Pick Me reached out to me to ask a question about picking (every pun intended) the right treatment for their Rhinotillexomania, or compulsive nose picking. I discuss the differences between OCD treatment and the treatment approaches for Body Focused Repetitive Behaviors, or BFRBs. I share a ton of ideas for competing behaviors and behavioral blockers, and if you watch the YouTube video, you will see a bunch of fidget examples, or you can hear me describe them.

For more about treatment for Body Focused Repetitive Behaviors, or BFRBs, check out this article from the California OCD and Anxiety Treatment Center

The post #277- Rhinotillexomania And Picking The Right Treatment appeared first on FearCast Podcast.

Marianne reached out with her question about some academic rumination that’s been plaguing her lately. She’s fixated on her time in college and whether or not she was dishonest in her academic performance. But, things aren’t so easy sometimes. The question flips between whether there was anything genuine that happened that brings her to this obsession, or whether it is just an obsession about whether something happened but really didn’t. It’s an obsession as old as time. So, I try to handle it from both angles and offer her some ideas on how to consider the obsession and how to tackle it through acceptance, compassion, and exposure.

For more on Real Event OCD, check out this four-part blog series from The California OCD and Anxiety Treatment Center

The post #276- Academic Real Event OCD, Or Maybe Just False Guilt? appeared first on FearCast Podcast.

Eve from the UK sent in her question in the hopes of trying to figure out what kind of obsession she has and what she can do about it. It seems to hover between the fear of whether or not her reality is real, whether she’s going crazy, whether others will think she’s crazy, or if she’s disconnecting from reality. She’s pretty aware of how obsessions work and how OCD can be a tricky liar, but better safe than sorry, right? I offer her some things to think about and ways to re-consider how to approach her obsession, and uncertainty, in a grounded, mindful, and values based manner.

For more on Existential OCD, check out this article from the California OCD and Anxiety Treatment Center

The post 275- Existential? Derealization? Schizophrenia? What’s The Fear? appeared first on FearCast Podcast.

For today’s questions, I give a short answer to a long question, and a long answer to a short question. The first one has to do with the listener’s curiosity about their current and last hanging-on obsession. They want to know if it’s weird, and if other people deal with it. The next question is a great one and gets a fundamental question about how we build exposures. Can they do good exposures to the idea of dishonesty without actually having to tell white lies?

The post 274- Is This Last Trigger Weird, And Dishonesty ERP Without White Lies? appeared first on FearCast Podcast.

Frank reached out recently with a follow up audio question. This time he wanted to know how you know whether it’s OCD thinking, or his rational and reasonable thinking. Simple enough question, right? But, how do you know? Can you know for sure? How much is you and how much is OCD? And is it a compulsion to figure it out? I try to help give Frank, and all you other listeners, some other ways to consider this as you move forward.

The post #273- If I Know It’s An OCD Thought, Then I Know I’m Not Trans, Right? appeared first on FearCast Podcast.

For today’s episode, I was joined by the one and only Jenna Overbaugh, LPC, to talk about what it means to get better from OCD and anxiety disorders, and how to stay better. We discuss the mindset and perspective shift necessary to meaningfully engage in CBT and ERP treatment, face your fears, and build a new relationship with anxiety that lasts! This was a really fun conversation and Jenna has such a wealth of knowledge and experience to share.

The post #272- Getting Better and Staying Better, with Jenna Overbaugh, LPC appeared first on FearCast Podcast.

Today’s question was a bit of a tricky one, and deserves a tricky answer. There seems to be a mix of responses across the internet about whether you are what you fear. Some people saying, “No, you are not your fear and your fear is evidence of it not being you because obsessions are ego-dystonic.” Whereas some people say, “Yes, the obsession could be you,” and even fewer saying “Yes, you are what your fear says you are.” But what if the content of the obsession did not even matter, and trying to answer the question conclusively was a waste of time, and was actually the problem in the first place?

The post #271- Am I, Or Am I Not, What My Obsession Says I am? appeared first on FearCast Podcast.

For today’s episode, Claire Breedlove, LCSW, joined me to talk about her work treating Religious Scrupulosity among the Latter Day Saints (LDS) population. Claire joined me on episode #189 where she discussed her work in general, but on this episode we do a deeper dive into her use of Inference Based Cognitive Behavioral Therapy (ICBT). This was a fun conversation to look at the differences between ICBT and the traditional ERP/ CBT treatment methods for Religious Scrupulosity and why Claire has shifted her practice to primarily ICBT. Even if you aren’t LDS, but still struggling with Religious Scrupulosity OCD, this episode is definitely worth a listen.

For more on Religious Scrupulosity OCD, check out this article from the California OCD and Anxiety Treatment Center

The post #270- Treating Religious Scrupulosity With ICBT, feat. Claire Breedlove, LCSW appeared first on FearCast Podcast.

Cheesecake Destroyer, no that is not their real name (probably), messaged me a question that is more complicated than it seems. They want to know whether their use of porn is causing them to be creepy toward women. They acknowledge they have had this obsession for while, but does that mean they need to quit porn? Is this really a question, or are they looking for permission? Are they hoping I’ll say, “It’s all OK, and you’re OK”? Can exposures help with this? How can someone work toward being a better person while also recognizing their OCD is wrapped up with the concern about being better (or being creepy)?

Learn more about Moral Scrupulosity! Check out this article from the California OCD and Anxiety Treatment Center

The post #269- Is My Porn Use Causing Me Become A Creepy Person? appeared first on FearCast Podcast.

To answer today’s audio question, I had on TWO experts on child development and OCD. The questioner who is in the middle of the delicate balance of supporting her daughter’s best moral development while not feeding the Moral Scrupulosity OCD beast. To answer the question I have on Elena Fasan, LCSW, an expert on child and adolescent OCD treatment, and Jenny Foss, MA, child development professor. We talk about how parents can support kids going through the trials of adolescence and how to help raise good, thoughtful, and honest kids while taking into account the ways OCD wants to take over development and the parent/ child relationship.

For more on Moral and Religious Scrupulosity OCD, check out this article from the California OCD and Anxiety Treatment Center

The post #268- Supporting Good Kids With Moral Scrup, With Elena Fasan, LCSW, and Jenny Foss, MA appeared first on FearCast Podcast.