Breaking the Rules: A Clinician's Guide to Treating OCD

OCD and Productivity: The Struggle Behind the Scenes


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In this episode of Breaking the Rules, we explore one of the most frustrating and often misunderstood impacts of OCD - how it interferes with studying, productivity, and performance at work.

For many people, OCD hides behind traits that are often praised: diligence, responsibility, perfectionism, and attention to detail. But beneath the surface, what may look like hard work or conscientiousness can actually be hours of painful compulsions, paralysis, and mental exhaustion.

We unpack how OCD shows up in school, university, and the workplace — from endlessly rewriting emails and rereading textbooks, to missed deadlines, avoidance, and overwhelming fatigue. We also discuss how these patterns can sometimes be mistaken for ADHD, learning difficulties, or lack of motivation, making accurate assessment and treatment even more important.

Most importantly, we share practical strategies clinicians and individuals can use to support functioning while treating the underlying OCD.


In this episode we discuss:

  • Why OCD often becomes most visible in study and work environments
  • How compulsions like checking, rereading, researching, and reassurance seeking sabotage productivity
  • The difference between perfectionism and OCD paralysis
  • Why OCD is often misinterpreted as ADHD or executive dysfunction
  • The emotional toll of feeling “ineffective” despite working incredibly hard
  • Strategies for managing compulsions while studying or working
  • Setting limits around checking, researching, and rewriting
  • Learning the practice of “good enough”
  • Rebuilding trust in your own judgement after OCD
  • Using values to guide action when motivation disappears


🔖 Chapters

00:00 Welcome Back – Recording Post Baby

03:08 How OCD Shows Up in Study and Work

05:30 The Hidden Nature of OCD Productivity Struggles

08:20 Email Checking, Reassurance & Workplace Compulsions

10:00 OCD Paralysis vs Normal Perfectionism

12:00 How OCD Impacts Teens and Students

13:45 When OCD Is Mistaken for ADHD

17:00 Assessing Functional Impact in OCD

18:30 Strategies for Studying With OCD

21:00 Attention Redirecting & Mindfulness

22:30 Practicing “Good Enough”

24:00 Limiting Checks, Research & Reassurance

25:30 Rebuilding Trust in Yourself

27:00 Using Values to Guide Action

29:20 Final Thoughts



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Breaking the Rules: A Clinician's Guide to Treating OCDBy Dr Celin Gelgec and Dr Victoria Miller

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