Feeling gaslight by OCD? Defeat OCD-related doubt through exposure and response prevention (ERP), not logic!One of OCD's most diabolical tricks is its ability to sow seeds of doubt, even about beliefs we hold strongly. Think of it as a tiny, annoying heckler in your...
Group Therapy for Obsessive-Compulsive Disorder (OCD) Using Exposure and Response Prevention (ERP)
Our exposure and response prevention (ERP) therapy group provides evidence-based treatment for obsessive-compulsive disorder (OCD).Living with Obsessive-Compulsive Disorder (OCD) can feel like being trapped in a cycle of intrusive thoughts and compulsive behaviors....
OCDSupportGroups.com: Free Support & Evidence-Based Treatment
Visit our new companion website, OCDSupportGroups.com, to join one of our new treatment groups or support groups! I'm excited to announce the launch of a new companion website: OCDSupportGroups.com! This site is designed to be a resource for individuals and...
OCD Treatment: Back to Basics
OCD is predicated on the formation of faulty beliefs that are maintained through negative reinforcement.In previous posts, I have discussed various aspects of the "OCD Cycle," but it never hurts to have a quick refresher. After all, understanding how OCD works can...
Driving Fears & Driving Avoidance in Teens & Young Drivers
Driving fears and avoidance in teens may reflect normal development or possibly an emerging anxiety disorder.Reader Question: My daughter just turned 15, and no matter what I say, I can't seem to convince her to practice her driving. It's strange, because in the past,...
Anger and OCD – Getting Mad…
Anger can be a mobilizing emotion, but too much anger directed at OCD can give it unnecessary power.“I hate having OCD! Why can’t these thoughts just stop?!?! How can I be the person I was before?!?!” Many people with OCD are extremely familiar with the...
ERP Tip of the Day #2
I’m going to do this and ride the anxiety wave no matter what. Bring on the bad thoughts.It's ERP tip time. This series of posts focuses on tips to enhance the effectiveness of your exposure and response prevention (ERP). If you're interested in more ERP tips, click...
ERP Tip of the Day #1
Don't mistake rituals for exposure and response prevention (ERP). Embrace your exposures with fear, and embrace opportunities for openness, defenselessness, and vulnerability.Starting today, I am going to start posting random ERP tips as they occur to me, as there are...
Imaginal Exposure vs. In Vivo Exposure for OCD
Use imaginal exposure to address OCD based around catastrophic feared outcomes.As I've talked about in numerous posts, overcoming OCD involves learning to co-exist with doubt and uncertainty. This idea can be a bit counter-intuitive at first, as many people initially...
Common Misconceptions About Anxiety & OCD Treatment
Anxiety and OCD treatment can be confusing. Unfortunately, relying on common sense can sometimes make your symptoms worse.People new to OCD treatment often walk through the door with more than a few misconceptions. Here are some common ones: Misconception 1: Anxiety...
Teen Social Anxiety Group (Cognitive Behavioral Therapy/Group Therapy)
Social Anxiety Treatment Group for TeensSaturday (8/17) @ 11am-1pmTeens with social anxiety unite! In this paid treatment group, teens will support each other in developing cognitive behavioral skills to combat social anxiety. This workshop will be interactive and...
Worry & “What If” Questions
Answering "What If...?" questions is an anxiety-related avoidance behavior that involves overpreparation.Anxiety, Worry, & What If Questions If you have anxiety, it's likely that you wrestle with worry and "what if" questions. Many what if questions are easily...
Does Non-Avoidance = Exposure? No! Anxiety Disorder Treatment Principles for OCD, Panic, Social Anxiety, & Phobias.
Although exposure is predicated upon the purposeful non-avoidance of anxiety-related stimuli, non-avoidance of anxiety triggers is not equivalent to exposure.Anxiety Principle of the Day: Non-Avoidance is not equivalent to exposure. Although exposure is predicated...
Exposure Therapy’s Most Common Mistake: All Eggs in the Habituation Basket
Exposure, when done right, is about much more than just habituation.Many people have an incomplete understanding of exposure therapy... ...be it exposure and response prevention (ERP) for OCD, intentional mistake practice for social anxiety, or interoceptive exposures...
OCD Treatment (ERP & CBT): Exposure & Cognitive Restructuring
The most effective treatment for OCD, exposure and response prevention (ERP), is built on a combination of cognitive and behavioral strategies.Question: To what extent would a change of mindset (e.g., changing my expectations for myself) be helpful in recovering from...
OCD Treatment: OCD vs. Me. How do I Tell the Difference?
You are not your OCD. One important part of OCD treatment involves recognizing that your symptoms do not define you.Question: Because many of my OCD rituals are related to my professional identity, I'm worried that changing my rituals will somehow change those parts...
Fear, Doubt, Uncertainty, ERP, & the Monster Under the Bed
Sometimes the most potent way to deal with a fear is learning to be okay with not knowing.Everyone I know has, at some point, had to deal with the monster under the bed. Some do it with grace. Others falter. I've always been clumsy. I can vividly recall many terrified...
Social Anxiety Treatment: CBT & Intentional Mistake Practice (an example)
Believe it or not, channeling your inner daredevil can actually help you fight social anxiety.When I was a kid, one form of mischief that was briefly popular in my neighborhood was crank calling strangers. Usually, the bravest kid in the group would pick up the phone,...
Therapy as Science: You + Your Therapist + Scientific Method
Therapy essentials: your "science hat" and bullwhip (no batteries required).I consider myself a scientist. I wear this hat officially when conducting research, but I also wear it every time I sit with a patient. In my research, my science is pretty self-evident: I...
The Power of Being Selfish: Selfishness as a Key to Mental Health
Mental health requires that you work on meeting your own personal needs, in addition to meeting any other responsibilities you might have.I'm about to tell you something that your mother might not approve of...so for those of you sensitive souls out there, you might...
Specific phobias: symptoms & CBT treatment (reader question)
Phobias respond to an evidence-based technique called cognitive behavioral therapy (CBT).Question: Basically, I wanted to know from an expert, what can a phobia do to a person? How does it affect them mentally? Also I see that you've got a new treatment philosophy --...





















