Inference Based Cognitive Behavioral Therapy (I-CBT) is providing a treatment option to clients with Obsessive Compulsive Disorder. With over 80 peer reviewed scientific publications, 3 randomized controlled and a current open trial, I-CBT is a lesser known evidence based treatment for OCD that targets the initial doubt and how it was created. Treatment is based on the central idea that obsessions are abnormal doubts or inferences about what could be. 

According to this approach, obsessional inferences of doubt arise as the result of inferential confusion which involves an over-reliance on the imagination and a distrust of the senses. I-CBT aims to bring resolution to obsessional doubts by showing the sufferer that obsessional doubts arise as the result of a distorted obsessional narrative.