Cabinet de consultation PSYNOSE Les Troubles Obsetionnels

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Cabinet de consultation PSYNOSE
Les Troubles Obsetionnels Compulsifs
(T.O.C, ainsi que les TICS)
!
!
Thérapie!comportementale!en!PNL3Hypnose!et!T.O.Cs)!
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MARIE-ANGE CUCCHI!"!#$%&'()!*(!+,'-./)$)&,'!()!*(!0,12$)&,'!3456748!
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Pour!éviter! les!rechutes!!un! travail!thérapeutique!du! renforcement! du!moi,! afin!de!faire!
face!aux!sentiments!d’inconfort,!de!faible!estime!de!soi!ou!de!frustration!pouvant!survenir!
au!cours!du!traitement.!
!
!
Trouble!Obsessionnel!Compulsif…!T.O.C!
!
QY,%-(--&,'!(-)!.'(!O('-P(!$'L,&--$')(!N.&!-Y&2O,-(!()!*&1&L(!),.)(!/$!:&(!*(!/$!O(1-,''(;!$.!
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Les!obsessions!les!plus!fréquentes!:!
" Obsessions! de! contamination! :! #(! -,')! *(-! ,%-(--&,'-! 1(/&P(-! d! /$! -$/()P! ()! $.W!
2&+1,%(-![L(12(-]C!#(/$!O(.)!Z)1(!PL$/(2(')!.'!*PL,g)!O,.1!/(-!*P+K()-!,.!('+,1(!
/(-!-P+1P)&,'-! +,1O,1(//(-;![.1&'(;!-(//(-;! -$/&:(;!()+CCC]C!Q\,%-(--&,'! O(.)!-(! -&).(1! $.!
'&:($.! *(! /$! O(.1! *\Z)1(! +,')$2&'P! O$1! *(-! P/P2(')-! +,')$2&'$')-! *$'-!
/\(':&1,''(2(')!)(/-!N.(!/(-!1$*&$)&,'-;!/\$2&$')(;!/(-!*P+K()-!),W&N.(-!,.!),.)!$.)1(!
O1,*.&)!*(!/$!2$&-,'^!*P)(1L(')-;!-,/:$')-!()+CCC]C!!
" Obsessions!à! thème!agressif!:!Q(-!,%-(--&,'-!*(!+(!)?O(!-(!-&).(')!$.!'&:($.!*(!/$!
O(.1!*(!-(!0$&1(!*.!2$/!d!-,&"2Z2(!,.!$.W!$.)1(-!h/(-!%/(--(1h;!O(.1!*\$L&1!-,.-!.'(!
&2O./-&,'!','!:,./.(!()!$&'-&!O,.:,&1!0$&1(!*.!2$/!d!N.(/N.\.'![&/!(-)!d!',)(1!N.(!/(-!
O(1-,''(-!$?$')!+(!)?O(!*\,%-(--&,';!'(!O$--(')!i$2$&-!d!/\$+)(;!(//(-!-,')!:&+)&2(-!
*(!O('-P(-!&')1.-&:(-]C!
" Obsessions!de! collection!et!d'accumulation!:!#(+&!-(!)1$*.&)!O$1!.'!%(-,&'!(W+(--&0!
*\$++.2./(1!*(-!,%i()-!-$'-!:$/(.1!,.!&'.)&/(!+,22(!O$1!(W(2O/(;!*(-!*P+K()-;!*.!
+,.11&(1!-$'-!:$/(.1;!()+j!U/!(-)!&2O,1)$')!*(!*&00P1('+&(1!+(!)?O(!*\,%-(--&,';!()!/(!
+,//(+)&,''(.1! ('! )$')! N.(! )(/;! /$! *&00P1('+(! 1P-&*$')! *$'-! /(! +$1$+)X1(! O$10,&-!
1PO.L'$')!*(-!,%i()-!$2$--P-;!2Z2(!O,.1!/(!3$)&(')!('!N.(-)&,';!&/-!'(!1(O1P-(')(')!
O$-!.'!,%i()!*(!O/$&-&1;!O$1!(W(2O/(^!+,//(+)&,''(1!/(-!,1*.1(-!+K(k"-,&C!!
" Obsessions!d'ordre,!de!symétrie!et!d'exactitude!:!#\(-)!/$!O1P,++.O$)&,'!+,'+(1'$')!
/(!0$&)!N.(!N.(/N.(!+K,-(!*(!L1$:(!O.&--(!$11&:(1!d!N.(/N.\.'!*\$.)1(;!-&!/(-!+K,-(-!'(!
-,')!O$-!%&('!O/$+P(-!,.!('!,1*1(C!#(-! O(1-,''(-! '(!O(.:(')!O$--(1!d!$.)1(!+K,-(!
)$')!N.(! /(-! ,%i()-!('!N.(-)&,'! '(!-,')!O$-!O$10$&)(2(')! %&('!O/$+P-C!8//(-! *,&:(')!
O$10,&-!),.)!1(+,22('+(1!O/.-&(.1-!0,&-C!!
" La! lenteur! obsessionnelle! (procrastination)! :! #(! )?O(! *\,%-(--&,'! $2X'(!
*\&')(12&'$%/(-! *P/&%P1$)&,'-! &')P1&(.1(-;! 0$&-$')! ('! -,1)(! N.(! /$! O(1-,''(! N.&! ('!
-,.001(!-(!:,&)!*$'-!/\&2O,--&%&/&)P!*(!)(12&'(1!.'(!+K,-(!(')1(O1&-(C!!

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" Les!ruminations!:!U/!?!$!+(1)$&'(-!O(1-,''(-!N.&!'\,')!$.+.'!1&).(/;!2$&-!N.&!-,.001(')!
*(!1.2&'$)&,'-!&')1.-&:(-!$?$')!)1$&)!$.!*,.)(;!d!/$!+./O$%&/&)P;!d!/\K,11(.1;!$.!*PL,g);!
()+C!CCC!!
" Obsessions! sexuelles! :! 8//(-! -,')! +,'-)&).P(-! *(! O('-P(-! N.(! /$! O(1-,''(! N.$/&0&(!
*\&')(1*&)(-!1(/&P(-!d!/$!-(W.$/&)P![&2$L(-!O(1:(1-(-;!()+C!CCC]C!!
" Obsessions! Religieuses! :!#\(-)!/$!O1P,++.O$)&,'! N.&! (-)!1(/&P(!$.W!-$+1&/XL(-!,.!$.W!
%/$-OKX2(-C!#(!O(.)!Z)1(!1(/&P!d!/$!',)&,'!*.!%&('!()!*.!2$/!,.!),.)!-&2O/(2(')!d!/$!
2,1$/&)PC!!
" Obsessions!du!cancer!et!du!sida!^!#(-!,%-(--&,'-![$--(k!01PN.(')(-]!-(!)1$*.&-(')!O$1!
*(-!+,2O./-&,'-!+,')&'.(//(-!*(!:P1&0&+$)&,'-!$.O1X-!*(-!9P*(+&'-![4OP+&$/&-)(-];!()!
O$1! *(-! O1P+$.)&,'-! (W+(--&:(-C! 7'! *&)! N.(! +(! )?O(! *\,%-(--&,'! (-)! d! /$! /&2&)(! *(!
/\K?O,+,'*1&(![O(.1!*(-!2$/$*&(-]C!!
!
Compulsions!
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Q(-!+,2O./-&,'-! -,')!*(-!+,2O,1)(2(')-! 1POP)&)&0-!,.!$+)(-!2(')$.W;! N.(!/$!O(1-,''(! -(!
-(')!,%/&LP(! *\$++,2O/&1!('! 1PO,'-(!d! .'(!,%-(--&,';! ,.!-(/,'! *(-!1XL/(-! O1PP)$%/&(-C!#(-!
+,2O,1)(2(')-! -,')! *(-)&'P-! d! '(.)1$/&-(1! ,.! *&2&'.(1! /(! -(')&2(')! *(! *P)1(--(;! ,.! $!
(2OZ+K(1! .'! P:X'(2(')! ,.! .'(! -&).$)&,'! 1(*,.)P-C! Q(! -,./$L(2(')! $&'-&! $OO,1)P;!
+,')1&%.(!d!1('0,1+(1!()!2$&')('&1!/$!2$/$*&(C!Q$!O(1-,''(!'(!O(.)!-Y(2OZ+K(1!*(!0$&1(!/(-!
L(-)(-!&'.)&/(-;!,.!*Y$:,&1!.'(!$))&).*(!N.Y(//(!1(L1())(C!#(/$!O(.)!$.--&!%&('!Z)1(!.'(!$+)&:&)P!
2$'.(//(! [/$:$L(-;! 1$'L(2(')-];! N.(! 2(')$/(! [+,2O)(1! *$'-! -$! )Z)(;! 1POP)(1! *(-! OK1$-(-;!
O1&(1]C!8'!LP'P1$/;!/$!+,2O./-&,'!$!O,.1!%.)!*\P:&)(1!.'!P:X'(2(')!1(*,.)P;!,.!*(!+K$--(1!
.'(!*P)1(--(;!,.!.'(!$'W&P)PC!Q(!3$)&(')!1(+,''$l)!/(!+$1$+)X1(!$%-.1*(;!*P1&-,&1(!()!LZ'$')!
*(! -(-! $+)(-;! 2$&-! &/! '(! O(.)! -Y('! (2OZ+K(1C! Q(-! 1&).(/-! O(.:(')! O1('*1(! *(-! K(.1(-;! ()!
/Y('),.1$L(!*,&)!O$10,&-!?!O$1)&+&O(1C!!
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Voici%une%liste%(non%exhaustive)%des%principaux%rituels%et%compulsions%:%
" Rituels! de! lavage! et! de! nettoyage! :!#(-! 1&).(/-!+,2O1(''(')! /(!/$:$L(! &')('-&0!*(-!
2$&'-! [1&).$/&-P! ,.! (W+(--&0];! /(-! -,&'-! *\K?L&X'(! +,1O,1(//(! )(/-! N.(! /(-! *,.+K(-!
[O$10,&-! .'(! :&'L)$&'(! O$1! i,.1];! ,.! /(-! %$&'-! N.&! -,')! 1&).$/&-P-! ()! ('+,1(! .'(! 0,&-!
(W+(--&0-;! /(! '()),?$L(! *\,%i()-! *&:(1-! $0&'! *\P:&)(1! /$! +,')$2&'$)&,';! ,.! ('+,1(! /$!
-.OO1(--&,'!*(-!+,')$+)-!$:(+!*(-!P/P2(')-!+,')$2&'$')-C!!
" Rituels!de!vérification!:!#(-!1&).(/-!+,'-&-)(')!d!:P1&0&(1!+,'-)$22(')!/(-!-(11.1(-;!/$!
+.&-&'&X1(;!/(-!$OO$1(&/-! 2P'$L(1-;! /\P/(+)1&+&)P;!()+CCC;!$0&'!N.(!1&('!'(!O.&--(! +$.-(1!
*.! ),1)! $.W! $.)1(-! O(1-,''(-;! '&! d! -,&"2Z2(C! Q(-! :P1&0&+$)&,'-! +,2O1(''(')!
PL$/(2(')! /(! %(-,&'! *(! :P1&0&(1! /\$%-('+(! *(! 2$/$*&(! OK?-&N.(;! /\$%-('+(! *\(11(.1!
[*$'-! .'! )(W)(! P+1&)! O$1! (W(2O/(];! ()! /(-! :P1&0&+$)&,'-! $0&'! N.(! 1&('! *(! )(11&%/(!
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" Répétition! :! e$'-! /(-! 1POP)&)&,'-! -,')! +,2O1&-! /$! 1(/(+).1(! ,.! /$! 1PP+1&).1(;! /$!
1POP)&)&,'!*(!L(-)(-!N.,)&*&('-!)(/-!N.(!*\(')1(1!+K(k!-,&;!-\$--(,&1!,.!-(!/(:(1;!()+CCCC!!
" Compter!:!#,22(!-,'!',2!/\&'*&N.(;!&/!-\$L&)!*\(00(+).(1!*(-!+$/+./-!,.!*(!+,2O)(1!
2(')$/(2(')C!!
" Collection!:!#,'-&-)(!d!$2$--(1!*(-!,%i()-!&'.)&/(-!)(/-!N.(!:&(.W!i,.1'$.W;!,1*.1(-;!
+,.11&(1! -$'-! :$/(.1;! ()+CCC! 4$'-! $.+.'(! +,2O$1$&-,'! $:(+! /(-! :1$&-! #,//(+)&,''(.1-;!
',.-!O$1/,'-!&+&!*(!+,//(+)&,'!O$)K,/,L&N.(C!e$'-!/(-!+$-!L1$:(-;!&/!O(.)!('!1P-./)(1!.'!
('+,2%1(2(')!),)$/!*.!/,L&-!*(!/$!O(1-,''(C!!
" Ordre! et! rangement! :! U/-! +,'-&-)(')! d! O/$+(1! /(-! ,%i()-! *$'-! .'! ,1*1(! O1P+&-;! ,.!
('+,1(!*(!1$'L(1!*(-!:Z)(2(')-!,.!$.)1(-!$:(+!(W$+)&).*(C!!
" Divers! :! A(-,&'! *(! *&1(;! *(! *(2$'*(1;! *(! +,'0(--(1;! *(! 0$&1(! *(-! /&-)(-;!
()+;!#,2O,1)(2(')-!$/&2(')$&1(-!1&).$/&-P-CCC!#,2O,1)(2(')-!-.O(1-)&)&(.W;!!A(-,&'-!
*(!),.+K(1;!*(!)$O,)(1;!()+CCC!!4Y$11$+K(1!*(-!2X+K(-!*(!+K(:(.W![)1&+K,)&//,2$'&(]CCC!
4(!L1$))(1!&'.)&/(2(')CCC!4(!1,'L(1!/(-!,'L/(-![,'?+K,OK$L&(]CCC!`+K$)-!&'+,')1c/P-!()!
(W+(--&0-CCC!_1,.%/(-!*(!+,'*.&)(-!$/&2(')$&1(-![$',1(W&(;!%,./&2&(]CCC!A(-,&'!*(!:,/(1!
[a/(O),2$'&(]C!
!
Troubles!Obsessionnels!Compulsifs!
!
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+$1! ',.-! $:,'-! ),.-! *(-! O('-P(-! N.&! ',.-! ,%-X*(')C! #K$+.'! *\(')1("',.-! O,--X*(!
PL$/(2(')!*(-!2$'&(-!,.!*(-!1&).(/-C!3,.1!N.(!/(!_1,.%/(!,%-(--&,''(/!+,2O./-&0!-,&)!$:P1P;!
&/! 0$.)! N.(! +(! +,2O,1)(2(')! ('L('*1(! .'(! -,.001$'+(;! .'(! *P)1(--(C! Q(! _C7C#! O1('*!
LP'P1$/(2(')! O/.-! *\.'(! K(.1(! O$1! i,.1! ()! $! *(-! 1()(')&--(2(')-! -.1! /$! :&(! -,+&$/(! ()!
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LP'P1$/(2(')! /\$--,+&$)&,'! *(! *(.W! +,2O,-$')(-!^! .'(! ,%-(--&,'! ()! .'(! +,2O./-&,'C! Q(!
3$)&(')!-(!1('*!+,2O)(!('!LP'P1$/!N.(!/(-!,%-(--&,'-!()!/(-!1&).(/-!O,.1!/(-!+,2%$))1(!'\,')!
$.+.'!-('-;!2$&-!&/!'(!O(.)!/(-!$11Z)(1C!Q$!O/.O$1)!*(-!O(1-,''(-!-,')!-.i())(-!*(!)(2O-!('!
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O$--(1!-,.-!.'(!P+K(//(!O(.:(')!Z)1(!1$OO1,+KP-!*(!1&).(/-!,%-(--&,''(/-];!2$&-!,'!O$1/(!*(!
_C7C#! /,1-N.(! /(-! )1,.%/(-! ,++.O(')! $.! 2,&'-! .'(! K(.1(! O$1! i,.1! *(! /$! :&(! *\.'! 4.i()! ()!
1()(')&--(')!'PL$)&:(2(')!-.1!-(-!$+)&:&)P-C!e(!O/.-;!+(-!)1,.%/(-!-\$++,2O$L'(')!O$10,&-!*(!
*PO1(--&,';! *(! )1,.%/(-! *(! /\$/&2(')$)&,'! [$',1(W&(! ,.! %,./&2&(];! *\$.)1(-! 2$'&0(-)$)&,'-!
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Mais!les!Scientifiques!distinguent!plusieurs!grandes!catégories!:!!
" Les! laveurs! :! #(! -,')! /(-! O(1-,''(-! N.&! ,')! *(-! 1&).(/-! *(! /$:$L(! $--,+&P-! d! *(-!
,%-(--&,'-! OK,%&N.(-! *(! +,')$2&'$)&,'! ()! *(! -,.&//.1(;! /(-! 0(22(-! -,')! /(! O/.-!
-,.:(')! +,'+(1'P(-C! Q$! O(1-,''(! +1$&')! /(-! +,')$2&'$)&,'-! O,.1! /(-! $.)1(-! $.)$')!
N.(!O,.1! (//("2Z2(C! Q(-!,%-(--&,'-!O(.:(')! +,'+(1'(1!/(-!2&+1,%(-;! /(-!%$+)P1&(-;!
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