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According to Freeston and Ladouceur, an important fifth step in CBT for OCD is:
Antagonism
Active opposition or hostility, either between individuals or drugs where one decreases the effectiveness of the other.
DSM-5
The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, a comprehensive classification of mental disorders published by the American Psychiatric Association.
Narcissistic Personality Disorder
A mental disorder marked by a long-term pattern of exaggerated self-importance, the need for admiration, and a lack of empathy for others.
Arrogance
An attitude of superiority manifested in an overbearing manner or in presumptuous claims or assumptions.
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