Justin’s Blog: “The Jog”

Everyone Loses Lucas* regularly expressed frustration about his parents’ “nagging” him. Though he is a young adult, he lives out home and is mostly dependent on his parents for all essentials.  He gave permission to involve his parents in treatment, which is ideal in many cases. It was frustrating for his compulsions to impair his […]

Join my fellow expert, Saharah Shrout, MA, LPC-S, and myself for the recorded live presentation during #OCDWeek 2020 we gave for OCD Texas (IOCDF Affiliate) in 2020. A very rough copy of some notes, providing examples, is below.  I hope this helps you feel less alone and understand this: just about any distressing thought/feeling can […]

The research is really clear on this: disordered checking behaviors (and thoughts) lead to distrust of your memory (van den Hout & Kint, 2003; Radomsky & Alcolado, 2010).  Let’s say you walk away from your front door or your car.  You typically lock them.  But you start to think about it, and you are now […]

Lisa is a learner, sensitive to do the right thing, and receptive to the input of other people.  She’s just another example of one of the true “sweethearts” that I get to work with.  When we started therapy she was a “therapist’s dream”: receptive, ready to learn, willing to try any exercise suggested, and highly […]

As a sequel to my popular, “ERP 4 OCD- Ultimate Guide to Treating OCD” training, here is the full length training on “Common Pitfalls in ERP 4 OCD.”  I have given this to OCD sufferers, family/friends, clergy, and clinicians.  May it benefit you wherever you find yourself today. Intro Evidence-based treatment for Obsessive Compulsive Disorder […]

This is the shortened version of the article, the “PRO Version” available here. Functional Assessment Defined A functional assessment (or analysis, FA) is a framework that clinicians use to assess and plan treatment.  It is simply “any empirical demonstration of a cause-effect relation,” its purpose being “to determine which sources of reinforcement account for problem […]

This is the full, “PRO version” of this article.  Looking for the quick read with graphics?  Click here. A great strength we have as human beings is to make connections and associations between simple and complex information.  At its best, we can learn and grow.  At worst, we can live in total unreality. Therapy at […]

As a gift to my subscribers, the guide, Get Unstuck: Your Intro to Facing Fear & Getting Healthy is YOURS, FREE.  Not a subscriber? This is the updated version of the prior “Thriving Mental Health Alongside COVID-19,” leaving the best intact along with new considerations for 2021 and several new handouts, connected articles, guides, and […]

I’m just gonna say it: EMDR (Eye Movement Desensitization and Reprocessing) is not an established evidence-based treatment for OCD.  It is not a first line treatment (aka, best first pick), nor does it have any specific research backing as a comprehensive OCD treatment at this time.   Does EMDR Treat OCD? This topic is raised often […]

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:  […]

Women’s mental health is getting more attention now than maybe ever before, which I think is awesome.  Acknowledging the beauty and uniqueness of strengths and struggles helps women to be more successful in their lives.   Here are some key considerations in mental health for women. In the U.S., women are twice as likely to be […]

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 […]