Get to know OCD

Feeling unreal, numb, checked out, or like you’re watching your life from the outside can be terrifying. For some people with OCD, that disconnection becomes another thing to obsess over — checking whether they feel “normal,” questioning whether they’re really present in their own body, and getting pulled even further away from the moment. In this video, Dr. Patrick McGrath explains how depersonal...

As the Lindsay Clancy case continues to receive national attention, references to “intrusive thoughts” have caused understandable fear and confusion for people living with harm OCD, postpartum OCD, and other mental health conditions. For someone already terrified by unwanted thoughts or images of harming a person they love, seeing those same words associated with an unthinkable tragedy can reinfor...

Rebecca Voskanian remembers sitting in a high school classroom shaking uncontrollably, heart racing, with no idea why it was happening. For a while, she assumed maybe everyone felt that way and simply didn’t talk about it. This would last for years. It wasn’t until she finally found a therapist that things began to change. Treatment gave Rebecca tools to manage her anxiety, but it also gave her th...

When someone you care about has OCD, your instinct is to help. You reassure them, check the locks one more time, answer the same question again, or help them avoid whatever is making them anxious. It feels supportive in the moment — but those well-intentioned actions can quietly strengthen OCD instead of weakening it. In this video, Dr. Patrick McGrath explains the difference between supporting so...

Someone with OCD can show up to work, keep up with school, maintain relationships, and appear completely fine... while still spending hours trapped in mental compulsions no one else can see. In this video, Dr. Patrick McGrath questions whether “high-functioning OCD” is even a useful label, explains how it can minimize serious internal distress, and argues that the better question is whether OCD is...

When OCD symptoms suddenly get worse, it's easy to believe you've lost all the progress you've worked so hard to make. But a flare-up doesn't erase your recovery. Stress, major life changes, fatigue, and uncertainty can all make OCD louder without meaning you're back where you started. In this video, Dr. Patrick McGrath explains why OCD flare-ups are a normal part of recovery and how to respond wi...

By itself, "watching one more" episode or scrolling through social media isn't an issue. But if you're using screens to escape your own intrusive thoughts, anxiety, or uncomfortable feelings, that might be a classic OCD safety behavior. The relief feels real — but only until the screen turns off and OCD comes rushing back. In this video, Dr. Patrick McGrath explains how binge-watching and doomscro...

Dylan Mckelroy didn't become a therapist just to listen — he wanted to help people make meaningful, lasting change. After working in community mental health, he found himself searching for a more effective way to treat people, especially those struggling with OCD. That search led him to ERP, specialized training, and a completely different approach to therapy than he was accustomed to. In this epi...

To millions online, Emilia Fart appears fearless, creative, and completely unapologetic. But behind that persona, OCD was quietly dictating her daily life. It influenced her relationships, her creative process, the way she dressed, the objects she carried, and even whether she felt able to leave the house. What looked like confidence on the outside often masked a relentless need for certainty and...

The first instinct after an intrusive thought is usually to get rid of it. You tell yourself it isn't true. You try to prove it wrong. You replay it in your head, search for certainty, or avoid anything that might trigger it again. It feels like you're protecting yourself, but those reactions are often exactly what keeps OCD alive and thriving. In this video, Dr. Patrick McGrath explains why some...

When you have OCD, thinking can feel like the solution. You replay conversations, analyze your memories, research every possibility, and search for the one answer that will finally bring certainty. But no matter how much time you spend trying to solve it, OCD always comes back with another "what if?" In this video, Dr. Patrick McGrath explains why rumination is one of OCD's most common mental comp...

Most people know that compulsions keep OCD going. What many don't realize is that some of the behaviors feeding OCD are much harder to recognize. Rumination, avoidance, reassurance-seeking, distraction, shame, guilt, and even trying to "fix" your thoughts can all become subtle safety behaviors that strengthen the OCD cycle. In this video, Dr. Patrick McGrath explains why these hidden habits keep O...

Trying therapy for OCD once doesn't always mean you received the right treatment. Many people leave therapy believing it "didn't work," when in reality they were never treated with exposure and response prevention (ERP), the gold-standard therapy for OCD. Instead, they were taught coping strategies that can actually feed OCD instead. In this video, Dr. Patrick McGrath explains why OCD therapy some...

OCD has a way of convincing you that life can wait. If you can just find the right answer, get rid of the anxiety, or finally feel "okay," then you'll be able to relax and enjoy yourself. But that moment never comes. Instead, OCD keeps moving the goalposts, trapping you in an endless cycle of compulsions, reassurance, and waiting to feel better before you start living. In this short video, Dr. Pat...

After the unexpected death of his brother, Matthew Testa's mind became consumed by health fears, rumination, and an endless search for certainty. Every new "what if?" felt like a problem that had to be solved, but no amount of thinking ever brought lasting relief. Instead, OCD kept finding new questions to ask, trapping him in thought loops that quietly took over more and more of his life. In this...

Many people with OCD believe that the fact that they're disturbed by an intrusive thought proves they don't want it. But what happens when that fear, panic, or disgust starts to fade? In this video, Dr. Patrick McGrath explains why OCD often latches onto your emotional reaction to intrusive thoughts, convincing you that you're not upset enough or that your response must mean something about who yo...

Reassurance feels helpful in the moment. You ask someone if everything is okay, replay a memory to make sure you didn't do anything wrong, Google the same question for the tenth time, or tell yourself that your fear isn't true. The problem? OCD is never satisfied. The relief lasts for a moment, then the doubt comes back — and the cycle starts all over again. In this video, Dr. Patrick McGrath expl...

OCD doesn't just create fear — it can also quietly steal your ability to enjoy life. Whether it's replaying conversations, monitoring your feelings, avoiding things you love, or convincing yourself that you don't deserve happiness, OCD has a knack for pulling you out of the present moment. In this video, Dr. Patrick McGrath explains how OCD interferes with joy. At NOCD, we specialize in exposure a...

Making the Olympics had been Ginny Fuchs' dream for years. But as she climbed the ranks of amateur boxing and moved to the Olympic Training Center, another battle was quietly getting worse. OCD was consuming more of her time, disrupting her sleep, and pulling her deeper into compulsions she could no longer control. Eventually, the disorder became so overwhelming that she feared it would derail the...

What does it take to become a great OCD therapist? Our very own NOCD therapists, Barbara Windeknecht and Alexi Pyles, say it's not what you probably think (prior OCD experience). In fact, both came from very different clinical backgrounds with little OCD experience. What mattered more was a willingness to learn, ask questions, stay curious, and keep showing up for members even when the work felt c...

Tell Williams thought he was just a worrier. As a child, he believed things had to feel perfectly "even" or something bad would happen to the people he loved. Later came contamination fears, intrusive thoughts, health anxiety, and rituals that slowly began shaping more of his life than he realized. It wasn't until adulthood — after being diagnosed with ADHD, autism, and eventually OCD — that every...

Barbara Windeknecht and Alexi Pyles have both worked traditional therapy jobs so they know what the tradeoffs usually look like: commuting, shared offices, rigid schedules, and trying to squeeze the rest of life around the work. At NOCD, they’ve found something different: a fully remote setup where they can see members from home, build schedules that actually fit their lives, and still feel connec...

A lot of people start ERP expecting immediate relief, so when their anxiety spikes in the beginning, they assume the treatment is failing. But as Dr. Patrick McGrath explains, that discomfort is often a sign that the therapy is actually working. OCD gets used to compulsions, reassurance, avoidance, and safety behaviors keeping fear under control, so when those habits are removed, the disorder tend...

Rumination can feel productive at first. It can feel like problem-solving, self-awareness, or “figuring things out.” But for people with OCD, there’s a point where thinking stops being helpful and turns into a trap. The same question gets replayed over and over, every answer creates another “what if,” and no amount of analyzing ever brings real relief. In this short video, Dr. Patrick McGrath brea...

One of the scariest OCD spirals can start with a simple thought: what if this isn’t OCD at all? For many people, OCD doesn’t just attack fears around harm or contamination — it can also latch onto the fear of “going crazy,” losing touch with reality, or developing something more serious like psychosis or schizophrenia. In this video, Dr. Patrick McGrath breaks down why OCD targets these fears so a...