The OCD Whisperer Podcast with Kristina Orlova

142. Theme Shifting OCD and Relationship Anxiety: How to Tell What’s Real


Listen Later

Did you know OCD is like an overprotective friend—one that targets what you love most? It sounds strange, doesn’t it?

 

In this episode of the OCD Whisperer Podcast, host Kristina Orlova is joined by Dr. Thomas Ballas, a clinical psychologist specializing in OCD, anxiety, perfectionism, and trauma. Dr. Ballas provides therapy via telehealth across 42 states and brings a practical, evidence-based perspective to the discussion.

 

Together, they explore the concept of theme shifting in OCD—how intrusive thoughts often jump from one obsession to another—and why ERP (Exposure and Response Prevention) remains effective even as themes evolve. The conversation also covers Relationship OCD, highlighting ways to differentiate between genuine relationship concerns and OCD-driven doubt.

 

The episode concludes with a discussion on rebuilding self-trust and confidence after years of navigating OCD.

 

If you've ever found yourself second-guessing your thoughts, your feelings, or even your relationships, this conversation offers clarity, practical tools, and a fresh way to understand what’s really going on. Let’s jump into it!



The 3 things you’ll learn in  today’s episode:

  • Why OCD themes change and how to apply ERP no matter what your brain latches onto
  • What differentiates real relationship concerns from Relationship OCD and how to tell the difference
  • How to build mood-independent confidence and make values-based decisions despite doubt


  • In This Episode

    • [00:32] Introduction to Dr Thomas Ballas
    • [01:23] What OCD theme shifting is and why it happens
    • [02:01] Why OCD attacks what we value most
    • [03:29] The internal false alarm system and shifting fear
    • [05:07] How to apply ERP even when themes change
    • [06:11] Noticing the same patterns behind different thoughts
    • [07:05] Navigating taboo and emotionally charged OCD themes
    • [08:19] “But this time it feels different” – how to manage doubts that seem real
    • [09:23] Diving into Relationship OCD and distinguishing it from real concerns
    • [11:14] Real dysfunction vs. OCD-fueled rumination
    • [13:07] Self-doubt, shame, and the role of mood-independent choices
    • [14:25] Confidence, compassion, and choosing values-based actions
    • [15:28] Where to find Dr. Thomas Ballas online


    • Our Guest

      Dr. Thomas Ballas is a clinical psychologist based in New York and New Jersey, specializing in OCD, anxiety, perfectionism, and trauma. Through telehealth, he serves clients in over 42 states. His approach emphasizes evidence-based techniques like ERP and values-driven recovery. Dr. Ballas is passionate about helping people regain self-trust and build resilience on their journey with OCD.



      Resources & Links

       

      Kristina Orlova, LMFT

      • Instagram
      •  YouTube
      •  OCD CBT Journal Tracker and Planner
      •  Website
      •  

        Dr. Thomas Ballas

        • Website
        • Instagram
        • LinkedIn
        •  

          Mentioned

          • Cognitive Therapy for OCD
          • Sneaky Rituals with Jenna Overbaugh 
          • ICBT with Kristina Orlova and Christina Ennabe


          • 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 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

            74 ratings


            More shows like The OCD Whisperer Podcast with Kristina Orlova

            View all
            ADHD Experts Podcast by ADDitude

            ADHD Experts Podcast

            1,330 Listeners

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

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

            1,219 Listeners

            Your Anxiety Toolkit - Practical Skills for Anxiety, Panic  Depression by Kimberley Quinlan, LMFT | Anxiety  OCD Specialist

            Your Anxiety Toolkit - Practical Skills for Anxiety, Panic Depression

            827 Listeners

            The OCD Stories by Stuart Ralph

            The OCD Stories

            757 Listeners

            Being Well with Forrest Hanson and Dr. Rick Hanson by Rick Hanson, Ph.D., Forrest Hanson

            Being Well with Forrest Hanson and Dr. Rick Hanson

            2,506 Listeners

            AT Parenting Survival | Raising Kids with OCD & Anxiety by Natasha Daniels: Child Therapist, Child Anxiety and Child OCD Expert

            AT Parenting Survival | Raising Kids with OCD & Anxiety

            1,214 Listeners

            The OCD & Anxiety Podcast by TheOCDandAnxietyPodcast

            The OCD & Anxiety Podcast

            135 Listeners

            Therapy in a Nutshell by Therapy in a Nutshell -Emma McAdam

            Therapy in a Nutshell

            573 Listeners

            The Anxiety Dr. Podcast by The Anxiety Dr

            The Anxiety Dr. Podcast

            356 Listeners

            Ask Lisa: The Psychology of Raising Tweens & Teens by Dr. Lisa Damour/Reena Ninan

            Ask Lisa: The Psychology of Raising Tweens & Teens

            103 Listeners

            Good Inside with Dr. Becky by Dr. Becky Kennedy

            Good Inside with Dr. Becky

            4,531 Listeners

            We Can Do Hard Things by Treat Media and Glennon Doyle

            We Can Do Hard Things

            41,514 Listeners

            The Mel Robbins Podcast by Mel Robbins

            The Mel Robbins Podcast

            20,249 Listeners

            Disordered: Anxiety Help by Josh Fletcher and Drew Linsalata

            Disordered: Anxiety Help

            403 Listeners

            The Oprah Podcast by Harpo

            The Oprah Podcast

            1,542 Listeners