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

Readiness, Uncertainty, and Behaviour Change in OCD Treatment


Listen Later

In this reflective and practical episode of Breaking the Rules, the hosts unpack a phrase that shows up constantly in therapy rooms: “I don’t feel ready.” What does it actually mean? Is readiness a feeling—or is it a decision we make in the presence of fear, uncertainty, and discomfort?

Using OCD as the primary lens, this conversation explores how clients often wait for certainty, calm, or clarity before taking action—and how that waiting quietly reinforces avoidance. The discussion moves beyond symptom management and into the deeper work of distinguishing thoughts vs feelings, building emotional literacy, and helping clients move forward despite anxiety rather than waiting for it to disappear.

This episode is especially valuable for clinicians working with ambivalence, treatment resistance, or clients who feel “stuck” before starting ERP or making meaningful behavioural change.

💬 Key themes:

  • Why “ready” is not an emotion—but a choice
  • The difference between thoughts, feelings, and bodily sensations
  • How emotional reasoning keeps OCD in control
  • The trap of waiting for certainty before acting
  • Using ACT, motivational interviewing, and values-based action
  • Helping clients name fear, dread, shame, and excitement accurately
  • Why language matters in therapy—and how it can open or close change
  • Moving clients out of intellectual insight and into embodied experience
  • Supporting behaviour change without reassurance or avoidance

💡 “Ready is not a feeling—it’s a decision.”

🧠 “Certainty is the fantasy OCD keeps chasing.”

💬 “Of course you’re scared—and you can still act.”

🔖 Chapters

00:00 Introduction and the origin of the idea

03:00 What clients mean when they say “I don’t feel ready”

05:00 Readiness, certainty, and the OCD trap

07:00 Thoughts vs feelings: why we confuse them

09:30 Emotional reasoning and avoidance

11:00 Values-based action and willingness

13:00 Naming emotions vs shutting change down

15:00 Anxiety, excitement, and bodily sensations

17:00 Moving from insight to action

19:00 Why waiting for readiness keeps clients stuck

21:00 Final reflections for clinicians


#OCD #TherapyPodcast #MentalHealthProfessionals #ERP #ACT #BehaviourChange #ValuesBasedLiving #BreakingTheRulesPodcast #ClinicianSupport #AnxietyRecovery

Hosted on Acast. See acast.com/privacy for more information.

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

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

  • 5
  • 5
  • 5
  • 5
  • 5

5

12 ratings


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

View all
Modern Love by The New York Times

Modern Love

8,897 Listeners

Las Culturistas with Matt Rogers and Bowen Yang by Big Money Players Network and iHeartPodcasts

Las Culturistas with Matt Rogers and Bowen Yang

9,135 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

840 Listeners

The OCD Stories by Stuart Ralph

The OCD Stories

763 Listeners

Conversations by ABC

Conversations

825 Listeners

Getting Better with Jonathan Van Ness by Sony Music Entertainment / Jonathan Van Ness

Getting Better with Jonathan Van Ness

19,073 Listeners

Mamamia Out Loud by Mamamia Podcasts

Mamamia Out Loud

651 Listeners

Where Should We Begin? with Esther Perel by Esther Perel Global Media

Where Should We Begin? with Esther Perel

14,945 Listeners

Psychiatry & Psychotherapy Podcast by David Puder, M.D.

Psychiatry & Psychotherapy Podcast

1,366 Listeners

Life Uncut by LiSTNR

Life Uncut

285 Listeners

The Imperfects by Hugh van Cuylenburg, Ryan Shelton & Josh van Cuylenburg

The Imperfects

360 Listeners

What's That Rash? by ABC

What's That Rash?

240 Listeners

The Mel Robbins Podcast by Mel Robbins

The Mel Robbins Podcast

20,662 Listeners

The Case Of by ABC

The Case Of

265 Listeners

Good Hang with Amy Poehler by The Ringer

Good Hang with Amy Poehler

13,154 Listeners