Most people with OCD focus on the visible rituals — washing, checking, or avoiding. But the compulsions that most often keep the loop alive are invisible: they happen entirely inside your head. In this episode, Matt Codde, LCSW, breaks down the five mental compulsions that he sees most often in his work with OCD and anxiety clients — behaviors like rumination, mental checking, mental reviewing, mental reassurance, and mental neutralization.

If you've ever wondered why your OCD isn't getting better even though you've cut back on physical rituals, this episode is for you. Matt explains that 80–90% of most people's compulsive behavior is mental — and most therapists never even address it. Understanding these patterns is the first step toward breaking the loop for good.

Matt also explains why the distinction between the intrusive thought (the obsession — outside your control) and everything you do afterward (the compulsion — within your agency) is the key insight that empowers real recovery.

🧭 What You’ll Learn in This Episode

✅Understand why 80–90% of OCD compulsions are mental, not physical — and why most therapists miss them

✅Learn the critical difference between an intrusive thought (the obsession) and the mental behaviors you do in response (the compulsion)

✅Identify rumination, mental checking, mental reviewing, mental reassurance, and mental neutralization in your own experience

✅See why searching for an intrusive thought actually creates it — the white bear effect explained

✅Understand why even "correct" self-talk (like repeating "this is OCD") can become a compulsion when done with the wrong intention

✅Discover why the Triple A Response is the first tool Matt uses to address mental compulsions with every client

✅Learn why breaking the OCD loop requires more than stopping compulsions — and what to do with the underlying pressure instead

🚀 Resources to Help You Heal:

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📘 Taking Back Control (TBC) Program

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⏱️ Timestamps

00:00 — What This Episode Is About: Why Mental Compulsions Keep OCD Alive

01:30 — The OCD Loop: Suppression, Resistance & Spiraling

03:58 — Obsession vs. Compulsion: The Critical Distinction

08:00 — Mental Compulsion #1: Rumination

09:13 — Mental Compulsion #2: Mental Checking

10:38 — Mental Compulsion #3: Mental Reviewing

11:12 — Mental Compulsion #4: Mental Reassurance

12:49 — Mental Compulsion #5: Mental Neutralization

DisclaimerThis content is for educational purposes only and is not medical advice. Consult a licensed professional for personalized support.