Emlet describes several common thinking patterns shared by people who struggle with OCD including inflated responsibility, overestimation of threat, and perfectionism. These patterns can create debilitating anxiety, but Emlet offers a note of hope for Christians. Below the surface of these patterns, he says, are flawed beliefs about God, ourselves, and the world. He describes how Scripture speaks to these beliefs and how counseling can foster a growing trust in God, who is greater than all our fears.