OCD Straight Talk

Chris discusses a personal journey with interpersonal boundaries, confrontation, and self-esteem. He chronicles a time he confronted a person in his life who historically treated him badly; and described how he felt about himself after having done that. He then ties this into OCD-treatment, and works to show the power of behavior-change, no matter the situation you're in.

Chris presents by starting with a question that lingers in the air at this point: What am I supposed to do about my intrusive thoughts? The answer may not be what you want to hear. But it is echoed by the literature, and has been for nearly six decades. Feel free to reach out with any questions you might have to chrisleins04@gmail.com If you've found the podcast helpful, consider giving us a 5...

A listener responds to Pillar 3 with a question. Chris responds. There's ALWAYS risk; but there's only sometimes danger. Listen to find out more. Feel free to reach out with any questions you might have to chrisleins04@gmail.com. If you've found OCD Straight Talk helpful, feel free to give it a 5-star rating, and subscribe to the podcast for more structured help with your anxiety- or O...

Chris explains a logical dynamic that goes two ways: the more we have a felt need for certainty, the harder we pursue it. And we pursue it, of course, by doing compulsions. But the harder we pursue it, the more elusive it proves to be. And then, we're back to the beginning. We have a deep and urgent need for certainty. But that street travels two ways. This is where and how Pillars 3, 4, and 5...

Chris recaps Pillar 1 with a few subtype-examples, and moves to Pillar 2. This is the idea of "reps," or repetitions. Doing something over and over again increases both our competence in executing a task, and sharpens our understanding of it - big picture. The same is true of exposure therapy. Reps are the backbone of getting better.

Chris tackles the first of the Five Pillars, showing that generally OCDers generally don't make a lot of progress without structured, expert help. Feel free to reach out with any questions you might have to chrisleins04@gmail.com. If you've found OCDST helpful, consider giving it a 5-star rating and subscribing to the podcast for more structured help with you anxiety- or OCD-symptoms.

Chris launches a new series on the role of the patient or the listener in the process of getting better. He reviews a document, forged from clinical experience, and written for his patients that explains their specific responsibilities in the act of getting as much out of their therapeutic journey as possible.

Chris discusses a couple of cases that illustrate that idea that sometimes OCD and anxiety disorders flip the script on you, and completely change the behaviors that feed them. All of the sudden, the behaviors that previously were healthy are now compulsive; and the behaviors that were compulsive are now healthy.

"Life's a fight!" Chris discusses a personal slogan and explains what that means in the context of OCD. Fighting means both the will to win and a strategy to succeed. In the fight against OCD, you need both. Why? Because OCD has both, too.

Chris responds to a listener's question about the ever-popular topic, Pure-O. He highlights the concept of identifying compulsions; as Pure-Oers do compulsions, they just don't properly identify them. Feel free to reach out with any questions you might have to chrisleins04@gmail.com If you've OCD Straight Talk helpful, consider giving it a 5-star rating and subscribing to the podcast f...

Building off of the last two episodes, Chris discusses common errors made in exposure-work. These concepts aren't new to the podcast; but they are ... common mistakes. What that means is that you're probably doing them. And the reality is that exposure therapy generally doesn't work very well if we're committing one or both of these mistakes. Feel free to reach out with any questio...

In this episode, Chris faces his relationship-OCD and does what's called, an imaginal exposure. Feel free to reach out with any questions you might have to chrisleins04@gmail.com. If you've found the podcast helpful, consider giving us a 5-star review, and subscribing to the podcast for more structured help with your anxiety- or OCD-symptoms.

Chris talks through a few erroneous but common ideas of exposure therapy. These are mistakes made by both consumers and inexperienced therapists. He then explains four components of good exposure therapy. If done properly, these generally render exposure-work effective but uncomfortable. Feel free to reach out with any questions you might have to chrisleins04@gmail.com. If you've found OCD Str...

Chris discusses fears and case-examples that involve physical symptoms and environmental experiences, and that the OCD says "this" is evidence of, or means "that." These can be difficult to deal with, because there's something real and observable thrown into the obsessive-compulsive "mix." Feel free to reach out with any questions you might have to chrisleins04@gm...

Chris discusses some literature and case-examples relative to how anxiety- and OCD-symptoms can interfere with individuals' sex life. Most notably, he shows that most common forms of sexual dysfunction, in both men and women, are caused or maintained by Sexual Performance Anxiety. Feel free to reach out with any questions you might have to chrisleins04@gmail.com. If you've found OCD Straig...

Chris sits down with Kimberley Quinlan of the great podcast, Your Anxiety Toolkit. They discuss various topics from the history of their careers and supervisors who were pivotal in shaping who they are as clinicians today to what techniques they favor in therapy and why. Feel free to reach out with any questions you might have to chrisleins04@gmail.com. I you've OCD Straight Talk helpful, cons...

Chris responds to a listener's question about the difference between OCD and excoriation disorder. This is an important question, because many OCDers report that they pick at their skin "as a compulsion." In many cases, they can just stop. But what happens when they can't? Feel free to reach out with any questions you might have to chrisleins04@gmail.com. If you've found the...

Chris finishes the series on SCAMP and the Body Focused Repetitive Behaviors. In this episode, he focuses on the last two trigger-categories (Movement and Place) represented in the acronym. This episode was made possible by NOCD. Feel free to reach out with any question you might have to chrisleins04@gmail.com. If you've found OCD Straight Talk helpful, consider giving it a 5-star rating, and...

Chris continues to series on OCD-Related disorders, this time talking through the "A" (for Affect) in the acronym SCAMP. The important idea is effectively manage triggers, to include feelings. There's one notable exception to this rule. And I'll bet you can guess what that is. This podcast was made possible by NOCD. Feel free to reach out with any questions to might have to chris...

Chris continues the series on skin picking and hair-pulling habits, focusing on Charlie Mansueto's SCAMP concept: Successful treatment of excoriation disorder and trichotillomania is not so much about exercising sheer willpower but about identifying and managing contexts or triggers. This episode is made possible by NOCD. Feel free to reach out with any questions you might to chrisleins04@gmail.co...

In this episode, Chris starts off by re-emphasizing the importance of identifying and preventing relevant behaviors when dealing with a number of common mental health conditions. And he continues the series on the so-called "OCD-related disorders." This episode is made possible by NOCD. Feel free to reach out with any questions you might have to chrisleins04@gmail.com. If you've foun...

Chris discusses evidence-based strategies for dealing with triggers relative to the anxiety-related disorders, like PTSD, OCD, Specific Phobia, etc., and other conditions like trichotillomania and excoriation disorder. There's an important difference between these strategies. Tune in to learn more. Feel free to reach out with any questions you might have to chrisleins04@gmail.com. If you'v...

Chris poses a question of what OCDers are to do when they are engaging such habitual and routine compulsions that they can't stop doing them? Feel free to reach out to chrisleins04@gmail.com with any questions you might have. If you've found this episode helpful, consider giving OCD Straight Talk a 5-star rating. And for treatment, visit KentuckyOCD.com, or contact Kentuckiana Treatment Ce...

Chris discusses the idea that a lot of people tolerate the scratching behavior with the hope of getting rid of the itch. But success in the fight against OCD is about tolerating the thoughts and the anxiety that they cause and instead focusing on stopping the compulsions. This is where grit and resilience, along with a touch or two of uncertainty, are you ally. Feel free to reach out with any ques...

Chris discusses patients who demonstrate grit and resilience in the therapeutic journey. Being willing and able to tolerate psychoemotive distress is ESSENTIAL to stopping compulsions. And resisting and stopping compulsions is the active ingredient to making progress against the OCD. Feel free to reach out with any questions you might have to chrisleins04@gmail.com. If you've found OCD Straigh...