Welcome to My Blog!
Below, you can browse all the posts included on my blog. When you reach the end of the page, click “Older Entries” to view more. These posts cover a variety of topics, including descriptions of different mental health conditions, as well as different theoretical approaches to treatment. If you would rather browse by topic, use the button below to access a list of blog posts sorted by topic. Thanks for visiting!
Vomit Phobia – Fear of Vomiting (Emetophobia)
Flu season will be quickly upon us and with it comes an unfortunate increase in the likelihood of experiencing fevers, coughs, runny noses, vomiting, and the like. Although no one enjoys being sick, this time of year poses particular challenges for individuals...
Postpartum OCD – Fear of Harming Your Baby
Parents brace themselves for many changes when a new baby comes home. As new routines replace old, life quickly becomes a confusing jumble of cherished memories, bottles, and dirty diapers. Parenting can be joyful, but it can also be terrifying. Parenting comes with...
IOCDF Conference, IOP for OCD Program, & Group Therapy for Panic…
Just a few quick announcements: 1) The 2012 meeting of the International Obsessive-Compulsive Foundation (IOCDF) is just a week away. The IOCDF conference marks the perfect convergence of all things OCD-related. In attendance are some of the best clinicians and...
Suicide Obsessions: Fear of Killing/Harming Yourself
Thoughts of death, dying, and suicide are an unfortunate reality for many individuals. In the U.S. alone between 2008 and 2009, approximately 3.7% of adults (8.3 million Americans) reported having suicidal thoughts (Crosby et al., 2011). During that same time frame,...
Fear of Hurting Other People
The fear of harming others can be a sign of obsessive-compulsive disorder (OCD), a neurobiological condition that is associated with repetitive, intrusive, distressing thoughts that can't easily be dismissed. Fear of Harming Other People On Purpose Some aggressive...
Aggressive Obsessions: Fear of Harming or Killing Others
Aggressive obsessions go by many names. Harm obsessions, violent obsessions, morbid obsessions...the list goes on... These symptoms of obsessive-compulsive disorder (OCD) involve the fear of harming or killing other people. In other cases, aggressive obsessions are...
Harm Obsessions & Violent Obsessions
Imagine that you're leaning down to kiss your young daughter goodnight, when BAM! You are jolted by an image of yourself stabbing her to death. Alternatively, picture yourself as a young child who is intensely afraid of playing with your new puppy...not because you're...
OCD Books & OCD Websites
This is a recommended list of OCD books and OCD websites that I consider to be essential reading for individuals with obsessive-compulsive disorder. In addition to my formal training in OCD treatment, these OCD books and websites have had a profound impact on how I...
OCD & Checking: Part 2 (Mental Checking)
Behavioral Checking (Overt Checking) Many examples of compulsive checking rituals in OCD involve direct inspection of a target stimulus by sight, sound, or feel. Common OCD checking behaviors include relocking doors, visually examining the position of one's parking...
Checking & OCD: Part 1 (Checking for Safety)
Compulsive checking often begins innocently enough. One check here, two checks there... But OCD's greed knows no bounds. What starts out as a simple check "just to make sure" eventually spirals into disabling OCD doubt that can come to predominate innumerable...
HOCD: Homosexual OCD & Sexual Orientation OCD
Fear of Being Gay (Homosexual OCD / HOCD) Emerging sexuality can be confusing for any teen or young adult, and gay teens face a variety of unique challenges over the course of adolescence. In addition to learning to understand their own sexuality, gay teens must...
Sexual Obsessions in OCD (Obsessive-Compulsive Disorder)
Sexual obsessions in OCD are recurrent unwanted sexual thoughts, such as the fear of being attracted to something unwanted, taboo, or morally "unacceptable" based on one's particular worldview. Although all forms of OCD can be debilitating, sexual obsessions can be...
Body Dysmorphic Disorder (BDD) Symptoms
Symptoms of Body Dysmorphic Disorder (BDD) Body dysmorphic disorder (BDD) is a somatoform disorder that closely resembles obsessive-compulsive disorder (OCD). Symptoms of body dysmorphic disorder include excessive concern about perceived physical flaws, defects, or...
Body Dysmorphic Disorder (BDD)
What is Body Dysmorphic Disorder (BDD)? Body dysmorphic disorder (BDD) is not formally classified as an anxiety disorder; however, it shares many overlapping features with anxiety disorders like obsessive-compulsive disorder (OCD). In contrast to OCD which typically...
Worry & “What If” Questions
Anxiety, Worry, & What If Questions If you have anxiety, it's likely that you wrestle with worry and "what if" questions. Many what if questions are easily recognizable and start with the obvious, "What if...?" Others are more subtle and begin with phrases like...
Hit-and-Run OCD
"Hit and run" OCD involves the fear of accidentally hitting a pedestrian while driving. In most cases of hit-and-run obsessive-compulsive disorder, fears focus on unintentionally killing, injuring, or maiming a victim. Other individuals worry about causing car...
Scrupulosity
What is Scrupulosity? Scrupulosity is a form of obsessive-compulsive disorder (OCD) characterized by religious and/or moral obsessions. Scrupulosity can sometimes be difficult to recognize because even within a single faith community, religious beliefs and practices...
Scrupulosity & OCD: Religious/Moral Symptoms
Question: I have scrupulosity (religious/moral obsessive-compulsive disorder), and I am triggered by religious posts on Facebook. When I see a religious post, I feel like I have to repost it or God will be mad at me. I also worry about what other people think about...
Exposure and Response Prevention: An Analogy
Exposure and Response Prevention (ERP) Exposure and response prevention (ERP) is just like a fitness program for your brain. However, instead of shaking up your fitness level, it's designed to shake up stubborn OCD symptoms. Let's expand on this analogy. Reasons for...
Starting Exposure Therapy: What’s it Like?
For anyone new to exposure-based therapy, such as exposure and response prevention (ERP), there is often much anticipatory anxiety about starting treatment. "What is it? What will it be like? How bad will it be? Can I handle it? Will I be forced to do things I'm...
Treatment of Unwanted Thoughts & Sensations in OCD
In my post about the treatment of sensorimotor OCD, a reader asked about the ultimate goal of treatment. Should the goal of treatment be to never notice an unwanted thought or symptom? Suppressing Unwanted Thoughts & Sensations in Pure-O & Sensorimotor OCD...
Thought Control & OCD (Obsessive-Compulsive Disorder)
OCD & Thought Control Can I learn to eliminate my OCD thoughts? I hear this question all the time from new patients who are searching for ways to suppress their unwanted thoughts. When I answer this question with a resounding "no", there is often much surprise and...
Fear of Saliva Swallowing & Choking: Treatment & Symptoms (OCD)
Question: I have sensorimotor OCD, and I’m suffering from conscious swallowing. My main fear is that I'll choke or swallow my own saliva whenever I'm speaking or singing. Any tips for how to tackle this fear via exposure and response prevention (ERP)? Great question....
Reassurance Seeking in OCD
Although contamination OCD and washing rituals often go hand-in-hand, many rituals in this domain do not actually involve cleaning or disinfecting. These more subtle rituals are often based around reassurance seeking behaviors that become ingrained in everyday habit....
OCD & Contamination: Washing & Cleaning Compulsions/Rituals
OCD: Common Compulsions In my last post about OCD, I discussed reasons why people do rituals. This time, I'll identify specific rituals that are common in obsessive-compulsive disorder (OCD) characterized by a fear of germs, contamination, diseases, and other...
OCD & Contamination: Reasons Why People Do Rituals/Compulsions
In my last post, I identified several idiosyncratic feared outcomes in OCD that are associated with contamination/health-related obsessive-compulsive disorder (OCD). Obsessions are intrusive, recurrent, and distressing thoughts, impulses, or images related to these...
OCD & Contamination Fears: Feared Outcomes (Example: HIV/AIDS)
In my last post, I identified several types of obsessions that are associated with contamination/health-related obsessive-compulsive disorder (OCD). These include the fear of: Germs and getting sick. Making others sick. Developing an incurable illness in the future....
Contamination & Health-related OCD: Obsessions, Fears, & Worries
What are common obsessions in contamination/disease/illness/health-focused OCD? OCD: Fear of Getting Sick Contamination- or health-related OCD is associated with persistent worries about one's health or the health of loved ones. Common obsessions in...
OCD: Screaming, Blurting Out Obscenities/Cursing/Profanity, & Other Unwanted Impulses
Question: I'm a teenager and keep having OCD symptoms related to impulse control. I often worry that I'll lose control and scream or blurt out obscenities. I am especially triggered in quiet public places like classrooms, churches, and movie theaters. I have never...
Does Non-Avoidance = Exposure? No! Anxiety Disorder Treatment Principles for OCD, Panic, Social Anxiety, & Phobias.
Anxiety Principle of the Day: Non-Avoidance is not equivalent to exposure. Although exposure is predicated upon the purposeful non-avoidance of anxiety-related stimuli, non-avoidance of anxiety triggers is not equivalent to exposure. What is non-avoidance? I liken...