Chris Leins, MA, NCC, LPCC-S

OCD Straight Talk

Health EN ↓ 225 episodes

https://linktr.ee/ocdstraighttalkBecome a Paid Subscriber: https://anchor.fm/chris-leins/subscribe An anxiety and OCD treatment-specialist explains how these debilitating conditions are effectively treated, why sometimes they're not, and how anxiety sufferers tend to keep themselves symptomatic. This podcast is designed both for those who suffer from anxiety disorders, and OCD and related disorders, and those who seek to treat this population with greater efficacy. Subscribe at: https://ancho

Be sure to visit the podcast's website and support the creator: thetenthousandlakes.com

Author

Chris Leins, MA, NCC, LPCC-S

Category

Health

Podcast website

thetenthousandlakes.com

Latest episode

Oct 30, 2026

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Episodes

Robert Hindman, Ph.D. 21.02.2022

Chris sits down with Dr. Robert Hindman, a trainer at the widely respected Beck Institute, and specialist in the treatment of clinically significant anxiety problems. Chris and Dr. Hindman discuss issues spanning from the concept of the Cognitive Model to the application of that model to beating your OCD-system.  Feel free to reach out with any questions you might have to chrisleins04@gmail.c...

Uncertainty is Your Friend; I'll Prove It 16.02.2022

Chris grapples with the question of uncertainty. Is it your enemy, like many OCDers tend to think, or is it actually your friend? Good question. Let's talk through it. But where does accepting uncertainty end? Another good question.  Feel free to reach out with any questions you might have to chrisleins04@gmail.com. If you've OCD Straight Talk helpful, consider giving us a 5-star review, and...

Why Is My OCD Not Getting Better? 01.02.2022

Chris tackles a very common question among OCD-ers internationally - Why is it that my OCD didn't get better in psychotherapy? It is a complicated issue. But at the end of the day, there's only so many reasons why this might happen, despite the fact that the phenomenon is common.  Feel free to reach out with any questions you might have. Chrisleins04@gmail.com. If you've found OCD Straight Ta...

What's the Difference between CBT and Ex/RP? 17.01.2022

Chris discusses subtle difference between classical Cognitive-Behavior Therapy (CBT) and Exposure and Ritual Prevention (Ex/RP) in the treatment of OCD. The two have a good deal in common, as Ex/RP is really the "grandchild" of CBT; and both are based upon the cognitive model.  Feel free to reach out with any questions you might have. Chrisleins04@gmail.com. If you have found OCD Straight Tal...

Knowing is Half the Battle 23.12.2021

Chris discusses a summary-comment that a patient made at the "finish line" of treatment: "When you can tell the difference between the obsessions and the compulsions, you're halfway there."  Feel free to reach out with any questions you might have to chrisleins04@gmail.com. If you have found OCD Straight Talk helpful, consider giving us a 5-Star rating, and supporting the podcast to help us p...

David H. Barlow, Ph.D., ABPP 21.12.2021

Chris talks with Dr. David Barlow, one of the world's foremost experts on the treatment of psychopathology, and leading experts in the area of disordered anxiety. Chris and Dr. Barlow discuss his Unified Protocol for Transdiagnostic Treatment of Emotional Disorders, along with both the overlap of the anxiety disorders and their effective treatments. The all-important emphasis on behavior-change ta...

Jon Abramowitz, Ph.D., ABPP 08.12.2021

Chris sits down with Dr. Jon Abramowitz, one of the world's foremost experts of the understanding and effective treatment of OCD. They discuss topics from cognitive therapy and exposure and response prevention, to the kind of learning that naturally occurs when individuals tolerate both uncertainty and anxiety, but without engaging compulsions.  Feel free to reach out with any questions you might...

The Mosquito Bite Analogy 07.12.2021

At the request of a listener, Chris revisits the mosquito analogy, and explains "the moral of the story." Punchline is: you can tolerate more discomfort (in the context of OCD, more anxiety) than you give yourself credit for. The emphasis in the mosquito bite analogy is get rid of the itch by whatever means necessary. But it is the scratching-behavior that keeps the itching going. The real questio...

Getting Started with Exposure Therapy 12.11.2021

Chris moves past the theoretical skills "out there," and discusses getting started with exposure therapy. The key phrase is, "start small." Grow in experience and confidence.  Feel free to reach out with any questions you might have to chrisleins04@gmail.com. If you've found OCDST helpful, please consider giving it a 5-star review, and supporting the podcast to help us produce more content.&n...

Jason Adams 26.10.2021

Chris sits down with Jason Adams to discuss the complexities of parenting young children while simultaneously dealing with OCD. Chris and Jason talk about finding resources and encountering treatment, and ultimately discuss Jason's new book, OC Dad: Leaning to be a Parent with a Mental Health Disorder .  Feel free to reach out with any questions you might have to chrisleins04@gmail.com. If yo...

Common Errors Made in Exposure Therapy for OCD 22.10.2021

Chris takes on the question of, Why does exposure therapy work for some people, but not for me? It's a common question; and, in many cases, the answer is actually pretty simple. Adequate exposure therapy includes prolonged and repetitive exposure to targeted, anxiety-produces objects and situations. And adequate exposure therapy means response prevention.  Feel free to reach out with any ques...

What is Exposure Therapy - Exactly? 06.10.2021

Chris discusses a study published in the early 1980s the results of which have gone on to confirm the most effective treatment available for OCD - Exposure with Response Prevention. Response prevention is the general topic of the podcast. But what is exposure therapy?  Thanks for checking out the podcast. Feel free to reach out with any questions you might have to chrisleins04@gmail.com. If y...

Tell Me, "Do I Have OCD?" 08.09.2021

Chris responds to a listener's questions about whether he can confirm an OCD-diagnosis for a listener, commenting on presentation and history of symptoms. Further, he discusses the nature of compulsive patterns and good treatment for OCD.  Feel free to reach out with any questions you might have, chrisleins04@gmail.com Also, if you find OCD Straight Talk helpful, consider giving the podcast a...

Eric Storch, Ph.D. 27.08.2021

Chris talks with Dr. Eric Storch, a leading OCD-treatment specialist, and one of the psychological scientists who developed the Yale-Brown Obsessive-Compulsive Scale (YBOCS), the gold-standard tool for assessing OCD-symptoms. Chris and Dr. Storch discuss the concept of the "YBOCS Cheat Sheet," along with some of the processes that collectively form the Exposure and Response Prevention protocol. Th...

What Do You Mean, Compulsions Drive Obsessions? 29.07.2021

Chris responds to a question about the link that connects, not obsessions and compulsions, but compulsions and obsessions .  Consider rating OCD Straight Talk, and passing the podcast along to a friend.  Feel free to reach out with any questions you might have. Chrisleins04@gmail.com

OCD & The 2nd Law of Thermodynamics 27.07.2021

Chris discusses the concepts of Trace Decay Theory (of psychology) and Entropy (of physics), explaining - without apology - the necessity of repeatedly explaining important strategies. He also describes the function of actually documenting identified compulsions, noting two groups in therapy. The question is, Which one fairs better? Feel free to reach out with any questions you might have to chris...

The Difference between Rumination and Reflection 23.07.2021

Thanks for the question - very good one. Chris responds to a listener and defines compulsions from a couple of vantage points.  Feel free to reach out with any question you might have to chrisleins04@gmail.com.

On Weakening the Connection between Thoughts, Behaviors, and Feelings 02.07.2021

Chris discusses CBT-theory, which is based on "the Cognitive Model," and raises the question of how we can methodologically weaken the strong and habitual connection between these triangulated, and interconnected pieces of our experience. Feel free to reach out with any questions you might have to chrisleins04@gmail.com

True or False: If You Think It's Your OCD, It Is 30.06.2021

Chris responds to a listener's question - A follow up on our series on uncertainty. So, true or false? Or, is it a trick question? Feel free to reach out with any questions you might have. Chrisleins04@gmail.com

EMDR vs. Prolonged Exposure for PTSD 23.06.2021

Chris discusses the prevailing treatments for PTSD, and the weird animus that tends to stand between them. Feel free to reach out with any questions you might have to chrisleins04@gmail.com

Is Uncertainty Your Friend or Your Enemy? 17.06.2021

Chris breaks down the reality of uncertainty, and explains how we can either work with uncertainty, or against it.  Feel free to reach out with any questions you might to chrisleins04@gmail.com

What, Essentially, Is OCD? 15.06.2021

Chris talks behind and beyond all the technical language and diagnostic criteria of OCD. The condition, whatever it is, centers on a life-dimension common to humanity. But some people just don't find this dimension very distressing - lucky them. Others, on the other hand, find it very distressing. But theirs liberty in realizing the reality that this dimension is unchangeable. It gives birth to th...

Understanding Obsessions and Compulsions in Existential OCD 07.06.2021

Chris responds to a listener and explains the importance of identifying compulsions, and distinguishing them from obsessions in existential OCD.  Feel free to reach out with any questions you might have. Chrisleins04@gmail.com

Macro-, and Micro-Compulsions: A Very Important Idea 27.05.2021

Chris discusses a concept that is practical to cracking the code of OCD. Many of us approach OCD with stereotypes and assumptions. Part of what that means is that we think of compulsions as limited to checking, or counting, or washing, or whatever. But through the course of hundreds of cases, it has become clear that .compulsions extent far beyond these few, stereotypical possibilities. Many compu...

Common Pitfalls on the Road to Therapeutic Progress 26.05.2021

Chris discusses several common mistakes individuals tend to make in relation to their OCD, often whether in therapy or not. This episode works to dissect the OCD and the treatment-process to show where individuals often get it wrong.  Feel free to reach out with any questions you might have to chrisleins04@gmail.com

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