Podcasts about response prevention erp

Michael Twohig has spent years studying what happens when people try to fight their thoughts — and why that battle almost always makes things worse. As a psychologist, researcher, and leading expert in Acceptance and Commitment Therapy (ACT), he's worked with countless people who felt trapped by their own minds, stuck in loops of overthinking, doubt, and mental exhaustion. In this conversation, he shares how ACT can completely change that dynamic, turning thoughts from something you fear into something you can live with.Instead of focusing on erasing or “fixing” thoughts, ACT teaches you to see them for what they are and move forward anyway. Michael draws from powerful real-world examples to show how people have gone from feeling powerless against their minds to living fuller, more meaningful lives — without waiting for the perfect thought or feeling to show up first. It's a practical, compassionate way to stop letting your mind run the show.Although not a standalone treatment for OCD, ACT can be helpful in conjunction with Exposure and Response Prevention (ERP) therapy.Here at NOCD, we specialize in Exposure and Response Prevention therapy, the most effective therapy for OCD. To explore treatment options, book a free 15-minute call at https://learn.nocd.com/YTFollow us on social media:https://www.instagram.com/treatmyocd/https://twitter.com/treatmyocdhttps://www.tiktok.com/@treatmyocd Hosted on Acast. See acast.com/privacy for more information.

Have you ever wondered what's really happening inside your mind when you're struggling with anxiety, trauma, or depression? And what if there were specific, proven strategies to help you navigate these challenges and find a path to healing?In this episode of A Mental Health Break, we're joined by Dr. Catherine Nobile, a licensed Doctor of Clinical Psychology with a specialty in evidence-based treatments for a variety of psychological conditions. Dr. Nobile, who is also a clinical psychologist at Northwell Health and a supervisor at Yeshiva University, demystifies the nature of mental health struggles like depression, anxiety, OCD, and PTSD.She shares her expert insights into what maintains these conditions and what you can expect from treatments like Cognitive Behavioral Therapy (CBT), Exposure & Response Prevention (ERP), and Emotion Focused Therapy (EFT). Dr. Nobile also brings her expertise in couples and family therapy to the conversation, offering valuable advice on how to navigate interpersonal conflict and find a way to the other side.This episode is a must-listen for anyone seeking a deeper understanding of their own mental health journey or that of a loved one. Dr. Nobile offers a compassionate and clear guide to making sense of our psychological struggles and taking the first steps toward real, lasting change.Support the showHave a question for the host or guest? Want their freebee? Are you looking to become a guest or show partner? Email Danica at PodcastsByLanci@gmail.com.This show is brought to you by the Empathy Set and Coming Alive Podcast Production.CRISIS LINE: DIAL 988

Renee Zukin spent much of her life trying to silence fear — avoiding risk, obsessing over safety, and doing everything possible to feel in control. It worked just well enough to keep going, but never well enough to feel free. In this interview, she opens up about how fear shaped where she lived, how she ate, how she parented, and how long it kept her from getting the right help.What changed wasn't the fear disappearing — it was her relationship to it. Renee talks about learning to stop chasing certainty, letting go of safety behaviors, and finding the courage to move forward even when fear was still in the room.Renee got better using Exposure and Response Prevention (ERP) therapy — the gold standard treatment for OCD. Here at NOCD, we specialize in ERP. To explore your treatment options, considering book a free 15-minute call with us at https://learn.nocd.com/YTFollow us on social media:https://www.instagram.com/treatmyocd/https://twitter.com/treatmyocdhttps://www.tiktok.com/@treatmyocdRenee's book: https://www.amazon.com/Every-Day-Brave-Cultivating-Resilience/dp/1963827252 Hosted on Acast. See acast.com/privacy for more information.

Is Exposure and Response Prevention (ERP) the only way to treat OCD? What if there's another evidence-based approach that works differently and might even feel more intuitive to some?   In this episode of the OCD Whisperer Podcast, host Kristina Orlova brings together a panel of seasoned OCD clinicians: Mike Heady, Christina Ennabe, Mike Parker, Carl Robbins, and Bronwyn Shroyer. Together, they unpack the essentials of Inference-Based Cognitive Behavioral Therapy (ICBT) and how it compares to ERP.   They bust common myths like whether ICBT is just arguing with your thoughts and explain how it helps people move out of imagined fears and back into reality. They also dive into when ERP might still be helpful, how ICBT handles doubt differently, and what the research says about its effectiveness.   Whether you're new to ICBT or trying to figure out which approach fits you best, this conversation brings depth, clarity, and a refreshing perspective on OCD treatment.   The 4 things you'll learn in  today's episode: Why mixing ICBT and ERP can be confusing if you don't fully understand both How ICBT focuses on obsessional doubt rather than just intrusive thoughts What “reality sensing” really means and why it's not the same as doing exposures What the research says about ICBT's effectiveness and how it compares to ERP   In This Episode [00:31] Meet the panelists [03:56] Can CBT and IBT/ICT be used together? [07:29] Is CBT arguing with OCD? [11:09] Doubt vs. intrusion in OCD [17:49] Reality sensing vs. exposure [20:40] Normal vs. obsessional doubt [24:30] Reassurance in therapy [26:22] Research and evidence for IBT/ICT [36:07] Core fears and feared possible self [37:34] Closing remarks and resources Guests Featured Mike Heady, Co-owner and co-director of the Anxiety and Stress Disorders Institute (ASDI), co- chair for ICBT SIG at IOCDF Carl Robbins, Director of Training at ASDI and veteran OCD clinician Christina Ennabe, Licensed therapist specializing in OCD and trauma, Board Member OCD New Hampshire Mike Parker, Private practice owner focused on OCD using ICBT, ERP, and ACT. Host of the YouTube channel, OCD Space Bronwyn Shroyer, LCSW, ICBT trainer, and co-founder of OCD Training School, co- chair for ICBT SIG at IOCDF   Resources & Links   Kristina Orlova, LMFT Instagram  YouTube  OCD CBT Journal Tracker and Planner  Website Christina Ennabe Website LinkedIn https://www.christinaennabe.com/icbt-course-ocd-escaping-rabbit-hole  Mike Heady Anxiety and Stress Disorders Institute LinkedIn Mike Parker Website LinkedIn https://www.icbttrainingonline.com  Carl Robbins Website LinkedIn Bronwyn Shroyer Website LinkedIn OCD Training School   Please note, while our host is a licensed marriage and family therapist specializing in OCD and anxiety disorders in the state of California, this podcast is for educational purposes only and should not be considered a substitute for therapy.   Stay tuned for weekly episodes filled with valuable insights and tips for managing OCD and anxiety. And remember, keep going in the meantime. See you in the next episode!

Most therapists don't get formal training in how to treat OCD. In fact, many graduate programs barely mention it at all. That leads to years of misdiagnosis, missed symptoms, and patients getting the wrong kind of help. The result? People with OCD are left suffering longer than they should — even in the care of well-meaning professionals.That's why Elizabeth DuPont Spencer and Kimberly Morrow decided to do something about it. After decades of clinical experience, they launched a global training program to help therapists actually understand OCD — and how to treat it with evidence-based care like Exposure and Response Prevention (ERP). In this conversation, they share the turning points in their own careers, why ERP is so misunderstood, and what it's like watching clinicians finally connect the dots — and help their clients get better.If you're suffering with OCD, we think our best-in-care treatment might be able to help. To book a free 15-minute consultation, visit https://learn.nocd.com/YTFollow us on social media:https://www.instagram.com/treatmyocd/https://twitter.com/treatmyocdhttps://www.tiktok.com/@treatmyocd Hosted on Acast. See acast.com/privacy for more information.

Struggling with intrusive thoughts and desperate to stop them? You're not alone. Join your host, Nicole Morris, LMFT and Mental Health Correspondent, in this short and powerful episode where we explore why you can't stop intrusive thoughts — and why that's actually good news. Learn how response prevention, the heart of Exposure and Response Prevention (ERP), empowers people with OCD to break the cycle of compulsions and reclaim their lives. Perfect for loved ones, parents, spouses, and anyone supporting someone with OCD, this episode offers hope, clarity, and the reminder that you don't have to do it alone.

Dealing with OCD, Intrusive Thoughts, or unwanted thoughts? Dr. Kat Green teaches us valuable strategies from CBT and ERP to help you stop intrusive thoughts. Check out Kat's courses here: https://courses.therapyinanutshell.com/ocd-courses Learn the skills to Regulate your Emotions, join the membership: https://courses.therapyinanutshell.com/membership Struggling with OCD, intrusive thoughts, or unwanted mental images that just won't go away? In this video, Dr. Kat Green shares practical tools from Cognitive Behavioral Therapy (CBT) and Exposure and Response Prevention (ERP)—the gold standard treatment for OCD. You'll learn why trying to suppress or avoid intrusive thoughts can actually make them worse, and what to do instead. Whether you're battling obsessive worries, mental compulsions, or scary “what if” thoughts, this episode offers hope and real strategies to help you break the cycle. Learn how to face your fears, stop fighting your thoughts, and take your life back from OCD. #OCD #IntrusiveThoughts #CBT #ERP #MentalHealth #ObsessiveCompulsiveDisorder #AnxietyHelp #UnwantedThoughts #TherapyInANutshell Looking for affordable online counseling? My sponsor, BetterHelp, connects you to a licensed professional from the comfort of your own home. Try it now for 10% off your first month: https://betterhelp.com/therapyinanutshell Learn more in one of my in-depth mental health courses: https://courses.therapyinanutshell.com Support my mission on Patreon: https://www.patreon.com/therapyinanutshell Sign up for my newsletter: https://www.therapyinanutshell.com Check out my favorite self-help books: https://kit.co/TherapyinaNutshell/best-self-help-books  Therapy in a Nutshell and the information provided by Emma McAdam are solely intended for informational and entertainment purposes and are not a substitute for advice, diagnosis, or treatment regarding medical or mental health conditions. Although Emma McAdam is a licensed marriage and family therapist, the views expressed on this site or any related content should not be taken for medical or psychiatric advice. Always consult your physician before making any decisions related to your physical or mental health. In therapy I use a combination of Acceptance and Commitment Therapy, Systems Theory, positive psychology, and a bio-psycho-social approach to treating mental illness and other challenges we all face in life. The ideas from my videos are frequently adapted from multiple sources. Many of them come from Acceptance and Commitment Therapy, especially the work of Steven Hayes, Jason Luoma, and Russ Harris. The sections on stress and the mind-body connection derive from the work of Stephen Porges (the Polyvagal theory), Peter Levine (Somatic Experiencing) Francine Shapiro (EMDR), and Bessel Van Der Kolk. I also rely heavily on the work of the Arbinger Institute for my overall understanding of our ability to choose our life's direction. And deeper than all of that, the Gospel of Jesus Christ orients my personal worldview and sense of security, peace, hope, and love https://www.churchofjesuschrist.org/comeuntochrist/believe If you are in crisis, please contact the National Suicide Prevention Hotline at https://suicidepreventionlifeline.org or 1-800-273-TALK (8255) or your local emergency services. Copyright Therapy in a Nutshell, LLC

Welcome or welcome back to Authentically ADHD, the podcast where we embrace the chaos and magic of the ADHD brain. Im carmen and today we're diving into a topic that's as complex as my filing system (which is to say, very): ADHD and its common co-occurring mood and learning disorders. Fasten your seatbelts (and if you're like me, try not to get distracted by the shiny window view) – we're talking anxiety, depression, OCD, dyslexia, dyscalculia, and bipolar disorder, all hanging out with ADHD.Why cover this? Because ADHD rarely rides solo. In fact, research compiled by Dr. Russell Barkley finds that over 80% of children and adults with ADHD have at least one other psychiatric disorder, and more than half have two or more coexisting conditions. Two-thirds of folks with ADHD have at least one coexisting condition, and often the classic ADHD symptoms (you know, fidgeting, daydreaming, “Did I leave the stove on?” moments) can overshadow those other disorders. It's like ADHD is the friend who talks so loud at the party that you don't notice the quieter buddies (like anxiety or dyslexia) tagging along in the background.But we're going to notice them today. With a blend of humor, sass, and solid neuroscience (yes, we can be funny and scientific – ask me how I know!), we'll explore how each of these conditions shows up alongside ADHD. We'll talk about how they can be misdiagnosed or missed entirely, and—most importantly—we'll dish out strategies to tell them apart and tackle both. Knowledge is power and self-awareness is the key, especially when it comes to untangling ADHD's web of quirks and comrades in chaos. So, let's get into it!ADHD and Anxiety: Double Trouble in OverdriveLet's start with anxiety, ADHD's frequent (and frantic) companion. Ever had your brain ping-pong between “I can't focus on this work” and “I'm so worried I'll mess it up”? That's ADHD and anxiety playing tango in your head. It's a double whammy: ADHD makes it hard to concentrate, and anxiety cranks up the worry about consequences. As one study notes, about 2 in 5 children with ADHD have significant problems with anxiety, and over half of adults with ADHD do as well. In other words, if you have ADHD and feel like a nervous wreck half the time, you're not alone – you're in very good (and jittery) company.ADHD and anxiety can look a lot alike on the surface. Both can make you restless, unfocused, and irritable. I mean, is it ADHD distractibility or am I just too busy worrying about everything to pay attention? (Hint: it can be both.) Especially for women, ADHD is often overlooked and mislabeled as anxiety. Picture a girl who can't concentrate in class: if she's constantly daydreaming and fidgety, one teacher calls it ADHD. Another sees a quiet, overwhelmed student and calls it anxiety. Same behavior, different labels. Women in particular have had their ADHD misdiagnosed as anxiety or mood issues for years, partly because anxious females tend to internalize symptoms (less hyperactive, more “worrier”), and that masks the ADHD beneath.So how do we tell ADHD and anxiety apart? One clue is where the distraction comes from. ADHD is like having 100 TV channels in your brain and someone else is holding the remote – your attention just flips on its own. Anxiety, on the other hand, is like one channel stuck on a horror movie; you can't focus on other things because a worry (or ten) is running on repeat. An adult with ADHD might forget a work deadline because, well, ADHD. An adult with anxiety might miss the deadline because they were paralyzed worrying about being perfect. Both end up missing the deadline (relatable – ask me how I know), but for different reasons.Neuroscience is starting to unravel this knot. There's evidence of a genetic link between ADHD and anxiety – the two often run in the family together. In brain studies, both conditions involve irregularities in the prefrontal cortex (the brain's command center for focus and planning) and the limbic system (emotion center). Essentially, if your brain were a car, ADHD means the brakes (inhibition) are a bit loose, and anxiety means the alarm system is hyper-sensitive. Combine loose brakes with a blaring alarm and you get… well, us. Fun times, right?Here's an interesting tidbit: Females with ADHD are more likely to report anxiety than males. Some experts think this is partly due to underdiagnosed ADHD – many girls grew up being told they were just “worrywarts” when in fact ADHD was lurking underneath, making everyday life more overwhelming and thus feeding anxiety. As Dr. Thomas Brown (a top ADHD expert) points out, emotional regulation difficulties (like chronic stress or worry) are characteristic of ADHD, even though they're not in the official DSM checklist. Our ADHD brains can amplify emotions – so a normal worry for someone else becomes a five-alarm fire for us.Now, action time: How do we manage this dynamic duo? The first step is getting the right diagnosis. A clinician should untangle whether symptoms like trouble concentrating are from anxiety, ADHD, or both. They might ask: Have you always had concentration issues (pointing to ADHD), or did they start when your anxiety kicked into high gear? Also, consider context – ADHD symptoms occur in most settings (school, work, home), while pure anxiety might spike in specific situations (say, social anxiety in crowds, or panic attacks only under stress).Treatment has to tackle both. Therapy – especially Cognitive Behavioral Therapy (CBT) – is a rockstar here. CBT can teach you skills to manage worry (hello, deep breathing and logical rebuttals to “what if” thoughts) and also help with ADHD organization hacks (like breaking tasks down, creating routines). Many find that medication is needed for one or both conditions. Stimulant meds (like methylphenidate or amphetamines) treat ADHD, but in someone with severe anxiety, a stimulant alone can sometimes ramp up the jitters. In fact, children (and adults) with ADHD + anxiety often don't respond as well to ADHD meds unless the anxiety is also addressed. Doctors might add an SSRI or other anti-anxiety medication to the mix, or choose a non-stimulant ADHD med if stimulants prove too anxiety-provoking.Let me share a quick personal strategy (with a dash of humor): I have ADHD and anxiety, so my brain is basically an internet browser with 50 tabs open – and 10 of them are frozen on a spinning “wheel of doom” (those are the anxieties). One practical tip that helps me distinguish the two is to write down my racing thoughts. If I see worries like “I'll probably get fired for sending that email typo” dominating the page, I know anxiety is flaring. If the page is blank because I got distracted after one sentence... well, hello ADHD! This silly little exercise helps me decide: do I need to do some calming techniques, or do I need to buckle down and use an ADHD strategy like the Pomodoro method? Try it out: Knowledge is power, and self-awareness is the key.Quick Tips – ADHD vs Anxiety: When in doubt, ask what's driving the chaos.* Content of Thoughts: Racing mind full of specific worries (anxiety) vs. racing mind full of everything except what you want to focus on (ADHD).* Physical Symptoms: Anxiety often brings friends like sweaty palms, racing heart, and tummy trouble. ADHD's restlessness isn't usually accompanied by fear, just boredom or impulsivity.* Treatment Approaches: For co-occurring cases, consider therapy and possibly a combo of medications. Experts often treat the most impairing symptom first – if panic attacks keep you homebound, address that alongside ADHD. Conversely, untreated ADHD can actually fuel anxiety (ever notice how missing deadlines and forgetfulness make you more anxious? Ask me how I know!). A balanced plan might be, say, stimulant medication + talk therapy for anxiety, or an SSRI combined with ADHD coaching. Work closely with a professional to fine-tune this.Alright, take a breath (seriously, if you've been holding it – breathing is good!). We've tackled anxiety; now let's talk about the dark cloud that can sometimes follow ADHD: depression.ADHD and Depression: When the Chaos Brings a CloudADHD is often associated with being energetic, spontaneous, even optimistic (“Sure, I can start a new project at 2 AM!”). So why do so many of us also struggle with depression? The reality is, living with unmanaged ADHD can be tough. Imagine years of what Dr. Russell Barkley calls “developmental delay” in executive function – always feeling one step behind in managing life, despite trying so hard. It's no surprise that about 1 in 5 kids with ADHD also has a diagnosable depression, and studies show anywhere from 8% to 55% of adults with ADHD have experienced a depressive disorder in their lifetime. (Yes, that range is huge – it depends how you define “depression” – but even on the low end it's a lot.) Dr. Barkley himself notes that roughly 25% of people with ADHD will develop significant depression by adulthood. In short, ADHD can come with a case of the blues (not the fun rhythm-and-blues kind, unfortunately).So what does ADHD + depression look like? Picture this: You've got a pile of unfinished projects, bills, laundry – the ADHD “trail of crumbs.” Initially, you shrug it off or maybe crack a joke (“organizational skills, who's she?”). But over time, the failures and frustrations can chip away at your self-esteem. You start feeling helpless or hopeless: “Why bother trying if I'm just going to screw it up or forget again?” That right there is the voice of depression sneaking in. ADHD's impulsivity might also lead to regrettable decisions or conflicts that you later brood over, another pathway to depressed mood.In fact, the Attention Deficit Disorder Association points out that ADHD's impact on our lives – trouble with self-esteem, work or school difficulties, and strained relationships – can contribute to depression. It's like a one-two punch: ADHD creates problems; those problems make you sad or defeated, which then makes it even harder to deal with ADHD. Fun cycle, huh?Now, depression itself can mask as ADHD in some cases, especially in adults. Poor concentration, low motivation, fatigue, social withdrawal – these can appear in major depression and look a lot like ADHD symptoms. If an adult walks into a doctor's office saying “I can't focus and I'm procrastinating a ton,” a cursory eval might yield an ADHD diagnosis. But if that focus problem started only after they, say, lost a loved one or fell into a deep funk, and they also feel worthless or have big sleep/appetite changes, depression may be the primary culprit. On the flip side, a person with lifelong ADHD might be misdiagnosed as just depressed, because they seem down or overwhelmed. As always, timeline is key: ADHD usually starts early (childhood), whereas depression often has a more defined onset. Also, ask: Is the inability to focus present even when life's going okay? If yes, ADHD is likely in the mix. If the focus issues wax and wane with mood, depression might be the driver.There's also a nuance: ADHD mood issues vs. clinical depression. People with ADHD can have intense emotions and feel demoralized after a bad day, but often these feelings can lift if something positive happens (say, an exciting new interest appears – suddenly we have energy!). Clinical depression is more persistent – even good news might not cheer you up much. As Dr. Thomas Brown emphasizes, ADHD includes difficulty regulating emotion; an ADHD-er might feel sudden anger or sadness that's intense but then dissipates . By contrast, depression is a consistent low mood or loss of pleasure in things over weeks or months. Knowing this difference can be huge in sorting out what's going on.Now, how do we deal with this combo? The good news: many treatments for depression also help ADHD and vice versa. Therapy is a prime example. Cognitive Behavioral Therapy and related approaches can address negative thought patterns (“I'm just a failure”) and also help with practical skills for ADHD (like scheduling, or as I call it, tricking my brain into doing stuff on time). There are even specialized therapies for adults with ADHD that blend mood and attention strategies. On the medication front, sometimes a single med can pull double duty. One interesting option is bupropion (Wellbutrin) – an antidepressant that affects dopamine and norepinephrine, which can improve both depression and ADHD symptoms in some people. There's also evidence that stimulant medications plus an antidepressant can be a powerful combo: stimulants to improve concentration and energy, antidepressant to lift mood. Psychiatrists will tailor this to the individual – for instance, if someone is severely depressed (can't get out of bed), treating depression first may be priority. If the depression seems secondary to ADHD struggles, improving the ADHD could automatically boost mood. Often, it's a balancing act of treating both concurrently – maybe starting an antidepressant and an ADHD med around the same time, or ensuring therapy covers both bases.Let's not forget lifestyle: exercise, sleep, nutrition – these affect both ADHD and mood. Regular exercise, for example, can increase BDNF (a brain growth factor) and neurotransmitters that help both attention and mood. Personally, I found that when I (finally) started a simple exercise routine, my mood swings evened out a bit and my brain felt a tad less foggy. (Of course, starting that routine required overcoming my ADHD inertia – ask me how I know that took a few tries... or twenty.)Quick Tips – ADHD vs Depression:* Check Your Joy Meter: With ADHD alone, you can still feel happy/excited when something engaging happens (ADHD folks light up for interesting tasks!). With depression, even things you normally love barely register. If your favorite hobbies no longer spark any joy, that's a red flag for depression.* All in Your Head? ADHD negative thoughts sound like “Ugh, I forgot again, I need a better system.” Depression thoughts sound like “I forgot again because I'm useless and nothing will ever change.” Listen to that self-talk; depression is a sneaky bully.* Professional Help: A thorough evaluation can include psychological tests or questionnaires to measure attention and mood separately. For treatment, consider a combined approach: therapy (like CBT or coaching) plus meds as needed. According to research, a mix of stimulant medication and therapy (especially CBT) can help treat both conditions. And remember, addressing one can often relieve the other: improve your ADHD coping skills, and you might start seeing hope instead of disappointment (boosting mood); treat your depression, and suddenly you have the energy to tackle that ADHD to-do list.Before we move on, one more important note: if you ever have thoughts of self-harm or suicide, please reach out to a professional immediately. Depression is serious, and when compounded with ADHD impulsivity, it can be dangerous. There is help, and you're not alone – so many of us have been in that dark place, and it can get better with the right support. Knowledge is power and self-awareness is the key, yes, but sometimes you also need a good therapist, maybe a support group, and possibly medication to truly turn things around. There's no shame in that game.Alright, deep breath. It's getting a bit heavy in here, so let's pivot to something different: a condition that seems like the opposite of ADHD in some ways, yet can co-occur – OCD. And don't worry, we'll crank the sass back up a notch.ADHD and OCD: The Odd Couple of AttentionWhen you think of Obsessive-Compulsive Disorder (OCD), you might picture someone extremely organized, checking the stove 10 times, everything neat and controlled. When you think ADHD… well, “organized” isn't the first word that comes to mind, right?

In this episode, Carrie responds to the International OCD Foundation's newly released 2024 treatment guidelines. She offers a therapist's take on the updates, and what they mean for Christians navigating OCD. Episode Highlights:What the IOCDF's updated 2024 treatment guidelines mean for OCD care, and why this shift matters.How Exposure and Response Prevention (ERP) compares to newer approaches like Inference-Based CBT (ICBT) and metacognitive therapy.Why faith-based concerns and nervous system sensitivity can make ERP difficult for some Christians with OCD.Which therapies the IOCDF considers “adjunct,” “second-line,” or “potentially harmful”—and Carrie's take on that, especially when it comes to EMDR.How to navigate your treatment choices with discernment, hope, and a plan that fits both your story and your values.https://iocdf.org/ocd-treatment-guide/Free Webinar: Calming the Inner Chaos: Tips for Christians Seeking OCD Treatmenthttps: www.carriebock.com/calm/ Explore the Christians Learning ICBT training: https://carriebock.com/training/ Carrie's services and courses: carriebock.com/services/ carriebock.com/resources/Follow us on Instagram: www.instagram.com/christianfaithandocd/and like our Facebook page: https://www.facebook.com/christianfaithandocd for the latest updates and sneak peeks.

Living with OCD isn't just about managing anxiety—it's about reclaiming your life through your values. In this powerful episode of the OCD Whisperer Podcast, host Kristina Orlova welcomes OCD therapist Lennon Jones, founder of Golden Hour OCD and Anxiety, to explore how personal values bring clarity, purpose, and resilience to Exposure and Response Prevention (ERP) therapy.   ERP, first line treatment for OCD treatment, can often feel grueling, especially when it's reduced to simply "sitting with anxiety." Lennon shares why this approach can feel torturous without an internal compass—and how integrating Acceptance and Commitment Therapy (ACT) shifts the focus from fear to meaning. Together, Kristina and Lennon unpack how clarifying your values (like connection, creativity, or service) can turn exposures from hollow tasks into empowering acts of self-trust.   They dive into psychological flexibility, the antidote to OCD's rigid thinking, and offer real-life examples of how values-based actions—even small ones—can help you live with purpose, despite intrusive thoughts. Whether you're just starting treatment or navigating setbacks, this episode offers hope, compassion, and actionable guidance for building a life driven by what matters most.   Tune in to learn how to stop living for certainty—and start living for your values. The 3 things you'll learn in  today's episode: What makes OCD treatment feel torturous—and how a simple mindset shift can change everything The surprising mistake many people make with exposure therapy (and what to do instead). Why saying “maybe I am a terrible person” might actually be the path to healing. In This Episode   [00:00:01] Introduction and guest welcome   [00:01:10] The importance of values in ERP   [00:03:57] Meaning behind exposures   [00:05:48] Blending ERP and ACT: Facing daunting thoughts   [00:09:25] Building a solid values base   [00:10:13] Evolution of ERP and incorporating values   [00:11:45] Values in relationship OCD   [00:12:33] Values are not perfection   [00:14:19] Introducing psychological flexibility   [00:15:13] CBT, ERP, and psychological flexibility   [00:18:33] Recognizing rigidity and all-or-nothing thinking   [00:20:17] Practical values-based tool   [00:24:05] Exposure to your true self   [00:25:41] Autonomy and making choices   [00:26:44] Trusting yourself and closing thoughts   [00:27:03] How to find Lennon    Notable Quotes   [02:15] "Exposure therapy should not be torture. And if it doesn't have those values, beliefs, that trust in yourself behind it, a lot of times it can be torturous for people." —Lennon   [23:59] "Sometimes the exposure we're trying to do is exposing yourself to who you really are.." — Lennon   [11:48] "If I'm having a relationship-based OCD and not sure about my partner, but I know connection is a value for me, then yeah, maybe I'm going to go and spend time with my partner even though I'm feeling anxious and uncomfortable."— Kristina   [12:47] "A value per se is not measurable. Like you can't reach a certain level of perfection in the value." — Lennon   [13:59] "Psychological flexibility... is the goal of exposure therapy. We want to be more flexible in these situations. We want to just enjoy our lives." — Lennon   [21:58] "I'm open about my OCD. There's still a certain way I thought, and next thing you know, you're right back in this anxious state that just feels horrendous.'." — Kristina   [23:12] "Even in an area where your senses can't detect anything, the reasonable, rational way to live is to do that functional certainty thing and just to assume you're okay." — Mike Parker Our Guest   Lennon Jones is a licensed OCD and anxiety therapist based in Southern Utah and the founder of Golden Hour OCD and Anxiety, a digital platform offering support and education for those navigating OCD recovery. She specializes in Exposure and Response Prevention (ERP) and Acceptance and Commitment Therapy (ACT), helping clients move from fear-driven behavior to values-based living. Lennon is also involved in global mental health efforts, providing free therapy to Ukrainian refugees. Her approach is grounded in compassion, psychological flexibility, and helping clients reconnect with who they are beyond OCD. Resources & Links   Kristina Orlova, LMFT Instagram  YouTube  OCD CBT Journal Tracker and Planner  Website   Lennon Jones Website  Facebook Instagram YouTube   Mentioned Cognitive Therapy for OCD I-CBT Training Online Sneaky Rituals with Jenna Overbaugh  ICBT with Kristina Orlova and Christina Ennabe   Please note, while our host is a licensed marriage and family therapist specializing in OCD and anxiety disorders in the state of California, this podcast is for educational purposes only and should not be considered a substitute for therapy.   Stay tuned for weekly episodes filled with valuable insights and tips for managing OCD and anxiety. And remember, keep going in the meantime. See you in the next episode!

Forrest is joined by therapist Kimberley Quinlan to explore one of the most misunderstood anxiety disorders: obsessive-compulsive disorder (OCD). Drawing from her clinical and personal experience, Kimberley breaks down what OCD is, how it differs from general anxiety, and the ways it's often mischaracterized. They discuss the core features of obsessions and compulsions, and how these can manifest across a wide range of themes, including harm, contamination, morality, and relationships. Kimberley explains how Exposure and Response Prevention (ERP) works, what makes an exposure “good,” and how to build tolerance for distress rather than trying to eliminate it. They also touch on self-compassion, the role of medication, and the stigmas that can keep people from getting help. About our Guest: Kimberley Quinlan is a licensed marriage and family therapist, author, host of the popular Your Anxiety Toolkit podcast, and the founder of CBTschool.com. Key Topics: 0:00: Introduction 1:19: Kimberley's personal experience with OCD 3:36: What is OCD? Obsessions vs. compulsions 8:18: The relationship between trauma (PTSD) and OCD in Kimberley's experience 11:12: ERP and approaches to treatment 17:14: Differences between clinical ERP and informal exposure practices 24:30: Imaginal exposures for fears that can't be physically enacted 28:52: Resourcing for exposure 30:26: What if exposure goes poorly?  34:38: Role of self-compassion in OCD treatment 37:02: Considering medication: benefits, stigma, and SSRIs 42:52: Unhooking from intrusive thoughts: ACT, mindfulness, DBT 53:59: “How can I make this my bravest day?” 57:45: Recap Support the Podcast: We're now on Patreon! If you'd like to support the podcast, follow this link. Sponsors Head to acornsearly.com/beingwell or download the Acorns Early app to help your kids grow their money skills today.  Get Notion Mail for free right now at notion.com/beingwell, and try the inbox that thinks like you For a limited time, get Headspace FREE for 60 days. Go to Headspace.com/BEINGWELL60. Sign up for a one-dollar-per-month trial period at shopify.com/beingwell.  Go to ZOE.com and find out what ZOE Membership could do for you. Use code WELL10 to get 10% off membership. Learn more about your ad choices. Visit megaphone.fm/adchoices

Sabrina Eliano never thought she'd end up in therapy. Raised in a family where mental health wasn't discussed — and where seeking help was seen as something only “crazy” people did — she carried that belief well into adulthood. Even as she struggled with obsessive thoughts and anxiety that began to take over her life, she convinced herself it wasn't that bad. But when she found herself on a subway platform, overwhelmed by intrusive thoughts and wishing the train would hit her just to make the noise stop, something finally broke. She realized she had no one left to talk to — and no other option but to try the very thing she had spent her whole life avoiding.What happened next didn't just help her cope — it changed her life. Therapy, specifically Exposure and Response Prevention (ERP), gave Sabrina the tools to stop fearing her thoughts and start reclaiming control. In this episode, she opens up about the cultural stigma that kept her silent, the physical toll OCD took on her body, and the moment she went from resisting therapy to pursuing a career in it.0:00 Intro and mental health awareness month2:55 Meet Sabrina6:10 Sabrina goes to therapy after resisting it10:33 Changing career paths because of her therapy experience12:24 Ruminating on thoughts15:46 Realizing your experience and thoughts have an explanation17:39 OCD never gives relief — not even when you give in to it18:30 Why OCD feels so real23:33 How cultures and families think about therapy28:20 Trying ERP without safety behaviors32:57 Not being asked about mental health during the medical process35:58 Advice from Sabrina to those struggling with OCD37:57 Living the life you want to live — not OCD's life39:19 Why Sabrina never gave up on therapy44:21 Sabrina's takeaway messageNeed help treating OCD? Our specially-trained therapists can help. Visit https://learn.nocd.com/podcast to book a free 15-minute consultation and explore options most suited for you. Follow us on social media:https://www.instagram.com/treatmyocd/https://twitter.com/treatmyocdhttps://www.tiktok.com/@treatmyocd

In this episode of the AT Parenting Survival Podcast, I sit down with Dr. Sara Conley, a licensed clinical psychologist and clinical manager at NOCD, to discuss a groundbreaking new study on virtual Exposure and Response Prevention (ERP) therapy for children and teens with OCD.We explore the study's powerful findings—including a 37.3% median reduction in OCD symptoms in just 13 sessions—and how virtual ERP therapy is changing the landscape of OCD treatment for families. Dr. Conley shares how NOCD's model brings accessible, evidence-based therapy directly into families' homes, and why parent involvement is a key piece of successful treatment.We also talk about:What makes virtual ERP different from in-person therapy How the NOCD app supports families between sessionsThe importance of integrating therapy into real life without overwhelming familiesHow over 90% of American families with commercial health insurance can access NOCD's treatmentWhat this study means for the future of OCD treatment and the broader mental health crisis in youthWhether your child is newly diagnosed or you're already navigating OCD treatment, this episode offers encouragement, insights, and practical hope.To learn more about NOCD and how to access therapy:Visit www.treatmyocd.com***This podcast episode is sponsored by NOCD. NOCD provides online OCD therapy in the US, UK, Australia and Canada. To schedule your free 15 minute consultation to see if NOCD is a right fit for you and your child, go tohttps://go.treatmyocd.com/at_parentingThis podcast is for informational purposes only and should not be used to replace the guidance of a qualified professional.Parents, do you need more support?

For years, people with OCD have been misdiagnosed, misunderstood, or simply told they have “anxiety.” In this video, Dr. Patrick McGrath breaks down why so many suffer in silence — and how everything can change with the right treatment. From taboo intrusive thoughts to compulsions no one sees, OCD shows up in ways most people don't recognize. But with proper diagnosis and Exposure and Response Prevention (ERP) therapy, real recovery is possible. If you've ever felt stuck, ashamed, or hopeless, this video is for you.Follow us on social media:https://www.instagram.com/treatmyocd/https://twitter.com/treatmyocdhttps://www.tiktok.com/@treatmyocd

Obsessive-Compulsive Disorder (OCD) presents in a wide range of subtypes and intensities—and effective treatment requires skill, sensitivity, and a deep understanding of the underlying mechanisms. In this compelling Podcourse, I'm joined by Dr. Johann D'Souza, a clinical psychologist and OCD specialist, to explore the science and art of Exposure and Response Prevention (ERP) therapy through the lens of traditional values. This episode contains hypothetical scenarios and examples that some listeners may find explicit or sensitive. These discussions are for illustrative purposes only and not intended to offend or shock. Listener discretion is advised. Purchase this Podcourse here! Check out my Coping with Political Stress Ebook Workbook Dr. D'Souza offers a comprehensive and practical breakdown of how ERP works, how to tailor it to the individual client, and how to apply it across various OCD subtypes—including contamination, harm, scrupulosity, and taboo fears. He also shares how integrating a values-based framework into ERP can build trust with clients and support long-term recovery. This episode will equip mental health professionals with an in-depth understanding of how to design ERP hierarchies, conduct imaginal exposures ethically and effectively, and overcome treatment barriers like poor insight, family accommodation, and avoidance. You'll also learn how to use storytelling, mindfulness, and exposure mapping to optimize outcomes and empower clients to become their own therapists. If you're a clinician looking to expand your OCD treatment toolkit and appreciate the importance of aligning therapy with client values, this Podcourse is for you. By listening to this episode, you'll be able to: Develop client-centered exposure and response prevention (ERP) exercises for at least four OCD subtypes, design response prevention strategies for common compulsions, and create effective ERP hierarchies to guide treatment progression. Apply principles of graduated exposure and response prevention to optimize client outcomes, while evaluating factors that contribute to less effective treatment, such as family accommodation and overvalued ideation. Differentiate between OCD subtypes and assess how ERP can be tailored to address specific obsessional fears, while demonstrating strategies to enhance client adherence and long-term success. Need continuing education contact hours? If so, then be sure to check out my $5 Podcourses. Check out the other CE courses - Holistic Counseling Bundle, the Art of Breathwork and How to Resolve the Parent Trap!  Learn more about Dr. Johann D'Souza and his work at Values First Therapy. Please note that The Therapy Show with Lisa Mustard is for informational and entertainment purposes only and not a substitute for professional medical or mental health advice. Always consult with your therapist, doctor, or physician before implementing any suggestions from this show. Lisa Mustard, a licensed marriage and family therapist, provides insights that should not replace medical or psychiatric advice. Your unique situation requires personalized attention from a healthcare professional.

When Brenna Posey started dating her boyfriend, everything felt right — he was kind, emotionally mature, and genuinely cared about mental health. But even in the middle of a good relationship, OCD found a way in. She started spiraling with thoughts like “What if I don't love him enough?” or “What if this relationship isn't right and I'm just too scared to admit it?” The scariest part wasn't anything he did — it was the uncertainty. And for someone with OCD, uncertainty feels unbearable. In this personal video, Brenna shares what it was really like to open up about OCD for the first time, how her partner responded, and how Exposure and Response Prevention (ERP) therapy helped her stop needing impossible guarantees.ERP therapy helped Brenna repair her relationships. If you're struggling, our NOCD therapists might be able to help. They are specially trained in ERP therapy — the most effective treatment against OCD. To learn about treatment options, book a free 15-minute call at https://learn.nocd.com/podcastFollow us on social media:https://www.instagram.com/treatmyocd/https://twitter.com/treatmyocdhttps://www.tiktok.com/@treatmyocd

Brenna Posey takes you through her personal journey of living with OCD, breaking down common misconceptions and revealing what it's REALLY like. As she covers in the video, OCD goes far beyond the common tropes of being clean or organized. In fact, many of the struggles of OCD — mental compulsions and constant anxiety — are invisible to the average person. Through her story, Brenna offers an honest look at the challenges of living with OCD and how it can impact daily life.Brenna also explains how Exposure and Response Prevention (ERP) therapy transformed her life, helping her break free from the cycle of intrusive thoughts and compulsions. She shares how community, support, and shifting her response to anxiety made all the difference.If you are or a loved one is experiencing OCD, there is hope. Visit https://learn.nocd.com/podcast to get started with Exposure and Response Prevention (ERP) therapy, the most effective therapy for OCD.Follow us on social media:https://www.instagram.com/treatmyocd/https://twitter.com/treatmyocdhttps://www.tiktok.com/@treatmyocd

In this episode, we sit down with author and writer Haley Jakobsen to explore her deeply personal journey with undiagnosed OCD and the identity crisis it caused. Haley shares how her experience with OCD didn't match the typical portrayals seen in media, leading to years of confusion, shame, and isolation. From intrusive thoughts to relentless self-doubt, Haley opens up about how OCD latched onto the things she valued most, causing her to question everything about who she was. Her story sheds light on the lesser-known aspects of OCD, including mental compulsions and the silent battles many face but rarely discuss.Haley also discusses how receiving the correct diagnosis and undergoing Exposure and Response Prevention (ERP) therapy completely transformed her life. With humor, honesty, and vulnerability, she talks about the process of learning to live with OCD, developing coping tools, and using writing as a form of healing. We also dive into her upcoming novel, CAVEGIRL which draws from her own experiences navigating OCD.At NOCD, we specialize in ERP therapy. If Haley's story of recovery inspires you, you can book a free 15-minute call to learn more about the specialized care we offer. Book your time at https://learn.nocd.com/YTFollow us on social media:https://www.instagram.com/treatmyocd/https://twitter.com/treatmyocdhttps://www.tiktok.com/@treatmyocd

At her lowest point, Brenna Posey felt trapped in OCD's grip, struggling to find a way forward. In a desperate attempt to make sense of it all, she opened her phone's notes app and began documenting everything — every struggle, every small victory, and every insight from Exposure and Response Prevention (ERP) therapy. Over time, this simple act of journaling became her roadmap to recovery, capturing the hard-earned lessons that helped her reclaim her life.Now, she's sharing the five most powerful lessons from that journal — the ones that pulled her out of rock bottom and changed everything. Hear her first-hand account of going through ERP.Follow us on social media:https://www.instagram.com/treatmyocd/https://twitter.com/treatmyocdhttps://www.tiktok.com/@treatmyocd

For someone with contamination OCD, everyday life becomes a series of exhausting rituals and overwhelming fears. Touching a surface, using a public restroom, or even being near other people can trigger an intense fear of contamination, leading to compulsive handwashing, sanitizing, or avoidance behaviors. The anxiety isn't just about germs — it extends to a deep sense of responsibility, fearing that they might unknowingly spread harm to others. The relentless cycle of fear and compulsions can take over every aspect of life, making even the simplest tasks feel impossible.Breaking free from contamination OCD requires more than just reassurance or temporary coping strategies — it demands structured, evidence-based treatment. Exposure and Response Prevention (ERP) therapy helps individuals confront their fears gradually, reducing the power OCD holds over them. While the journey is difficult, it is possible to regain control and live a life no longer dictated by obsessive fears and compulsions. This video will pave your path to recovery.Follow us on social media:https://www.instagram.com/treatmyocd/https://twitter.com/treatmyocdhttps://www.tiktok.com/@treatmyocd

A groundbreaking new study has revealed that kids and teens can overcome OCD in half the time using virtual therapy. This is the largest study ever conducted on virtual Exposure and Response Prevention (ERP) treatment for children and adolescents, and the results are clear: virtual therapy with NOCD significantly reduces OCD symptoms faster and more effectively than traditional therapy.To break down these game-changing findings, we're joined by Dr. Jamie Feusner, Chief Medical Officer at NOCD, and Dr. Sara Conley, Licensed Therapist, PhD, LPCat NOCD. Together, they'll discuss how this research is revolutionizing OCD treatment, the role of family involvement in recovery, and why early intervention is key to helping kids and teens reclaim their lives. Tune in to learn how virtual therapy is changing the future of OCD care for young people everywhere.Want to learn more about ERP therapy? Book a free 15-minute call with one of our specialists at https://learn.nocd.com/podcastFollow us on social media:https://www.instagram.com/treatmyocd/https://twitter.com/treatmyocdhttps://www.tiktok.com/@treatmyocd

In today's episode of the Hardcore Self Help Podcast, I sit down with world-renowned psychiatrist, author, and DBT expert Dr. Blaise Aguirre to tackle the complex topic of self-hatred. As a pioneer in the treatment of borderline personality disorder (BPD) and adolescent mental health at McLean Hospital, Dr. Aguirre offers a compassionate and illuminating perspective on how self-hatred forms, why it's so persistent, and how we can work toward healing. Dr. Aguirre explains why self-hatred is often learned early in life through invalidating experiences and abusive environments and why it differs from self-criticism or depression. He introduces practical tools to break free from self-loathing, such as identifying its roots, recognizing toxic relationships, and taking steps to separate identity from these damaging beliefs. We also discuss the challenges of treating patients with self-hatred, the transformative power of dialectical behavior therapy (DBT), and how his latest book, I Hate Myself, provides a groundbreaking resource for those suffering from this deeply ingrained struggle. If you've ever wrestled with feelings of unworthiness or struggled to overcome negative beliefs about yourself, this episode is packed with strategies, hope, and actionable advice to help you move toward a healthier relationship with yourself. Chapters: 00:15 — Introduction: Meet Dr. Blaise Aguirre 02:00 — From Philosophy to Psychiatry: Dr. Aguirre's Career Path 07:30 — Understanding Self-Hatred: How It Develops and Why It Persists 15:00 — The Role of Validation in Parenting and Mental Health 20:45 — The DBT Approach: Why Skills-Based Therapy Works for BPD and Self-Hatred 27:00 — Breaking Down Self-Hatred: Separating It from the Self 34:20 — Overcoming Self-Hatred: Practical Tools and Steps for Healing 40:15 — The Importance of Compassionate Treatment in Mental Health Care 45:00 — A Sneak Peek Into I Hate Myself 50:20 — What Parents and Caregivers Need to Know 57:00 — Dr. Aguirre's Final Thoughts on Healing and Hope About the Podcast I'm Dr. Robert Duff, a clinical psychologist and the host of the Hardcore Self Help Podcast. My mission is to break down complex mental health topics into relatable, actionable advice. On this podcast, we dive deep into mental health, personal development, and the strategies that help us thrive. Each episode features expert interviews, practical tips, and answers to listener questions, all designed to help you live a healthier, more fulfilled life. Guest Links: Dr. Blaise Aguirre's Website: www.IHateMyselfBook.com Learn More About DBT: McLean Hospital's DBT Program I Hate Myself: Dr. Aguirre's Latest Book (Coming February 2025) Connect With Me: Website: duffthepsych.com Instagram: @duffthepsych YouTube: Dr. Duff's Channel Sponsored By: This episode is brought to you by NoCD, a leading provider of virtual therapy for obsessive-compulsive disorder (OCD). If intrusive thoughts and compulsions are impacting your daily life, NoCD offers specialized Exposure and Response Prevention (ERP) therapy. Schedule a free 15-minute consultation to learn more at www.nocd.com. Hope you find this conversation as inspiring and thought-provoking as I did! Don't forget to share your thoughts and takeaways in the comments. Tags: #MentalHealth #SelfHatred #BlaiseAguirre #DBT #BorderlinePersonalityDisorder #SelfCompassion #TraumaHealing #Parenting #Mindfulness #SelfHelp

In this special episode of the Hardcore Self Help Podcast, I lead you through a guided meditation designed to help you let go of mental burdens and find focus in an overwhelming world. Using visualization techniques and intentional breathing exercises, this meditation offers a space to acknowledge your stressors, release tension, and tap into a feeling of calm and clarity. This experience is set in a vivid mindscape of space, where you can imagine yourself aboard a futuristic spacecraft, surrounded by the beauty of the cosmos. Together, we'll navigate through moments of recognition, release, and rejuvenation. By the end of this session, you'll feel more centered and grounded, with a renewed connection to how you'd like to move forward. Whether you're a seasoned meditator or new to mindfulness, this episode is a judgment-free zone to focus on yourself. Bookmark it to return to anytime you need a mental reset. Sponsor This episode is brought to you by NOCD, a leading provider of virtual therapy for obsessive-compulsive disorder (OCD). If you're stuck in cycles of overthinking, compulsive behaviors, or intrusive thoughts, NOCD offers specialized treatment using Exposure and Response Prevention (ERP)—a gold-standard therapy for OCD. They provide virtual sessions with licensed therapists, accept many major insurance plans, and offer support between sessions to make treatment as accessible as possible. Visit https://www.nocd.com to schedule a free 15-minute consultation and take the first step toward relief. For more insights on OCD and ERP, check out my interview with Dr. Patrick McGrath in episode 406 of this podcast. Chapters: 00:15 — Introduction: Why This Meditation Matters 03:00 — Sponsor: NOCD – Treatment for OCD Symptoms 04:30 — Setting the Scene: Guided Visualization in Space 08:00 — Acknowledging and Offloading Mental Burdens 13:00 — Breathing for Release: Techniques to Let Go 17:00 — Choosing Your Focus and Setting Your Intention 19:30 — Relaxation Breathing and Body Scan 25:00 — Final Reflections and Letting the Experience Settle About the Podcast I'm Dr. Robert Duff, a clinical psychologist and host of the Hardcore Self Help Podcast. My mission is to make mental health topics relatable and actionable. Whether through guided meditations like this one, Q&A sessions, or expert interviews, I aim to help you navigate life's challenges with clarity and confidence. Connect With Me: Website: https://duffthepsych.com Instagram: https://instagram.com/duffthepsych YouTube: https://youtube.com/duffthepsych Hashtags: #GuidedMeditation #Mindfulness #MentalHealth #Relaxation #StressRelief #SelfHelp

In this inspiring episode of the Hardcore Self Help Podcast, I sit down with Dr. Jordan Grumet, a hospice director, author, and podcast host, to explore how we can transform our lives by embracing the concept of “little p purpose.” Dr. Grumet shares insights from his latest book, The Purpose Code, which offers actionable strategies to uncover and build a meaningful life, regardless of your circumstances. Our conversation dives deep into the difference between “big P Purpose” (society's lofty, often unattainable ideals) and “little p purpose” (daily actions that bring joy and meaning). Dr. Grumet shares his personal journey—from losing his father at a young age to becoming a physician driven by unresolved trauma, to ultimately finding fulfillment by pursuing his passions for writing, speaking, and connecting with others. Key takeaways from our discussion include practical ways to recognize your purpose anchors, how to turn regrets into motivations, and why pursuing joy in small, intentional ways can lead to profound impact and lasting legacy. We also explore how Dr. Grumet's work in hospice has shaped his understanding of what truly matters in life, highlighting lessons from those at the end of their journeys. This episode is packed with wisdom for anyone feeling stuck, searching for meaning, or simply looking to live with more intentionality and joy. Sponsor This episode is brought to you by NOCD, a leading provider of virtual therapy for obsessive-compulsive disorder (OCD). If you're caught in an endless loop of “what-ifs” or struggling with obsessive thoughts and compulsive behaviors, NOCD offers specialized, evidence-based therapy designed just for OCD—Exposure and Response Prevention (ERP). They accept many major insurance plans, making it accessible and affordable, with support available between therapy sessions. Take the first step by visiting https://www.nocd.com to schedule a free 15-minute call with their team. Plus, check out my interview with Dr. Patrick McGrath, NOCD's Chief Clinical Officer, on episode 406 of this podcast to learn more about OCD and their approach. Chapters: 00:15 — Introduction: Meet Dr. Jordan Grumet 02:00 — Finding Purpose After Loss: Dr. Grumet's Early Life 06:15 — Purpose Anchors: Joyful Work vs. Goal-Oriented Burnout 10:45 — Lessons from the Hospice Life Review 16:30 — Regrets of the Dying: Turning Regret into Action 20:00 — Building Purpose When You Feel Stuck 24:15 — Tools and Levers: Joy of Addition and Art of Subtraction 30:00 — The Difference Between Meaning and Purpose 37:00 — How Small Joys Create Big Impact and Legacy 44:15 — Practical Steps to Start Building a Purposeful Life 50:30 — Final Takeaways: Finding Your Purpose Anchors About the Podcast I'm Dr. Robert Duff, a clinical psychologist and the host of the Hardcore Self Help Podcast. My mission is to break down complex mental health topics into relatable, actionable advice. Each episode dives deep into mental health, personal development, and strategies for living authentically and fulfilling your potential. Guest Links Dr. Grumet's Website: https://jordangrumet.com The Purpose Code: https://jordangrumet.com/books Podcast: https://www.earnandinvest.com/episodes Connect With Me: Website: https://duffthepsych.com Instagram: https://instagram.com/duffthepsych YouTube: https://youtube.com/duffthepsych #MentalHealth #Purpose #PersonalDevelopment #Legacy #SelfHelp #Mindfulness

Ever had a moment where you felt like something bad would happen unless you did a specific thing—like touching a door handle just right or counting to a certain number? Now imagine that feeling controlling your every action, from the smallest decisions to the biggest ones. This is what life is like for those with magical thinking OCD. But how can you tell the difference between these intense fears and harmless superstitions? In this episode of The OCD Whisperer Podcast, host Kristina sits down with Dr. Regina Lazarovich, a clinical psychologist and founder of Compass CBT to talk about magical thinking OCD. They explore how this subtype of OCD involves irrational beliefs that certain thoughts or actions can influence outcomes. Dr. Lazarovich distinguishes it from cultural superstitions and discusses its impact on daily life. She outlines treatment approaches, including Exposure and Response Prevention (ERP) and Inference-Based Cognitive Behavioral Therapy (IB-CBT). The episode emphasizes understanding and compassion in managing OCD, offering hope and practical guidance for those affected. In This Episode [00:00:01] Introduction to magical thinking OCD   [00:02:15] Understanding magical thinking OCD   [00:03:44] Examples of magical thinking OCD   [00:05:17] Distinction between superstitions and OCD   [00:06:01] Impact on functioning and quality of life   [00:08:08] Urgency in OCD compulsions   [00:10:06] Internal vs. external compulsions   [00:10:59] Treatment options for magical thinking OCD   [00:11:34] Explaining exposure and response prevention   [00:14:15] Cognitive behavioral therapy for OCD   [00:16:29] Tracing the origin of OCD compulsions   [00:17:32] Addressing the possibility of harm   [00:19:06] Relevance of possibility in OCD   [00:19:15] Understanding Inference in OCD   [00:20:55] The role of personal experience   [00:22:01] Contextual factors in OCD   [00:23:25] Belief formation in OCD   [00:25:00] Complexity of OCD treatment   [00:26:14] Compassion in therapy   [00:27:06] Finding the right treatment   [00:28:08] Connecting with Dr. Regina Lazarovich   Notable Quotes [00:07:22] “It's not about the superstition itself but the intense fear and urgency. With OCD, it's like something catastrophic will happen if the ritual isn't done.” -Kristina  [00:13:37] “In ERP, we face the fear systematically, like writing the lyrics of an 'unlucky' song, then listening to it, all while not engaging in compulsions. It's about regaining control over life.” - Dr. Regina Lazarovich  [00:16:29] “With ICBT, we trace back to when the compulsion started. It's often rooted in something deeply understandable, like a childhood fear. Once we understand it, we stop falling for OCD's 'trick.'” - Dr. Regina Lazarovich [00:19:15] “An inference is an educated guess based on evidence. With OCD, we over-rely on possibility and dismiss actual evidence. Slowing down can help us make better-informed conclusions.” - Kristina [00:27:49] “It's not about making OCD disappear but transforming your relationship with it. You learn to live your life without letting it dictate your every move.”- Kristina   Our Guest Dr. Regina Lazarovich is a clinical psychologist and the founder of Compass CBT, where she serves clients across California, Florida, and New York. With a deep commitment to helping individuals struggling with anxiety, panic attacks, OCD, perfectionism, disordered eating, and body image issues, she utilizes evidence-based practices like CBT and ACT. Dr. Lazarovich approaches therapy with a Health at Every Size perspective, particularly for clients dealing with food and body image challenges. Her compassionate, client-centered approach fosters lasting change and personal growth. Resources & Links   Kristina Orlova, LMFT https://www.instagram.com/ocdwhisperer/ https://www.youtube.com/c/OCDWhispererChannel https://www.korresults.com/ https://www.onlineocdacademy.com   Dr. Regina Lazarovich https://www.compasscbt.com/ https://www.linkedin.com/in/regina-lazarovich Mentioned  Sneaky Rituals with Jenna Overbaugh ICBT with Kristina Orlova and Christina Ennabe OCD CBT Journal Tracker and Planner Disclaimer Please note while our host is a licensed marriage and family therapist specializing in OCD and anxiety disorders in the state of California, this podcast is for educational purposes only and should not be considered a substitute for therapy. Stay tuned for biweekly episodes filled with valuable insights and tips for managing OCD and anxiety. And remember, keep going in the meantime. See you in the next episode!

In this episode of The Aspiring Psychologist Podcast, Dr. Marianne Trent discusses Obsessive-Compulsive Disorder (OCD) with Psychological Wellbeing Practitioner (PWP) Faye Wilson. Together, they explore what OCD really is, how it manifests, and the treatments that can help people regain control over their lives.Key Takeaways• Beyond the Stereotypes: OCD isn't just about being neat or tidy. It's about intrusive thoughts and compulsive behaviours that cause significant distress.• Personal Insight: Faye shares her personal experience with OCD and the journey to diagnosis and treatment.• Treatment Approaches: Learn about Exposure and Response Prevention (ERP) therapy and mindfulness techniques that can help manage OCD.• Support is Available: Encouragement to seek professional help through the NHS or other trained services.Highlights: 00:00 - Introduction01:41 - Meet Faye Wilson03:03 - Recognising OCD07:05 - What OCD Really Is12:09 - The Distress of OCD18:25 - Missed Opportunities22:49 - Intrusive Thoughts27:21 - Effective Treatments30:01 - A Compassionate Approach33:45 - Support Systems35:24 - Closing RemarksLinks:

Jenna Overbaugh is a licensed counselor specializing in OCD, anxiety, and related conditions since 2008. With lived experience and expertise in treating some of the most severe OCD and anxiety cases, she now creates self-help resources and digital products for those dealing with intrusive thoughts. She's also the host of All the Hard Things podcast, where she empowers listeners to break free from fear and reclaim their lives.In this episode, we dive into the complexities of Obsessive-Compulsive Disorder (OCD). We explore common misconceptions on OCD and shed light on the true impact it has on those who live with it. We discuss the difference between myths and reality, unpacking what OCD really looks like and how it affects daily life.Jenna and I both share our personal experiences as mental health professionals living with OCD. We also explore different treatment options, including Exposure and Response Prevention (ERP). We also dive deep into the importance of sitting with discomfort and how this practice can help individuals regain control over their thoughts and behaviors. FOLLOW JENNA: INSTAGRAM: @jenna.overbaughWEBSITE: https://jennaoverbaughlpc.comSTAY CONNECTED:INSTA: @trustandthriveTIKOK: @trustandthriveTHREADS: @trustandthriveFACEBOOK: bit.ly/FBtaramontEMAIL: trustandthrive@gmail.com

Book your free session directly, visit: www.robertjamescoaching.com Welcome to episode 452 of the OCD and Anxiety Podcast. In this enlightening discussion, host Robert James is joined by Dr. Marisa Mazza, a distinguished clinical psychologist and author of "The ACT Workbook for OCD." Together, they delve into the transformative power of Acceptance and Commitment Therapy (ACT) combined with Exposure and Response Prevention (ERP) for those struggling with OCD and anxiety. Dr. Mazza shares her personal journey into the world of OCD treatment, offering listeners valuable insights into evidence-based strategies that help disrupt the cycle of anxiety and compulsions. The conversation is rich with practical advice, compassion, and inspiring stories that emphasize finding meaning and purpose in life beyond the confines of OCD. Listeners will explore the vital ACT principles of acceptance, mindfulness, and value-based living, as well as learn effective techniques for managing compulsions and overcoming perfectionism. This episode is a must-listen for anyone navigating OCD or supporting a loved one, providing a pathway to resilience and recovery Marisa T. Mazza, Psy.D., is a licensed psychologist, supervisor, and founder of choicetherapy, a renowned group practice specializing in evidence-based treatments for OCD and Anxiety. Passionate about guiding individuals beyond their fears, she facilitates empowering workshops and provides consultation to therapists seeking genuine connections with clients. Dr. Mazza's expertise is widely recognized, as she serves as faculty at the Behavioral Therapy Training Institute of the International OCD Foundation. Her book, "The ACT Workbook for OCD," published by New Harbinger, showcases her exceptional knowledge and insights on mindfulness, acceptance, and exposure skills for living well with OCD. Links https://www.choicetherapy.net/team Disclaimer: Robert James Pizey (of Robert James Coaching) is not a medical professional and is also not providing therapy or medical treatment. Robert James Pizey recommends that anyone experiencing anxiety or OCD to seek professional medical help straight away to get a medical opinion and rule out other conditions or illnesses. The comments and opinions as written on this site are simply that and are not to be taken as professional medical opinions. Robert James Pizey provides coaching, education, accountability and peer support around Anxiety through his own personal experiences.      

In this episode, Dr. David Puder dives deep into the world of Obsessive-Compulsive Disorder (OCD) with renowned expert Dr. Fred Penzel, who brings over 43 years of experience to the table. Together, they explore groundbreaking approaches to treating OCD, including Exposure and Response Prevention (ERP), cognitive restructuring, and embracing uncertainty. Dr. Penzel shares fascinating insights into the neurobiology of OCD, the cycle of intrusive thoughts and compulsions, and effective strategies for lasting recovery. Whether you're a clinician seeking best practices or someone navigating OCD, this episode offers a wealth of practical tools, compelling stories, and hope. Uncover why OCD is called the "doubting disease" and how evidence-based methods can break its grip. This is more than a podcast—it's a roadmap to understanding and overcoming one of the most challenging mental health conditions.

If you're anything like me, you might have a bit of a love-hate relationship with fear. Even though I'm a therapist who specializes in anxiety, I've always found fear fascinating. As a kid, I used to dream about being part of the horror movie world, and today, I still think there's something to be learned from those spooky films. Whether you love the thrill of a scary movie or can't wait for Halloween to be over, there's a valuable lesson to take away from horror: The more we run from fear, the more powerful it becomes. In this blog, I'm going to explore how fear works, what horror movies can teach us about handling anxiety, and how to use strategies like Exposure and Response Prevention (ERP) to face fear head-on and shrink it down to size. Here's a little preview of what we'll cover: Why running from fear makes it worse How to use Exposure and Response Prevention (ERP) to help your brain learn to handle anxiety without avoiding it How to reduce the power fear has over you You can find the full shownotes here: ⁠https://jennaoverbaughlpc.com/running-from-fear ⚡ Sign up for my FREE Masterclass, Break Free Power Hour, on Taking Control of Anxiety and Intrusive Thoughts: https://www.jennaoverbaughlpc.com/power

OCD is often misunderstood and can manifest in many forms from a variety of experiences that create associations with a compulsion and an outcome. In this episode, Patrick Casale and Dr. Megan Anna Neff, two AuDHD mental health professionals, are joined by Aiden Reis, a trans, Autistic therapist who specializes in OCD, anxiety, phobias, and panic. They discuss practical strategies for effectively managing OCD through Exposure and Response Prevention (ERP) therapy using a value-driven and neurodivergent-affirming approach. Top 3 reasons to listen to the entire episode: Learn practical strategies for rebuilding self-trust after anxiety-inducing experiences, drawing from Aiden Reis's invaluable insights into Exposure and Response Prevention (ERP) therapy adapted for neurodivergent individuals. Discover the importance of accommodating sensory needs in therapy without reinforcing anxiety, and understand how to effectively differentiate between sensory sensitivities and anxiety responses. Gain a richer appreciation of how addressing "what if" scenarios and unhooking from distressing thoughts can lead to profound empowerment and emotional resilience, helping you live a good life despite potential challenges. OCD can be challenging, but there are ways to manage it, and ERP, when done using a neurodivergent-affirming approach, can be an effective tool in managing OCD for neurodivergent individuals. More about Aiden: Aiden is a trans and autistic, private practice therapist based in Massachusetts. Working with Autistic and ADHDer clients, he is passionate about providing neurodivergent-affirming and LGBT-positive therapy. He specializes in OCD, anxiety, phobias, and panic. Aiden is a member of the International OCD Foundation. Website: www.divergecounseling.com ————————————————————————————————

Book your free session directly, visit: www.robertjamescoaching.com   In episode 435 of The OCD and Anxiety Podcast, host Robert James explores the compelling metaphor of a mosquito bite to illustrate the relentless cycle of Obsessive-Compulsive Disorder (OCD). Just like the itch from a mosquito bite, OCD can be an all-consuming obsession, driving compulsive behaviors that provide only temporary relief. Robert delves into how understanding this cycle is crucial for managing OCD. By resisting the urge to 'scratch' or engage in compulsions, we can learn to sit with discomfort and reduce the power of intrusive thoughts over time. Through techniques such as Exposure and Response Prevention (ERP) and Acceptance Commitment Therapy (ACT), listeners are encouraged to focus on long-term goals and values, creating a mental 'mosquito net' that allows them to live life fully, even when OCD thoughts buzz in the background. Join Robert in this enlightening discussion and discover strategies to break free from the OCD cycle, learning to interpret and manage intrusive thoughts in a healthier way Disclaimer: Robert James Pizey (of Robert James Coaching) is not a medical professional and is also not providing therapy or medical treatment. Robert James Pizey recommends that anyone experiencing anxiety or OCD to seek professional medical help straight away to get a medical opinion and rule out other conditions or illnesses. The comments and opinions as written on this site are simply that and are not to be taken as professional medical opinions. Robert James Pizey provides coaching, education, accountability and peer support around Anxiety through his own personal experiences.          

Book your free session directly, visit: www.robertjamescoaching.com In episode 433, join us for a deeply personal story as the host shares their inspiring journey from living with OCD to achieving a psychology degree at 43. This episode delves into the challenges, setbacks, and breakthroughs experienced along the way, offering hope and motivation to those facing similar struggles. The host discusses various transformative techniques that played a crucial role in managing OCD, including mindfulness, Exposure and Response Prevention (ERP), Acceptance and Commitment Therapy (ACT), and the Wim Hof method. Discover how these practices not only helped in managing OCD but also completely transformed their life. Through candid storytelling, learn about the decision to pursue a psychology degree and the rewarding journey of balancing life as a student, parent, and coach. This episode serves as a reminder that no matter where your struggles begin, it's never too late to rewrite your story and find meaning in the chaos Disclaimer: Robert James Pizey (of Robert James Coaching) is not a medical professional and is also not providing therapy or medical treatment. Robert James Pizey recommends that anyone experiencing anxiety or OCD to seek professional medical help straight away to get a medical opinion and rule out other conditions or illnesses. The comments and opinions as written on this site are simply that and are not to be taken as professional medical opinions. Robert James Pizey provides coaching, education, accountability and peer support around Anxiety through his own personal experiences.        

If you've ever experienced a panic attack or anxiety attack, you know how overwhelming and terrifying it can feel. Panic can hit like a wave, leaving you feeling like you're completely out of control. There are so many misconceptions about panic attacks and high anxiety—what they are, what they mean, and most importantly, how to deal with them. Today, we're going to break down some of the biggest myths surrounding panic attacks and anxiety, and I'll share real, evidence-based strategies that can help you stop letting them control your life. No quick fixes or surface-level coping skills here—just real, actionable tools grounded in Exposure and Response Prevention (ERP) and Acceptance and Commitment Therapy (ACT). Here's a little preview of what we'll cover: 3 myths about panic attacks you might be believing How to transform your relationship with panic How to break the cycle you're in You can find the full shownotes here: ⁠https://jennaoverbaughlpc.com/panic-attacks-myths

Book your free session directly, visit: www.robertjamescoaching.com In episode 433 of The OCD and Anxiety Podcast, host Robert James delves into the misconceptions surrounding Obsessive-Compulsive Disorder (OCD). Many people misunderstand OCD, often reducing it to mere quirks about cleanliness or orderliness. Robert aims to dispel these myths and provide a clearer understanding of this complex mental health condition. Listeners will learn about various forms of OCD, such as Pure O, where compulsions are not physically visible, and sensory motor OCD, which can be difficult for outsiders to recognize. The episode also addresses the false notion that OCD is a personality choice or something one can easily "snap out of." Robert emphasizes that OCD exists on a spectrum and that effective strategies like Exposure and Response Prevention (ERP) and Acceptance Commitment Therapy (ACT) can significantly aid in managing symptoms. By debunking these myths, the episode encourages listeners to challenge limiting beliefs about OCD and to explore viable treatment options. Disclaimer: Robert James Pizey (of Robert James Coaching) is not a medical professional and is also not providing therapy or medical treatment. Robert James Pizey recommends that anyone experiencing anxiety or OCD to seek professional medical help straight away to get a medical opinion and rule out other conditions or illnesses. The comments and opinions as written on this site are simply that and are not to be taken as professional medical opinions. Robert James Pizey provides coaching, education, accountability and peer support around Anxiety through his own personal experiences.      

In this episode, Dr. Elizabeth McIngvale and Cali Werner dive into the topic of obsessive-compulsive disorder (OCD), breaking down common misconceptions and explaining the difference between OCD and perfectionism. They explore the nature of obsessions and compulsions, and discuss effective treatment strategies, including Exposure and Response Prevention (ERP). Using real-life examples the hosts illustrate how OCD can manifest, and how treatment offers a path to freedom. Tune in to learn how you can better understand and manage OCD.Key Points:[0:00] Welcome to the Anxiety Society Podcast Dr. Elizabeth McIngvale and Cali Werner introduce the podcast and its mission to challenge common ideas about anxiety and mental health.[1:20] What is OCD? The hosts clarify common misunderstandings about OCD, explaining what obsessive-compulsive disorder really entails and the difference between OCD and perfectionism.[9:00] OCD is Not an Adjective A deep dive into why using "OCD" as an adjective is incorrect, highlighting the difference between personality characteristics and a debilitating disorder.[17:16] Obsessions vs. Compulsions An explanation of the intrusive thoughts (obsessions) and the repetitive behaviors (compulsions) that characterize OCD, along with examples of how they manifest.[21:53] Subtypes of OCD The hosts discuss various subtypes of OCD, including contamination fears, harm OCD, scrupulosity, and taboo subjects like sexual intrusive thoughts.[31:42] Treatment for OCD: ERP A breakdown of Exposure and Response Prevention (ERP), the most effective treatment for OCD, and how it helps patients regain control.[43:04] Freedom from OCD Personal experiences and encouragement on how ERP can lead to freedom, highlighting the importance of facing fears fully rather than "white-knuckling" through them.Quotable Moments:[1:20] "We will spend time today talking about what you might think OCD is—and why it may not actually be that." – Cali Werner[0:59] "OCD is not functional. It makes you less productive, and it causes distress." – Dr. Elizabeth McIngvale[46:46] "We can handle hard things. We can handle distress." – Dr. Elizabeth McIngvaleLinks MentionedAnxiety Society Podcast Website: https://AnxietySocietyPodcast.comFollow on Instagram: @AnxietySocietyPod https://www.instagram.com/AnxietySocietyPodThank you for tuning in to today's episode on OCD! We hope you now have a clearer understanding of what OCD is, how it differs from perfectionism, and how ERP can help you find freedom. If you found this episode helpful, please subscribe to the podcast and leave us a review.Mentioned in this episode:World Class Treatment For A Worldwide NeedThe OCD Institute of Texas provides compassionate individualized treatment for anxiety, OCD and related disorders with a diverse team of dedicated specialists.

Purchase Relationship Renovation at Home Online Course.Are you struggling to understand OCD's impact on relationships? Curious about the nuances between anxiety and OCD? Want to learn effective treatment strategies for managing OCD? In this episode, hosts Tarah and EJ sit down with OCD expert Dr. Sara Brungard to delve deep into the complexities of Obsessive-Compulsive Disorder and its far-reaching effects on relationships. Sarah emphasizes the critical role of understanding family history during intake to uncover undiagnosed conditions like OCD. She walks us through major OCD themes such as harm, sexual intrusive thoughts, contamination, checking compulsions, and relationship OCD. This comprehensive discussion sheds light on the misconceptions about OCD, emphasizing the importance of targeting compulsions rather than anxiety in therapy. Sarah introduces listeners to the transformative potential of Exposure and Response Prevention (ERP) therapy, which can help individuals resist compulsions and regain control over their lives.Listeners will find invaluable insights into avoiding common therapeutic mistakes and learning how to properly support a partner with OCD. Sarah also shares engaging stories from her experience at the Calm OCD centers located in Scottsdale, Tucson, and Sandy, Utah. Whether you're a mental health professional, a partner of someone with OCD, or someone seeking a better understanding of OCD's impact on relationships, this episode is a treasure trove of knowledge and practical advice. Don't miss out on this opportunity to enhance your understanding and help transform the way OCD is managed in relationships.Learn More about Dr. Sara Brungard and CalmOCDVisit relationshiprenovation.com for more tips and resources to elevate your partnership and emotional well-being!Relationship Renovation YoutubeContact UsOur Sponsors:* Get $120 Off Across 4 Boxes, Plus Free Shipping at gobble.com/RELATIONSHIPS!Support this podcast at — https://redcircle.com/he-said-she-said/donationsAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

In this episode Will sits down with Dr. Alison LaFollette, the Clinical Director of Mountain Valley Treatment Center. Alison shares her journey from conducting neuropsychological evaluations in several of Utah's wilderness therapy programs to leading the clinical team at Mountain Valley. She discusses the integration of Exposure and Response Prevention (ERP) therapy with outdoor experiential activities at Mountain Valley, highlighting how natural settings like the Zen Garden, farm, outdoor climbing wall and hiking trails enhance therapeutic outcomes for adolescents and young adults struggling with anxiety and OCD. The conversation delves into the rising levels of social anxiety among young people, the impact of the pandemic on mental health, and the importance of family involvement in treatment. Alison also explores the similarities between ERP and adventure therapy, emphasizing the value of taking committed action in accordance with one's values. She reflects on the challenges facing behavioral healthcare organizations, including staff burnout and program sustainability, offering insights into how Mountain Valley addresses these issues. The episode concludes with Alison sharing how she utilizes the outdoors for her own mental well-being and her excitement about future innovations at Mountain Valley, such as expanding experiential components and fostering team synergy.

On this episode of Purely OCD, Lauren Rosen, LMFT, and Kelley Franke, LMFT, discuss recovery from Contamination OCD using Exposure and Response Prevention (ERP). 

Hey everyone, welcome back! Today, we're diving into a crucial topic, especially if you or someone you know has been struggling with OCD, anxiety, or intrusive thoughts. We're going to talk about why traditional talk therapy—where talking is the main, and sometimes the only, intervention—isn't enough to help you overcome these issues. Talk therapy doesn't work for OCD and anxiety most of the time (and can often make things worse). Before you panic, let me clarify: not all forms of therapy that involve talking are bad. Far from it! Therapies like Exposure and Response Prevention (ERP) and Acceptance and Commitment Therapy (ACT) involve a lot of talking, but they also include structured interventions that are important for real progress. Let's dig into why traditional talk therapy, as I'm defining it, just doesn't cut it for OCD and anxiety, and explore some evidence-based strategies that do work. Here's a little preview of what we'll cover: • What Talk Therapy really is • Why talk therapy alone doesn't work for OCD • What works for OCD and anxiety instead

In this episode of the Hardcore Self Help Podcast, I address two intense and relatable listener questions. The first question comes from a listener who feels abandoned by their spouse after a traumatic car accident left them with PTSD and potential brain injury. I provide insights on the possible brain injuries they might have sustained, while also discussing the complexities of their strained relationship and offering practical advice for moving forward. In the second question, a listener struggles with constant phone checking and tech addiction. I offer actionable tips for managing phone usage, including identifying and challenging assumptions, creating a conscious phone use plan, and finding accountability. This episode aims to provide support, clarity, and practical guidance for listeners dealing with trauma, relationship challenges, and tech overdependence. This episode is brought to you by NoCD. Overthinking can be more than just a habit—it might be a symptom of Obsessive Compulsive Disorder (OCD). NoCD provides virtual therapy sessions with licensed therapists specialized in Exposure and Response Prevention (ERP) therapy, the gold standard treatment for OCD. To learn more, visit http://nocd.com and schedule a free 15-minute call. 00:00 Introduction and Episode Overview  01:16 Listener's Question: Dealing with Trauma and Relationship Issues 02:33 Understanding Brain Injuries from Car Accidents 08:05 Addressing Relationship Concerns and Seeking Separation 08:11 Sponsor Break: NoCD 15:14 Listener's Question: Overcoming Phone Addiction 17:07 Tips for Reducing Phone Usage 25:17 Conclusion and Final Thoughts Please send questions to duffthepsych@gmail.com 

Unlock the hidden strengths of Obsessive-Compulsive Disorder (OCD) with our special guest, Dr. Michael Alcée. In our latest episode, we promise to change the way you perceive OCD by highlighting the unique gifts and deep emotional layers often overshadowed by the diagnosis. Gain insights into Dr. Alcée's mission to humanize this condition and discover how understanding the person behind the disorder can lead to more compassionate and effective therapy.We explore the intense and complex emotions experienced by those with OCD, challenging the one-dimensional focus of traditional therapies like Exposure and Response Prevention (ERP). By reflecting on historical figures such as Charles Darwin, who showcased remarkable creativity alongside OCD tendencies, Dr. Alcée introduces the concept of "negative capability" — the ability to tolerate ambiguity and mystery — as a therapeutic tool. Through empathy and a broader emotional approach, this episode shines a light on the richness of human experience in those with OCD, making a case for a balanced treatment that includes both exposure and emotional exploration.Listen as we unravel real-life examples and diverse manifestations of OCD that compel us to rethink our approach to treatment. From contamination fears to relationship anxieties, Dr. Alcée and I discuss strategies for sitting with uncertainty and understanding the deeper emotional context behind compulsive behaviors. Reframe your perspective on OCD, seeing it not just as a challenge but as a "frenemy" offering valuable messages, ultimately advocating for a therapy approach that supports and appreciates those who think and feel deeply. Don't miss this eye-opening and compassionate take on OCD that promises hope and understanding for sufferers and therapists alike.To learn more about Dr. Alcée, find his website here: Michael Alcée, Ph.D. | Psychotherapy in Tarrytown, NY (michaelalcee.com) or email him at: drmichaelalcee@gmail.comIf you, or someone you know, is having mental health challenges and is in need of assistance, please contact 988.This podcast is meant to be a resource for the general public, as well as fellow therapists/psychologists. It is NOT meant to replace the meaningful work of individual or family therapy. Please seek professional help in your area if you are struggling. #breakthestigma #makewordsmatter #thingsyoulearnintherapy #thingsyoulearnintherapypodcastFeel free to share your thoughts at www.makewordsmatterforgood.com or email me at Beth@makewordsmatterforgood.comIf you are a therapist or psychologist and want to be a guest on the show, please complete this form to apply: https://forms.gle/ooy8QirpgL2JSLhP6Support the Show.www.bethtrammell.com

Stephen Smith, co-founder of the teletherapy platform NOCD, joins us to share his lived experience with OCD (sexual obsessions, relationship obsessions, and more) that fueled him to create a a virtual therapy platform specializing in the treatment of OCD. Like many, Stephen did months of general talk therapy with a therapist who didn't understand OCD, which made his OCD worse. It wasn't until he found effective treatment, Exposure & Response Prevention (ERP) therapy, that he started to feel better. Stephan compares OCD to an earthquake in the brain, talks the loss of identity that comes from OCD attacking one's identity, being homebound when his OCD was at its worse, and more. This podcast is made possible by NOCD. NOCD offers effective, affordable, and convenient OCD therapy. Schedule a free 15-minute call today at ⁠https://learn.nocd.com/alegrakastens⁠ Follow Alegra on ⁠Instagram⁠! Episodes edited by ⁠Donny Hadfield

In this episode, I sit down with Dr. Patrick McGrath, Chief Clinical Officer at NOCD and a leading expert in OCD treatment. We dive deep into understanding OCD, debunking common misconceptions, and exploring the most effective treatment approaches. Dr. McGrath shares practical advice for managing OCD and introduces an amazing new tool that's helping people across the country manage OCD from the comfort of their own homes. Whether you're personally affected by OCD, know someone who is, or just want to learn more about mental health, this episode is packed with valuable insights and actionable tips. Key Takeaways: Misconceptions About OCD: Discover what OCD really is and debunk common myths. Understand the difference between media portrayals and reality. Effective Treatment Approaches: Learn about Exposure and Response Prevention (ERP) therapy. Find out what works and what doesn't in OCD treatment. Explore Dr. McGrath's innovative approach to virtual ERP therapy. Practical Advice for Managing OCD: Get strategies for handling intrusive thoughts and compulsions. Tips for avoiding reassurance-seeking, distraction, and substance use. Introducing NOCD: Learn about NOCD, an online platform offering accessible OCD therapy. Understand how NOCD works and its benefits for people across the country. Find out how NOCD is making treatment more affordable and effective. Personal Insights: Hear Dr. McGrath's personal journey with anxiety and how it shaped his career. Gain inspiration from his transformation from a bullied child to a leading mental health expert. Be sure to check out NOCD at http://treatmyocd.com and send me a question or topic for a future episode of the show at http://duffthepsych.com/contact 

In part two of this discussion, Chrissie opens up about her suicide attempt that led to her hospitalization and OCD diagnosis. She also shares her OCD treatment experience utilizing Exposure and Response Prevention (ERP) and recovery journey. This podcast is made possible by NOCD. NOCD offers effective, affordable, and convenient OCD therapy. Schedule a free 15-minute call today at⁠ ⁠https://learn.nocd.com/alegrakastens⁠⁠ Follow Alegra on⁠ ⁠Instagram⁠⁠! Episodes edited by⁠ ⁠Donny Hadfield⁠

On this week's episode of Books, Looks, and Lobotomies, licensed therapist and OCD specialist Alegra Kastens talks Obsessive Compulsive Disorder (OCD) and mental compulsions. She provides information about specific mental compulsions, how Exposure & Response Prevention (ERP) works with mental compulsions, stopping mental compulsions, and whether or not mental compulsions can be automatic or involuntary. This podcast is made possible by NOCD. NOCD offers effective, affordable, and convenient OCD therapy. Schedule a free 15-minute call today at ⁠https://learn.nocd.com/alegrakastens⁠ Follow Alegra on ⁠Instagram⁠! Episodes edited by ⁠Donny Hadfield

Imagine a world where children with OCD and Tourette's can manage their symptoms without relying solely on medications. In this episode of Pediatric Meltdown, we explore innovative interventions like Habit Reversal Training and ERP Therapy that offer new hope for young patients. Dr. Lia's guest is a listener's favorite, Dr. Colleen Cullinan. She has a gift for taking you inside the child's mind and telling you exactly what they're thinking. She'll talk about the profound impact of intentional, compassionate care and the crucial role of family support in the treatment process. Tune in to discover effective strategies for tackling the emotional and psychological struggles these children face and how these methods pave the way for lasting improvements. [03:13 -17:21] Understanding Isolation and Negative Reinforcement in Mental HealthConcept of breaking the cycle of negative reinforcement and the importance of compassionate interventions.Connection between emotional regulation in various scenarios and therapies like cognitive behavioral therapy and acceptance and commitment therapy.Discussion on how the brain's problem-solving nature struggles with internal experiences, leading to anxiety.Therapies offer solutions that counter the brain's intuitive problem-solving approach.[17:22 - 29:42] Exposure and Response Prevention (ERP) for OCD Emphasis on intentionally facing fears without engaging in compulsive behaviors.Insights into how ERP can be rewarding for families affected by OCD.Challenges and solutions in treating internal obsessions and related mental compulsions.Significance of ERP in helping individuals understand their fears are not dangerous.[29:43 - 41:52] Nonpharmacologic Therapies for OCD, Tics, and Tourette'sOverview of therapies like exposure and response prevention, habit reversal training, and comprehensive behavioral intervention for tics.Discussion of the non-logical and visceral nature of these behaviors and breaking the cycle of negative reinforcement.Strategies for managing compulsive skin picking, including competing responses and awareness.Practice and gradual exposure to triggers as critical parts of treatment.[41:53 - 55:12] Resources and Tools for Comprehensive Behavioral Intervention for TicsIntroduction to CBIT as a detailed treatment involving awareness building and breaking down tics.Challenges in finding CBIT-trained therapists and resources to locate such providers.Mention of the Tourette Association of America and the TLC Foundation for Body Focused Repetitive Behaviors.University training programs in clinical psychology as potential access points for therapists trained in habit reversal training.[55:13 - 59:58] Closing segment TakeawaysLinks to resources mentioned on the showInternational OCD Foundation: https://iocdf.org Tourette's Association of America: https://tourette.orgTLC Foundation for Body-Focused Repetitive Behaviors https://www.bfrb.orgAACAP Facts for Families OCD:

You often hear people reference their own OCD, but there's far more to it than just the desire to be orderly or neat. Today, Emily Kircher-Morris explores the topic of obsessive compulsive thinking patterns, their impact on individuals, and the importance of discussing mental health with children. Jessica Whipple, author of 'I Think I Think a Lot,' shares her personal experiences with OCD and the coping strategies she has developed. The conversation also highlights the significance of representation in children's literature and the role of books in teaching coping skills. If you're curious about OCD, this episode will help. Takeaways Obsessive compulsive disorder (OCD) is characterized by obsessive thinking and compulsive behaviors, which can manifest in various ways such as contamination fears, taboo thoughts, and perfectionism. Children's literature plays a crucial role in representing diverse experiences, teaching coping skills, and reducing stigma around mental health and neurodivergence. Exposure and Response Prevention (ERP) can be an effective treatment for OCD, helping individuals manage their thoughts and behaviors. It is important to have open conversations with children about mental health, providing them with the tools to understand and cope with their emotions and experiences. Sign up for the Educator Hub now, the window for registration closes Sunday night, June 2, at 11:59pm pacific time. We'd love for you to join us! Jessica Whipple is an acclaimed published author who writes for adults and children. Her book, I Think I Think a Lot, was inspired by her own OCD and was published by Free Spirit Publishing, and illustrated by Josée Bisaillon. Her poetry for adults, which often includes themes of mental health and parenting, has been published both online and in print. Her poem Broken Strings was nominated for a 2023 Pushcart Prize. To read some of her work, click on her link (below) or find her children's picture books anywhere books are sold. BACKGROUND READING Jessica's website Instagram Twitter/X

Obsessive-Compulsive Disorder (OCD) is a challenging condition, but the good news is that it's highly treatable. The key to effective management and recovery lies in understanding the condition, embracing the right treatment approaches, and adopting a supportive mindset. This article distills essential guidance and expert insights, aiming to empower those affected by OCD with knowledge and strategies for their treatment journey. YOU ARE BRAVE FOR STARTING OCD TREATMENT Taking the first step towards seeking help for OCD is a significant and brave decision. Acknowledging the courage it takes to confront one's fears and commit to treatment is crucial. Remember, showing up for therapy or seeking help is a commendable act of bravery. YOU CAN GET BETTER WITH OCD TREATMENT OCD treatment, particularly through methods like Exposure and Response Prevention (ERP) and Cognitive Behavioral Therapy (CBT), has shown considerable success. These evidence-based approaches are supported by extensive research, indicating significant potential for individuals to reclaim their lives from OCD's grasp. The path may not lead to a complete eradication of symptoms, but substantial improvement and regained control over one's life are highly achievable. OCD TREATMENT IS NOT TALK THERAPY OCD therapy extends beyond the realms of conventional talk therapy, involving specific exercises, homework, and practical worksheets designed to confront and manage OCD symptoms directly. These tools are integral to the treatment process, allowing individuals to actively engage with their treatment both within and outside therapy sessions. THERE IS NO SUCH THING AS “BAD” THOUGHTS A pivotal aspect of OCD treatment involves changing how individuals perceive their thoughts and their control over them. It's essential to recognize that thoughts, regardless of their nature, do not define a person. Attempting to control or suppress thoughts often exacerbates them, which is why therapy focuses on techniques that allow individuals to accept their thoughts without judgment and reduce their impact. YOU CAN NOT CONTROL YOUR THOUGHTS, BUT YOU CAN CONTROL YOUR BEHAVIORS You will have intrusive thoughts and feelings. This is a part of being human, and it is not in your control. However, you can learn to pivot and change your reactions to these intrusive thoughts, feelings, sensations, urges, and images.  YOU HAVE MANY OCD TREATMENT OPTIONS While medication can be a valuable part of OCD treatment, particularly when combined with therapy, it's not mandatory. Decisions regarding medication should be made based on personal circumstances, preferences, and professional advice, acknowledging that progress is still possible without it. In addition to ERP and CBT, other therapies such as Acceptance and Commitment Therapy (ACT), mindfulness, and self-compassion practices have emerged as beneficial complements to OCD treatment. These approaches can offer additional strategies to cope with symptoms and improve overall well-being. The accessibility of OCD treatment has expanded significantly with the advent of online therapy and self-led courses. These digital resources provide valuable support, particularly for those unable to access traditional therapy, enabling individuals to engage with treatment tools and strategies remotely. For those without access to a therapist, self-led OCD courses and resources can offer guidance and structure. Engaging with these materials can empower individuals to take active steps towards managing their OCD, underscoring the importance of self-directed learning in the recovery process. TREATMENT WILL NEVER INVOLVE YOU DOING THINGS YOU DO NOT WANT TO DO I am usually very clear with my patients. Here are some key points I share I will never ask you to do something I do not want you to do I will never ask you to do something that I myself would not do  I will never ask you to do something that goes against your values. RECOVERY IS NOT LINEAR Recovery from OCD is not a linear process; it involves ups and downs, successes and setbacks. Embracing discomfort and challenges as part of the journey is essential. Adopting a mindset that views discomfort as an opportunity for growth can greatly enhance one's resilience and progress in treatment. There will be good days and hard days. This is normal for OCD recovery.  There will be days when you feel like you are making no progress, but you are. Keep going at it and be as gentle as you can SETTING CLEAR TREATMENT GOALS Clarifying treatment goals is crucial for a focused and effective therapy experience. Whether it's reducing compulsions, living according to one's values, or tackling specific fears, clear goals provide direction and motivation throughout the treatment process. BE HONEST WITH YOUR THERAPIST The success of OCD treatment is significantly influenced by the honesty and openness of the individual undergoing therapy. Without reservation, sharing one's thoughts, fears, and experiences allows for more tailored and effective therapeutic interventions. IT IS A BEAUTIFUL DAY TO DO HARD THINGS.  No question. You can do hard things!  OCD is a complex but treatable condition. By understanding the essentials of effective treatment, including the importance of evidence-based therapies, the role of mindset, and the value of self-directed learning, individuals can embark on a journey towards recovery with confidence. Remember, every step taken towards confronting OCD is a step towards reclaiming control over one's life and living according to one's values and aspirations. TRANSCRIPT There is so much bad advice out there about OCD treatment. So today, I wanted to share with you the 11 things I specifically tell my patients on their first day of OCD therapy.  Hello, my name is Kimberley Quinlan. I'm an OCD specialist. I specialize in cognitive behavioral therapy, and I have helped hundreds of people with OCD over the course of the 10, 15 years I have been in practice.  Now, whether you have an OCD therapist or not, my goal is to help you feel confident and feel prepared when addressing your OCD treatment and symptoms, whether you have an OCD therapist or not. That is the big goal here at CBTSchool.com and Your Anxiety Toolkit podcast.  Make sure you stick around until the end because I will also be sharing specific things that you can remember if you don't have a therapist, because I know a lot of you don't. And I'll be sharing what you need to know so that you don't feel like you're doing it alone.  Now, if you're watching this here on YouTube, or you follow me on social media at Your Anxiety Toolkit, let me know if there's anything I've missed or anything that you were told on your first session that was particularly helpful, because I'm sure your knowledge can help someone else or another person with OCD who is in need of support and care and advice. So let's go. Here are the 11 things that I tell my patients on their first day of OCD therapy. Number one, I congratulate them for showing up, because showing up for OCD treatment is probably one of the most brave things you can do. I really make sure I validate them that this is scary, and I'm really glad they're here. And I'm pretty impressed with the fact that they showed up, even though it's scary.  The second thing I tell them is that OCD treatment is successful. You can come a long way and make massive changes in your life by going through the steps of OCD treatment, showing up, being willing to take a look at what's going on in your life, and making appropriate changes so that you can get your life back, do things you want to do, spend more time with your family, your friends, the things you love to do, like hobbies, and that OCD treatment can be very effective. We're very lucky that OCD is a very treatable condition. It doesn't mean it'll go away completely, but you can have absolute success in getting your life back.  Now, one thing to know here is, how do we know this? Well, OCD treatment research and OCD treatment articles. If you go onto Google Scholar, you will find a lot of articles that show a meta-analysis of the OCD treatments available, where it shows that ERP and cognitive behavioral therapy are the gold standard of treatment. And using a meta-analysis, that basically means that they've surveyed all of the large, well-done research articles and found which one shows the most results and shows that they have the most repeated results over periods of time. And that's why it is so important that you do follow the research because there is a lot of bad information out there, absolutely.  Now, the third thing I tell my patients on their first day of therapy is that OCD treatment is not talk therapy. It's not just talking, that it requires OCD therapy exercises and homework and lots of worksheets. I have a packet that we give our patients at the center that I own in Calabasas, California. Everyone gets a welcome manual. And in the welcome manual, it's got worksheets on identifying obsessions and compulsions. It's got mindfulness worksheets. It's got logging worksheets. And I will send you home with those to do for homework. You'll come back. Let me know what worked, what didn't work, what was helpful, what wasn't. And you will be doing a lot of this work on your own.  Now, again, as I mentioned at the beginning, if you do not have access to OCD therapy or you don't have the resources to get that, we have an online course called ERP School. It is a course specifically for people with OCD, where I walk you through the specific steps that I take my patients through. And all of those worksheets are there. They have worksheets on identifying your obsessions, identifying your compulsions, mindfulness, self-compassion worksheets, things that can remind you and prompt you in the direction of setting up a plan so that you can get moving and make the steps on your own. The fourth thing that you need to know on the first day of your therapy is that there is no such thing as bad thoughts. Let's just sit with that for a second. There is no such thing as bad thoughts. Your thoughts do not define you, nor do your behaviors, that you might have these thoughts that you think are going to really freak you out. You might have this idea, these thoughts, these intrusive, repetitive, scary thoughts, and you might think, “Well, I can't even tell Kimberley about them yet.” I will often tell my patients like there is nothing these walls haven't heard, and you probably won't shock me because I haven't been shocked in many, many, many years working as an OCD therapist. I've heard it all. I've heard the most, what people perceive as the grossest thoughts. It's a normal part of the work that we do. And your thoughts are neither good nor bad and they do not define you. And I really make that point made because, as we move forward, I want you to know that I've seen a lot of cases and that “your thoughts aren't special” in that they're not something that I would be alarmed by.  The fifth thing that I would tell my patients is that you cannot control your thoughts. And I bet you believe it because you've probably tried over and over again, and all you found is the more you try and control it, the more thoughts you have. The more you try to suppress your thoughts, the more thoughts you have. There are, as we've already discussed, OCD treatment options that will really solidify this concept. Now, the most important one is exposure and response prevention, which is the type of treatment that we use for OCD and is the type of treatment that all of those research articles I discussed before show and direct to as a really successful treatment for OCD.  Now, in addition, there are other OCD treatment options. One of those treatment options is OCD treatment with medication. Now, again, when you do that meta-analysis, we have found that a combination of CBT and ERP with medication is the most successful. Now, that doesn't mean you have to take medication, though. I'm never going to tell my patients that they have to take medication.  So we can have OCD treatment with medication. We can have OCD treatment without medication. In fact, some of my most difficult cases, the clients, for medical reasons or for personal values reasons, chose not to go on medication. You can still get better. It might make it a little more difficult. You may want to speak with your therapist, or if you're doing this alone, you might need to put in a little extra homework, have a team of support, and people who are really there holding you accountable. Absolutely. But medication is another treatment option that you may want to consider as you move through this process. Now there are also new treatments for OCD recovery. They might include acceptance and commitment therapy, mindfulness practices, self-compassion. We even have some research around dialectical behavioral therapy as other OCD treatment interventions. I will be implementing those as we go, depending on what roadblocks show up. And again, if you're doing this on your own, there are amazing resources that can also help you, and I'll share about those here in a bit. Again, as we've talked about, there is also OCD treatment online. Since COVID-19, we've done a lot of growing in terms of being able to utilize CBT via the internet, via our computers, via our smartphones. A lot of people come to us because they've looked for OCD treatment in Los Angeles, which is where we are. And even though they only live a few miles down the street, they're still doing sessions online because it's so convenient. They can do it at home between sessions with their work or between getting their kids to school. So, OCD treatment online has become a very popular way to also access treatment. And I give these to my clients as we go, because sometimes they're going to need a little extra help.  Now, as I've mentioned to you earlier in there, if you don't have access to OCD treatment, there are tons of self-led OCD courses. Again, one of the ones that we offer is ERP School. Now you can go to CBTSchool.com, or you can click the link below in the show notes, where we have all of these courses for OCD and other anxiety disorders. But there are others as well—other amazing therapists who have created similar products.  When we're really looking at treatment depending on your age, the treatment does look very similar for OCD treatment for adults and OCD treatment for children. They are very, very similar. With children, we might play more games, have more rewards, use those strategies, but to be honest with you, adults are just big kids in adult bodies. So I really believe that we want to make this as fun as we can. Have rewards. Have there be something that you're working towards. Make it fun. Make it a part of a game. I use a lot of games in treatment and a lot of ERP games because why do we want to make everything boring all the time? Why not make it a little bit fun if we can? Number seven, the main thing I'm going to tell you here, and this is really, really important, is I will not ask you to do something that you don't want to do. I have this in our welcome manual. We don't ask people to do things that go against their values, and we don't ask people to do things that I myself would not do. There are a lot of TV shows that sort of use ERP and exposure work as sort of like doing your worst, worst, worst, worst, worst case. And that's fine. But often we're not doing that. We're doing exposures, we're facing your fears so that you can get back to functioning, so you can get back to doing the things you want to do. So again, I'm not going to have you do anything you don't want to do. You're in charge. If you're taking ERP School, we do the same thing. You create your own plan. You create a hierarchy of what you want to start with, and we work our way up. And we do the same thing in therapy as well.  Now the eighth thing that I will tell you, and by then you're probably getting a little tired and overwhelmed. We might take a little tea break really quick, but I would tell you that recovery is not linear. While we do have effective treatment for OCD, it will be an up-and-down process. You'll have really good days, and you'll have some hard days. And those hard days don't mean that you're doing anything wrong. It doesn't mean that your treatment's not successful. It just means we have to take a look here and see what's going well, what's not going well, what do we need to tweak, do we need to make a pivot here. Or do we need to reassess something and maybe apply some additional tools—mindfulness tools again, self-compassion skills, some distress tolerance skills, maybe? But just remember, your recovery will not be linear, and that is okay.  Now the ninth thing I'm going to tell you is that your OCD treatment goals must be clear. You are going to get really clear on why you're here, what you want to do, why you're doing this treatment because it is hard work. Again, there's homework. I'm going to be giving you some things to do at home, and they're going to be a little bit difficult. They're going to cause you to feel some feelings that maybe you don't want to feel, some sensations you don't want to feel.  And so, really again, I will ask them, like, what are your goals for treatment? Now, some common OCD goals for OCD therapy is to reduce compulsions. “I want to be able to not be doing these compulsions for hours and hours.” Other people say, “I want to live my life according to my values. I don't want to let fear constantly be telling me what to do.” Other people will say, “I want to learn how to tolerate this discomfort and this uncertainty because every time I try and run away from it, it just gets worse. It makes it worse. And now I'm stuck in this cycle.” So it's important that you get really clear.  Sometimes people will come in and they'll say, “I've never been to Paris. I want to be able to go to Paris with my family. And so, that's the goal.” That's fine too. You could have a large goal like that, or you could have a really simple goal like, “I just want to have more space in my life to paint,” or “I don't want to feel like I'm on edge all the time, like the scariest thing is going to happen all the time.” And that's fine too.  Now, the 10th thing that you're going to need to know and need to remember is, our recovery is really dependent on how open and honest you are. As I said at the beginning, some people don't feel yet like they can trust to tell me the depth of their intrusive thoughts, and that's okay. But throughout therapy, I'm going to need you to be really honest with me and really honest with yourself, because if you're not disclosing what's going on and the thoughts you're having, we can't actually apply the skills to it. And then it puts a wrench in the success of your treatment.  So we want you to be as open, honest as you can. And I often will say to them, there is nothing I haven't heard. In fact, if you have taken ERP School already—a lot of you have—we actually play a couple of games where we play a game called One Up, which is where no matter what thought you have, you make it a little worse or little more scary. And I give some demonstrations and show like I'm not afraid to go there. I will go to the scary, yucky place just to show you that that's what I want you to do as well. Again, it doesn't have to be all serious. We're allowed to play games, and we do that in therapy as well.  Often people will ask like, how do I tell my therapist about these horrible thoughts I'm having? Like, how do I share? If you're having a specific type of thought that you feel is particularly taboo or very scary to share, or you're afraid of the consequences of sharing, what I would encourage you to do is do a very quick Google search. There are some amazing websites and articles online of your obsession. Print it out and bring it to your therapist, and say, “Hey, this is what I'm dealing with. I'm too scared or I'm too vulnerable to share. It's so horrendous in my mind, but this is what I'm going through.” And chances are, again, the therapist, if they're a trained OCD specialist, will go, “Ah, thank you for letting me know. I've treated that before. I'm good to go.” Again, if they're a newer therapist, it's still okay because they're getting the education about really common obsessions that happen a lot in our practice.  Okay. Here we go—drum roll to the last one. And I know you guys are probably already guessing what it is. It's something I say to my patients and to you guys all the time, and it's this: It's a beautiful day to do hard things.  We have been taught that life should be easy, shouldn't be scary, shouldn't be hard, and that you should be Instagram-ready all the time. But the truth is, life is hard. And today is a beautiful day to do those hard things. I have found that those who recover the fastest and the most successful over time are the ones who see discomfort as a challenge, something that they're willing to have. They'll say, “Bring it on, let's go. Bring my shoulders back. I know it's going to be here.” And they're really gentle with themselves when they have this discomfort. And I want you to really walk away feeling empowered that you too can handle some pretty uncomfortable things because you already are. So again, it's a beautiful day to do hard things.  All right, let's round it out because I know I promised you some extra things here. Now, what have we covered? We've covered the mindset shifts that you need for OCD therapy, behavioral changes that you're going to need to make. We've talked about complementary tools, the most important being self-compassion. And also, guys, you can also follow Your Anxiety Toolkit because we have over 380 episodes of tools and core concepts, and everything like that.  Now, for treatment, just so that you get an idea of what this would look like, I share with my patients what treatment looks like. So usually, once I've told them all of this, I send them home with their welcome manual, and I'll say, “The next two to three sessions, I'm going to be training you for this treatment. And a lot of that is going to involve psychoeducation, me giving you tools, giving you strategies, putting a plan together.” And again, for those of you who don't have therapy, we do exactly that in ERP School. So if you feel like you need some structure, you can go to CBTSchool.com and access ERP School. We can go through that.  Now, for those of you, again, who don't have an OCD therapist, does OCD therapy and treatment work for you too? Yes. We actually have some early research to show that self-led programs can be very successful for people with OCD and with other anxiety disorders. So, if you don't have access to therapy, you could take ERP School. You could buy some workbooks that you buy from Amazon or your local bookstore. There are a ton of workbooks out there. Shameless plug, I also wrote one called The Self-Compassion Workbook for OCD. You can get it wherever you buy books. There are also online groups. I'm a huge, huge proponent of online groups. So if there are support groups in your area, by all means, use those because just knowing other people who are struggling, what you're struggling with can be so validating and inspiring because you're seeing them do the hard thing as well.  But either way, treatment requires a lot of homework. So, as I say to patients, showing up here once a week isn't going to get you better. You're going to have to practice the skills. And if you don't have a therapist, you're going to be doing that anyway. So I want to really hope that you leave here with a sense of inspiration and hope that you can get better even if you don't have OCD therapy at this time. So there you go, guys. There are the 11 things I tell my patients on the very first session. I will usually end the session by encouraging them and, again, congratulating them for coming in and doing this work with me. Let them know I'm so excited for them.  I hope that this was helpful for you, and my hope is that you too will then go on to learn all the tools that you need in your tool belt and go on to live the life that you want to live because that's the whole mission here at Your Anxiety Toolkit.  Have a wonderful day, everybody, and I'll talk to you next week.