Episodes

Today’s episode includes two questions and two answers, both having to do with memories. For the first question, the listener wants to know what can be done about false memories. So, we have to discuss False Memory OCD and Real Event OCD! The next question is from a listener who struggles with the fear of forgetting what just happened. Their obsession branches out to a lot, and also finds some of its roots in Need To Know OCD! So, lots of memory talk on today’s episode of the FearCast! The post...

Max emailed me and asked a question that has never been asked on the FearCast before. He shares that he struggles with Intrusive Musical Imagery, or intrusive mental snippets of songs, and he wants to know how to deal with them. This is a great question that, even Max acknowledges, does not have a lot of information out there. But, I did some research to find some good and helpful information that could be helpful for those of you interested in, or struggling with, Intrusive Musical Imagery. Th...

Today’s question comes from Rick and Emilie. Rick struggles with feeling terrible over the fact that he even has POCD related thoughts and worries they reflect something terrible about himself. Furthermore, he feels worse now that he doesn’t feel as bad as he did before! What could that mean?! Emilie is similarly struggling with guilt, but the kind rooted in Real Event OCD and False Memory OCD. Did she cheat on her boyfriend? Everyone says ‘no,’ but her OCD says ‘yes.’ Who to believe?! For more...

Today’s main question comes from a listener who seems to be stuck in a memory from two life events and she cant seem to get herself out of, away from, or past them. She’s tried ERP, but nothing seems to work. But, what if ERP in this instance wasn’t the solution? A OCD Therapist not immediately suggesting ERP?! Outrageous! And yet, what if ERP wasn’t the fix, but instead living and learning would get her past them better? The post #220- Stuck In A Real Event Obsession: ERP, Or Live And Learn? a...

Today’s question is a fun one (for me). PotatoChipFiend emailed me asking me how they should deal with recurring thoughts about their childhood crushes and whether or not it is a form of POCD? In this episode I offer some guidance for exposures, ways to rethink the meaning of the story for him, how he can separate the fear into different parts that may be easier to accept, and ways he can apply CBT and ICBT tools. For more on Pedophile OCD, or POCD, check out this article from the California OC...

For this week’s question, Sisi emailed me asking about the best exposures for Sensorimotor OCD. So, while of course I offer some suggestions and ideas, I also use this as an opportunity to discuss Attention Training as a way to help build your skill to allowing distraction while intentionally, and non-compulsively, directing your attention. Trigger warning, I read some poetry in the episode. Consider yourself warned. For more on Sensorimotor and Hyperawareness OCD, check out this article from t...

Maya messaged me recently with a question about her Real Event OCD. She decided to finally say “no” to a confession compulsion as part of her Real-Event cycle, but this has re-triggered the OCD theme! What should she do? Sometimes we are stuck in situations where there is no perfect outcome, so we have to do our best, make a choice, move forward, and suffer consequences if and when they come. But, that’s the trick, isn’t it… For more on Real Event OCD, check out this article from The California...

Today I’m releasing an episode early in honor of Valentines Day! This question comes from Teddy who is in an open relationship and has a fear that he will be replaced by someone else. While it may not be the expected podcast content for Valentines day, there is actually a lot of overlap from Teddy’s question to others struggling with ROCD and other relationship anxieties. References in the show: https://www.theguardian.com/lifeandstyle/2022/may/22/what-if-he-finds-someone-better-the-agony-and-...

Mubeena Mirza, LCSW, joined me today to talk about Religious Scrupulosity within the Muslim community in anticipation of Ramadan. Ramadan is a month-long religious holiday celebrated by Muslims around the world, and for anyone who struggles with Religious Scrupulosity knows that major holidays can invite new obsessions, intensifying current obsessions, and a struggle to keep compulsions at bay. Mubeena joined me to talk about what Muslims can do to make Ramadan more livable so they can enjoy the...

Kelley Franke, MFT, joined me today to answer a listener question about parenting with OCD. Lots has been written about how to parent a kid with OCD, but how do you parent with OCD yourself? Today’s question comes from Kelly (a different one, I swear). She shares how she always wanted a second child, but the stress of her first, along with the nag of OCD, is making her second guess her interest in more kids. So, Kelley Franke helps me tackle this question and discuss the realities of being a par...

MJ asks a great question, that I think a lot of people have too. She’s gone through treatment, which was pretty successful, but why is her brain still giving her these unwanted intrusive thoughts that sometimes catch her up into a swirl of anxiety again?! What gives? I offer MJ some ideas on why this is happening, and why she is still having these thoughts. Lastly, I offer a few ideas on what may help her further her recovery. The post #213- I’ve gone through treatment, so why do I still get th...

Adam messaged me recently with an audio question. He noticed that he recently has been obsessed with the smell of someone else. Memories of the smell when he inhales. Thoughts about the smell wherever he goes. He’s had Sensorimotor obsessions in the past, but what about this? This one isn’t about him, so how should he treat it differently? For more on Sensorimotor OCD and Hyperawareness OCD, check out this article from The California OCD and Anxiety Treatment Center The post #212- Obsessed Wit...

The FearCast is back in 2025! For today’s question, I answered Beth’s question about a mistake she made at the beginning of a fantastic relationship that has now turned into Real Event OCD and Moral Scrupulosity. She’s ruminating about all her past mistakes and beating herself up. What’s worse, she can’t apologize, or feels she can’t, because that may start a never-ending cycle of confession and apologizing compulsions! What can she do? For more on Real Event OCD, please see this article from t...

Today I’m excited to share a conversation I had with Dr. Jonathan Abramowitz about his upcoming book Living Well With OCD. During our conversation, I was able to ask him about the inspiration for the book, who would benefit from reading the book, and how people living with OCD all along the recovery scale can find something useful in it. Along the way, we got to speaking about therapeutic approaches, the changing landscape of treatment, and the joy we have in working in the OCD/ Anxiety space. ...

Gabriela messaged me and wanted to know how other people seemingly know, “deep down,” that their obsessions aren’t true. Have you ever heard that phrase? It seems like Gabriela has too and is struggling to find this hidden knowledge (or reassurance) that the SO-OCD and ROCD she’s struggling with aren’t true. To answer this, I have to address what it means to know something “deep down,” what I think people really mean when they say this, and go over a really common, albeit violent, example of one...

For today’s podcast, we are ALL lucky to have Natalia Aiza, LPC, on to continue our conversation about using SPACE treatment with the High Dependent Adult Children, otherwise known as the “failure to launch” population. This was a wonderful, eye opening conversation about how to help those individuals who are struggling to gain independence, set their own course, and take the leap into a brave new world. Natalia, as usual, does a beautiful job explaining the struggles these individuals and their...

Today’s episode is a two-fer, but to answer one I need to answer the other. The first is from a listener who wonders why he assumes his thoughts are true about him, no matter what they are. I offer some insight into this process, and offer him guidance on how to turn this bug into a feature in his battle against them. The second comes from a listener who’s struggling mightily with a memory from his past and needs to know what to do to deal with his Real-Event Obsession. For more on Real Event O...

Today’s episode comes from a listener who struggles with fainting at the sight of blood. To answer this, I discuss Vasovagal Syncope, a physiological event in which people sometimes faint in response to high emotion and feeling startled, including fainting at the sight of blood. I give a brief overview of what this is, how it works, and more importantly how the listener (or you) can prevent it. I also answer the listener’s question about whether or not Exposure and Response Prevention (ERP) is O...

Today’s episode comes from Victor who’s having a tough time dealing with obsessions focused on whether or not he has Schizophrenia. Unfortunately, sometimes simply reading something, seeing a video on something, or just hearing an idea related to something can be enough for OCD to suggest, “Maybe that’s you. Now, maybe you should go to unreasonable lengths to ensure you don’t that have.” Victor wants to know how to deal with this, so I offer some ideas on how to approach this new fear and carry ...

Today’s audio questioner wants to know why the anxiety they experience from regular life and every-day triggers is worse than the anxiety they get when doing Exposures. They struggle to make their exposures as triggering as their regular anxiety, but can’t! But is that even necessary? The post #203- Why Is Real Life Anxiety Tougher Than My ERP Anxiety? appeared first on FearCast Podcast.

To learn more about Harm OCD, check out this article from The California OCD and Anxiety Treatment Center Today’s audio question comes from Aaron who asked about a situation he has not heard much about, so he’s looking for some guidance. He’s noticing he has some Relationship OCD (no big deal, right), but he also notices a flair up of Harm related obsessive thoughts alongside and as a result of the ROCD thoughts. We’re all used to ROCD and SO-OCD, but Harm? I offer some thoughts, encouragement ...

Today’s episode is all about SPACE Treatment! Natalia Aiza, LPC, joined me to talk about her expertise using SPACE, or Supportive Parenting for Anxious Childhood Emotions, to help adolescents and parents better address anxiety and OCD. Natalia went through the treatment method, discusses how it differs from traditional Exposure and Response Prevention Treatment, addresses resistant children and teens and their resistant parents, how to address accommodation, and how to successfully end treatment...

Today is so special, I thought I’d answer two listener questions! The first comes from a listener who is questing themselves as they notice they have the urge to Google someone they admire or look up to. Are they being wildly creepy, or is OCD accusing them of being a terrible person? Next comes an audio question from Cynthia who asks about how she can deal with her obsessions attacking her genuinely held interests. Are her hobbies and leisure ruined forever? For more on morality focused OCD, c...

Today’s audio question comes from Spiritual Overthinker who has won the lottery with a wonderful guy with whom she clicks with on a deep, spiritual level. But, as it happens sometimes, OCD suddenly is showing up and making her question the relationship, herself, and their future together! What is she to do? I offer her some suggestions, guidance, and encouragement to challenging her distorted thoughts, leaning on her values, and living what she believes is true and right (all while ignoring OCD’...