who comes to you complaining of recurrent and persistent concerns regarding the cleanliness of the various office tools that he must work with on a daily basis—telephone, copier, fax machine. He fears they might be contaminated. When he tries to ignore or suppress these intrusive thoughts, his anxiety increases. He finds temporary relief for his anxiety by a repetitive “wiping down” of the office items with rubbing alcohol, but the cycle recurs at different points throughout the day. He has lost