“This new preface serves to refine, and further clarify, the Four Steps to self-directed therapy: Relabel, Reattribute, Refocus and Revalue. When OCD patients Relabel, they are calling their disturbing thoughts and urges what they really are: obsessions and compulsions. When they Reattribute, they recognize that the bothersome thoughts won’t go away because they are symptoms of a disease, OCD. When they Refocus, they work around the intrusive thoughts by doing a constructive, enjoyable behavior. When they Revalue, they learn to ignore those thoughts and view them as worthless distractions.”