ted Mason wrote on www.helpmypatients.com: "Tell Gary to expose himself to contamination - in his imagination. That's often quite effective. Of course, you should be empathetic during the experience and prepare yourself for a great deal of Gary's anxiety."
In this session I also rearranged my cameras - as I explained to Gary, to improve the quality of our confidential archival video.
Dr. Fletcher
Gary, I'd like to try an exercise that I don't think is something that we've done before. I'd like you to image that you're contaminated with whatever is contaminating. Newspaper or one of the other things is on you and you just have to sit and deal with it. This time you don't have an option. You can't avoid it. So I want you to try closing your eyes. Imagine that and see if you can bring up those same feelings and work through them.
Gary
What's the point of this?
Dr. Fletcher
Well, I think we'll get to that. Why don't you start out by closing your eyes and initiating this exercise.
(Gary closes his eyes.)
Just say what's coming to mind as you're going through this.
Gary
I'm imagining myself just covered with newspaper pulp. You know, like when the newspaper is on the sidewalk and it's kind of been drenched and it becomes this goopy sort of nasty thing.
Dr. Fletcher
Yeah, that's disgusting.
Gary
Yeah. And someone's forcing me to smear it all over my body.
Dr. Fletcher
It must make you feel just terrible about yourself and hopeless.
Gary
Aw! It's contaminated! I can't breathe!
Dr. Fletcher
What you're going through right now really is disgusting - and sucks.
Gary
I can't breathe!
Dr. Fletcher
Uh-huh.
Gary
I don't like this exercise.
Dr. Fletcher
Well, it's disgusting. It probably feels really, really, really bad.
Gary
I don't know if I can bring myself to do that again.
Gary (Fridays)
Gary refuses medication for his Obsessive Compulsive Disorder.[Patient History]
[Suggest Treatment]
Session#39: Gary, 01/20/06
Used suggestion from viewer Ted Mason
Told G to engage in contamination exposure in his imagination
Offered sympathy as he suffered

