Justin’s Blog: “The Jog”

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 […]

The Beatles were on to something. It turns out that holding your romantic partner’s hand is good for you.  New research reveals that if you do so during emotional distress, it actually lessens emotional pain in recall later.  (Sahi et al., 2021). The study defines emotional pain as “an unpleasant feeling (or suffering) associated with […]

“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 […]

Despite how great food at Chick-fil-A is, there is a significant correlation between consuming chicken and oil being imported to the U.S.  Does this mean anything?  Probably not. If you have ever dug into statistics- in the news, in school, or even through your own research- you may have learned an important principle: “Correlation does not equal causation;” […]

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 […]

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 […]