FearCast Podcast

For today, I’m going to answer two questions! The first comes from Alex who wants to know whether his routine of checking his groin for potential arousal, and how it all started, is a normal process for someone with POCD. The next question comes from Salt & Pepper. They want to know whether OCD can give them thoughts about self harm, or are they actually having self harm thoughts? The post #27...

Pick Me reached out to me to ask a question about picking (every pun intended) the right treatment for their Rhinotillexomania, or compulsive nose picking. I discuss the differences between OCD treatment and the treatment approaches for Body Focused Repetitive Behaviors, or BFRBs. I share a ton of ideas for competing behaviors and behavioral blockers, and if you watch the YouTube video, you will s...

Marianne reached out with her question about some academic rumination that’s been plaguing her lately. She’s fixated on her time in college and whether or not she was dishonest in her academic performance. But, things aren’t so easy sometimes. The question flips between whether there was anything genuine that happened that brings her to this obsession, or whether it is just an obsession about whet...

Eve from the UK sent in her question in the hopes of trying to figure out what kind of obsession she has and what she can do about it. It seems to hover between the fear of whether or not her reality is real, whether she’s going crazy, whether others will think she’s crazy, or if she’s disconnecting from reality. She’s pretty aware of how obsessions work and how OCD can be a tricky liar, but bette...

For today’s questions, I give a short answer to a long question, and a long answer to a short question. The first one has to do with the listener’s curiosity about their current and last hanging-on obsession. They want to know if it’s weird, and if other people deal with it. The next question is a great one and gets a fundamental question about how we build exposures. Can they do good exposures to...

Frank reached out recently with a follow up audio question. This time he wanted to know how you know whether it’s OCD thinking, or his rational and reasonable thinking. Simple enough question, right? But, how do you know? Can you know for sure? How much is you and how much is OCD? And is it a compulsion to figure it out? I try to help give Frank, and all you other listeners, some other ways to con...

For today’s episode, I was joined by the one and only Jenna Overbaugh, LPC, to talk about what it means to get better from OCD and anxiety disorders, and how to stay better. We discuss the mindset and perspective shift necessary to meaningfully engage in CBT and ERP treatment, face your fears, and build a new relationship with anxiety that lasts! This was a really fun conversation and Jenna has su...

Today’s question was a bit of a tricky one, and deserves a tricky answer. There seems to be a mix of responses across the internet about whether you are what you fear. Some people saying, “No, you are not your fear and your fear is evidence of it not being you because obsessions are ego-dystonic.” Whereas some people say, “Yes, the obsession could be you,” and even fewer saying “Yes, you are what...

For today’s episode, Claire Breedlove, LCSW, joined me to talk about her work treating Religious Scrupulosity among the Latter Day Saints (LDS) population. Claire joined me on episode #189 where she discussed her work in general, but on this episode we do a deeper dive into her use of Inference Based Cognitive Behavioral Therapy (ICBT). This was a fun conversation to look at the differences betwee...

Cheesecake Destroyer, no that is not their real name (probably), messaged me a question that is more complicated than it seems. They want to know whether their use of porn is causing them to be creepy toward women. They acknowledge they have had this obsession for while, but does that mean they need to quit porn? Is this really a question, or are they looking for permission? Are they hoping I’ll s...

To answer today’s audio question, I had on TWO experts on child development and OCD. The questioner who is in the middle of the delicate balance of supporting her daughter’s best moral development while not feeding the Moral Scrupulosity OCD beast. To answer the question I have on Elena Fasan, LCSW, an expert on child and adolescent OCD treatment, and Jenny Foss, MA, child development professor. W...

Anthony sent in an audio question where he shared that he’s having trouble with some thoughts about his girlfriend. He keeps wondering whether or not she’s unattractive, like really unattractive, and not his type. What’s worse is that they are planning on moving in together soon! Is he wasting her time by pretending to be into her? Sure, he has some moments of clarity when he thinks she really is...

Lauren Rosen, MFT, joined me today to help answer Lemon’s question. Lemon wanted to know how she can move forward with her life, pursuing her values, etc., but what if her thoughts and values aren’t really her own? Lauren, the author of The Mental Compulsions Workbook for OCD was the perfect guest to help address this existential question. We discuss ways to identify her mental compulsions, the fe...

Sophi sent in her audio question and had a question about how to best deal with this really unhelpful, bad-for-the-relationship, unwelcomed obstacle of ROCD and Paranoid Personality Disorder. This isn’t a common combination that we’ve talked about on the show but she reached out. She asked about what she can do to get a better handle on these two so it isn’t to ruin her relationships or any other...

This is a jam packed episode. I answer four questions from listeners across a wide range of topics. We discuss the differences between an obsession and an intrusive thought. Are they different, and if so, how, and is it important? Another listener wants to know whether someone identifying as gay/ lesbian can still have Sexual Orientation OCD, or is that just a straight people thing? One listener w...

Toblerone Girl messaged me with an audio question recently. Unfortunately, she’s struggling with the dreaded overlap of ROCD and SO-OCD that seem to be made for one another. She notices some genuine feelings, but OCD jumps in and demands the all or nothing of it, and doesn’t take “I’m must be bisexual” as a reasonable label. I discuss some ways she can consider the situation and offer some exercis...

Today I answer a twofer from Katie; both of them Religious Scrupulosity related. The first question is about how can someone “cast their cares on the Lord” and ask God for healing from OCD in a non-compulsive way. She also wants to know how she can “do all things through Christ who strengthens me” while also exerting her own will on her OCD recovery. Is using her own willpower subverting God’s imp...

Today we are holding off on the questions to dedicate our time to talking about all things medication for OCD and anxiety disorders. Lucky for us, Dr. Sanjaya Saxena, MD, graciously gave his time and expertise to go over an exhaustive amount of information. We talk about what medications are most effective, first line treatments, supplemental medication, how to best communicate with your doctor, a...

John sent in an audio question. He wants to know whether his attempts to control, and even mentally play with, his Sensorimotor OCD obsession is helpful because he was able to do it once and it felt so empowering! Tied in, he wants to know whether he has to resign himself to never feeling fully “OK.” Emma also sent in a message about how to deal with the idea of death and the impossibility of gett...

I’m answering two questions today. Why not. The first is a follow up audio question from Spiritual Overthinker. She shares how her struggles have deepened as she has started to explore the world of Twin Flames and how her anxiety is preventing her from having an enjoyable relationship with boyfriend, or whatever OCD wants her to call him. Next I answer Ella’s question about what she can do with he...

For this first episode of 2026, I am answering a Sensorimotor OCD question from Dave. However, as many FearCast questions go, this one also applies to a great many other people struggling with OCD. In addition to wanting to how he can manage his obsessions, he wants to know whether or not he should avoid others out of fear that he may take on their Sensorimotor obsession, or should he wait until h...

For the last episode of the year, I’m going to answer two, that’s right TWO, listener questions. These two questions from Rubi and Emily. They both share very personal obsessions that don’t get talked about a lot, so I’m really honored to have a chance to speak with them. First, Rubi shares her struggle with Self Harm OCD and whats to know some practical ways she can deal with them. After that, I...

Ed recently sent in an audio question where he expressed a fear of being socially humiliated. This fear was triggered during a conversation with a group of friends where he feared that he would be humiliated later on. So, Ed did the most reasonable thing; ruminate, and later send me this question. I discuss this fear broadly as a worry that straddles the line between OCD and Social Anxiety while f...

Today’s episode is an exciting one! Kimberley Quinlan and Chris Trondsen joined me to talk about their new program focused on Body Dysmorphic Disorder (BDD). These two experts on BDD, eating disorders, and OCD (and pretty much everything else, too) discuss the differences between treating OCD and BDD, and why specialized treatment for BDD is necessary in a way that is encouraging, positive, light,...

Nathan Peterson, therapist, youtuber, educator, and now author, joined me on this episode to talk about his upcoming book and upcoming video program on Tics and Tourettes Syndrome. He was such a delightful guest who was kind enough to come on to share his thoughts on OCD treatment, making recovery feel achievable, and helping people looking for easy to use and understand resources. Nathan’s videos...