Justin’s Blog: “The Jog”

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, […]

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.  […]

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 […]

Short summary of post can go here that appears on the blog archive pages.

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 […]

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 […]