Sophi sent in her audio question and had a question about how to best deal with this really unhelpful, bad-for-the-relationship, unwelcomed obstacle of ROCD and Paranoid Personality Disorder. This isn’t a common combination that we’ve talked about on the show but she reached out. She asked about what she can do to get a better handle on these two so it isn’t to ruin her relationships or any other relationships!

The post #264- Paranoid Personality Disorder And ROCD Is Not Sophi’s Friend appeared first on FearCast Podcast.

This is a jam packed episode. I answer four questions from listeners across a wide range of topics. We discuss the differences between an obsession and an intrusive thought. Are they different, and if so, how, and is it important? Another listener wants to know whether someone identifying as gay/ lesbian can still have Sexual Orientation OCD, or is that just a straight people thing? One listener wants to know whether ERP is a good idea to help treat their disordered eating and/ or eating disorder. Finally, someone kinda shares a success story that ends up being a question about how to deal with Casadastraphobia.

The post #263- ERP For Disordered Eating, What’s An Intrusive Thought, And More appeared first on FearCast Podcast.

Toblerone Girl messaged me with an audio question recently. Unfortunately, she’s struggling with the dreaded overlap of ROCD and SO-OCD that seem to be made for one another. She notices some genuine feelings, but OCD jumps in and demands the all or nothing of it, and doesn’t take “I’m must be bisexual” as a reasonable label. I discuss some ways she can consider the situation and offer some exercises that may help her develop a new relationship with her thoughts.

To learn more about Sexual Orientation OCD (SO-OCD), check out this article from the California OCD and Anxiety Treatment Center

The post #262- When “I’m Bisexual” Is Not Enough To Quiet ROCD/ SOOCD appeared first on FearCast Podcast.

Today I answer a twofer from Katie; both of them Religious Scrupulosity related. The first question is about how can someone “cast their cares on the Lord” and ask God for healing from OCD in a non-compulsive way. She also wants to know how she can “do all things through Christ who strengthens me” while also exerting her own will on her OCD recovery. Is using her own willpower subverting God’s impact on her recovery, and is a true believer supposed to rely only on God and nothing else for recovery? I do my best to address this from a faith and mental health perspective in order to build her confidence that OCD treatment for Religious Scrup is an act of faith.

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

The post #261- Can I Do All Things Through Christ Who Strengthens Me? appeared first on FearCast Podcast.

Today we are holding off on the questions to dedicate our time to talking about all things medication for OCD and anxiety disorders. Lucky for us, Dr. Sanjaya Saxena, MD, graciously gave his time and expertise to go over an exhaustive amount of information. We talk about what medications are most effective, first line treatments, supplemental medication, how to best communicate with your doctor, and much more. He offered a wealth of information and I am so thankful for this new resource for listeners.

The post #260- Medication For OCD And Anxiety With Dr. Sanjaya Saxena, MD appeared first on FearCast Podcast.

John sent in an audio question. He wants to know whether his attempts to control, and even mentally play with, his Sensorimotor OCD obsession is helpful because he was able to do it once and it felt so empowering! Tied in, he wants to know whether he has to resign himself to never feeling fully “OK.” Emma also sent in a message about how to deal with the idea of death and the impossibility of getting a conclusive, definitive answer to her questions.

The post #259- Chasing Sensorimotor Relief, And It’s Impossible To Deal With Death appeared first on FearCast Podcast.

I’m answering two questions today. Why not. The first is a follow up audio question from Spiritual Overthinker. She shares how her struggles have deepened as she has started to explore the world of Twin Flames and how her anxiety is preventing her from having an enjoyable relationship with boyfriend, or whatever OCD wants her to call him. Next I answer Ella’s question about what she can do with her SO-OCD. She fears, well maybe believes, that she is actually in denial of her sexuality, and she’s pretty certain ERP therapy won’t work. These are two really difficult questions that I do my best to help offer some alternative perspectives and encouragement, albeit snarky at times.

The post #258- Struggling With Her Twin Flame, and SO-OCD Or Denial? appeared first on FearCast Podcast.

For this first episode of 2026, I am answering a Sensorimotor OCD question from Dave. However, as many FearCast questions go, this one also applies to a great many other people struggling with OCD. In addition to wanting to how he can manage his obsessions, he wants to know whether or not he should avoid others out of fear that he may take on their Sensorimotor obsession, or should he wait until he is more resilient. I offer him some suggestions on how to approach building his resiliency as he continues fighting his symptoms and discuss ways he can practice acceptance, redirection, and confidence building that applies to all struggling with anxiety.

For more about Sensorimotor OCD, check out this article from the California OCD and Anxiety Treatment Center.

The post #257- Should We Avoid Others Or Face Taking On Their Obsessions? appeared first on FearCast Podcast.

For the last episode of the year, I’m going to answer two, that’s right TWO, listener questions. These two questions from Rubi and Emily. They both share very personal obsessions that don’t get talked about a lot, so I’m really honored to have a chance to speak with them. First, Rubi shares her struggle with Self Harm OCD and whats to know some practical ways she can deal with them. After that, I address Emily’s question. She has noticed a rise of Limerence that has directed itself toward her therapist. How can she continue working with her therapist and making progress while battling this growing obsession?

The post #256- Rubi’s Self Harm OCD and Emily’s Therapist Directed Limerence appeared first on FearCast Podcast.

Ed recently sent in an audio question where he expressed a fear of being socially humiliated. This fear was triggered during a conversation with a group of friends where he feared that he would be humiliated later on. So, Ed did the most reasonable thing; ruminate, and later send me this question. I discuss this fear broadly as a worry that straddles the line between OCD and Social Anxiety while focusing on using CBT, Exposure and Response Prevention, and some mindfulness to help him deal with this fear.

The post #255- Ed’s Fear Of Being Socially Humiliated appeared first on FearCast Podcast.