Justin’s Blog: “The Jog”

Yvette had a hard time breaking through in therapy. She knew and understood well the rationale for putting in the work. Her grasp of when she felt anxious and distressed, and even what to do, was excellent. I mean, the research speaks for itself, right? Just do it- just practice what your therapist teaches? I […]

“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 […]

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, […]

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!

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

In poker, a “tell” is a sort of behavioral or observable change that, usually unbeknownst to the person, can reveal information that can be used for another player to get the upper hand.  Smirks, scratching of the nose, looking away, smiling- expert poker players work hard to conceal these (why many wear sunglasses). Notice Something […]

A common question I get is, “What if I get overwhelmed before we meet next?”  If we have ruled out serious risks dealing with safety, usually there’s a simple tool that can seriously help (while working the treatment plan).  Through the study of the brain, human behavior, and feedback from clients, here is a ripcord to pull in […]

“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 […]