The OCD Whisperer Podcast with Kristina Orlova

132. Cognitive Therapy for OCD


Listen Later

In this riveting episode of the OCD Whisperer podcast, host Kristina Orlova sits down with Mike Parker, a licensed clinical social worker and the creator of the popular YouTube channel OCD Space.

 

Together, they embark on a deep dive into the world of OCD and the transformative power of Inference based cognitive-behavioral therapy (ICBT). But what happens when doubt becomes the driving force behind every thought? And how can someone trapped in the cycle of obsessional doubt ever learn to trust their own mind again?

 

Mike Parker pulls back the curtain on the insidious nature of "obsessional doubt," a phenomenon that leaves individuals questioning their every thought, memory, and perception. Why do those with OCD feel compelled to seek reassurance over and over, even when they know it offers only fleeting relief? And how does this relentless doubt keep them locked in a prison of their own mind?

 

As the conversation deepens, Kristina and Mike explore the critical differences between ICBT and exposure and response prevention (ERP). But here’s the burning question: Can understanding the origin of obsessive thoughts be the key to breaking free from their grip? Mike sheds light on how inferential confusion and obsessional doubt drive OCD.

 

This episode is a masterclass in navigating the labyrinth of OCD treatment. Will listeners walk away with a newfound understanding of how to confront their doubts? Or will the complexities of the human mind leave them questioning everything they thought they knew? Tune in to uncover the answers—and perhaps, a path to freedom.




In This Episode

  • [00:02]  Introduction to the episode  
  • [00:56]  Understanding ICBT  
  • [02:00]  Obsessional doubt explained  
  • [02:21]  Differentiating ICBT from ERP  
  • [03:36]  The nature of obsessional doubt  
  • [05:58]  Reassurance-seeking behavior  
  • [09:25]  Understanding internal evidence  
  • [11:27]  The role of self-knowledge  
  • [13:31]  General facts vs. personal context  
  • [14:49]  Handling real mistakes  
  • [16:40]  Exploring early memories  
  • [17:46]  Understanding obsessional doubt  
  • [19:22]  Childhood influences on OCD  
  • [20:28]  Clarifying ICBT vs. psychodynamic therapy  
  • [21:44]  Focus of inference-based CBT  
  • [22:41]  Cognitive distortions in OCD  
  • [25:34]  Re-evaluating daily routines  
  • [27:06]  Timeframe for progress in treatment  
  • [29:22]  Complicating factors in OCD treatment
  •  

    Notable Quotes

    • [00:02:42] "Obsessional doubt is a core process identified in OCD when you’re doing I-CBT. It’s a thought process where someone with OCD knows something but doesn’t trust themselves enough to stick with what they know, leading them to question, dismiss, and seek more information than they have." - Michael Parker
    •  

      • [00:18:26] "We can start to see how long the client has been telling themselves an obsessional story about themselves... It was all logged in there and then all put together, but if we go back, we can see this actually never meant you should be locked into never-ending doubt." - Michael Parker
      •  

        • [00:23:39]"I-CBT is primarily a cognitive therapy... The focus really is figuring out why you reject information, why you don't trust it... Let's figure out why you doubted." — Michael Parker


        • Our Guest

          Mike Parker, LCSW, is a licensed clinical social worker and private practice therapist based in Pittsburgh, Pennsylvania. He specializes in treating obsessive-compulsive disorder (OCD) using cognitive-behavioral therapy (CBT) and inference-based cognitive therapy (I-CBT). As the host of the OCD Space YouTube channel, Mike is dedicated to educating individuals and mental health professionals on effective OCD treatment approaches. He is passionate about helping clients understand and overcome obsessional doubt while also training fellow therapists in evidence-based interventions. With a focus on empowering individuals to trust themselves and break free from the cycle of compulsions, Mike continues to be a leading voice in the OCD treatment community.



          Resources & Links

           

          Kristina Orlova, LMFT

          • Instagram
          • YouTube
            OCD CBT Journal Tracker and Planner
            Website

             

            Mike Parker

            • Website 
            • LinkedIn 
            • YouTube
            • Cognitive Therapy for OCD


            • Disclaimer

               

              Please note, while our host is a licensed marriage and family therapist specializing in OCD and anxiety disorders in the state of California, this podcast is for educational purposes only and should not be considered a substitute for therapy.

               

              Stay tuned for bi-weekly episodes filled with valuable insights and tips for managing OCD and anxiety. And remember, keep going in the meantime. See you in the next episode!



              ...more
              View all episodesView all episodes
              Download on the App Store

              The OCD Whisperer Podcast with Kristina OrlovaBy Kristina Orlova

              • 4.7
              • 4.7
              • 4.7
              • 4.7
              • 4.7

              4.7

              68 ratings


              More shows like The OCD Whisperer Podcast with Kristina Orlova

              View all
              The Anxious Truth - A Panic, Anxiety, and Mental Health Podcast by Drew Linsalata

              The Anxious Truth - A Panic, Anxiety, and Mental Health Podcast

              1,133 Listeners

              The OCD Stories by Stuart Ralph

              The OCD Stories

              745 Listeners

              10% Happier with Dan Harris by 10% Happier

              10% Happier with Dan Harris

              12,557 Listeners

              Your Anxiety Toolkit - Anxiety & OCD Strategies for Everyday by Kimberley Quinlan, LMFT

              Your Anxiety Toolkit - Anxiety & OCD Strategies for Everyday

              794 Listeners

              OCD Recovery by Ali Greymond

              OCD Recovery

              218 Listeners

              Back from the Abyss: Psychiatry in Stories by Craig Heacock MD

              Back from the Abyss: Psychiatry in Stories

              442 Listeners

              Breaking Free from OCD, Anxiety & Stress with Matt Codde by Matthew Codde LCSW

              Breaking Free from OCD, Anxiety & Stress with Matt Codde

              242 Listeners

              The OCD & Anxiety Podcast by TheOCDandAnxietyPodcast

              The OCD & Anxiety Podcast

              101 Listeners

              OCD Straight Talk by Chris Leins, MA, NCC, LPCC-S

              OCD Straight Talk

              86 Listeners

              The Anxiety Chicks by Cloud10

              The Anxiety Chicks

              777 Listeners

              All The Hard Things by Jenna Overbaugh

              All The Hard Things

              147 Listeners

              The Bible in a Year (with Fr. Mike Schmitz) by Ascension

              The Bible in a Year (with Fr. Mike Schmitz)

              60,197 Listeners

              We Can Do Hard Things by Glennon Doyle and Audacy

              We Can Do Hard Things

              40,960 Listeners

              Purely OCD by Purely OCD

              Purely OCD

              63 Listeners

              Disordered: Anxiety Help by Josh Fletcher and Drew Linsalata

              Disordered: Anxiety Help

              321 Listeners