Pure O: How To Make Sense Of Treatment Failure And Make It Work

Updated: Dec 9, 2021

In previous blogs, I've talked about the brain's basal ganglia, known to be responsible for the sticky thoughts in OCD. I've also mentioned another part of the brain associated with the basal ganglia called the nucleus accumbens (NA). In familiar terms, people refer to the NA as the pleasure centre. If you've read the earlier articles, you may recall how I explain its carrying aversion on one side and desire on the other side. You may also remember that the septum that divides it is only a few millimetres thick. To imagine it again, think of the septum that separates the nostrils and how thin the ridge is. Because the NA's divide is so slight, you can visualise how closely someone can like and dislike something together, even obsessions.

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