Justin’s Blog: “The Jog”
Articles Driven by Research and Practice
Stop Trying To Have Positive Thoughts
As with many of my clients, Anne* was befuddled as to why she couldn’t stop obsessing. She was a high performer at work and revered in relationships. However, she couldn’t get it out of her thoughts that she was failing, that imminent doom was about to befall her, and that it would all come crashing […]Read More >
Exposure & Response Prevention Is NOT A Paradoxical Intervention
I’ve had many clients and spouses state at the beginning of their exposure therapy that they are practicing ‘paradoxes’ to prove to themselves how ridiculous their OCD is. I’m all for seeing OCD as ridiculous– however, OCD is not treated by insight-oriented approaches (psychodynamic, general psychotherapy- i.e., “talk,”). Paradoxical interventions work like the following example: […]Read More >
You’ve Decided to Stop Therapy. First, 11 Important Considerations.
Your best treatment is closely connected to how closely you stick to the evidence base. However, you as the client always need to advocate for your best treatment. Successful clients are assertive for their treatment, ask good questions, and sometimes even disagree with their professional. This is healthy. Client involvement and assertiveness is a fundamental […]Read More >
Video: How To Write an OCD Exposure Script- With Nathan Peterson!!
Two OCD Specialist colleagues (and friends) just having fun on how to write exposure scripts in OCD. Exposure Therapy, in a phrase, is the systematic and intentional triggering of fear while minimizing- and ideally eliminating- all pathological responses. Imaginal Exposure accomplishes this with thoughts and ideas. It is done in the context of addressing unhelpful/pathological responses […]Read More >
What is CBT? What it is, how it started, and how it can help.
Cognitive Behavioral Therapy is a mental health psychological treatment, or psychotherapy. The range of problems it treats is broad, from anxiety and depression to substance abuse and relationship problems. It is considered gold standard treatment. Let’s nerd out and understand a bit more about where it comes from and ideas on how it works!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 >