Any experienced psychological therapy practitioner will testify that obsessive-compulsive disorder (OCD) is a wide-ranging condition. This presents a treatment challenge, because a one-size-fits-all approach will frequently fall short.
Because anxiety is a mind/body experience, the most effective treatment to address it is a mind/body solution. Therapists are most helpful when we begin to gently direct our clients away from the myriad details, and toward the nature and symptoms they are experiencing.
Everybody worries, but some people have more than their share. Their peace of mind is often disrupted by “what if?” thoughts of bad possibilities. They recognize that worries are repetitive and unrealistic, but when they try to stop worrying, it gets worse rather than better!
If your client dodges making meaningful changes, this could be connected to a habit of procrastinating. Indeed, you can anticipate that practically every client you see will sometimes procrastinate on following through on dealing with the problem(s) they came to you to help them resolve.