and there's others exposure response prevention is uh probably the most effective option which is kind of like cognitive behavioral therapy but these are different and offered by psychologists and this is a whole field and there's a a field or I should say a whole clinic at my institution focused it was started by Edna foa at Penn who this is what they do for these patients uh is offer these types of cognitive therapies exposure to the stressor and to try to get patients to habituate to whatever it is that stresses them and causes these uh compulsions