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Personally, I wouldn't at all even vaguely consider trying to preplan this. Applying these sort of labels in what I presume is long term talk therapy isn't likely to help your therapeutic approach. You'd be assuming way too much. Treat the patient as an individual and see where the therapy goes.
 
What therapeutic strategies would you employ to effectively manage the intersecting complexities of trauma, OCD, and high cognitive functioning, particularly when the patient's expertise in bioethics may influence their perceptions of control, agency, and treatment?
I mean...the central mechanisms of therapeutic change (exposure and response/avoidance prevention and cognitive restructuring) are common between the conditions...collaborative decisionmaking with the patient after psychoeducation on the evidence-based protocols available for treating these conditions?
 
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