Bart used strategies to shift his over focus on the meaning of the thoughts: Just because I’m having the thought I have germs on my hands many times a day doesn’t make the thought important. If I step back and look at this thought as if from the balcony I realize that this thought isn’t any more important than any other thought I have every day. Just because I have this thought
many times each day doesn’t make it truer or increase the likelihood that something bad will happen.

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