The OCD Whisperer Podcast with Kristina Orlova
Unlock the secrets of OCD. Expert insights, personal stories, and practical tips. Learn all things OCD with the OCD Whisperer Podcast. #allthingsocd
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Episodes
Tuesday Jan 23, 2024
Tuesday Jan 23, 2024
Do thoughts of religious sin and moral purity consume your every waking moment, leaving you trapped in a never-ending cycle of guilt and doubt?
In today’s episode of The OCD Whisperer Podcast we are joined by Justin Hughes, a licensed professional counselor with dual expertise in psychology and theology, Justin brings to the table a wealth of vital knowledge on the intersection of faith and OCD.
During our conversation, we shine a light on a lesser-known facet of OCD: scrupulosity. This variant explores an individual's deepest discomforts, tapping into their spiritual beliefs and creating perplexing doubts. We explore how intrusive thoughts affect individuals with faith-based OCD, providing examples like doubts about salvation or the correctness of prayers. The discussion also covers the challenges of treating scrupulosity, particularly within a religious context, and how exposure and acceptance commitment therapy can align with Christian values.
In This Episode
[02:36] - Understanding Scrupulosity
[09:46] - Challenges and internal conflict
[13:11] - Approach to treatment
[16:57] - Importance of honesty and truthfulness in treatment
[18:49] - Facing scrupulosity and superstitious obsessions
[19:41] - Overcoming avoidance behaviors
[23:07] - Paralyzing impact of scrupulosity
[24:19] - Challenges in exposure therapy for scrupulosity
[26:21] - Building trust and vulnerability in recovery
[27:49] - Finding community and support
Notable Quotes
[07:32]” Most of the time, the person with OCD is, in my experience, usually pretty clear about the perspective. What they're trying to get clear on is the feeling and the fact that it feels like they're in a bad place.” - Justin
[10:36] "There's hope. You're not alone; there's help. Many, many, many are walking this road currently, and many have done it before.'" - Justin
[13:41] "Thoughts, whether random or intrusive, reside within us. The key is acknowledging their presence and shining light on the truth." - Justin
[23:39] “I don't think scrupulosity is worse than contamination. I don't think contamination is worse than scrupulosity.” - Justin
Our Guest
Justin Hughes is a licensed professional counselor and owner of Dallas Counseling. He is a dedicated clinician and writer committed to supporting individuals affected by OCD. As a member of the OCD and Faith Task Force and Dallas Ambassador for OCD Texas, he leverages dual training in psychology and theology to explore the intersection of faith and OCD, offering diverse clients valuable insights and assistance.
Resources & Links
Kristina Orlova, LMFT
https://www.instagram.com/ocdwhisperer/
https://www.youtube.com/c/OCDWhispererChannel
https://www.korresults.com/
https://www.onlineocdacademy.com
Justin Hughes
https://www.justinkhughes.com/
https://www.instagram.com/justinkhugheslpc/
**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 bi-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!
Tuesday Jan 09, 2024
Tuesday Jan 09, 2024
Our minds are fascinating realms capable of producing a myriad of thoughts, some fleeting and inconsequential, while others persistently tug at the edges of our consciousness. For individuals grappling with Obsessive-Compulsive Disorder (OCD), this mental landscape can be particularly challenging to navigate. One crucial aspect of understanding OCD lies in differentiating between automatic and intentional thoughts, unraveling the intricate dance of the mind, and shedding light on the often misunderstood concept of thought-action fusion.
In today’s episode of The OCD Whisperer Podcast, we sit down with Michelle Massi, a licensed marriage and family therapist with over 15 years of experience treating Obsessive-Compulsive Disorder (OCD). Michelle has a private practice in Los Angeles and has worked at the UCLA OCD Intensive Treatment Program and the UCLA Childhood OCD Anxiety and Tic Disorders Program
During our conversation, we discussed the difference between automatic and intentional thoughts, particularly with intrusive thoughts experienced by individuals with OCD. Michelle explains the concept of thought-action fusion and emphasizes that having a thought does not define a person's character. She also discusses the role of guilt and shame in OCD, encouraging individuals to have self-compassion and recognize that everyone has negative thoughts or biases. The conversation also touches on exposure and response prevention therapy.
In This Episode
[03:27] Automatic and intentional thoughts
[03:36] Thought-action fusion
[07:31] Overly paying attention to negative thoughts
[08:06] Automatic and intentional thoughts (revisited)
[09:42] Labeling thoughts
[13:38] Certainty and uncertainty
[15:44] Imaginal exposure scripts
[16:28] Pushing clients beyond normal limits
[19:49] Alternative approaches to imaginal exposures
[23:14] Guilt and shame from judgment
[24:40] Recognizing intrusive thoughts
[27:30] Self-compassion and inner conversation
Notable Quotes
[09:15] "If I have the thought, like, what if this bad thing happens, I have 100% control over whether or not I'm going to do anything with that thought." - Michelle
[13:39] "I don't need to solve a problem that doesn't exist yet. I haven't yet stabbed somebody, so I don't need to worry about whether or not I'm going to." - Michelle
[22:02] "I don't need to sit there going, 'Oh my God, I didn't die. It's like, I don't know if I did or not. And right now I'm doing the dishes, so I'm going to focus on doing the dishes. I don't need to have this argument." - Michelle
[29:42] “You’re not alone. You can get help, find support, and find a community to connect with.”
Our Guest
Michelle Massi is a seasoned mental health professional with over 15 years of expertise in treating Obsessive-Compulsive Disorder (OCD) and anxiety disorders. As the former Associate Clinical Director at the UCLA OCD Adult Intensive Treatment Program, she navigated the complexities of comprehensive care. Michelle's commitment to advancing the field is evident through her role as an International OCD Foundation (IOCDF) BTTI faculty member and a consistent presenter at the IOCDF Conference from 2009 to 2023. With a focus on education and collaboration, she extends her impact by offering training and consultation to clinicians, clergy members, and family members, contributing to the broader mental health community.
Resources & Links
Kristina Orlova, LMFT
https://www.instagram.com/ocdwhisperer/
https://www.youtube.com/c/OCDWhispererChannel
https://www.korresults.com/
https://www.onlineocdacademy.com
Michelle Massi
https://www.linkedin.com/in/mmassi/
www.anxietytherapyla.com
**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 bi-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!
Tuesday Dec 26, 2023
Tuesday Dec 26, 2023
When it comes to finding effective ways to help people dealing with Obsessive-Compulsive Disorder (OCD), the search for better treatments is an ongoing journey. Traditionally, we've relied on therapies and medications, but there's a new and somewhat controversial idea gaining attention – psychedelic therapy.
In today’s episode of The OCD Whisperer Podcast, we have the pleasure of hosting Natalia Aíza and Matthew Williams, the founders of Kairos Wellness Collective. Natalia Aíza, an LPC is a passionate mental health advocate who has personally journeyed with OCD. Matthew Williams, a clinical herbalist, brings a wealth of knowledge from his advanced degree in traditional Chinese medicine and his upbringing in South Korea. Both Natalia and Matthew have extensive knowledge about psychedelic treatment for OCD and herbal natural remedies.
During our conversation, we discussed their holistic approach to treating OCD, incorporating traditional Chinese medicine, herbs, and psychedelic treatments like ketamine. We emphasize the importance of a controlled setting for ketamine therapy and the potential for lasting change through regular sessions and integration activities. We also discuss the need for flexibility in treating OCD, as it presents differently in each individual.
In This Episode
[03:30] The current research for psychedelic treatment for OCD
[04:57] The shift from ego-centric OCD to ego-tonic OCD
[06:35] Effects of psilocybin and ketamine on neuroplasticity and anxiety reduction
[08:46] The IV setup and referral list
[09:37] The science behind ketamine
[17:18] Psychedelic medicine and therapy
[18:13] Incorporating EMDR and safe container
[19:17] Dosing and perspective with ketamine
[25:14] Flexibility in OCD treatment
[25:49] Kairos Wellness Collective
Notable Quotes
[09:43] "Am I spending my time doing the things that I care about? That's what ketamine did for me." - Natalia
[19:19] “Since by nature, you know, ketamine and other psychedelics are just associative. And so we must make sure that we get you back into your body and you feel comfortable so that you're connected." - Matthew
[23:14] "Ketamine is an incredibly safe drug that we know exactly how to dose it, it's been studied extensively with OCD and it's very effective." - Natalia
Our Guests
Natalia Aíza, a multicultural counselor, prioritizes active client participation in her modern, goal-oriented therapy. With diverse international experience, including creating a play therapy program in a Shanghai orphanage, she practices transformative therapy at Kairos Wellness Collective in Boulder, integrating outdoor activities with her therapy dog, Miszu.
Matthew Williams, a clinical herbalist rooted in Traditional Chinese Medicine, enhances well-being through personalized consultations and holistic treatments. Raised in South Korea, he combines acupressure, Tui Na massage, and dietary therapy, drawing from his own experiences with OCD and the Autistic spectrum to support individuals with Neurodiversity in customized sessions for holistic healing.
Resources & Links
Kristina Orlova, LMFT
https://www.instagram.com/ocdwhisperer/
https://www.youtube.com/c/OCDWhispererChannel
https://www.korresults.com/
https://www.onlineocdacademy.com
Matthew Williams and Natalia Aíza
https://www.kairoswellnesscollective.com/
https://www.instagram.com/kairoswellnesscollective
**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 bi-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!
Tuesday Dec 12, 2023
Tuesday Dec 12, 2023
In the realm of mental health treatment, evidence-based approaches are the guiding lights that lead individuals toward recovery. The journey to understanding and effectively treating obsessive-compulsive disorder (OCD) has witnessed a fascinating evolution, marked by various therapeutic approaches that delve deep into the intricacies of the human mind.
In today’s episode of The OCD Whisperer Podcast, we are thrilled to be joined by Dr. Jon Abramowitz, a leading figure in the field of OCD research, with numerous published books and research articles to his name. He is a Professor of Psychology and Neuroscience, Research Professor of Psychiatry, and Director of the Anxiety and Stress Disorders Clinic at the University of North Carolina at Chapel Hill. He also runs a small practice specializing in the psychological treatment of OCD.
During our conversation, we talked about evidence-based treatments for OCD. We discuss the effectiveness of exposure response prevention (ERP), acceptance commitment therapy (ACT), and inference-based cognitive-behavioral therapy (ICBT). Dr. Abramowitz emphasizes that all three treatments have been proven effective, but the effectiveness varies for each approach. He also highlights the importance of a therapist and client believing in the treatment. Our conversation also covers the importance of not avoiding fears and triggers and the need for more independent research on these treatments.
In This Episode
[01:55] Defining evidence-based treatment
[05:01] The importance of therapist belief and client belief
[07:27] Inference-based CBT and its differences
[08:46] The cognitive component of ICBT for OCD
[11:58] ACT's approach to values and exposure
[16:45] Exposure therapy in ACT and ICBT
[18:42] Alternative approaches to exposure
[24:07] Empowering clients through exposure
[24:36] The importance of engaging with fears
[25:44] Recovery doesn't mean a life without triggers
[26:35] Anxiety and distress management
[33:26] The rise of ACT in OCD treatment
[36:21] The importance of independent replications in ICBT and ACT research
Notable Quotes
[03:21] "My viewpoint is that there shouldn't be a versus. We're all trying to make life better for folks who have OCD, give them treatments that they need to reduce their obsessions and their compulsions." - Jon
[06:11] "To have long-lasting improvement from an irrational fear as we see in OCD, the person has to face that fear. They have to engage with it and they have to learn. I can manage this." - Jon
[19:08] "A person with OCD, they're not going to overcome their problem if they're not able to engage with their feared stimuli and learn something from that, that they can do it and that the situation is not as dangerous as they think."- Jon
[37:57] "If we could find a treatment that works for everyone, I think we'd have a lot of people converting and giving up whatever they've been doing before." - Jon
Our Guest
Dr. Jon Abramowitz, PhD, ABPP, holds positions as Professor of Psychology and Neuroscience, Research Professor of Psychiatry, and Director of the Anxiety and Stress Disorders Clinic at the University of North Carolina at Chapel Hill. Renowned for his expertise in anxiety disorders, he has authored over 250 publications, including articles, book chapters, and books. Dr. Abramowitz is the Editor of the Journal of Obsessive–Compulsive and Related Disorders and contributes to various editorial boards. As a former president of the Association for Behavioral and Cognitive Therapies, he plays a pivotal role in advancing the field. Recognized with prestigious awards, his influential works cater to both the general public and mental health professionals, addressing topics from overcoming OCD to stress management.
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. Jon Abramowitz
https://www.linkedin.com/in/jon-abramowitz-a159a2257/
http://jabramowitz.com/
**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 bi-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!
Tuesday Nov 28, 2023
Tuesday Nov 28, 2023
In today’s episode of The OCD Whisperer Podcast, we are excited to feature Peter Cannon, a young, talented writer, and director who's making waves with his debut feature film, "Exposure". Peter's film is a breath of fresh air in the way it portrays OCD. It's not your typical Hollywood representation - it's raw, real, and resonates with the lived experiences of those battling OCD. Peter, who has personally grappled with OCD for over a decade, has poured his heart into this project, ensuring an accurate portrayal of the disorder.
During our conversation, we discussed the importance of understanding OCD, its impact on people's lives, and how it's often misrepresented in media. Peter shares his personal experience with OCD and his desire to portray the disorder accurately in his film. We also explore the broader themes of the film, such as the correlation between OCD and drug abuse, trauma, and the effects on relationships. Peter emphasizes the film's message about accepting uncertainties, which is relevant to everyone, not just those with OCD.
In This Episode
[01:08] What prompted Peter to make the film "Exposure" and its connection to OCD
[02:07] The limited representation of OCD in the media
[05:01] Goals of the film "Exposure"
[08:09] The message of the film
[09:08] Living with a non-zero chance of fear
[11:55] The impact of OCD on relationships
[14:20] The failures of American healthcare
[14:46] Correlation between trauma and OCD
[18:28] The limited representation of OCD in movies
Notable Quotes
[01:48] “I saw many different therapists, tried many different medications, I didn't see a whole lot of representation of what OCD was, at least from where I was sitting in the media.” - Peter
[01:57] “A lot of the examples I've seen of OCD, long before all this, was like Jack Nicholson in 'As Good as it Gets' or ‘Monk’. And that's not to say those representations are wrong, it's more the idea that it's a narrower definition.” - Peter
[09:33] “The idea that you have to live with a non-zero chance of your worst fear happening also applies to regular people. It is a message that really resonates with folks who are in the middle of various types of OCD therapy, but it's also something that people without OCD can wrap their heads around.” - Peter
[12:42] "Obsession doesn't just bring you down, but it can bring the people around you down. And that's something I feel like a lot of us can relate to.” - Peter
[15:21] “OCD can show up in different ways as you either get older or have certain traumatic experiences, or you just go through puberty.” - Peter
Our Guest
Peter Cannon is a young writer and director who has made significant strides in the film industry. A graduate of Emerson College, Peter has directed a variety of projects, including shorts, commercials, and virtual reality experiences. His debut feature film, "Exposure," is a testament to his belief that entertainment and story can coexist and that the most potent messages can be found in genre films.
Resources & Links
Kristina Orlova, LMFT
https://www.instagram.com/ocdwhisperer/
https://www.youtube.com/c/OCDWhispererChannel
https://www.korresults.com/
https://www.onlineocdacademy.com
Peter Cannon
https://www.discomfortsthepoint.com/
https://www.instagram.com/exposure_movie/
https://www.instagram.com/peter.cannon/
**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 bi-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!
Tuesday Nov 14, 2023
Tuesday Nov 14, 2023
Imagine finding a new way to help with OCD that's different from the usual methods – it's called Accelerated Transcranial Magnetic Stimulation (TMS). Think of it like this: your mind sometimes gets stuck, like a skipping record. With Accelerated TMS, it's like giving your brain a gentle push to get out of that loop. This could be a big deal – a way to change things and give hope to people dealing with the ups and downs of OCD.
In today’s episode of The OCD Whisperer Podcast, we are delighted to be joined by two distinguished guests, Dr. Noah DeGaetano and Dr. Ryan Vidrine. Both are renowned experts in treating Obsessive-Compulsive Disorder (OCD).
During our conversation, we talked about innovative treatments for OCD. We discuss the accelerated transcranial magnetic stimulation (TMS) approach, which has shown promise in treating OCD. The treatment's financial aspects and insurance coverage challenges are also addressed. The potential therapeutic benefits of substances like MDMA, psilocybin, and ketamine in treating mental health conditions are explored, with ongoing trials for using psilocybin in treating OCD mentioned. We conclude with a discussion on the importance of a calm and comfortable setting for therapy.
In This Episode
[02:23] Introduction to Accelerated TMS treatment
[05:05] Insurance coverage for Accelerated TMS treatment
[07:10] The cost of treatment and insurance coverage
[08:12] Financial considerations and options for treatment
[09:25] Results and efficacy of accelerated TMS treatment
[14:31] The use of MDMA, psilocybin, and ketamine in treating mental health disorders
[15:33] The need for more research on psilocybin for OCD
[16:33] Comparing the effects of Lexapro and psilocybin on thought suppression and rumination
[21:35] The setting and preparation for psilocybin therapy
[23:02] The concept of set and setting in psychedelic therapy
[24:59] Patient experiences with psilocybin therapy and the importance of proper design and location
Notable Quotes
[11:33] “TMS is a bridge. It is not the whole answer. It's like you have a different brain after you've had TMS.” - Dr. Vidrin
[14:26] “In the realm of healing with MDMA, the therapy environment is the canvas where transformation takes shape—a sanctuary for profound change.” - Dr. Vidrine
[18:36] “Lexapro helped with rumination, but psilocybin seemed to help a little more. And Lexapro did not help with thought suppression, and it seemed like the psilocybin did.” - Dr. DeGaetano
[15:50] “A lot of times what they're doing now is low dose psilocybin and high dose psilocybin, essentially, and using psilocybin as the control for this placebo-controlled trial, which is kind of considered the gold standard in medicine.” - Dr. DeGaetano
Our Guests
Dr. Noah de Gaetano, a board-certified psychiatrist, serves as Chief Medical Officer at Acacia Mental Health, Sunnyvale, CA, with 15+ years of expertise. Renowned for his work in Transcranial Magnetic Stimulation, he founded and directed the TMS program at Palo Alto Medical Foundation, contributing significantly to psychiatric advancements and patient care.
Dr. Ryan Vidrine, an interventional psychiatrist, completed his residency at UC San Francisco and directed OCD services at a leading practice. With expertise in OCD and anxiety disorders, he employs medication, psychotherapy, stimulation treatments, and innovative approaches like ketamine and psychedelic therapies to guide clients toward authentic, liberated living.
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. Noah DeGaetano
https://www.linkedin.com/in/noah-degaetano-a963251/
https://acaciaclinics.com
Dr. Ryan Vidrine
https://www.linkedin.com/in/ryanvmd/
www.ryanvmd.com
https://www.instagram.com/ryanvmd/
**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 bi-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!
Tuesday Oct 31, 2023
Tuesday Oct 31, 2023
Think about this: have you ever tried to find peace and meaning through your spiritual practices, like meditation or prayer, only to have nagging, bothersome thoughts and habits that just won't leave you alone? This is the intersection of OCD and spirituality, and it's a complex place where your quest for spiritual connection and the constant demands of OCD come together.
In today’s episode of The OCD Whisperer Podcast, I’m joined by Lucy Grantz. Lucy is a licensed marriage and family therapist who specializes in therapy for teens and adults struggling with OCD.
During our conversation, we discussed the intersection of OCD and spirituality. We share personal experiences of how spiritual practices can become compulsions for individuals with OCD, such as over-reliance on tarot card readings or healers. We emphasize the importance of distinguishing between engaging in spiritual practices for connection and joy versus using them as compulsions to alleviate anxiety. Our conversation also touches on the rigidity of OCD and the need for grounding.
In This Episode
[01:17] The relationship between OCD and spiritual practices
[04:09] Compulsive behaviors related to tarot cards and astrology
[07:09] The impact of OCD on manifestation and law of attraction
[08:03] How spiritual practices can become compulsions for individuals with OCD
[08:57] How OCD can affect the practice of meditation
[09:46] Thoughts as manifestations
[17:29] Recognizing the pattern of OCD
[21:11] Finding flexibility in spiritual practices
[22:43] Compulsions and over-reliance on spiritual practices
[23:38] Compulsive over-processing and fixation on the problem
[24:11] Finding a balance between helpful practices and compulsions
Notable Quotes
[03:11] “I don't want to make it sound like anything I think is bad about any of these spiritual practices, but when OCD latches on, it can start to be compulsive, and that's what we want to avoid, but that's what happened to me for a long time trying to solve my own OCD before I knew I had OCD.” - Lucy
[18:54] “With the law of attraction, that whole thing was like, well, I'm not manifesting what I want. So what's wrong with how I'm thinking about it? Or like I have this one bad thought and what will that mean for what I manifest?” - Lucy
[24:53] “I think it's not black and white, you know. I think with this whole thing we're trying to get back to that life is gray. OCD wants it to be one or the other but there are no rights and wrongs. Everything can be helpful and it's about us finding our own path and who we really are and our own grounding versus being in a compulsion.” - Lucy
Our Guest
Lucy Grantz is a Licensed Marriage and Family Therapist in Minnesota, specializing in helping teens and adults overcome Obsessive Compulsive Disorder and Anxiety. Drawing from her own experience with OCD, she is dedicated to supporting others through their struggles. Lucy specializes in mental compulsions, using Inference-Based Cognitive Behavioral Therapy, and collaborates with renowned expert Frederick Aardema. Her background in Buddhism and mindfulness adds a unique dimension to her therapy, and she is well-versed in Exposure and Response Prevention as well as rumination-focused CBT.
Resources & Links
Kristina Orlova, LMFT
https://www.instagram.com/ocdwhisperer/
https://www.youtube.com/c/OCDWhispererChannel
https://www.korresults.com/
https://www.onlineocdacademy.com
Lucy Grantz
https://www.linkedin.com/in/lucy-grantz-80110626/
https://www.pivotpsychmn.com/about
**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 bi-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!
Tuesday Oct 17, 2023
Tuesday Oct 17, 2023
Do you ever find yourself double-checking if you locked the front door? Or perhaps you've felt the need to wash your hands repeatedly, even though you know they're already clean? These common experiences might seem like minor quirks, but for individuals with Obsessive-Compulsive Disorder (OCD), they can become all-consuming battles against inferential confusion.
In today’s episode of The OCD Whisperer Podcast, we are thrilled to be joined by Carl Robbins. During our conversation, we discuss the concept of inferential confusion in OCD, where individuals confuse their imagined possibilities with reality. Carl explains the difference between normal uncertainty and obsessional doubt in OCD, and emphasizes that OCD is always in the imagination and disconnected from relevant information in the present moment. The conversation also touches on the controversy between choosing Exposure Response Prevention (ERP) or Inference Based Cognitive-Behavioral Therapy (ICBT) for treating OCD.
In This Episode
[01:15] The concept of inferential confusion in OCD
[03:47] Differentiating normal uncertainty and obsessional doubt
[08:23] How obsessional doubt manifests in checking compulsions
[09:20] The difference between doubting processes in OCD and normal uncertainty in everyday situations.
[10:27] How obsessional doubt arises in OCD and the role of inferential confusion in creating selective reasoning errors.
[12:55] Choosing between ERP and ICBT
[19:21] The concept of inferential confusion in OCD and how it relates to finding effective treatment approaches.
[20:12] Different models and choices in OCD treatment.
Notable Quotes
[07:06] "Obsessional doubt is based 100% on my imagination, and once you cross over into the imagination, there are endless possibilities.” - Carl
[15:33] “I think often people will say ERP has been around longer than ICBT... and that if it doesn't work or, you know, very often people will get a response, but they won't go into remission..” - Carl
[19:58] “What's so important is to understand that nobody's wrong. These are models. These are theories that are applied to our understanding of OCD and how to treat it.”
Our Guest
Carl Robbins is the Director of Training and Senior Clinician at the Anxiety and Stress Disorders Institute of Maryland. With over 35 years of experience treating OCD and related disorders, Carl has been a mentee of Dr. Sally Winston and has attended multiple trainings through the IOCDF, ADAA and ABCT. He has also presented at the IOCDF and ADAA conferences on OCD and recently underwent individual training with Dr. Fred Aardema, the co-developer of Inference-based CBT for OCD. Carl is passionate about promoting the dissemination of ICBT in the US through various platforms, including consultation, teaching, lectures, social media, and podcasts.
Resources & Links
Kristina Orlova, LMFT
https://www.instagram.com/ocdwhisperer/
https://www.youtube.com/c/OCDWhispererChannel
https://www.korresults.com/
https://www.onlineocdacademy.com
Carl Robbins
https://www.linkedin.com/in/carl-robbins-3839039/
https://www.anxietyandstress.com/
Mentioned
https://icbt.online/
**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 bi-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!
Tuesday Oct 03, 2023
Tuesday Oct 03, 2023
Bringing a child into the world is often described as one of life's most beautiful and transformative experiences. However, for some new mothers, this journey can be clouded by a silent intruder that lurks in the shadows of their minds – Perinatal Obsessive-Compulsive Disorder (OCD). As the world celebrates the arrival of a precious bundle of joy, these mothers find themselves battling intrusive, distressing thoughts and compulsive behaviors that threaten to shatter the blissful facade of motherhood.
In today’s episode of The OCD Whisperer Podcast, we are delighted to have Conal Harpur. Conal is a psychotherapist specializing in anxiety disorders and OCD during the perinatal period.
During our conversation with Conal, we discussed perinatal OCD symptoms, including intrusive thoughts related to the baby's well-being. Conal explains the thought process and distress experienced by individuals with OCD and emphasizes the importance of finding a therapist who understands OCD and the transition into parenthood. We also discuss different therapeutic approaches for OCD and the correlation between stressors and OCD symptoms. We conclude our conversation by touching on public vs. private practice and the importance of individual readiness for transformative growth.
In This Episode
[01:22] What is Perinatal OCD how is it different from OCD?
[01:55] Symptoms of Perinatal OCD
[05:25] Emotional avoidance in OCD
[07:28] Understanding and managing OCD with a focus on specific obsessional topics.
[08:03] The unpredictability of OCD and the importance of finding a therapist
[09:03] CBT and medication as treatment options.
[09:56] Analytic psychotherapy and understanding the sense of self.
[14:04] The psychological and therapeutic perspective on perfectionism and its connection to OCD.
[18:17] The correlation between stress and OCD symptoms
[18:39] The overlap between OCD and obsessive-compulsive personality disorder
[22:27] The importance of understanding childhood experiences in OCD treatment
[25:50] The core emphasis of public practice: Symptom reduction and stress management.
[26:49] The transformative journey vs. disorder treatment
[27:37] The importance of being in the right emotional space and readiness for therapy,
Notable Quotes
[04:36] “ If I have an intrusive image about me approaching my baby or walking down the stairs and dropping my baby on the stairs is a very common one, I might be more inclined to not engage with my baby for fear that I may act on it.”- Conal
[14:09] “An individual may develop kind of perfectionistic traits as a defense mechanism in psychoanalytic terms against the kind of reoccurring unacceptable impulses or thoughts they may have growing up.” - Conal
[22:28] “Whenever there's a massive rise in responsibility, there's going to be a massive rise in intrusive images, and that's going to fuel the OCD.”- Conal
Our Guest
Conal Harpur, a seasoned mental health professional currently completing his doctorate in psychotherapy, specializes in anxiety disorders and OCD, particularly during the perinatal period. He manages the CBT department at a Dublin maternity hospital and runs a private practice for moderate to severe mental health issues, passionately improving lives through psychotherapy.
Resources & Links
Kristina Orlova, LMFT
https://www.instagram.com/ocdwhisperer/
https://www.youtube.com/c/OCDWhispererChannel
https://www.korresults.com/
https://www.onlineocdacademy.com
Conal Harpur
https://ie.linkedin.com/in/conal-jacob-harpur-4902a3200
https://www.cbtsolutions.ie/
https://www.instagram.com/cognitive_conal/
**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 bi-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!
Tuesday Sep 19, 2023
Tuesday Sep 19, 2023
Did you ever stop to consider the intricate challenges individuals with OCD face when they embark on their journey towards treatment? Or perhaps, have you thought about the profound ways in which perfectionism can affect their experiences of intimacy and sex? Alternatively, have you explored the complicated links between hoarding behaviours and OCD?
In today’s episode of The OCD Whisperer Podcast, I’m thrilled to have Dr. Patrick McGrath, a renowned expert in treating OCD and author of "The OCD Answer Book" and "Don't Try Harder, Try Different"
During our conversation, we explore the main obstacles that hinder progress in OCD treatment. Dr. McGrath mentions "wussy exposures" and the importance of practicing exposure response prevention (ERP) techniques outside of therapy sessions. He also highlights the challenge of recognizing OCD's tricks even after making progress in treatment. We also touch on the impact of perfectionism on intimacy and sex, with Dr. McGrath providing strategies for handling intrusive thoughts. We conclude our conversation with a discussion on hoarding and associations with OCD.
In This Episode
[01:07] The number one thing that gets in the way of recovery
[05:39] Perfectionism and its impact on intimacy and sex
[08:14] How to deal with the intensity of OCD attacks
[08:47] The importance of stepping out of a situation and taking a break to collect oneself without giving in to compulsions.
[10:00] Setting attainable goals for dealing with intrusive thoughts
[11:15] Exposing yourself to intrusive thoughts and practising response prevention
[16:48] Recognizing the importance of memory
[17:22] Associations and moving forward.
[18:03] The concept of emotional contaminants in OCD
Notable Quotes
[02:08] “Doing ERP without safety behaviours, even the subtlest of safety behaviours are going to be some of the things that aren't going or that are going to really interfere with your ability to get better.” - Dr. McGrath
[03:54] “OCD is always going to try to bring you back into the realm of OCD and doing compulsions. Because remember, OCD eats compulsions for breakfast, lunch and dinner. It's the koala of disorders.” - Dr. McGrath
[06:13] “OCD likes to tell you it's your best friend and it's ultimately out there for your best interests. So hey, don't go into this situation until you go 100% that everything's going to be okay.” - Dr. McGrath
[18:05] “OCD loves to put emotional contaminants on things. You know, there's something bad about this thing or this area and how much then that emotional contamination can spread as well, too.”- Dr. McGrath
Our Guest
Dr. Patrick McGrath, a renowned expert in treating OCD and author of "The OCD Answer Book" and "Don't Try Harder, Try Different," presently serves as the Head of Clinical Services at NOCD. He leads therapist recruitment and drives the development of treatment and training protocols, drawing from his extensive experience as the former Assistant Vice President at AMITA Health's Foglia Family Foundation Residential Treatment Center.
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. Patrick McGrath
https://www.linkedin.com/in/patrick-mcgrath-37b981/
https://www.treatmyocd.com/
**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 bi-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!