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Clients may become anxious and experience other somatic symptoms (e.g., rapid breathing and sweating) when discussing events they perceive as threatening. Remember that this is the basic fight or flight response and it can be a signal that the client perceives great threat.

Notice and describe these symptoms as they emerge in session. For example, “I’m noticing that as we discuss this topic you’ve started to breathe rapidly and are visibly very anxious.”

While mindfulness is one of the chief strategies for alleviating the symptoms of obsessive compulsive disorder (OCD), which is used to call attention to the body and mind without judgment or evaluation, in some cases, the brain can be too aware. Hyperawareness OCD, one of the subtypes of obsessive compulsive disorder, is essentially mindfulness hijacked by obsession.

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