Yale–Brown Obsessive–Compulsive Scale

Yeah.

And just for our listeners, the Y box is the Yale Brown Obsessive Compulsive Scale, which is just a checklist, basically, of all the different types of OCD that hoarding is on, even though it shouldn't be on.

So when it comes to...

I'm just going to go back to the loss thing just because my few cases of hoarding and just noteworthy, by the way, with OCD.

I think so, but you know, and I was trying to not oversell it, Chris, but you've done a good job of selling [laughs] it, um, because a lot of the reasons why we had adopted the, the exposure-based principles as a main part of our treatment of eating disorder symptoms, behaviors is because of that strong overlap that you just described.

Like, you know, when you describe intrusive, you know, think about the intrusive thoughts of body image, unwanted thoughts that feel like they're foreign or somebody's placing it there, the fears, and, and then fears of taking on weight or taking in calories in some circumstances where people feel like, get to a part where they feel like even if they haven't eaten the food, if they're just close to the food, that somehow they're going to gain weight, and these These thoughts that are not based in logic that become intrusive or repetitive, but it probably isn't gonna show up on the most well-accepted OCD measurement tool, the Yale-Brown Obsessive-Compulsive Scale.

The, the Y-BOCS is what's used to really try to more quantitatively see if somebody's getting to a level of severity to diagnose OCD, but those sort of repetitive thoughts about body image, those sort of repetitive thoughts about maybe that food is going to lead to me gaining weight even though I haven't consumed it, probably not gonna show up on the Y-BOCS.

So that's what we're both saying, that, you know, there's a strong overlap of the core symptoms and beliefs that seem to occur, especially as the eating disorder gets more severe, really feel like OCD and severe anxiety at the core of it.

I think so, but you know, and I was trying to not oversell it, Chris, but you've done a good job of selling [laughs] it, um, because a lot of the reasons why we had adopted the, the exposure-based principles as a main part of our treatment of eating disorder symptoms, behaviors is because of that strong overlap that you just described.

Like, you know, when you describe intrusive, you know, think about the intrusive thoughts of body image, unwanted thoughts that feel like they're foreign or somebody's placing it there, the fears and, and then fears of taking on weight or taking in calories in some circumstances where people feel like, get to a part where they feel like even if they haven't eaten the food, if they're just close to the food, that somehow they're going to gain weight, and these- These thoughts that are not based in logic that become intrusive or repetitive, but it probably isn't gonna show up on the most well-accepted OCD measurement tool, the Yale-Brown Obsessive-Compulsive Scale.

The, the Y-BOCS is what's used to really try to more quantitatively see if somebody's getting to a level of severity to diagnose OCD, but those sort of repetitive thoughts about body image, those sort of repetitive thoughts about maybe that food is going to lead to me gaining weight even though I haven't consumed it, probably not gonna show up on the Y-BOCS.

So that's what we're both saying, that, you know, there's a strong overlap of the core symptoms and beliefs that seem to occur, especially as the eating disorder gets more severe, really feel like OCD and severe anxiety at the core of it.