Melissa has felt uptight over the years. Lately, she finds herself consumed about germs. She feels compelled to wash her hands anytime she touches an object or person. It has gotten to the point that she washes her hands so often they have begun to bleed. She believes that if she does not wash her hands the germs will cause her to get gravely ill. Over the last few weeks, she has found herself constantly checking to be sure the stove is off whenever she leaves the house. This has caused her to be late for work on multiple occasions. She has even left work in the middle of the day to check that the stove is indeed off. These behaviors were having a negative impact on