Justin’s Blog: “The Jog”
120+ Articles Driven by Research and Practice
Getting Aroused With Anxiety
Mark* was generally confident in his therapy, but bringing up sex….well, he got a little sheepish. He had these small avoidances that he never realized were behavioral and cognitive avoidances. For example, he would never have sex with his wife when the kids weren’t away from home. He intentionally steered conversation away from topics with […]
Read More >Intrusive, Unwanted Thoughts and Faith
“I feel like I really love my baby, but, I just don’t know. I have these terrible thoughts that pop into my mind. Thoughts of harming my baby. I actually vomited last night it made me so upset. I don’t know why I’m having these” “Everyone around me, including my pastor, seems to think I […]
Read More >Journaling vs. Exposure Scripting in CBT (Therapy Insider Tip)
When clients become experts in doing exposures (Social Anxiety, PTSD, OCD, Phobias), they become used to facing fear, disgust, and other uncomfortable feelings square on without tricks and escapes- while still pursuing the valued behaviors and thought processes they want. Sounds too good to be true? It’s not, but it takes discipline and hard work, […]
Read More >What is Obsessive Compulsive Disorder & How Is It Treated?
OCD in context. You may already be very familiar with references to OCD, especially in the larger culture. “I’m soooooo OCD” is a phrase, often unhelpful to true sufferers, that reflects the current sentiments of many as to what it is. Neat. Picky. High Standards. Demanding. This is NOT necessarily OCD in and of itself. […]
Read More >Just Because You Tremble Doesn’t Mean You’re Doing It Wrong
Both in the office and in my life I offer a simple reminder: just because you tremble or are afraid or feel distressed DOESN’T mean you’re doing it wrong. In fact, maybe it’s very right. An unbelievably common misconception among human beings is distress = bad. Sure, distress is uncomfortable. Yes, it signals something feels […]
Read More >When and Why ERP Isn’t Working (OCD Therapy Insider Tip)
Short summary of post can go here that appears on the blog archive pages.
Read More >OCD Therapy Insider Tip: Cut out the Margin.
If you have experience with cancer treatment, you may already know what is meant when I say, “cut out the margin.” Margin is the edge or border of tissue that is being removed through surgery. Why can’t you just cut out the “bad” part? Why must you go further? Simply, it is only deemed clean when all […]
Read More >Playing It Safe Can Harm You
Teddy pumped the sanitizer bottle for the second time in three minutes. “I know, I know, it doesn’t help when I haven’t touched anything else, but I want to be sure. You never know these days, right?” Freda waits to enter gatherings and meetings until everyone else has shown up- “It just helps me know I […]
Read More >The Real Cost of Therapy
How much do you charge? This is a very loaded question, indeed. I’m going to give you straight answers to how much therapy actually costs, and why. If you are a consumer of health services, you’ve likely asked it many times between doctors, dentists, and insurance plans. Therapy is no different, yet it is unique […]
Read More >A Biblical Rationale for Exposure Therapy
“You want me to do what?!” Many of my clients, and particularly for the sake of this article, Christian clients, are a bit surprised when I ask them to practice exposure. Repeating scary, terrible thoughts on paper or aloud. Doing things that feel risky. It seems as a clinician I’m disrespecting your beliefs and don’t […]
Read More >Flip the Script- A Guide To Imaginal Exposure
Imagine intentionally telling yourself- again and again- “Maybe I’ll get sick and die.” Or, “I’ll have a sudden urge to kill someone.” Or, “Maybe I blasphemed God and will go to hell.” What if your therapist asked you to repeat these things to yourself? Does that sound like negative self-talk? A cause for grave concern? […]
Read More >Thriving Mental Health Alongside COVID-19
One of my first questions to a professor in my earliest IOCDF BTTI (Exposure Therapy training) at Massachusetts General Hospital was, “What happens if someone actually gets sick after a contamination exposure?” I haven’t forgotten the simplicity of the answer that went something like this: “People get sick all the time. Yes, that might create some additional […]
Read More >10 Tips for Effective ERP (Exposure & Response Prevention)
Exposure and Response Prevention (ERP), the gold standard treatment for OCD, can be fairly straightforward once understood. However, certain nuances are crucial for facilitating learning, growth, and maximal fear disconfirmation (fancy terms for successfully overcoming fearful responses). Here are 10 tips- click on the picture for a downloadable version: Be prepared to feel uncomfortable- a […]
Read More >Supporting Your Loved One With OCD
Join My List To Get The Full Guide If you have a child, significant other, or friend who has OCD, you likely know the suffering it can create. Or maybe you don’t; that’s okay. The unfortunate reality for most clients once they appear in my office is that OCD has culminated in tremendous levels of […]
Read More >Understanding OCD
This post was originally published on 02/13/2014 on my wordpress and is newly updated. Photo by whoislimos on Unsplash “Why can’t I stop thinking about this?” “Why can’t I stop? I know it doesn’t make sense.” William went to the Middle East after his unit was deployed from Ft. Hood. Most of what he heard […]
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