What is the first step in CBT for Obsessive-Compulsive Disorder (OCD) treatment?

The first step in Cognitive Behavioral Therapy (CBT) for treating Obsessive-Compulsive Disorder (OCD) is to relabel the intrusive thoughts and obsessions that the individual experiences. This process involves helping the person recognize these thoughts as non-threatening and as mere mental events, rather than as reality or commands that must be followed.

Relabeling assists individuals in distinguishing between their thoughts and their identity, empowering them to view these thoughts as something they have rather than something they are. This cognitive shift is crucial for patients as it provides them with a greater sense of control over their thoughts, which is a fundamental aspect of managing OCD symptoms. By relabeling, individuals commence their journey of challenging and reframing their obsessive thoughts, ultimately decreasing their compulsive behaviors over time.

In contrast, the other choices do not represent initial steps in the CBT approach. For instance, revaluing pertains more to cognitive restructuring that occurs after the initial awareness and relabeling of thoughts has taken place, while redefining might involve changing the perception of what OCD is rather than addressing the specific thoughts at first. Retreat does not align with the CBT methodology for OCD treatment, which encourages confronting rather than avoiding the distressing thoughts and behaviors.