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Unfortunately, it can take years from when symptoms start until a diagnosis is made.",{"type":2230,"attrs":2390,"content":2391},{"level":2232,"textAlign":67},[2392],{"text":2393,"type":71},"4 OCD types and their symptoms",{"type":65,"attrs":2395,"content":2396},{"textAlign":67},[2397],{"text":2398,"type":71},"Although there are additional types of OCD, we focus on four types here.",{"type":65,"attrs":2400,"content":2401},{"textAlign":67},[2402,2407,2408,2410,2416],{"text":2403,"type":71,"marks":2404},"1. Harm obsession",[2405],{"type":2406},"bold",{"type":77},{"text":2409,"type":71},"Imagine constantly grappling with the fear that you might cause harm to yourself or others, even though you have no true intention or desire to do so. This is what people with harm obsession experience. They fear acting on violent urges, including ",{"text":2411,"type":71,"marks":2412},"self-harm",[2413],{"type":104,"attrs":2414},{"href":2415,"uuid":67,"anchor":67,"target":67,"linktype":17},"\u002Fnode\u002F17836",{"text":2417,"type":71}," or hurting someone else unintentionally.",{"type":65,"attrs":2419,"content":2420},{"textAlign":67},[2421],{"text":2422,"type":71},"To relieve this distress, they may engage in compulsions like avoiding sharp objects, repeatedly checking to ensure they haven't harmed anyone or repeatedly asking others if they've caused any harm.",{"type":65,"attrs":2424,"content":2425},{"textAlign":67},[2426,2430,2431],{"text":2427,"type":71,"marks":2428},"2. Contamination obsession",[2429],{"type":2406},{"type":77},{"text":2432,"type":71},"Imagine being constantly afraid of touching germs, fluids and other items that might be contaminated. With contamination obsession, you may have fears of getting sick (from germs or accidental poisoning), but you may also just feel disgusted with how \"dirty\" some objects are. This is what contamination obsession feels like. Individuals with this subtype fear being contaminated and spreading that contamination to their environment or to others.  They may go to great lengths to avoid contaminants.",{"type":65,"attrs":2434,"content":2435},{"textAlign":67},[2436],{"text":2437,"type":71},"Compulsions include repeated handwashing, extensive bathing routines, and avoiding public places and physical contact with people.",{"type":65,"attrs":2439,"content":2440},{"textAlign":67},[2441,2445,2446],{"text":2442,"type":71,"marks":2443},"3. Hoarding",[2444],{"type":2406},{"type":77},{"text":2447,"type":71},"Hoarding refers to holding onto things others might consider unimportant, like old magazines, clothes or notes. Over time, these things pile up, making one’s home look cluttered and messy. Some of my patients who tend to hoard often worry about losing these items, thinking they might come in handy someday. Such folks can become very attached to their stuff. People with hoarding tendencies might also experience high levels of anxiety or sadness, and may have difficulty holding down a steady job.",{"type":65,"attrs":2449,"content":2450},{"textAlign":67},[2451,2455,2456],{"text":2452,"type":71,"marks":2453},"4. “Just right”\u002Fsymmetry obsession",[2454],{"type":2406},{"type":77},{"text":2457,"type":71},"Do you ever feel that something is just not quite right? For those with “just right”\u002Fsymmetry obsession, this feeling becomes all-consuming. You may fixate on the idea that something is off-balance and strive for things to feel “just right” or symmetrical in your actions or surroundings.",{"type":65,"attrs":2459,"content":2460},{"textAlign":67},[2461],{"text":2462,"type":71},"Compulsions often involve repeating steps until they feel \"just right\" or meticulously ordering, aligning and organizing things that seem out of order.",{"type":2314,"attrs":2464},{"id":2316,"body":2465},[2466],{"_uid":2467,"ctas":2468,"eyebrow":14,"heading":2475,"subtext":2476,"component":2497,"heading_tag":2339,"heading_appearance":2339},"i-cfb811d4-40b0-4204-a089-327f2bd91fa2",[2469],{"_uid":2470,"link":2471,"style":2473,"title":2474,"component":2327},"i-cfa62bf9-55af-4fc5-9c5e-9d919b223bcd",{"id":738,"url":14,"linktype":31,"fieldtype":18,"cached_url":744,"story":2472},{"name":741,"id":742,"uuid":738,"slug":743,"url":744,"full_slug":744,"_stopResolving":35},"primary teal","Talk with Our Team","Struggling with an eating disorder?",{"type":62,"attrs":2477,"content":2478},{"backgroundColor":67},[2479,2484],{"type":65,"attrs":2480,"content":2481},{"textAlign":67},[2482],{"text":2483,"type":71},"Find a path to healing as unique as you are.",{"type":65,"attrs":2485,"content":2486},{"textAlign":67},[2487,2488,2494,2495],{"text":96,"type":71},{"text":2489,"type":71,"marks":2490},"866-382-0074",[2491],{"type":104,"attrs":2492},{"href":2493,"uuid":67,"anchor":67,"target":27,"linktype":17},"tel:+1-866-382-0074",{"type":77},{"text":2496,"type":71},"No referral necessary","ContentCtaV6",{"type":65,"attrs":2499},{"textAlign":67},{"type":2230,"attrs":2501,"content":2502},{"level":2232,"textAlign":67},[2503],{"text":2504,"type":71},"Other types of OCD",{"type":65,"attrs":2506,"content":2507},{"textAlign":67},[2508],{"text":2509,"type":71},"Beyond these four main types, there are other versions of OCD.",{"type":2230,"attrs":2511,"content":2512},{"level":2232,"textAlign":67},[2513],{"text":2514,"type":71},"\"False memory” OCD",{"type":65,"attrs":2516,"content":2517},{"textAlign":67},[2518],{"text":2519,"type":71},"“False memory” OCD is characterized by frequent doubts about unintentional actions, such as worrying about stealing or not paying for items. This leads to a great deal of distress.",{"type":2230,"attrs":2521,"content":2522},{"level":2232,"textAlign":67},[2523],{"text":2524,"type":71},"\"Magical thinking” OCD",{"type":65,"attrs":2526,"content":2527},{"textAlign":67},[2528,2534],{"text":2529,"type":71,"marks":2530},"“Magical thinking”",[2531],{"type":104,"attrs":2532},{"href":2533,"uuid":67,"anchor":67,"target":67,"linktype":17},"\u002Fnode\u002F19808",{"text":2535,"type":71}," OCD encompasses irrational or superstitious beliefs. You may think that not performing certain actions will result in unrelated catastrophic events, and this belief consumes your thoughts and behaviors.",{"type":65,"attrs":2537,"content":2538},{"textAlign":67},[2539],{"text":2540,"type":71},"Note: These two other subtypes can also overlap with the four main subtypes discussed above.",{"type":65,"attrs":2542,"content":2543},{"textAlign":67},[2544],{"text":2545,"type":71},"And there are even more OCD subtypes out there, including:",{"type":2356,"content":2547},[2548,2555,2562,2569,2576],{"type":2265,"content":2549},[2550],{"type":65,"attrs":2551,"content":2552},{"textAlign":67},[2553],{"text":2554,"type":71},"Health anxiety",{"type":2265,"content":2556},[2557],{"type":65,"attrs":2558,"content":2559},{"textAlign":67},[2560],{"text":2561,"type":71},"Somatic",{"type":2265,"content":2563},[2564],{"type":65,"attrs":2565,"content":2566},{"textAlign":67},[2567],{"text":2568,"type":71},"Sexual orientation",{"type":2265,"content":2570},[2571],{"type":65,"attrs":2572,"content":2573},{"textAlign":67},[2574],{"text":2575,"type":71},"Relationship",{"type":2265,"content":2577},[2578],{"type":65,"attrs":2579,"content":2580},{"textAlign":67},[2581],{"text":2582,"type":71},"Scrupulosity",{"type":65,"attrs":2584,"content":2585},{"textAlign":67},[2586,2588],{"text":2587,"type":71},"Each type of OCD brings its own unique challenges. Research on OCD is constantly expanding our knowledge and understanding.",{"text":2589,"type":71,"marks":2590},"[2]",[2591],{"type":2386},{"type":2230,"attrs":2593,"content":2594},{"level":2232,"textAlign":67},[2595],{"text":2596,"type":71},"Wondering whether you have OCD? Take the quiz.",{"type":65,"attrs":2598,"content":2599},{"textAlign":67},[2600],{"text":2601,"type":71},"Does some of this sound familiar, making you wonder whether you or a loved one might have OCD? Take our simple quiz to get a better idea. OCD is more common than you might think and understanding it can help you or a loved one.",{"type":65,"attrs":2603,"content":2604},{"textAlign":67},[2605,2611],{"text":2606,"type":71,"marks":2607},"Take the quiz today",[2608],{"type":104,"attrs":2609},{"href":2610,"uuid":67,"anchor":67,"target":67,"linktype":17},"\u002Fnode\u002F14631",{"text":2612,"type":71},".",{"type":2230,"attrs":2614,"content":2615},{"level":2232,"textAlign":67},[2616],{"text":2617,"type":71},"Can you have multiple types of OCD?",{"type":65,"attrs":2619,"content":2620},{"textAlign":67},[2621],{"text":2622,"type":71},"In short: yes, one can present with multiple forms or expressions of OCD. When someone has the diagnosis of OCD, it is likely that they have the presentation of multiple types of obsessions and\u002For multiple compulsions. Anecdotally, it has been my experience that patients often have more than one primary obsession , which results in multiple compulsions.",{"type":65,"attrs":2624,"content":2625},{"textAlign":67},[2626],{"text":2627,"type":71},"In these complex cases, the approach to treatment should be flexible. In my experience, treatment should include:",{"type":2356,"content":2629},[2630,2637,2652],{"type":2265,"content":2631},[2632],{"type":65,"attrs":2633,"content":2634},{"textAlign":67},[2635],{"text":2636,"type":71},"Understanding how motivated the person is to engage in treatment",{"type":2265,"content":2638},[2639],{"type":65,"attrs":2640,"content":2641},{"textAlign":67},[2642,2644,2650],{"text":2643,"type":71},"Applying ",{"text":2645,"type":71,"marks":2646},"exposure and response prevention (ERP)",[2647],{"type":104,"attrs":2648},{"href":2649,"uuid":67,"anchor":67,"target":67,"linktype":17},"\u002Fnode\u002F18944",{"text":2651,"type":71}," for their unique case",{"type":2265,"content":2653},[2654],{"type":65,"attrs":2655,"content":2656},{"textAlign":67},[2657],{"text":2658,"type":71},"Discussing whether medication might also be helpful",{"type":65,"attrs":2660,"content":2661},{"textAlign":67},[2662],{"text":2663,"type":71},"As a clinician, it can be challenging to find the right balance between managing obsessions and compulsions and figuring out how to get early wins in therapy. Those with OCD often go through a lot of pain and distress — before and during treatment — which is why I start where patients can make some quick progress to get them fully committed and hopeful in their healing.",{"type":65,"attrs":2665,"content":2666},{"textAlign":67},[2667],{"text":2668,"type":71,"marks":2669},"OCD and co-occurring mental health concerns",[2670],{"type":2406},{"type":65,"attrs":2672,"content":2673},{"textAlign":67},[2674,2676,2682,2684,2690],{"text":2675,"type":71},"In addition to competing obsessions and compulsions, an OCD diagnosis could come with a comorbid condition, such as ",{"text":2677,"type":71,"marks":2678},"depression",[2679],{"type":104,"attrs":2680},{"href":2681,"uuid":67,"anchor":67,"target":67,"linktype":17},"\u002Fnode\u002F17621",{"text":2683,"type":71}," or ",{"text":2685,"type":71,"marks":2686},"anxiety",[2687],{"type":104,"attrs":2688},{"href":2689,"uuid":67,"anchor":67,"target":67,"linktype":17},"\u002Fnode\u002F7561",{"text":2612,"type":71},{"type":65,"attrs":2692,"content":2693},{"textAlign":67},[2694,2696],{"text":2695,"type":71},"These parallel disorders, along with society’s misunderstanding of OCD, can make its identification and diagnosis a particularly tricky task.",{"text":2697,"type":71,"marks":2698},"[3]",[2699],{"type":2386},{"type":2230,"attrs":2701,"content":2702},{"level":2232,"textAlign":67},[2703],{"text":2704,"type":71},"Treatments that can help OCD",{"type":65,"attrs":2706,"content":2707},{"textAlign":67},[2708],{"text":2709,"type":71},"Effective treatment of OCD often involves different therapeutic approaches designed to reduce the impact of obsessions and compulsions on your life.",{"type":65,"attrs":2711,"content":2712},{"textAlign":67},[2713],{"text":2714,"type":71},"At ERC Pathlight, we frequently integrate these therapies into our work with those who have OCD.",{"type":65,"attrs":2716,"content":2717},{"textAlign":67},[2718],{"text":2719,"type":71,"marks":2720},"Exposure and response prevention (ERP)",[2721],{"type":2406},{"type":2356,"content":2723},[2724,2731,2738],{"type":2265,"content":2725},[2726],{"type":65,"attrs":2727,"content":2728},{"textAlign":67},[2729],{"text":2730,"type":71},"The first line of treatment for OCD is ERP, an evidence-based form of cognitive behavioral therapy that teaches you how to take small steps to conquer your fears.",{"type":2265,"content":2732},[2733],{"type":65,"attrs":2734,"content":2735},{"textAlign":67},[2736],{"text":2737,"type":71},"You are gently introduced to the things that make you anxious  without engaging in your typical fashion (compulsion). This is done one manageable bit at a time. It's all about helping you become more comfortable with what triggers your obsessions.",{"type":2265,"content":2739},[2740],{"type":65,"attrs":2741,"content":2742},{"textAlign":67},[2743],{"text":2744,"type":71},"Trained therapists act as friendly guides on the ERP journey. They'll be there, step by step, helping you cope with the emotions that come up to help you improve your day-to-day functioning.",{"type":2230,"attrs":2746,"content":2747},{"level":2232,"textAlign":67},[2748],{"text":2749,"type":71},"Cognitive behavioral therapy (CBT)",{"type":2356,"content":2751},[2752,2763],{"type":2265,"content":2753},[2754],{"type":65,"attrs":2755,"content":2756},{"textAlign":67},[2757,2761],{"text":2758,"type":71,"marks":2759},"Cognitive change:",[2760],{"type":2406},{"text":2762,"type":71}," CBT helps you learn how to untangle your thoughts, like figuring out a tricky puzzle. It helps you see how your thoughts can play with your emotions. You'll find ways to spot and gently tweak those thoughts that bring you stress and anxiety.",{"type":2265,"content":2764},[2765],{"type":65,"attrs":2766,"content":2767},{"textAlign":67},[2768,2772],{"text":2769,"type":71,"marks":2770},"Behavior change:",[2771],{"type":2406},{"text":2773,"type":71}," CBT helps you change how you respond to different situations. It's a bit like breaking a habit – learning new, more helpful ways to handle things when OCD tries to sneak in.",{"type":2230,"attrs":2775,"content":2776},{"level":2232,"textAlign":67},[2777],{"text":2778,"type":71},"How ERP helped one teen overcome OCD",{"type":65,"attrs":2780,"content":2781},{"textAlign":67},[2782],{"text":2783,"type":71},"Here's a story demonstrating the power of a whole-person approach to treating OCD and the importance of thinking outside the box when progress seems elusive.",{"type":65,"attrs":2785,"content":2786},{"textAlign":67},[2787],{"text":2788,"type":71},"A teen had been wrestling with contamination-based OCD for two years. She had initially sought help from a therapist practicing ERP, but the results were disappointing. The patient’s daily life was dominated by compulsions, especially excessive cleaning and washing. She was spending over two hours in the bathroom, making her late for school and creating stressful friction around the shared bathroom.",{"type":65,"attrs":2790,"content":2791},{"textAlign":67},[2792,2794,2800],{"text":2793,"type":71},"After entering our program, a ",{"text":2795,"type":71,"marks":2796},"family therapy session",[2797],{"type":104,"attrs":2798},{"href":2799,"uuid":67,"anchor":67,"target":27,"linktype":17},"https:\u002F\u002Fwww.pathlightbh.com\u002Fpathlight-families",{"text":2801,"type":71}," changed everything. The teen expressed her desire to get better, but she also expressed feeling alone on her treatment journey and during the exposure exercises she’d been practicing. Her parents had a lightbulb moment, too; they realized their well-intentioned efforts to ease her anxiety had actually been accommodating her OCD.",{"type":65,"attrs":2803,"content":2804},{"textAlign":67},[2805],{"text":2806,"type":71},"From there, things picked up speed. Rooted in ERP, she built an exposure hierarchy with help from the treatment team — and got the parents involved in exposure exercises – turning off faucets, managing bathroom supplies, etc. She even introduced a victory journal to celebrate progress and maintain momentum.",{"type":65,"attrs":2808,"content":2809},{"textAlign":67},[2810],{"text":2811,"type":71},"As treatment continued, exposure exercises became more frequent and intense. Our team offered feedback on accommodating behaviors and helped the family fine-tune their dialogue to better support the teen's progress. In less than two months, her time spent on compulsive behaviors dropped, taking her bathroom visits from over two hours to under 15 minutes.",{"type":65,"attrs":2813,"content":2814},{"textAlign":67},[2815],{"text":2816,"type":71},"But the transformation didn't stop there. The teen's anxiety about her obsessions also dwindled, allowing her to feel more confident about returning to school, embrace activities she genuinely enjoyed and spend more time with friends.",{"type":65,"attrs":2818,"content":2819},{"textAlign":67},[2820],{"text":2821,"type":71},"By the end of treatment, this resilient teen had become an advocate for family involvement and showed that even seemingly impossible exposure exercises can be conquered with the right support. Most importantly, her anxiety related to her obsessions became manageable, opening up a world of new opportunities.",{"type":65,"attrs":2823,"content":2824},{"textAlign":67},[2825,2830],{"text":2826,"type":71,"marks":2827},"See how Pathlight uses ERP to treat OCD",[2828],{"type":104,"attrs":2829},{"href":2649,"uuid":67,"anchor":67,"target":67,"linktype":17},{"text":2612,"type":71},{"type":2230,"attrs":2832,"content":2833},{"level":2232,"textAlign":67},[2834],{"text":2835,"type":71},"OCD treatment at Pathlight",{"type":65,"attrs":2837,"content":2838},{"textAlign":67},[2839,2841,2847,2849,2856,2858,2865],{"text":2840,"type":71},"When it comes to treating OCD, we know there's no one-size-fits-all solution. But if you're looking for support and hope on your journey to recovery, consider what Pathlight Mood & Anxiety Center (Pathlight) has to offer through our ",{"text":271,"type":71,"marks":2842},[2843],{"type":104,"attrs":2844},{"href":2845,"uuid":266,"anchor":67,"target":27,"linktype":31,"story":2846},"\u002Fget-care\u002Fresidential",{"name":269,"id":270,"uuid":266,"slug":271,"url":272,"full_slug":272,"_stopResolving":35},{"text":2848,"type":71},", ",{"text":2850,"type":71,"marks":2851},"partial hospitalization",[2852],{"type":104,"attrs":2853},{"href":2854,"uuid":286,"anchor":67,"target":27,"linktype":31,"story":2855},"\u002Fget-care\u002Fpartial-hospitalization-program-php",{"name":289,"id":290,"uuid":286,"slug":291,"url":292,"full_slug":292,"_stopResolving":35},{"text":2857,"type":71}," and ",{"text":2859,"type":71,"marks":2860},"intensive outpatient",[2861],{"type":104,"attrs":2862},{"href":2863,"uuid":306,"anchor":67,"target":27,"linktype":31,"story":2864},"\u002Fget-care\u002Fintensive-outpatient-program-iop",{"name":309,"id":310,"uuid":306,"slug":311,"url":312,"full_slug":312,"_stopResolving":35},{"text":2866,"type":71}," programs.",{"type":2356,"content":2868},[2869,2880,2891,2902],{"type":2265,"content":2870},[2871],{"type":65,"attrs":2872,"content":2873},{"textAlign":67},[2874,2878],{"text":2875,"type":71,"marks":2876},"Proven treatments:",[2877],{"type":2406},{"text":2879,"type":71}," Among other evidence-based treatments for OCD, we use ERP therapy to help you feel more at ease.",{"type":2265,"content":2881},[2882],{"type":65,"attrs":2883,"content":2884},{"textAlign":67},[2885,2889],{"text":2886,"type":71,"marks":2887},"Therapy that fits your needs:",[2888],{"type":2406},{"text":2890,"type":71}," We provide one-on-one and group therapy sessions specially devised to work on OCD.",{"type":2265,"content":2892},[2893],{"type":65,"attrs":2894,"content":2895},{"textAlign":67},[2896,2900],{"text":2897,"type":71,"marks":2898},"Family involvement:",[2899],{"type":2406},{"text":2901,"type":71}," We believe family plays a vital role in your journey. That's why we offer family therapy to ensure ongoing support and education.",{"type":2265,"content":2903},[2904],{"type":65,"attrs":2905,"content":2906},{"textAlign":67},[2907,2911],{"text":2908,"type":71,"marks":2909},"Guidance from caring experts:",[2910],{"type":2406},{"text":2912,"type":71}," You'll be guided by our compassionate care team dedicated to helping you find healing. With their support, you can take steady and meaningful steps in managing your OCD and related anxiety concerns.",{"type":65,"attrs":2914,"content":2915},{"textAlign":67},[2916],{"text":2917,"type":71},"These therapeutic methods, including CBT, ERP and the specialized OCD treatments offered at Pathlight, give people with OCD the tools and support they need to manage their symptoms and reduce distress effectively. The choice of therapy often depends on an individual’s specific needs and the severity of their OCD symptoms.",{"type":65,"attrs":2919,"content":2920},{"textAlign":67},[2921,2923,2927,2928,2934],{"text":2922,"type":71},"If you are looking to recover from OCD, we can help. Please call our compassionate admissions team at ",{"text":2924,"type":71,"marks":2925},"866-622-9614",[2926],{"type":2406},{"text":2683,"type":71},{"text":2929,"type":71,"marks":2930},"fill out this form",[2931],{"type":104,"attrs":2932},{"href":2933,"uuid":67,"anchor":67,"target":67,"linktype":17},"\u002Fform\u002Fself-assessment-form",{"text":2935,"type":71}," and our team will reach out soon.",{"type":2230,"attrs":2937,"content":2938},{"level":2232,"textAlign":67},[2939],{"text":2940,"type":71},"OCD resources",{"type":2356,"content":2942},[2943,2957,2985],{"type":2265,"content":2944},[2945],{"type":65,"attrs":2946,"content":2947},{"textAlign":67},[2948,2950,2956],{"text":2949,"type":71},"If you or someone you know is dealing with OCD and in need of support and connection with others who “get it,” consider joining an OCD ",{"text":2951,"type":71,"marks":2952},"support group",[2953],{"type":104,"attrs":2954},{"href":2955,"uuid":67,"anchor":67,"target":27,"linktype":17},"https:\u002F\u002Fwww.pathlightbh.com\u002Fsupport-group",{"text":2612,"type":71},{"type":2265,"content":2958},[2959],{"type":65,"attrs":2960,"content":2961},{"textAlign":67},[2962,2964,2976,2977,2983],{"text":2963,"type":71},"If you want to dive deeper into OCD and hear real stories from people who've been there — or are there now — check out two episodes of the Mental Note podcast ",{"text":2965,"type":71,"marks":2966},"OCD With Mimi Cole",[2967],{"type":104,"attrs":2968},{"href":2969,"uuid":2970,"anchor":67,"target":27,"linktype":31,"story":2971},"\u002Fmental-note-podcast\u002Focd-mimi-cole","cc619ea5-fec1-4da1-94f0-c68cfabca9d0",{"name":2972,"id":2973,"uuid":2970,"slug":2974,"url":2975,"full_slug":2975,"_stopResolving":35},"OCD",142556729454724,"ocd-mimi-cole","mental-note-podcast\u002Focd-mimi-cole",{"text":2857,"type":71},{"text":2978,"type":71,"marks":2979},"More Than My OCD — Moving Beyond Compulsion",[2980],{"type":104,"attrs":2981},{"href":2982,"uuid":67,"anchor":67,"target":67,"linktype":17},"\u002Fnode\u002F5961",{"text":2984,"type":71},". These episodes shed light on what it's like to live with OCD and offer valuable insights. Click the links to listen and gain a better understanding of this condition.",{"type":2265,"content":2986},[2987],{"type":65,"attrs":2988,"content":2989},{"textAlign":67},[2990,2992,2998],{"text":2991,"type":71},"Check out our ",{"text":2993,"type":71,"marks":2994},"specialty OCD track",[2995],{"type":104,"attrs":2996},{"href":2997,"uuid":67,"anchor":67,"target":67,"linktype":17},"\u002Fnode\u002F12276",{"text":2999,"type":71},", which is an intensive treatment program designed specifically for those ready to recover from OCD.",{"id":67,"alt":67,"name":14,"focus":67,"title":67,"source":67,"filename":14,"copyright":67,"fieldtype":175,"meta_data":3001},{},"Blog","Education","Aimee Keith",[3006],{"name":3004,"created_at":3007,"published_at":3008,"updated_at":3009,"id":3010,"uuid":3011,"content":3012,"slug":3022,"full_slug":3023,"sort_by_date":67,"position":3024,"tag_list":3025,"is_startpage":177,"parent_id":3026,"meta_data":67,"group_id":3027,"first_published_at":3028,"release_id":67,"lang":201,"path":67,"alternates":3029,"default_full_slug":67,"translated_slugs":67,"_stopResolving":35},"2026-03-02T14:10:19.470Z","2026-04-07T14:17:02.919Z","2026-04-07T14:17:02.931Z",150614095788055,"db3cad51-4ab2-4ab5-a619-8a4cdb6d1d03",{"bio":3013,"_uid":3014,"status":3015,"component":3016,"categories":3017,"credentials":3018,"featured_image":3019},"\u003Cp>Aimee Keith, PsyD, earned her doctorate from Antioch University Seattle in 2017. Dr. Keith has specialized training in Exposure Response Prevention and is certified in Cognitive Processing Therapy. In addition, she is level one trained in Radically Open Dialectical Behavior Therapy and most enjoys working with patients with obsessive compulsive disorder and body-focused repetitive disorders (i.e. hair pulling), posttraumatic stress disorder, binge eating disorder and avoidant restrictive food intake disorder. Dr. Keith works from a weight-inclusive lens and is a proponent of fat positivity and Health at Every Size.\u003C\u002Fp>","9f8825ca-2e37-4ece-ab8f-a0f8d8a4e536","Terminated","staff",[],"PsyD",{"id":3020,"alt":67,"focus":67,"title":67,"filename":3021,"copyright":67,"fieldtype":175,"is_private":177},150614076654396,"https:\u002F\u002Fs3.amazonaws.com\u002Fa.storyblok.com\u002Ff\u002F286555691919486\u002F1932x2576\u002F575f20a25d\u002Faimee-keith-psyd.png","aimee-keith","profile\u002Faimee-keith",-2300,[],148823052330811,"69f63261-738c-4c38-88c5-0ae8f21d4d83","2026-03-02T14:10:19.514Z",[],"\u003Col>\u003Cli>Leckman, J.F., Bloch, M.H., &amp; King, R.A. (2009). \u003Ca href=\"https:\u002F\u002Fpubmed.ncbi.nlm.nih.gov\u002F19432385\u002F\">Symptom dimensions and subtypes of obsessive-compulsive disorder: A developmental perspective\u003C\u002Fa>. Dialogues in Clinical Neuroscience,11(1), 21-33. doi: 10.31887\u002FDCNS.2009.11.1\u002Fjfleckman.\u003C\u002Fli>\u003Cli>Stein, D.J., Costa, D.L.C., Lochner, C., Miguel, E.C., Reddy, Y.C.J., Shavitt, R.G., van den Heuvel, O.A., &amp; Simpson, H.B. (2019). \u003Ca href=\"https:\u002F\u002Fpubmed.ncbi.nlm.nih.gov\u002F31371720\u002F\">Obsessive-compulsive disorder\u003C\u002Fa>. National Reviews Disease Primers, 5(1), 52. doi: 10.1038\u002Fs41572-019-0102-3\u003C\u002Fli>\u003Cli>Pigott, T.A., L'Heureux, F., Dubbert, B., Bernstein, S., &amp; Murphy, D.L. (1994). \u003Ca href=\"https:\u002F\u002Fpubmed.ncbi.nlm.nih.gov\u002F7961529\u002F\">Obsessive compulsive disorder: Comorbid conditions\u003C\u002Fa>. Journal of Clinical Psychiatry, 55 Suppl: 15-27; discussion 28-32.\u003C\u002Fli>\u003C\u002Fol>","Obsessive-compulsive disorder (OCD) can look different for everyone, but many symptoms fall into four types (harm, contamination, hoarding and “just right” obsessions). Each type involves unwanted, distressing thoughts and repetitive behaviors that are hard to control. I explain four common types of OCD here and share a success story of how one patient found healing for OCD.",[],[],"The 4 Types of OCD Explained by a Psychologist",[],{"id":67,"alt":67,"name":14,"focus":67,"title":67,"source":67,"filename":14,"copyright":67,"fieldtype":175,"meta_data":3037},{},"2025-07-11 00:00",{"id":3040,"alt":14,"name":14,"focus":14,"title":14,"source":14,"filename":3041,"copyright":14,"fieldtype":175,"meta_data":3042,"is_external_url":177},142553053913705,"https:\u002F\u002Fa.storyblok.com\u002Ff\u002F286555691919486\u002F3863x2578\u002Fb44659db24\u002Fhelping-a-child-with-ocd.jpg",{},[],"View symptoms of four types of OCD — harm, contamination, hoarding and symmetry obsessions — and how therapy like ERP can help reduce distress and improve quality of life.",{"id":3040,"alt":14,"name":14,"focus":14,"title":14,"source":14,"filename":3041,"copyright":14,"fieldtype":175,"meta_data":3046,"is_external_url":177},{},[],"what-are-four-types-ocd","resources\u002Fwhat-are-four-types-ocd",-5840,[],109705324666269,"952a22ce-1285-4e4c-8517-99748f49106d","2024-11-22T17:18:51.000Z",[],[],[],{"age":3059,"cache-control":3060,"connection":3061,"content-encoding":3062,"content-type":3063,"date":3064,"etag":3065,"referrer-policy":3066,"sb-be-version":3067,"server":3068,"strict-transport-security":3069,"transfer-encoding":3070,"vary":3071,"via":3072,"x-amz-cf-id":3073,"x-amz-cf-pop":3074,"x-cache":3075,"x-content-type-options":3076,"x-frame-options":3077,"x-permitted-cross-domain-policies":3078,"x-request-id":3079,"x-runtime":3080,"x-xss-protection":1974},"25997","max-age=0, public, s-maxage=604800, stale-if-error=3600","keep-alive","gzip","application\u002Fjson; charset=utf-8","Sun, 25 Oct 2026 15:13:28 GMT","W\u002F\"0344df279b1796ca671fc76bc20bcd4d\"","strict-origin-when-cross-origin","5.993.0","nginx\u002F1.31.3","max-age=31536000","chunked","Origin,Accept-Encoding","1.1 65ed266dda094f56ecb91fc422768658.cloudfront.net (CloudFront)","G_FOUa8nf-nwZ2PqSWiUfTgA6e1FgRBHbfkujooHqOYRRUzXeim9tQ==","IAD55-P6","Hit from cloudfront","nosniff","SAMEORIGIN","none","36156d7a-7d73-48db-ab08-4ed61868ad3a","0.040241",{"data":3082,"headers":3235},{"story":3083,"cv":203,"rels":3210,"links":3234},{"name":3084,"created_at":3085,"published_at":3086,"updated_at":3087,"id":3088,"uuid":3089,"content":3090,"slug":3203,"full_slug":3204,"sort_by_date":67,"position":3205,"tag_list":3206,"is_startpage":177,"parent_id":198,"meta_data":67,"group_id":3207,"first_published_at":3208,"release_id":67,"lang":201,"path":67,"alternates":3209,"default_full_slug":67,"translated_slugs":67},"Global Resources","2026-08-14T05:29:34.329Z","2026-09-14T18:23:22.920Z","2026-09-14T18:23:22.933Z",208878691673156,"b0f666e3-7005-47ab-845d-db67a620efdf",{"_uid":3091,"component":3092,"global_blocks":3093},"e6e65913-debe-4d94-99f0-aa2d5c76cb28","global_blog",[3094,3112],{"cta":3095,"_uid":3096,"stat":3097,"eyebrow":3098,"heading":3099,"component":3100,"cta_style":3101,"cta_title":3102,"card_title":3103,"heading_tag":2339,"card_eyebrow":14,"card_subtext":3104,"background_image":3105,"stat_description":3107,"disable_animation":177,"heading_appearance":2339,"background_image_mobile":3108},{"id":327,"url":14,"linktype":31,"fieldtype":18,"cached_url":328},"f9b2006c-950b-4c2b-9e8b-9ed752ef6ffb","90%","Virtual treatment available","Get eating disorder support \u003Cstrong>without leaving home\u003C\u002Fstrong> ","ContentCtaV5","secondary white","Get Care At Home","Eating Recovery\u2028At Home (Virtual)","Get the same high-quality care as our in-person programs from the comfort of home. 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Caregiving meant healing herself, too","2026-09-01T15:45:22.326Z","2026-09-01T15:50:15.477Z","2026-09-01T15:50:15.488Z",215400129878194,"144a223b-01fa-4566-b26c-2f6b6cd373ed",{"_uid":3253,"body":3254,"authors":3272,"excerpt":14,"summary":3274,"component":1878,"categories":3275,"article_type":1880,"external_link":3276,"featured_image":3277,"external_link_text":3282,"listing_thumbnail_image":3283},"38fb8d5c-e5f1-4819-9fc0-7ff6e5e2d061",{"type":62,"attrs":3255,"content":3256},{"backgroundColor":67},[3257,3262,3267],{"type":65,"attrs":3258,"content":3259},{"textAlign":67},[3260],{"text":3261,"type":71},"Beth Ayn Stansfield, of Virginia, was excited when her preteen told her she wanted to start running together.",{"type":65,"attrs":3263,"content":3264},{"textAlign":67},[3265],{"text":3266,"type":71},"\"Initially, she came home from school one day, middle school, and announced that she just wanted to get healthy and that she was going to go on a diet,\" Stansfield said. \"At that time, I didn't give it much thought because I was on the South Beach diet.\"",{"type":65,"attrs":3268,"content":3269},{"textAlign":67},[3270],{"text":3271,"type":71},"Stansfield enjoyed bonding with her daughter, Carly, through food and exercise, especially working out together as a way to have fun and relieve stress. But she soon realized that for Carly, \"it started to become extreme.\" At first Carly eliminated sweets. Then she cut out all carbs. Stansfield then noticed her daughter sometimes skipped meals altogether.",[3273],"1d5cd4af-12a4-4c28-911c-6884dbf73df1","USA Today recently put a spotlight on the lived experience perspective of ERC National Family Advocate Beth Ayn Stansfield who shared her story of supporting a daughter in eating disorder treatment while also recognizing her own complex relationship with food. This thoughtful article highlights a situation many caregivers may go through while caring for a child with an eating disorder -- and addresses the complexities of living in a diet-culture and GLP-1-driven society.",[],"https:\u002F\u002Fwww.usatoday.com\u002Fstory\u002Flife\u002Fhealth-wellness\u002F2026\u002F07\u002F27\u002Fchild-parent-eating-disorder-recovery\u002F90997723007\u002F",{"id":3278,"alt":3279,"name":14,"focus":14,"title":14,"source":14,"filename":3280,"copyright":14,"fieldtype":175,"meta_data":3281,"is_external_url":177},215400775769246,"Beth Ayn Stansfield with daughters posing at the beach","https:\u002F\u002Fa.storyblok.com\u002Ff\u002F286555691919486\u002F441x460\u002F0389a68824\u002Fbeth-ayn-stansfield-daughters.png",{"alt":3279,"title":14,"source":14,"copyright":14},"Read more",{"id":3278,"alt":3279,"name":14,"focus":14,"title":14,"source":14,"filename":3280,"copyright":14,"fieldtype":175,"meta_data":3284,"is_external_url":177},{"alt":3279,"title":14,"source":14,"copyright":14},"child-parent-eating-disorder-recovery","news\u002Fchild-parent-eating-disorder-recovery",-4900,[],"a551d1fa-fc6c-40a7-b5ba-de204a97bcb8",[],{"name":3292,"created_at":3293,"published_at":3294,"updated_at":3295,"id":3296,"uuid":3297,"content":3298,"slug":3343,"full_slug":3344,"sort_by_date":67,"position":3345,"tag_list":3346,"is_startpage":177,"parent_id":1896,"meta_data":67,"group_id":3347,"first_published_at":3294,"release_id":67,"lang":201,"path":67,"alternates":3348,"default_full_slug":67,"translated_slugs":67},"Parents may not know: Baltimore expert warns AI chatbots can encourage disordered eating","2026-09-01T15:33:29.337Z","2026-09-01T15:38:20.050Z","2026-09-01T15:38:20.062Z",215397209483565,"a7148c77-c3c7-46bd-b0da-98b153f79503",{"_uid":3299,"body":3300,"authors":3328,"excerpt":14,"summary":3330,"component":1878,"categories":3331,"article_type":1914,"external_link":3332,"featured_image":3333,"external_link_text":3282,"listing_thumbnail_image":3340},"54d16e8d-7833-4742-afab-7bfb61cd093e",{"type":62,"attrs":3301,"content":3302},{"backgroundColor":67},[3303,3308,3313,3318,3323],{"type":65,"attrs":3304,"content":3305},{"textAlign":67},[3306],{"text":3307,"type":71},"HUNT VALLEY, Md. — Psychologists are warning parents about a new trend of kids using artificial intelligence chatbots as a \"secret eating disorder coach.\"",{"type":65,"attrs":3309,"content":3310},{"textAlign":67},[3311],{"text":3312,"type":71},"Not only do the chatbots give tips on weight loss, but they may also encourage disordered eating.",{"type":65,"attrs":3314,"content":3315},{"textAlign":67},[3316],{"text":3317,"type":71},"Dr. Kaitlin Slaven, an expert with the Eating Recovery Center in Baltimore, told WBAL-TV 11 News that parents may have no idea it's going on.",{"type":65,"attrs":3319,"content":3320},{"textAlign":67},[3321],{"text":3322,"type":71},"\"These chatbots are equipped with tools to be able to sort of gather information and learn. And so, as somebody is inputting information about 'I'm trying to lose weight,' and the chatbot is saying, 'Good job, you're losing weight.' And so, they start to adapt to what is happening and they start to almost encourage the behavior,\" Slaven explained.",{"type":65,"attrs":3324,"content":3325},{"textAlign":67},[3326],{"text":3327,"type":71},"Slaven advises parents to pay attention to clues.",[3329],"86c19221-c58b-4139-9138-a4cde149c18f","ERC's Dr. Kaitlin Slaven was a featured guest recently on WBAL to share insight about how AI chatbots are impacting eating disorders in kids. In this segment, Dr. Slaven discusses how these problematic chatbots work; what signs caregivers should watch for; and understanding how to access help.",[],"https:\u002F\u002Fwww.wbaltv.com\u002Farticle\u002Fai-chatbots-disordered-eating-baltimore\u002F73172472",{"id":3334,"alt":3335,"name":14,"focus":3336,"title":14,"source":14,"filename":3337,"copyright":14,"fieldtype":175,"meta_data":3338,"is_external_url":177},215397905808365,"Dr. Kaitlin Slaven was a featured guest recently on WBAL to share insight about how AI chatbots on eating disorders","659x220:660x221","https:\u002F\u002Fa.storyblok.com\u002Ff\u002F286555691919486\u002F900x556\u002Faff736e1fd\u002Fkaitlins-slaven-wbaltv-11-nbc.png",{"alt":3335,"size":3339,"title":14,"source":14,"copyright":14},"900x556",{"id":3334,"alt":3335,"name":14,"focus":3341,"title":14,"source":14,"filename":3337,"copyright":14,"fieldtype":175,"meta_data":3342,"is_external_url":177},"672x206:673x207",{"alt":3335,"size":3339,"title":14,"source":14,"copyright":14},"ai-chatbots-disordered-eating-baltimore","news\u002Fai-chatbots-disordered-eating-baltimore",-4890,[],"732a7f18-be5e-46bc-a614-40b1b1581381",[],{"name":3350,"created_at":3351,"published_at":3352,"updated_at":3353,"id":3354,"uuid":3355,"content":3356,"slug":3389,"full_slug":3390,"sort_by_date":67,"position":3391,"tag_list":3392,"is_startpage":177,"parent_id":1896,"meta_data":67,"group_id":3393,"first_published_at":3394,"release_id":67,"lang":201,"path":67,"alternates":3395,"default_full_slug":67,"translated_slugs":67},"How Colorado's fitness culture (and the rise of GLP-1s) are fueling eating disorders","2026-07-21T15:48:16.535Z","2026-07-21T17:03:19.688Z","2026-07-21T17:03:19.702Z",200537278646480,"5706d1c2-e959-483d-a367-4cd9303ea539",{"_uid":3357,"body":3358,"authors":3375,"excerpt":14,"summary":3377,"component":1878,"categories":3378,"article_type":1880,"external_link":3379,"featured_image":3380,"external_link_text":1888,"listing_thumbnail_image":3386},"ee1c11df-b5af-40c5-91c2-8155e14bacbe",{"type":62,"content":3359},[3360,3365,3370],{"type":65,"attrs":3361,"content":3362},{"textAlign":67},[3363],{"text":3364,"type":71},"Ads for weight loss medication are everywhere. For the people experiencing or treating eating disorders, it’s “a catastrophic situation.” So says Dr. Elizabeth Wassenaar, a board-certified psychiatrist specializing in obesity medicine and eating disorders.",{"type":65,"attrs":3366,"content":3367},{"textAlign":67},[3368],{"text":3369,"type":71},"Dr. Wassenaar has seen kids younger than 12 prescribed GLP-1s for weight loss. She’s also seen a rapid rise in patients relapsing, and believes the widespread use of such medication is further contributing to deadly diet culture, a world in which the only acceptable body is a dangerously thin one, and millions of people suffer the long-term side effects.",{"type":65,"attrs":3371,"content":3372},{"textAlign":67},[3373],{"text":3374,"type":71},"Dr. Wassenaar is joined by Olivia, a recent CU grad who is in recovery for an eating disorder. Both women dissect Boulder’s health + fitness culture and the way it contributes to unhealthy behavior.",[3376],"bf9591da-e2df-4843-8fae-035693f7e02e","ERC alum Olivia and ERC Regional Medical Director Dr. Elizabeth Wassenaar are featured in this episode of Boulder Valley Frequency as the host examines how Colorado's fitness culture (and the rise of GLP-1s) are fueling eating disorders.",[],"https:\u002F\u002Fwww.boulderfrequency.com\u002F2600535\u002Fepisodes\u002F19461249-how-boulder-s-fitness-culture-and-the-rise-of-glp-1s-are-fueling-eating-disorders",{"id":3381,"alt":3382,"name":14,"focus":3383,"title":14,"source":14,"filename":3384,"copyright":14,"fieldtype":175,"meta_data":3385,"is_external_url":177},200540914053616,"Teen girls mountain runners","1038x1867:1039x1868","https:\u002F\u002Fa.storyblok.com\u002Ff\u002F286555691919486\u002F2000x3000\u002F52e1d7aff8\u002Fteen-girls-mountain-runners.png",{"alt":3382,"title":14,"source":14,"copyright":14},{"id":3381,"alt":3382,"name":14,"focus":3387,"title":14,"source":14,"filename":3384,"copyright":14,"fieldtype":175,"meta_data":3388,"is_external_url":177},"1017x1667:1018x1668",{"alt":3382,"title":14,"source":14,"copyright":14},"how-colorado-s-fitness-culture-and-the-rise-of-glp-1s-are-fueling-eating-disorders","news\u002Fhow-colorado-s-fitness-culture-and-the-rise-of-glp-1s-are-fueling-eating-disorders",-4880,[],"c56648a3-02b4-4af3-893d-826c6082b441","2026-07-21T16:36:33.605Z",[],{"name":3397,"created_at":3398,"published_at":3399,"updated_at":3400,"id":3401,"uuid":3402,"content":3403,"slug":3449,"full_slug":3450,"sort_by_date":67,"position":3451,"tag_list":3452,"is_startpage":177,"parent_id":1896,"meta_data":67,"group_id":3453,"first_published_at":3454,"release_id":67,"lang":201,"path":67,"alternates":3455,"default_full_slug":67,"translated_slugs":67},"Letters of Light: MI teen creates eating disorder recovery nonprofit","2026-07-06T21:15:25.437Z","2026-07-06T21:26:34.824Z","2026-07-06T21:26:34.837Z",195309262625814,"32f5b9aa-8ba5-40d8-bd6d-ae52e3562113",{"_uid":3404,"body":3405,"authors":3437,"excerpt":14,"summary":3438,"component":1878,"categories":3439,"article_type":1880,"external_link":3440,"featured_image":3441,"external_link_text":1888,"listing_thumbnail_image":3447},"dea35668-f197-4363-9026-205531a84d83",{"type":62,"content":3406},[3407,3412,3417,3422,3427,3432],{"type":65,"attrs":3408,"content":3409},{"textAlign":67},[3410],{"text":3411,"type":71},"Sophie Perrenoud first needed to get help for herself — and now she’s forging a path to lending others a vital hand in the realm of eating disorder recovery.",{"type":65,"attrs":3413,"content":3414},{"textAlign":67},[3415],{"text":3416,"type":71},"After having a shaky relationship with food beginning in fifth grade, things took a bad turn during the summer between her freshman and sophomore years at Mercer Island High School (MIHS), she said.",{"type":65,"attrs":3418,"content":3419},{"textAlign":67},[3420],{"text":3421,"type":71},"Returning home after soccer conditioning, she barely ate, adding that she wasn’t even eating a meal a day.",{"type":65,"attrs":3423,"content":3424},{"textAlign":67},[3425],{"text":3426,"type":71},"“It really got to the point where I was afraid to take medicine at some point because I was scared of the calories it might contain. I was scared having an extra blueberry because, again, like, calories,” Perrenoud, now 17 and a MIHS rising senior, said on a recent afternoon.",{"type":65,"attrs":3428,"content":3429},{"textAlign":67},[3430],{"text":3431,"type":71},"She added that the food culture in high school becomes worse with other girls also struggling with their body images.",{"type":65,"attrs":3433,"content":3434},{"textAlign":67},[3435],{"text":3436,"type":71},"“I think a really big part of that was my whole life (I’ve) been labeled as skinny. When you go through puberty, your body’s going to go through changes naturally. But for me, I was almost scared that I was going to be losing that part of my identity,” said Perrenoud, noting that her brother first noticed there was something wrong and then she eventually went to the doctor with her concerned mother.",[],"Eating Recovery Center alumna Sophie Perrenoud is featured in this Mercer Island Reporter article as she shares how she turned her recovery journey into an opportunity to give back and educate others about eating disorders through the creation of her non-profit Letters of Light and podcast \"Dear Body, Dear Mind.\"\n",[],"https:\u002F\u002Fwww.mi-reporter.com\u002F2026\u002F07\u002F02\u002Fletters-of-light-mi-teen-creates-eating-disorder-recovery-nonprofit\u002F",{"id":3442,"alt":3443,"name":14,"focus":14,"title":14,"source":3440,"filename":3444,"copyright":3445,"fieldtype":175,"meta_data":3446,"is_external_url":177},195311399484593,"Mercer Island High School student Sophie Perrenoud hosts her “Dear Body, Dear Mind” podcast. Courtesy photo","https:\u002F\u002Fa.storyblok.com\u002Ff\u002F286555691919486\u002F768x1024\u002F006e285e92\u002Feating-disorders-mir-sophie-perrenoud.png","Courtesy photo",{"alt":3443,"title":14,"source":3440,"copyright":3445},{"id":3442,"alt":3443,"name":14,"focus":14,"title":14,"source":3440,"filename":3444,"copyright":3445,"fieldtype":175,"meta_data":3448,"is_external_url":177},{"alt":3443,"title":14,"source":3440,"copyright":3445},"letters-of-light-mi-teen-creates-eating-disorder-recovery-nonprofit","news\u002Fletters-of-light-mi-teen-creates-eating-disorder-recovery-nonprofit",-4870,[],"979f0001-4251-4ac2-9744-93823655e52f","2026-07-02T07:30:00.000Z",[],[],[],{"age":3459,"cache-control":3060,"connection":3061,"content-encoding":3062,"content-type":3063,"date":3460,"etag":3461,"per-page":3462,"referrer-policy":3066,"sb-be-version":3067,"server":3068,"strict-transport-security":3069,"total":3463,"transfer-encoding":3070,"vary":3071,"via":3464,"x-amz-cf-id":3465,"x-amz-cf-pop":3074,"x-cache":3075,"x-content-type-options":3076,"x-frame-options":3077,"x-permitted-cross-domain-policies":3078,"x-request-id":3466,"x-runtime":3467,"x-xss-protection":1974},"29189","Sun, 25 Oct 2026 14:20:16 GMT","W\u002F\"81408fbd1ac9d7d7f25ce956a02a78a6\"","4","476","1.1 fa3a5f40cd1a9e910f14498786d64614.cloudfront.net (CloudFront)","CBlH4_oXtR07NW2H30dBsEpVUDnr_045bgKcgalKqFchm5rkTw-9mg==","0de82d7b-1bd2-4c9b-acfb-1c313b8f88a4","0.037030",476]