Justin’s Blog: “The Jog”

This article is aimed at Christians but also provides a rich overview on scrupulosity.  It was written by Ted Witzig, Jr., PhD and was graciously allowed to be reproduced in its entirety.  I first met Dr. Witzig at IOCDF conferences.  He is compassionate, intelligent, and provides some of the best overviews I’ve seen with OCD […]

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:  […]

Honored to be featured again in the I Am Second mental health blog, this post addresses the common occurrence of Intrusive Thoughts and how those of Christian faith can live in freedom. Click Here to Read NOW

Mark* was generally confident in his therapy, but bringing up sex….well, he got a little sheepish.  He had these small avoidances that he never realized were behavioral and cognitive avoidances.  For example, he would never have sex with his wife when the kids weren’t away from home.  He intentionally steered conversation away from topics with […]

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, […]

“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 […]

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 […]