Breaking the Rules: A Clinician's Guide to Treating OCD

Lindsay and Emily Stetzer are sisters living with OCD and the Founders of Presently Bracelets. Presently Bracelets offer a range of bracelets to help you navigate intrusive thoughts and embrace the present moment.  In this episode, Lindsay and Emily share their individual experiences with OCD and treatment, what helps them between sessions, and what they think therapists need to know from the...

This is the final part of our two-part chat with Chrissie Hodges. In the last episode, Chrissie shared her early experiences with OCD before embracing the challenges of OCD peer support and advocacy work. In this episode, Chrissie reflects on her experiences with OCD treatments and what clinicians can and should be doing better. She also emphasises the importance of acknowledging the impacts of di...

Chrissie Hodges is an OCD Advocate, Peer Support Specialist, and Author of ‘Pure OCD: The Invisible Side of Obsessive-Compulsive Disorder'. For over a decade, Chrissie has worked closely with individuals living with OCD, as well as providing training to government agencies to enable them to better support people with OCD. In this episode, Chrissie shares her powerful personal journey with OC...

Is tough love the right approach for people struggling with hoarding disorders, or is there another way? In this episode, we explain how to recognise hoarding disorder and how it differs from having a collection or even hoarding-themed OCD. We explore how to navigate the intense shame experienced by people with a hoarding disorder or hoarding-themed OCD and how to sensitively and responsibly provi...

This is the final part of our two-part chat with Emily Crawford. In the last episode, Emily highlighted the importance of building supportive networks for mothers and the challenges mothers experience before and after birth. In this episode, Emily discusses how to support mothers with mental health difficulties throughout pregnancy and after birth and how to provide interventions to mothers who ar...

Returning guest Emily Crawford is the Principal Psychologist at Nest Psychology and has more than 20 years of experience as an Educational and Developmental Psychologist supporting adults, children, adolescents, and their families with various mental health issues (including OCD). She is also a 'Tuning in to Kids' facilitator and a mother of four. In this episode, Emily discusses the postnatal per...

We’re continuing our discussion about ambivalence. Ambivalence is when a client feels conflicted about treatment, either consciously or subconsciously, and can throw up stopping blocks in treatment. In the last episode, we looked at how to spot ambivalence and tackle it when you see it. In this episode, we discuss the importance of motivational interviewing in exploring patient emotions and unders...

What happens when a client wants to change but doesn’t know where to start, doesn’t want to do the work, or is in some other way conflicted? Ambivalence. Ambivalence is normal during therapy but can hinder a client’s progress if left unaddressed. In this episode, we discuss some telltale signs of ambivalence in clients, understanding where ambivalence comes from, and how to work through it when it...

This episode is the final part of our two-part chat with Natasha Daniels. Natasha is a Therapist specialising in anxiety and OCD in children and created AT Parenting Survival to help the parents of children living with anxiety and OCD.  In our last episode, Natasha shared how she got into working with children, how to adapt ERP for young people, and the importance of rapport, fun, and play in ther...

Natasha Daniels is a Therapist specialising in anxiety and OCD in children. Natasha is the creator of the AT Parenting Survival website to provide parents with advice for helping their children living with anxiety and OCD. Natasha has drawn on two decades of experience to create a YouTube channel and a podcast and has also written several books. In this episode, Natasha reveals what drew her to wo...

Perfectionism. It’s a complicated trait that shows up a lot when working with OCD. It can present in a range of ways and can look like self-loathing, anger, people-pleasing, or even a strong sense of doubt and uncertainty in clients. In this skills episode, we dig into how perfectionism can manifest in a client, how it might present in a session, and how to address it when it does.   Connect: http...

This is the final part of our chat with  Associate Professor of Psychology and convenor of the clinical psychology program at the University of Melbourne, Dr Brett Deacon. In our previous conversations with Brett, he explained safety behaviours, accommodation behaviours from family and clinicians, and how accommodating behaviours that reduce discomfort can limit the efficacy of treatment for clien...

George Habib is a Clinical Psychologist and Associate Director of Wellbeing Services at the University of Melbourne. Alongside this role, he's been working in his own clinical practice for over 25 years. His work, deeply rooted in trauma support and symptom interpretation, has shaped his leadership in health services and legal aid. In this episode, George tackles the clinician’s role in structured...

In our last episode, Associate Professor of Psychology and convenor of the clinical psychology program at the University of Melbourne, Dr Brett Deacon, explained the concept of safety behaviours and how to manage them in OCD treatment. In this episode, Brett dives into the data behind safety behaviours and accommodations. He expands on how making more accommodations can impact treatment and how cl...

Dr Brett Deacon is an Associate Professor of Psychology and convenor of the clinical psychology program at the University of Melbourne. Brett has worked in the field of psychology for over 15 years with a focus on exposure therapy for anxiety and OCD. He has published many papers on therapist barriers to exposure therapy and strategies for overcoming them and is a co-author of ‘Exposure Therapy fo...

Guilt and shame are a normal part of the human experience. Where it can become a problem is when clients are unable to overcome, or even identify, guilt and shame they may be feeling which can lead to a “stuckness” in treatment that can be frustrating and upsetting. In this skills episode, we’ll explain the difference between guilt and shame, discuss telltale signs to look for in clients, and how...

Joanne Isbister is a Certified Genetic Counsellor at the Royal Melbourne Hospital. Jo has over 15 years of experience as a genetic counsellor and has clinical experience in perinatal, paediatric, and adult genetics. After Identifying a gap in local services, Jo is developing a clinical service at the RMH to provide equitable access to psychiatric genetic medicine for those in need. In today’s epis...

Penny Moodie is a Co-founder of So OCD and the Author of "The Joy Thief". Penny is a passionate OCD advocate and her book, “The Joy Thief” is a deeply personal exploration of OCD along with practical advice from mental health professionals. In this episode, Penny describes the experience of writing "The Joy Thief", the effect it had on her own OCD, and the things she learnt along the way. She also...

One of the main roles of a clinician is to provide as much knowledge as possible when supporting clients in treatment. But when does knowledge and education, or psychoeducation as it's known, become a reassurance trap when treating OCD? In this skills episode, we'll explore how to detect if psychoeducation is bordering on reassurance, and how to navigate that with your client. We'll also discuss t...

Dr Luca Cocchi is a Group Leader and Associate Professor at QIMR Berghofer, who is currently working on ways to improve TMS for its usage in OCD treatment. Dr Philip Mosley is a Psychiatrist and Clinician-Scientist at QIMR Berghofer, where he is currently researching DBS for treatment-refractory OCD.  In this episode, Phillip explains deep brain stimulation (or DBS) and how it's being used to trea...

Dr Luca Cocchi is a Group Leader and Associate Professor at QIMR Berghofer, where he is currently working on ways to improve TMS for its usage in OCD treatment. Dr Philip Mosley is a Psychiatrist and Clinician-Scientist at QIMR Berghofer, who is currently researching DBS for treatment-refractory OCD. In this episode, Luca and Phillip explain the neuroscience behind OCD, as well as what treatment-r...

Welcome back to another skills episode! Today, we're covering something you may have heard mentioned a few times in our previous episodes: meditation. Mindfulness-based strategies can be incredibly useful for clients and clinicians alike, and there are many ways they can be helpful when integrated with ERP. In this episode, we'll explain why mindfulness is so important, and share how you can best...

Hannah Gersh is a Psychologist and Clinical Registrar at the Melbourne Wellbeing Group. As an early-career psychologist, Hannah understands how nerve-wracking it can be to start in the industry, and is here to share her experiences to help ease the nerves of any other early-career psychologist.  In this episode, Hannah shares how she found her way into working with OCD, as well as how she deals wi...

Welcome back to our deep dive into creating ERP tasks, where we're continuing to explore the ways you can get creative in treatment, regardless of the presentation or the subtype. In this episode, we're exploring different ways to create ERP tasks in the context of pure OCD, and paedophilic OCD. We'll share the ways to help your clients interrupt mental compulsions, as well as how to create safe a...

Welcome back to another skills episode! This week, we're following on from our previous skills episode, "What is ERP?", with an episode on how to create ERP tasks. We'll be exploring all the ways you can break the rules and get creative with ERP, whilst still remaining evidence based in treatment. In this episode, we'll explore how to design exposure tasks for OCD, regardless of the subtype. We'll...