Why you'll love this course

While we commonly associate obsessive-compulsive disorder with such compulsions as hand-washing, current research suggests that a majority of OCD patients actually present without such stereotypical behaviors. Their compulsions are covert, or internal.

Nikki Rubin will change your thinking about OCD, with a focus on providing the right diagnosis and the right treatment.

Course preview: “Pure O” OCD Subtypes: How to Identify and Treat Them (2 hrs CE, $27)

Course Description

Most clinicians are familiar with the clinical presentation of OCD: 

  • A patient with significant overt compulsions (e.g., hand washing) that consume hours during the day, negatively impacting functioning.
  • A patient who prefers things extremely orderly and neat, and becomes significantly dysregulated when objects are out of place.
  • A patient who needs events or experiences to occur a specific number of times or in odd or even multiples.

Clinicians are usually quick to identify these clinical presentations as OCD. 

However, many patients struggling with what is colloquially known as “Pure O” OCD may be misdiagnosed. In this form, obsessions are present without significant overt compulsions. Instead, “covert” compulsions or “mental checking” behaviors predominate. 

Without an accurate diagnosis, these patients may not receive the treatment they need. Worse, they may receive a treatment that maintains or even worsens their symptoms. 

This course will provide practical instruction to clinicians seeking  to accurately identify and diagnose “Pure O” OCD subtypes. Participants will also learn to treat “Pure O” OCD using exposure and response prevention modified specifically for a “Pure O” presentation. 

2 hours CE. Recorded Video Format (non-interactive)

Learning Objectives

By the end of this workshop, participants will be able to:

  • Distinguish between “Pure O” OCD and Generalized Anxiety Disorder (GAD), and provide effective psychoeducation about this difference to patients

  • Build a fear hierarchy for exposure-based treatment of clients with a “Pure O” presentation

  • Implement at least three exposure techniques to address "Pure O" symptoms of OCD

Course Outline

1. Introduction

2. "Pure O": Hiding in Plain Sight

3. Worries vs. Obsessions

4. Exposure and Response Prevention

5. "Pure O" Treatment

6. Demonstration: Assessment Session

7. Demonstration: Exposure Session

8. Roadblocks

9. Other Tools

10. Long Term Work


Included Resources:

  • Symptom Tracking Example
  • Blank Symptom Tracking Sheet


Nikki Rubin, PsyD, Licensed Psychologist

Nikki Rubin, PsyD is a licensed clinical psychologist (CA PSY30047; NY 019595) in private practice in Los Angeles, specializing in evidence-based therapies. She currently serves as an Assistant Clinical Professor within UCLA's clinical PhD program. She previously served as an adjunct professor and clinical supervisor at Columbia University’s Teachers College, where she helped lead a shift towards training and supervision in CBT.

Additional Information

Format and Length:

Recorded Video format (non-interactive); Total running time 2 hours, 5 minutes

Topic Area: 

Clinical Practice

Instructional level:

Intermediate. This course is designed for those with general clinical experience who are interested in learning more about OCD that presents without stereotypical overt compulsive behavior.

Completion Requirements:

To obtain your CE certificate, you must progress through all course segments, complete a satisfaction survey, and obtain a score of 80% or higher on a course completion quiz. The course completion quiz can be retaken multiple times until passed.

Completion Quiz and Course Evaluation:

After watching course videos, the course completion quiz will be available to complete, followed by the course evaluation.

Who Should Attend: 

Psychologists, counselors, masters or doctoral level clinical social workers, and marriage and family therapists.

Publication and Review Dates:

Course Published: August 20, 2019 

Financial Support Statement:

SimplePractice Learning pays course presenters for their teaching. There is no other financial support for this course.

Conflict of Interest Statement:

There is no potential conflict of interest or outside commercial support for this course.

Refund Policy:

Click here to see our policies on attendance, refunds, grievances, and accessibility, and other frequently asked questions. Click here to contact us or submit a grievance.

Contact Information:

For any inquiries related to subject matter guidance, correction, grading, comments, or problem resolution please contact us.

System Requirements:

Please ensure your device meets our system requirements.

Continuing Education Approvals:

SimplePractice is approved by the American Psychological Association to sponsor continuing education for psychologists. SimplePractice maintains responsibility for this program and its content. This course provides 2 hours of continuing education (2 CE credits) for psychologists.

SimplePractice has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 6961. Programs that do not qualify for NBCC credit are clearly identified. SimplePractice is solely responsible for all aspects of the programs.

SimplePractice has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 6961. Programs that do not qualify for NBCC credit are clearly identified. SimplePractice is solely responsible for all aspects of the programs.

SimplePractice, #1749, is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved as ACE providers. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. Simple Practice maintains responsibility for this course. ACE provider approval period: 07/06/2020 – 07/06/2021. Social workers participating in this course will receive 2 continuing education credits in the Clinical topic area.

SimplePractice is approved by the California Association of Marriage and Family Therapists to sponsor continuing education for LMFTs, LPCCs, LCSWs, and LEPs (CAMFT CEPA provider #145276). SimplePractice maintains responsibility for this program and its content. This course meets the qualifications for 2 hours of continuing education credit for LMFTs, LCSWs, LPCCs, and/or LEPs as required by the California Board of Behavioral Sciences.

SimplePractice is approved as a Rule/Statute Approved Provider of Continuing Education by the Florida Board of Clinical Social Work, Marriage & Family Therapy, and Mental Health Counseling. Note that we do not automatically report CE completion to CE Broker at this time, so certificates of completion must be manually uploaded. Click here for more information.

SimplePractice LLC is recognized by the New York State Education Department’s State Board for Social Work as an approved provider of continuing education for licensed social workers #SW-0582.

SimplePractice is approved to provide continuing education activities for Social Workers in the state of Texas. Social Work CE Provider Number 7678.

This course is not part of our continuing education program approved through NAADAC. Click here to view our complete CE approval information, or check out our collection of NAADAC approved courses.