Justin’s Blog: “The Jog”

The Question It was a good question.  Anne* suffered extensively with fear, anxiety, and OCD.  She wanted any relief she could find.  “Can I drink a little alcohol during exposures?” Little Therapist Justin As an early specialist in OCD, I said to Anne my favorite thing to say when I don’t know: “I don’t know.”  […]

Small changes, over time, lead to big results.   Keep Choppin’ If you chop a tree with an axe once per day, you won’t see much progress.  Daily for a year and a tree (most) won’t stand a chance.  However, we are often limited with black and white, insular thinking (a cognitive distortion), also called “all […]

Join me on Wednesday, August 25th, 6:00 – 7:30 pm CST, for “Common Pitfalls In ERP (Exposure & Response Prevention) 4 OCD” Livestream Evidence-based treatment for Obsessive Compulsive Disorder (OCD) is not tremendously difficult to understand.  It involves things like tracking when you compulse, learning to face challenging situations without compulsion, and how to tolerate […]

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 […]

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 […]

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:  […]

As the OCD Texas Dallas ambassador, I’ll be giving a “Learn at Lunch” talk! Title: Common Pitfalls in ERP 4 OCD (Presentation with Q&A) Description: Exposure and Response Prevention (ERP) for OCD is gold standard treatment. However, successful outcomes are dependent not only on both appropriately applying the evidence base, but also utilizing effective strategies […]