Listening to Michael Greenberg. Some of what he says makes sense to me, but a lot doesn't.
I've seen a lot of people on Reddit talking about Michael Greenberg's "rumination-focused ERP." I think the point of rumination being a compulsion is very good, because it's something that sufferers (including myself) might not have realized is a compulsion that we can choose not to engage in. I like that he wants OCD sufferers to realize they have agency.
Where he lost me though, in this video specifically (https://www.youtube.com/watch?v=PcFTi7HJYnk&t) is toward the end where he says if you're experiencing anxiety, it means you're ruminating. And that to actually be doing ERP "properly," you should be experiencing no anxiety. Um...what? In my experience, anxiety has absolutely been the driving force of my OCD. Compulsions have always been an attempt for me to reduce anxiety. I also have successfully applied ERP to many obsessions/compulsions over the years, and "breaking" the obsession/compulsion always required me to go through anxiety. Maybe Dr. Greenberg's advice is better suited to people who have what has often been called online "pure O"?
To sum up...yes, rumination should be recognized more as a compulsion. But to say ERP does not or should not cause anxiety, that sort of blows my mind. Avoidance of anxiety has always been the reason I've performed compulsions. In this video he also says he doesn't think OCD sufferers have a problem with uncertainty tolerance. Ok, I see his point - but we do have a problem with uncertainty tolerance in regard to our current theme. We want to know the answer to THAT question for sure. His page on stopping ruminating (https://drmichaeljgreenberg.com/how-to-stop-ruminating/) I would argue broadly acknowledges that, as he says to stop engaging with "the problem" posed by OCD. In many cases, engaging with "the problem" means answering a question such as "am I gay?" in a way that feels safe and certain. The problem is OCD can never be "satisfied," so the solution is to just stop engaging with it.
Even Jonathan Grayson's book Freedom From OCD, which is the first book I read that really highlighted the intolerance of uncertainty aspect, makes it clear that OCD sufferers tolerate uncertainty in other areas of their lives - it's just that they want certainty about their current theme.
If his ideas work for you, great, I do not want to discourage. I just was so bewildered by him saying ERP done "properly" should not evoke anxiety.