Justin’s Blog: “The Jog”

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 […]

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 […]

“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 […]

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?  […]

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 […]

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 […]

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 […]

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 […]

This video above and guide below were specially formulated to help you be mindful in an “Exposure-Friendly” way. This one’s a bit different from the average mindfulness practice you might be familiar with.  The reason it’s called “Exposure-Friendly” is that it is specially designed to help a person be mindful of whatever they are experiencing, […]

  What is Exposure Therapy? Exposure therapy is a psychological treatment that is practiced in Behavioral and Cognitive Behavioral Therapy (CBT).  It is indicated as a first line treatment for a number of disorders such as Panic PTSD BDD GAD Even recent evidence for depression It is considered the “gold standard,” or best treatment for […]

In Vivo Exposure Directly facing feared objects or situations, examples include: Getting on a flight, touching a doorknob that feels “contaminated,” not going back to check a lock, or going to a social gathering. Good exposure attempts to match the content and detail of a person’s fear as close as possible. So, for example, if a […]

Do I want this, or do I not?  Is this my actual desire, or what I don’t want?  Does this thought or desire define me?  What if it’s terrible or horrible? Sometimes the things I think about are because I value them or desire them. Sometimes the things I think about are because I don’t […]

Photo by Owen CL on Unsplash Did your anxiety increase over flying after news of the engine failure on Southwest Flight 1380?  Even a little? I have booked plane tickets twice since the incident in mid-April 2018, and when choosing seats, I hovered precariously as I decided whether to select my favored window seat, or if I go […]

Photo by Leio McLaren on Unsplash “Security is mostly a superstition. It does not exist in nature, nor do the children of men as a whole experience it. Avoiding danger is no safer in the long run than outright exposure. Life is either a daring adventure, or nothing.” – Helen Keller I don’t want to live […]

Thomas Plets on Pexels This post was originally published on 05/26/2016 on my wordpress and is newly updated. You’re surrounded by setpoints every day.  They literally keep you alive.  One of them is your set body temperature.  If your body drops or rises a mere 15% beyond your core temperature, death occurs.  Think of a setpoint like […]