FearCast Podcast

Mubeena Mirza, LCSW, joined me today to talk about Religious Scrupulosity within the Muslim community in anticipation of Ramadan. Ramadan is a month-long religious holiday celebrated by Muslims around the world, and for anyone who struggles with Religious Scrupulosity knows that major holidays can invite new obsessions, intensifying current obsessions, and a struggle to keep compulsions at bay. Mu...

Kelley Franke, MFT, joined me today to answer a listener question about parenting with OCD. Lots has been written about how to parent a kid with OCD, but how do you parent with OCD yourself? Today’s question comes from Kelly (a different one, I swear). She shares how she always wanted a second child, but the stress of her first, along with the nag of OCD, is making her second guess her interest in...

MJ asks a great question, that I think a lot of people have too. She’s gone through treatment, which was pretty successful, but why is her brain still giving her these unwanted intrusive thoughts that sometimes catch her up into a swirl of anxiety again?! What gives? I offer MJ some ideas on why this is happening, and why she is still having these thoughts. Lastly, I offer a few ideas on what may...

Adam messaged me recently with an audio question. He noticed that he recently has been obsessed with the smell of someone else. Memories of the smell when he inhales. Thoughts about the smell wherever he goes. He’s had Sensorimotor obsessions in the past, but what about this? This one isn’t about him, so how should he treat it differently? For more on Sensorimotor OCD and Hyperawareness OCD, check...

The FearCast is back in 2025! For today’s question, I answered Beth’s question about a mistake she made at the beginning of a fantastic relationship that has now turned into Real Event OCD and Moral Scrupulosity. She’s ruminating about all her past mistakes and beating herself up. What’s worse, she can’t apologize, or feels she can’t, because that may start a never-ending cycle of confession and a...

Today I’m excited to share a conversation I had with Dr. Jonathan Abramowitz about his upcoming book Living Well With OCD . During our conversation, I was able to ask him about the inspiration for the book, who would benefit from reading the book, and how people living with OCD all along the recovery scale can find something useful in it. Along the way, we got to speaking about therapeutic approac...

Gabriela messaged me and wanted to know how other people seemingly know, “deep down,” that their obsessions aren’t true. Have you ever heard that phrase? It seems like Gabriela has too and is struggling to find this hidden knowledge (or reassurance) that the SO-OCD and ROCD she’s struggling with aren’t true. To answer this, I have to address what it means to know something “deep down,” what I thin...

For today’s podcast, we are ALL lucky to have Natalia Aiza, LPC, on to continue our conversation about using SPACE treatment with the High Dependent Adult Children, otherwise known as the “failure to launch” population. This was a wonderful, eye opening conversation about how to help those individuals who are struggling to gain independence, set their own course, and take the leap into a brave new...

Today’s episode is a two-fer, but to answer one I need to answer the other. The first is from a listener who wonders why he assumes his thoughts are true about him, no matter what they are. I offer some insight into this process, and offer him guidance on how to turn this bug into a feature in his battle against them. The second comes from a listener who’s struggling mightily with a memory from hi...

Today’s episode comes from a listener who struggles with fainting at the sight of blood. To answer this, I discuss Vasovagal Syncope, a physiological event in which people sometimes faint in response to high emotion and feeling startled, including fainting at the sight of blood. I give a brief overview of what this is, how it works, and more importantly how the listener (or you) can prevent it. I...

Today’s episode comes from Victor who’s having a tough time dealing with obsessions focused on whether or not he has Schizophrenia. Unfortunately, sometimes simply reading something, seeing a video on something, or just hearing an idea related to something can be enough for OCD to suggest, “Maybe that’s you. Now, maybe you should go to unreasonable lengths to ensure you don’t that have.” Victor wa...

Today’s audio questioner wants to know why the anxiety they experience from regular life and every-day triggers is worse than the anxiety they get when doing Exposures. They struggle to make their exposures as triggering as their regular anxiety, but can’t! But is that even necessary? The post #203- Why Is Real Life Anxiety Tougher Than My ERP Anxiety? appeared first on FearCast Podcast .

To learn more about Harm OCD, check out this article from The California OCD and Anxiety Treatment Center Today’s audio question comes from Aaron who asked about a situation he has not heard much about, so he’s looking for some guidance. He’s noticing he has some Relationship OCD (no big deal, right), but he also notices a flair up of Harm related obsessive thoughts alongside and as a result of th...

Today’s episode is all about SPACE Treatment! Natalia Aiza, LPC, joined me to talk about her expertise using SPACE, or Supportive Parenting for Anxious Childhood Emotions, to help adolescents and parents better address anxiety and OCD. Natalia went through the treatment method, discusses how it differs from traditional Exposure and Response Prevention Treatment, addresses resistant children and te...

Today is so special, I thought I’d answer two listener questions! The first comes from a listener who is questing themselves as they notice they have the urge to Google someone they admire or look up to. Are they being wildly creepy, or is OCD accusing them of being a terrible person? Next comes an audio question from Cynthia who asks about how she can deal with her obsessions attacking her genuin...

Today’s audio question comes from Spiritual Overthinker who has won the lottery with a wonderful guy with whom she clicks with on a deep, spiritual level. But, as it happens sometimes, OCD suddenly is showing up and making her question the relationship, herself, and their future together! What is she to do? I offer her some suggestions, guidance, and encouragement to challenging her distorted thou...

Today’s audio question comes in from Doubting Debbie who asks a great question: is this thought she’s having legitimate and worth investigating, or is it just an obsession and nonsense manifestation of her OCD? While a great question, sometimes with ROCD, SO-OCD, or pretty much any obsession, there can be many things going on work acknowledging, challenging, and accepting. The post #198- Is This G...

Today’s question comes from Overthinker. She asks the question about how to beat her SO-OCD. She’s confident she’s narrowed down the core fear, she’s in therapy, she’s working on exposures and taking all the right steps, but she’s missing an important step that I try to highlight. This was a longer question, and unfortunately I didn’t realize there was a bunch of noise and background hiss in the r...

Today’s audio question comes from Frank. He wants to know whether Exposure and Response Prevention (ERP) therapy can be helpful to someone who is actually in denial of their sexuality. Frank identifies as a cis-gay male, but obsesses about whether or not he is actually trans. So, is Frank actually trans and in denial, or is he obsessing about being trans and is who and how he identifies? I do my b...

Today’s audio question comes from a listener who wants to know whether or not OCD can make them feel depressed, or if they just have depression, or if they have depression and OCD. Either way, Ab, the questioner, shares her deep struggle with feeling overwhelmed by a sense of depression alongside her other obsessions. This question gets a little personal for me, but I share some ideas on what she...

Today’s episode is a timely one. I had the privilege of speaking with Elena Fasan, LCSW, about anxiety in kids, teens, and adolescents as they return to school. This was a fun conversation that addresses concerns for kids and parents from elementary school to college and touches on subjects of college pressure, perfectionism, social anxiety, OCD, and shame. The post #194- Back To School Anxiety In...

Today’s question comes from Tom. He messaged me and asked these questions three. How can he deal with the guilt and shame of having his particular taboo obsession and testing it compulsively? Should he tell his girlfriend about them? And finally, what if his obsession is no obsession at all, but what he actually wants? I hear questions like this all the time, and I’m willing to bet there are peopl...

For today’s episode, I answer two listener questions. The first question is about whether people with Scrupulosity tend to exaggerate their reassurance questions. I answer broadly about reassurance tendencies and address how someone struggling with this type of compulsion can work to reduce it. Next, I answer a question from someone struggling with SO-OCD following a friend trying to convince her...

In today’s episode, I go over a question from James. He’s struggling with an obsession focused on items being contaminated simply by their association with another contaminated item and he wants to know what to do about it. I offer various examples of how to apply Exposure to it, Response Prevention, and using the Mastery Model to address the issue. Wet Paint obsession, and Tracking compulsions, o...

For today’s episode, I answer two questions from listeners. The first listener wants to know how they can best deal with the possibility of relapse when they are in a good spot in their recovery. Is there a way to keep it away, and what to do when their partner is often their trigger! The next listener is struggling with the isolation of their Real Event OCD and is too embarrassed to share it with...