Ernest Mutabaruka

As an OCD therapist working with refugees, the focus must shift toward trauma-informed, culturally adapted Exposure and Response Prevention. Refugees often present with high rates of co-occurring PTSD. Trauma-Reframed Exposure and Response Prevention by Recognizing the contamination or harm obsessions may be rooted in traumatic war experiences rather than typical OCD scenarios. Address trauma-related intrusive thoughts before diving into intensive exposure, as PTSD can lower ERP response. Cultural Adaptations by Adapting psychoeducation to local, religious, or traditional frameworks, such as reframing rituals as symbolic rather than strictly moral imperatives. Culturally tailored interventions, including mindfulness and breathing, can help manage acute anxiety. Safety First by Focusing on building rapport and trust, acknowledging ongoing stressors like asylum processes. Use a phased approach to exposure, starting with lower-anxiety situations. Focus on Functioning by setting goals at they are to reduce compulsive behaviours that hinder daily life, even if the trauma itself cannot be immediately resolved.