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Effective treatments exist for obsessive compulsive and related disorders. Still, these interventions are not effective for all. A team of researchers has been looking at the effectiveness of acceptance and commitment therapy (ACT), alone or in conjunction with other traditional behavioral procedures, as a unified treatment for obsessive compulsive and related disorders. To date there have been multiple smaller studies and randomized clinical trials of ACT for obsessive compulsive disorder as well as excoriation disorder (skin picking), trichotillomania (hair pulling), and compulsive pornography viewing. This presentation will offer a specific conceptualization of obsessive compulsive and related disorders that focuses on their relationships to experiential avoidance and psychological inflexibility. The outcomes of pertinent studies will be covered. Finally, a few clinical examples of its use will be offered.