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

Understanding Parental Accommodation in OCD: Breaking the Cycle


Listen Later

In this insightful episode, we explore the concept of parental accommodation — the well-intentioned ways family members and loved ones may unknowingly reinforce OCD behaviours. Drawing from the research of Professor Eli Liebowitz (Yale) and real-world clinical experience, the hosts unpack how accommodation develops, why it’s so hard to stop, and how families can begin to make meaningful change.

From checking, reassuring, or adapting routines “just to keep the peace,” to facing meltdowns, fear, or guilt when setting limits — this conversation goes deep into what it means to hold boundaries with compassion. You’ll hear about ERP therapy, the SPACE model, and practical ways clinicians and parents can work together to reduce accommodation and empower recovery.

💬 Key themes:

• What “parental accommodation” means and how it maintains OCD

• Why well-meaning reassurance can make symptoms stronger

• The difference between anxiety disorders and OCD

• Supporting children, teens, and adults through distress safely

• Helping parents tolerate their own emotions and model resilience

• How reducing accommodation can rebuild connection and trust in families

• Managing clinician fears around self-harm threats and safety planning


🔖 Chapters

00:00 Introducing the topic: Parental Accommodation and OCD

02:00 What it means to accommodate and why we do it

05:00 How everyday reassurance turns into OCD reinforcement

08:00 Fear, meltdowns, and why it’s hard for families to stop accommodating

11:00 Emotions, modelling, and learning to tolerate discomfort

14:00 The SPACE model and clinician guidance

17:00 Working with parental fear and client safety

21:00 Reducing accommodation step-by-step

25:00 Supporting families when clients resist change

26:40 Why it works — even if the client isn’t in therapy


#OCD #ERP #ParentalAccommodation #MentalHealthPodcast #TherapyTalk #FamilyTherapy #SPACEModel #OCDRecovery #ClinicianSupport #ParentingAndMentalHealth #EmotionalRegulation

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