Forrest is joined by therapist Kimberley Quinlan to explore one of the most misunderstood anxiety disorders: obsessive-compulsive disorder (OCD). Drawing from her clinical and personal experience, Kimberley breaks down what OCD is, how it differs from general anxiety, and the ways it’s often mischaracterized.

They discuss the core features of obsessions and compulsions, and how these can manifest across a wide range of themes, including harm, contamination, morality, and relationships. Kimberley explains how Exposure and Response Prevention (ERP) works, what makes an exposure “good,” and how to build tolerance for distress rather than trying to eliminate it. They also touch on self-compassion, the role of medication, and the stigmas that can keep people from getting help.

About our Guest: Kimberley Quinlan is a licensed marriage and family therapist, author, host of the popular Your Anxiety Toolkit podcast, and the founder of CBTschool.com.

Key Topics:

0:00: Introduction

1:19: Kimberley’s personal experience with OCD

3:36: What is OCD? Obsessions vs. compulsions

8:18: The relationship between trauma (PTSD) and OCD in Kimberley’s experience

11:12: ERP and approaches to treatment

17:14: Differences between clinical ERP and informal exposure practices

24:30: Imaginal exposures for fears that can’t be physically enacted

28:52: Resourcing for exposure

30:26: What if exposure goes poorly? 

34:38: Role of self-compassion in OCD treatment

37:02: Considering medication: benefits, stigma, and SSRIs

42:52: Unhooking from intrusive thoughts: ACT, mindfulness, DBT

53:59: “How can I make this my bravest day?”

57:45: Recap

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