Episodes

Just in case the threats of the Rapture didn’t get you down (or amped up with anxiety) enough, GS comes along to ask the question about what to do, and how to move on with life, now that, apparently, science proves that we have no free will. So, GS struggles to know what to do with this information. Luckily, this isn’t my first rodeo, and I’ve got just the right chaps and spurs for this question. We talk about Existential OCD, what to do with scary information like this, how to challenge the tho...

For today’s episode, I got a relatively simple question; what are the differences between the compulsions and other behaviors found in Generalized Anxiety Disorder (GAD) and how do they differ from those in Obsessive Compulsive Disorder (OCD). While this was a pretty quick answer, it spun out into a comparison between OCD and GAD, how they differ diagnostically, and how they are really similar! You can have both, and sometimes it’s hard to see the differences between the two. For more on Genera...

Dr Jeremy Shuman, PsyD, joins me today to discuss OCD treatment for those on the Autism Spectrum. Dr. Shuman offers a wealth of knowledge, insights, and encouragement to clinicians, families, and individuals alike. We discuss some of the diagnostic complications with the overlap of OCD and Autism symptoms, obstacles in the way of using CBT and ERP, and ways to adapt common treatment methods for OCD to meet the unique needs of the Autism community. The post #245- OCD Treatment And The Autism Spe...

Alan sent me a message asking me about how he can deal with a spike in Real-Event OCD themes. He’s a reporter who used AI to help with his grammar, but his anxiety latched on about violating AI policies at work. He struggles to let go of the obsession and get back to appreciating his craft again. We go over Real-Event OCD and how it differs from other obsessions, the use of AI in treatment, and some ways he can disconnect from his guilt through acceptance and compassionately making space for his...

Annie reached out to me as a follow up to a previous question she had about her toenail fungus and her obsession about it. She noticed that after all her ERP treatment she continues to have an obsession because she continues to get infections! How frustrating!? I talk about the expectations of ERP and anxiety treatment, how we can deal with the possibility (and reality) that bad/ unwanted things happen no matter how much exposure we do, and how to practice acceptance with situations we really do...

I recently got a follow up question from the Emotional Contamination episode (#240) asking about what to do if/ when someone actually believes their OCD fear is absolutely real. In Therapy-Land, we call this a high Fixity of Beliefs, or their thoughts are highly rigid or fixed. I know a word that doesnt sound like a word. I talk about what can be done when someone has high Fixity of Beliefs, what it looks like, and how treatment is the same and different than in typical OCD/ CBT/ ERP treatment. ...

Today’s episode feature Dr. Caitlin Pinciotti, PhD, and Jon Hershfield, MFT in our discussion of the National OCD Survey. The goal of the National OCD Survey is to gather information about the demographic differences in OCD subtypes across the United States in alignment with identified cultural groupings within the United States. This was a really fun episode to record and is full of fascinating information about OCD and the way people experience it differently. The post #241- The National OCD ...

Ellie reached out to ask about how to help her 14 year old who is struggling with a fear of becoming like other people. Emotional Contamination the name we often apply to the OCD subtype where someone is afraid they will take on the unwanted characteristics of other, or specific, people. To help, I discuss what Emotional Contamination is, how obsessions and compulsions sometimes present, and what Exposure and Response Prevention looks like in these cases. The post #240- Emotional Contamination ...

Ward emailed me to share a struggle he’s going through related to his SO-OCD. He notes that he’s in therapy and making progress, but the anxiety is impacting his performance in the bedroom and his libido is much lower than he wants. Anxiety can have serious negative impacts on someone’s sexual life. I discuss how the expectations of sexual performance impacts performance, how health and lifestyle changes can help with overall anxiety and subsequently sexual performance, and some exposure ideas t...

Payton reached out with a voice question on Instagram with a question that a lot of people who listen to this podcast can understand. She struggles with what she believes is Hyperawareness OCD/ Sensorimotor OCD and is fixated on the fact that she can see the tip of her nose. While it may seem harmless, like all other obsessions in the category, she agonizes over her awareness of it, when it will go away, and whether it will ruin her future. So, it’s hardly just about her nose being there, it’s a...

Alana messaged me recently and asked about how she can tackle her perfectionism. It’s stopping her from sending in assignments, writing papers, and even makes her write down all the words she hears to make sure she knows them. Perfectionism can be awful, time consuming, and shame inducing. To try to help, I discuss perfectionism, some things to think about when challenging the thoughts that support perfectionism, and offer some exposure ideas. The post #237- Alana’s Perfectionism Is Driving Her...

Ever wonder what it’s like to be the partner of someone with Relationship OCD (ROCD)? Well, one listener did too, and they reached out to me and asked if I could have someone on to talk about their experience. So, Danielle Cohen, LMFT, joined me to talk about her experience with someone who struggles with ROCD. Danielle was kind enough to share her experience, her struggles, and her wins, which she shares with her husband, over ROCD’s efforts to derail them. The post #236- Being The Other Perso...

Rick reached out to me recently to ask a very simple question with a not-so-simple answer. He wanted to know if it’s normal to have intrusive thoughts on purpose? It got me thinking about a lot of my clients who ask similar questions about their thoughts and why they have them and what their responsibility is to them. Did they want them, so they came? Now that they are there, are they really THEIR thoughts, or just a thought that have? Why do those thoughts go away when they are doing other thin...

Abby reached out to me via Instagram to ask a question that starts off a little Harm OCD, but ends up a little Sensorimotor/ Hyperawareness OCD. She wants to know how to deal with her intrusive, looping thoughts that focuses on harm related thoughts toward a family member. She knows it’s her OCD, so she’s not doing compulsions, but she hates that they are even there. Does she need to do ERP, and if so how? I offer some ideas on how she can approach the situation with some Cognitive Behavioral Th...

M messaged me recently to ask about a situation that is all too common. They struggle with POCD, but are terrified to go see a therapist for treatment because what if the therapist 1) doesn’t diagnose them with POCD but actually thinks they are their worst fear, and 2) they actually are their worst fear and they don’t fully and clearly communicate their symptoms and they mistakenly get diagnosed with POCD and not… you know… that other thing. Either way, it’s a fear of getting misdiagnosed, not g...

Struggling Artist emailed me with an admittedly long question. They want to become a full time artist but are struggling to take the leap because their Religious and Moral Scrupulosity OCD is trying to overtake their life. Obsessions about moral perfection are leading to checking compulsions, donating art sales profits, excessive confession, and mental rumination. Can they learn to work around it, or are they doomed to give up on their dream? For more about Moral Scrupulosity and Religious Scru...

Today I get to share a comment from Eden and a question from Nicholas. Eden wanted to share her experience with Casadastraphobia. I love being able to share others’ experiences because everyone’s experience is a little bit different; even when people share the same anxiety subtype. After this, I get to answer Nicholas’ question about taking power away from the sensations that seem to be plaguing him. To learn more about Sensorimotor OCD and Hyperawareness OCD, check out this post from the Calif...

Katie reached out ask me a simple question about how to pursue Exposure and Response Prevention when she cannot habituate to anxiety after she has had a resurgence of a fungus growing in her fingernails, and now toenails! She’s been through treatment, including IOP, but now is struggling to figure out what to do now that her anxiety is back! Finally, a contamination adjacent question!! I discuss some options Katie could consider from an ERP model, as well as the Mastery Model. It’s a real therap...

Phil messaged me to ask a simple question; what can he do to fight the inner fight of SO-OCD? He comments that he is in a relationship but constantly gets unwanted, intrusive thoughts telling him to “come out” or otherwise twisting completely neutral thoughts into something he does not want. So, what can he do? He’s doing exposures, but finds that in general he is uncomfortable around gay men. Does that mean something? I offer some tips on how to deal with taboo obsessions, how to apply radical ...

Today’s episode features another amazing interview with someone at the forefront of their field. I had the privilege to interview Dr. Lorna Myers about Functional Neurological Disorder and Psychogenic Non-Epileptic Seizures. This may be new to many of this podcast’s listeners, but it is another fascinating dive into how the brain works, and when the brain misfires. Dr. Myers spent a bunch of time sharing what FND and PNES are, who and how they impact, and what we can do to help overcome it! Put ...

In light of Mother’s Day, I had a chance to sit down with Dr. Jon Abramowitz and chat about Post Partum and Parinatal OCD, usually abbreviated as PPOCD. Dr. Abramowitz and I discussed the nuts and bolts of PPOCD, how it fits within the general OCD cycle, the impact it has on both new mothers and fathers, and what treatment looks like. As usual, we get distracted by other topics of OCD and Dr. Abramowitz does not disappoint with facts and stats related to diagnosis and treatment concerns. In summ...

For today’s episode, I answer a question from C. She wants to know what she can do about her dissociation and memory loss when she becomes triggered and/ or overwhelmed with anxiety. What’s worse, she feels this way when she tries to do ERP and wonders whether or not the dissociation will make her efforts toward exposure fruitless. I offer her some ideas on how she can work with her dissociation. I am also joined by Erika McCoy, an IOCDF advocate, who shares about her passion for Creative Corne...

Jenn wrote to me asking about how she can deal with the feelings of shame and embarrassment after her family has heard the details, and been the recipients of, her compulsive confession, reassurance seeking, and other compulsive behavior. She’s struggling with the shame that happens after years of compulsive vulnerability and wants to know how to put her relationship back together after they’ve seen and heard what they’ve seen and heard. To address this I revisit shame and OCD, and how people c...

Kallie sent me a question that I’m sure every single person who has listened to this podcast has asked– “Why does OCD feel so real?!” She also asks why her specific subtype keeps showing up despite other subtypes coming and going, so there’s a little something for everyone. This is a tricky question to answer, but I discuss some of the tricks OCD plays on the brain, and how the brain is uniquely susceptible to these tricks, to help us understand this very annoying (or debilitating) phenomenon. ...