Breaking the Rules: A Clinician's Guide to Treating OCD
By: Dr Celin Gelgec and Dr Victoria Miller
Language: en
Categories: Health, Fitness, Mental, Science, Social
Breaking the Rules is a show for mental health professionals designed to help you build confidence in treating Obsessive Compulsive Disorder (OCD). Effective treatment of OCD requires commitment, creativity and the recognition that things can sometimes get a little … messy. And on the show, you’ll hear from a range of leading professionals and learn everything there is to know about OCD and other related mental health concerns. This podcast is brought to you by Melbourne Wellbeing Group, a psychology practice based in Melbourne with a special focus on treating OCD. Hosted on Acast. See acast.com/privacy for more info...
Episodes
Understanding Parental Accommodation in OCD: Breaking the Cycle
Dec 15, 2025In 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...
Duration: 00:27:14Perinatal Mental Health and OCD
Dec 01, 2025The perinatal period is one of the most vulnerable—and transformative—times in a parent’s life. In this episode, we explore the challenges of perinatal mental health, with a particular focus on OCD and how intrusive thoughts can impact new parents during this stage.
Our speakers discuss the role of psychoeducation, the importance of therapeutic trust, and how clinicians can best support parents navigating overwhelming thoughts and fears. We also examine the value of bringing babies into therapy, collaborative care, and the crucial reminder that intrusive thoughts do not define someone’s ability to be a loving...
Duration: 00:29:28The Challenges of Clinical Practice
Nov 17, 2025This honest and reflective episode takes listeners inside the therapy room—where clinical learnings, vulnerability, and growth unfold in real time.
Ms Catherine McGrath (Clinical Team Lead and Senior Psychologist) sharea hard-earned lessons from working with OCD clients using ERP (Exposure and Response Prevention), and open up about the emotional toll, missed opportunities, and the courage it takes to keep learning.
From the power of self-compassion to the importance of holding space and involving parents in the therapeutic process, this conversation is a valuable reminder that clinicians don’t need to be perf...
Duration: 00:26:19Unpacking Meta OCD: A Deep Dive
Nov 03, 2025In this episode, we explore the often misunderstood world of Meta OCD—a subtype of obsessive-compulsive disorder where the obsession becomes the diagnosis itself. Clients plagued by questions like "Do I really have OCD?" or "Is this the right treatment?" can become trapped in a mental loop that stalls progress and fuels perfectionism, self-doubt, and avoidance.
We discuss how Meta OCD complicates therapy, disrupts client engagement, and challenges traditional treatment methods. From moral scrupulosity to obsessive intellectualization, this conversation is a must-listen for anyone working in mental health, or for those navigating OCD themselves.
... Duration: 00:24:27Navigating the Complexities of Health Anxiety and OCD
Oct 20, 2025In this insightful episode, we explore the tangled web of health anxiety, OCD, and death anxiety, unpacking how these psychological disorders often overlap and feed into each other. From obsessive thought patterns and compulsions to the deep-rooted fear of mortality, our speakers dive deep into the inner workings of anxiety disorders and what makes treatment so complex—and so crucial.
💬 We discuss:
The blurred lines between health anxiety and obsessive-compulsive disorderHow death anxiety often lies beneath our fear of illnessWhy reassurance-seeking can trap us in cycles of fearCoping strategies and evidence-based treatment approachesHow therapists can help... Duration: 00:26:27The Complexities of ERP Therapy
Oct 06, 2025In this episode, we dive deep into the world of Exposure and Response Prevention (ERP)—the gold standard treatment for Obsessive-Compulsive Disorder (OCD)—through a clinical and ethical lens.
We unpack the delicate balance between challenging clients and protecting their autonomy, exploring how therapeutic trust, client consent, and collaborative exposure tasks shape the success of ERP. This conversation asks the tough questions: How far is too far in exposure therapy? And what happens when fear is no longer the enemy, but the doorway to healing?
💬 Key themes:
The role of informed consent in exposur... Duration: 00:30:29The dangers of suicidal OCD and how to recognise it
Jun 23, 2025With suicide remaining a leading cause of death for people aged between 15-44 in Australia, clinicians in the OCD space need to ask the question: How do we differentiate between suicidal ideation and obsessive intrusive suicidal thoughts?
In this episode, we discuss how to work with a client when they come to you with suicidal thoughts, why it is critical to take all mentions of suicide seriously, and how to determine whether a person with OCD is presenting with suicidal ideation consistent with wishes to die or whether it's intrusive suicidal OCD.
This episode contains...
Duration: 00:26:26How “skinny-tok” is feeding eating disorder content to teenagers
Jun 09, 2025Felicity Phillips is the Founder of Weight of the World, a community-driven organisation supporting people with eating disorders and their carers through recovery. Weight of the World aims to provide peer support and education while challenging diet culture and promoting body neutrality.
In this episode, Felicity shares her personal journey from pre-professional ballet to developing an eating disorder and ultimately finding recovery, explains the alarming rise of "skinny talk" on social media and how algorithms target vulnerable users within seconds, and reveals the powerful parallels between eating disorders and addiction that challenge common misconceptions about these complex...
Duration: 00:35:37Is it ROCD or is there a real problem in the relationship?
May 26, 2025It's normal to have doubts and questions about our relationships sometimes. Am I in love with my partner? Am I spending enough time with my parents? Are my friends mad at me? But what happens when those normal, passing concerns turn into an obsession?
In this episode, we explain the difference between ordinary relationship concerns and relationship OCD (ROCD), how to identify when ROCD is showing up, and what the next steps are for helping clients manage it.
Resources and links:
Webinars, books, and training by Melbourne Wellbeing Group OCD training workshops b... Duration: 00:30:04Supporting new parents with OCD
May 12, 2025This is the final part of our two-part chat with Dr Bianca Mastromanno. In the last episode, Bianca discussed how she works with parents to process their childhood experiences and help them navigate parenthood themselves.
In this episode, Bianca opens up about her personal experiences with parenting anxiety, digs into the challenges faced by parents with OCD, the impact of OCD on early parenthood, and how clinicians can support parents during the vulnerable early days of new parenthood.
Resources and links:
‘Good Moms Have Scary Thoughts' by Karen Kleiman ‘Matrescence' by Lucy Jones... Duration: 00:32:52Why revisiting a parent’s own childhood can help them as a new parent
Apr 28, 2025Dr Bianca Mastromanno is a Clinical Psychologist who works extensively in the perinatal space. Bianca uses a trauma-informed, evidence-based approach to support parents and children living with mental health concerns.
In this episode, Bianca explains how she works with parents with OCD or other mental health challenges to explore and process their own childhood experiences to help them navigate the emotional challenges of parenthood. She also reflects on what she's learnt from the parents she works with and from her own experiences as a parent.
This episode is part one of our two-part chat with...
Duration: 00:28:06The value of self-awareness, trust, and non-accommodating support
Apr 14, 2025This is the final part of our two-part chat with Lindsay and Emily Stetzer. In the last episode, Lindsay and Emily opened up about their early experiences with OCD and how their lived experiences led them to create Presently Bracelets.
In this episode, Lindsay and Emily discuss the household dynamics of living in a family with OCD, the significance of non-accommodating support, and the role of exposure therapy, self-awareness, and trust in the recovery process.
Resources and links:
Presently Bracelets website Webinars, books, and training by Melbourne Wellbeing Group OCD training workshops b... Duration: 00:26:08How these sisters turned their OCD into a thriving jewellery business
Mar 31, 2025Lindsay and Emily Stetzer are sisters living with OCD and the Founders of Presently Bracelets. Presently Bracelets offer a range of bracelets to help you navigate intrusive thoughts and embrace the present moment.
In this episode, Lindsay and Emily share their individual experiences with OCD and treatment, what helps them between sessions, and what they think therapists need to know from the perspective of someone with OCD. They also share how the phrase “my thoughts are passing clouds” led to the creation of Presently.
Resources and links:
Presently Bracelets website Webinars, books, and tr... Duration: 00:26:10How clinicians can provide better OCD treatment (from someone with OCD)
Mar 03, 2025This is the final part of our two-part chat with Chrissie Hodges. In the last episode, Chrissie shared her early experiences with OCD before embracing the challenges of OCD peer support and advocacy work.
In this episode, Chrissie reflects on her experiences with OCD treatments and what clinicians can and should be doing better. She also emphasises the importance of acknowledging the impacts of different OCD themes on the individual and how some themes might result in more trauma and stigma than others.
Resources and links:
Chrissie Hodges' website Chrissie Hodges on Y... Duration: 00:35:34Peer-to-peer: A frank conversation about OCD
Feb 03, 2025Chrissie Hodges is an OCD Advocate, Peer Support Specialist, and Author of ‘Pure OCD: The Invisible Side of Obsessive-Compulsive Disorder'. For over a decade, Chrissie has worked closely with individuals living with OCD, as well as providing training to government agencies to enable them to better support people with OCD.
In this episode, Chrissie shares her powerful personal journey with OCD starting from age eight, describes how religious scrupulosity and emetophobia shaped her early experiences and opens up about her path from struggling in silence to becoming a prominent voice in the OCD community through peer support an...
Duration: 00:27:26Helping someone with a hoarding disorder takes more than throwing away their stuff
Jan 06, 2025Is tough love the right approach for people struggling with hoarding disorders, or is there another way?
In this episode, we explain how to recognise hoarding disorder and how it differs from having a collection or even hoarding-themed OCD. We explore how to navigate the intense shame experienced by people with a hoarding disorder or hoarding-themed OCD and how to sensitively and responsibly provide intervention.
Resources and links:
Celin discussing hoarding on The Conversation Hour on ABC Radio
Melbourne Wellbeing Group enquiry page
Webinars, books, and training b...
Duration: 00:24:11How to support mothers with mental health difficulties
Dec 02, 2024This is the final part of our two-part chat with Emily Crawford. In the last episode, Emily highlighted the importance of building supportive networks for mothers and the challenges mothers experience before and after birth.
In this episode, Emily discusses how to support mothers with mental health difficulties throughout pregnancy and after birth and how to provide interventions to mothers who are struggling.
Resources and links:
Nest Psychology website
Webinars, books, and training by Melbourne Wellbeing Group
OCD training workshops by Dr Celin Gelgec
OCD f...
Duration: 00:21:52Why strong support networks are vital for mothers throughout and after pregnancy
Nov 04, 2024Returning guest Emily Crawford is the Principal Psychologist at Nest Psychology and has more than 20 years of experience as an Educational and Developmental Psychologist supporting adults, children, adolescents, and their families with various mental health issues (including OCD). She is also a 'Tuning in to Kids' facilitator and a mother of four.
In this episode, Emily discusses the postnatal period for mothers and opens up about her experiences after childbirth. She explores the challenges mothers encounter before and after birth and the importance of supporting mothers and building communities so mothers can care for their babies.
<... Duration: 00:25:59Tackling ambivalence with commitment, creativity, and curiosity
Sep 30, 2024We’re continuing our discussion about ambivalence. Ambivalence is when a client feels conflicted about treatment, either consciously or subconsciously, and can throw up stopping blocks in treatment. In the last episode, we looked at how to spot ambivalence and tackle it when you see it.
In this episode, we discuss the importance of motivational interviewing in exploring patient emotions and understanding how OCD plays into a patient’s identity. We also examine the role of patience and adaptability in treatment and how critical it is to address ambivalence through commitment, creativity, and curiosity.
Re...
Duration: 00:19:47Identifying ambivalence and how to tackle it
Sep 02, 2024What happens when a client wants to change but doesn’t know where to start, doesn’t want to do the work, or is in some other way conflicted? Ambivalence. Ambivalence is normal during therapy but can hinder a client’s progress if left unaddressed.
In this episode, we discuss some telltale signs of ambivalence in clients, understanding where ambivalence comes from, and how to work through it when it happens.
Resources and links:
Webinars, books, and training by Melbourne Wellbeing Group
Connect:
https://www.melbournewellbeinggroup.com.au/ http://w... Duration: 00:22:20The crucial role of parents in treating anxiety and OCD in children
Aug 05, 2024This episode is the final part of our two-part chat with Natasha Daniels. Natasha is a Therapist specialising in anxiety and OCD in children and created AT Parenting Survival to help the parents of children living with anxiety and OCD.
In our last episode, Natasha shared how she got into working with children, how to adapt ERP for young people, and the importance of rapport, fun, and play in therapy.
In this episode, Natasha opens up about why she loves working with the parents of children with OCD and anxiety. She explains how she works wi...
Duration: 00:25:09Building rapport and having fun is crucial for treating children with OCD and anxiety
Jul 01, 2024Natasha Daniels is a Therapist specialising in anxiety and OCD in children. Natasha is the creator of the AT Parenting Survival website to provide parents with advice for helping their children living with anxiety and OCD. Natasha has drawn on two decades of experience to create a YouTube channel and a podcast and has also written several books.
In this episode, Natasha reveals what drew her to working with children and teens with anxiety and OCD, as well as their parents. She discusses how to adapt ERP for younger clients, the significance of building rapport, and how...
Duration: 00:28:55Perfectly imperfect: Spotting perfectionism in OCD treatment and how to address it
Jun 03, 2024Perfectionism. It’s a complicated trait that shows up a lot when working with OCD. It can present in a range of ways and can look like self-loathing, anger, people-pleasing, or even a strong sense of doubt and uncertainty in clients.
In this skills episode, we dig into how perfectionism can manifest in a client, how it might present in a session, and how to address it when it does.
Connect:
https://www.melbournewellbeinggroup.com.au/ http://www.drcelingelgec.com.au/
This show is produced in collaboration with Wavelength Creative. Vis...
How to find the right balance in discomfort during ERP
May 06, 2024This is the final part of our chat with Associate Professor of Psychology and convenor of the clinical psychology program at the University of Melbourne, Dr Brett Deacon.
In our previous conversations with Brett, he explained safety behaviours, accommodation behaviours from family and clinicians, and how accommodating behaviours that reduce discomfort can limit the efficacy of treatment for clients with OCD.
In this episode, Brett expands on how clinicians can balance moving too quickly or too slowly in ERP. He also explains how he uses one simple and kind of gross demonstration in the classroom t...
Duration: 00:25:19Unlocking flexibility in OCD therapy
Apr 01, 2024George Habib is a Clinical Psychologist and Associate Director of Wellbeing Services at the University of Melbourne. Alongside this role, he's been working in his own clinical practice for over 25 years. His work, deeply rooted in trauma support and symptom interpretation, has shaped his leadership in health services and legal aid.
In this episode, George tackles the clinician’s role in structured OCD treatment, highlighting the necessity of addressing deep-seated triggers. You’ll discover how a clinician’s strict adherence to protocols could influence the therapeutic journey. You’ll gain insights into how various therapeutic modalities can be integ...
Duration: 00:30:19The impacts of accommodating safety behaviours on OCD treatment
Mar 04, 2024In our last episode, Associate Professor of Psychology and convenor of the clinical psychology program at the University of Melbourne, Dr Brett Deacon, explained the concept of safety behaviours and how to manage them in OCD treatment.
In this episode, Brett dives into the data behind safety behaviours and accommodations. He expands on how making more accommodations can impact treatment and how clinician accommodations can be as limiting as parental or familial accommodations.
Resources and links:
Purchase ‘Exposure Therapy for Anxiety: Principles and Practice’ here Dr Brett Deacon at the University of Melbo... Duration: 00:19:35How to manage safety behaviours during exposure therapy
Feb 05, 2024Dr Brett Deacon is an Associate Professor of Psychology and convenor of the clinical psychology program at the University of Melbourne. Brett has worked in the field of psychology for over 15 years with a focus on exposure therapy for anxiety and OCD. He has published many papers on therapist barriers to exposure therapy and strategies for overcoming them and is a co-author of ‘Exposure Therapy for Anxiety: Principles and Practice’.
Throughout the next three episodes, Brett explores the role of clinicians in exposure therapy and how their feelings could be holding back the client.
In toda...
Duration: 00:24:10Getting unstuck: How to address guilt and shame and move forward
Jan 01, 2024Guilt and shame are a normal part of the human experience. Where it can become a problem is when clients are unable to overcome, or even identify, guilt and shame they may be feeling which can lead to a “stuckness” in treatment that can be frustrating and upsetting.
In this skills episode, we’ll explain the difference between guilt and shame, discuss telltale signs to look for in clients, and how to address these emotions if they are impacting treatment.
Connect:
https://www.melbournewellbeinggroup.com.au/ http://www.drcelingelgec.com.au/
T...
How genetic counselling can impact patient care
Dec 04, 2023Joanne Isbister is a Certified Genetic Counsellor at the Royal Melbourne Hospital. Jo has over 15 years of experience as a genetic counsellor and has clinical experience in perinatal, paediatric, and adult genetics. After Identifying a gap in local services, Jo is developing a clinical service at the RMH to provide equitable access to psychiatric genetic medicine for those in need.
In today’s episode, Jo will explain what genetic counselling is and how it helps patients. She talks about the complexities of patient mental health histories and the implications of shame and stigma on patients. Jo also br...
Duration: 00:29:09"The Joy Thief": A practical, personal guide to navigating OCD
Nov 06, 2023Penny Moodie is a Co-founder of So OCD and the Author of "The Joy Thief". Penny is a passionate OCD advocate and her book, “The Joy Thief” is a deeply personal exploration of OCD along with practical advice from mental health professionals.
In this episode, Penny describes the experience of writing "The Joy Thief", the effect it had on her own OCD, and the things she learnt along the way. She also shares her hopes and wishes for others with OCD who want to reclaim their happiness from their condition.
Resources and links:
Purc... Duration: 00:26:32When does psychoeducation become reassurance?
Oct 02, 2023One of the main roles of a clinician is to provide as much knowledge as possible when supporting clients in treatment. But when does knowledge and education, or psychoeducation as it's known, become a reassurance trap when treating OCD?
In this skills episode, we'll explore how to detect if psychoeducation is bordering on reassurance, and how to navigate that with your client. We'll also discuss the importance of transparent conversations, how sometimes providing a little bit of reassurance is alright, and that even we clinicians have to learn to accept uncertainty.
Connect:
ht... Duration: 00:24:54Using deep brain stimulation for treatment-resistant OCD
Sep 04, 2023Dr Luca Cocchi is a Group Leader and Associate Professor at QIMR Berghofer, who is currently working on ways to improve TMS for its usage in OCD treatment. Dr Philip Mosley is a Psychiatrist and Clinician-Scientist at QIMR Berghofer, where he is currently researching DBS for treatment-refractory OCD.
In this episode, Phillip explains deep brain stimulation (or DBS) and how it's being used to treat severe and treatment-resistant OCD. Phillip and Luca also discuss the outcomes of recent clinical trials and explain how accessible these treatments currently are for Australians.
This episode is part two of...
Duration: 00:23:57The neuroscience behind OCD
Jul 31, 2023Dr Luca Cocchi is a Group Leader and Associate Professor at QIMR Berghofer, where he is currently working on ways to improve TMS for its usage in OCD treatment. Dr Philip Mosley is a Psychiatrist and Clinician-Scientist at QIMR Berghofer, who is currently researching DBS for treatment-refractory OCD.
In this episode, Luca and Phillip explain the neuroscience behind OCD, as well as what treatment-resistant OCD means and why it happens. Plus, Luca breaks down the exciting possibilities of transcranial magnetic stimulation (or TMS) for OCD.
This episode is part one of our two-part chat with...
Duration: 00:30:01How to implement mindfulness in ERP
Jul 10, 2023Welcome back to another skills episode! Today, we're covering something you may have heard mentioned a few times in our previous episodes: meditation. Mindfulness-based strategies can be incredibly useful for clients and clinicians alike, and there are many ways they can be helpful when integrated with ERP.
In this episode, we'll explain why mindfulness is so important, and share how you can best teach it to your clients. You'll also hear us discuss why it's important for all of us to learn to feel our feelings, and to understand the difference between noticing thoughts and dismissing them...
Duration: 00:31:05Navigating nerves as an early-career psychologist
Jun 26, 2023Hannah Gersh is a Psychologist and Clinical Registrar at the Melbourne Wellbeing Group. As an early-career psychologist, Hannah understands how nerve-wracking it can be to start in the industry, and is here to share her experiences to help ease the nerves of any other early-career psychologist.
In this episode, Hannah shares how she found her way into working with OCD, as well as how she deals with nerves and feelings of inadequacy. She'll explain what she's found most useful for her development as an early-career psychologist, before sharing some advice for clinicians looking to get into the O...
Duration: 00:31:47Creating ERP tasks for Pure O and POCD
Jun 12, 2023Welcome back to our deep dive into creating ERP tasks, where we're continuing to explore the ways you can get creative in treatment, regardless of the presentation or the subtype.
In this episode, we're exploring different ways to create ERP tasks in the context of pure OCD, and paedophilic OCD. We'll share the ways to help your clients interrupt mental compulsions, as well as how to create safe and appropriate tasks for managing paedophilic intrusive thoughts. Plus, we'll share how you can take the learnings from these subtypes, and apply them to creating ERP tasks in any...
Duration: 00:22:02How to create ERP tasks
May 29, 2023Welcome back to another skills episode! This week, we're following on from our previous skills episode, "What is ERP?", with an episode on how to create ERP tasks. We'll be exploring all the ways you can break the rules and get creative with ERP, whilst still remaining evidence based in treatment.
In this episode, we'll explore how to design exposure tasks for OCD, regardless of the subtype. We'll also share how important it is to stay collaborative, creative, and courageous — regardless of whether you're a client or clinician.
This episode is part one of our tw...
Duration: 00:22:33What your family member with OCD needs from you
May 15, 2023Penny Moodie and Rosie Frankish are the Co-founders of the So OCD website, a resource built to provide local support for Australians with OCD. Penny Moodie is an OCD advocate, with a background in media and communications, who is currently studying for a social work degree whilst writing a book about OCD. Rosie Frankish has a background in psychology and currently works in the community mental health sector, developing and delivering specialist mental health and homelessness programs across Victoria.
In this episode, Penny and Rosie discuss all things family support, including what they believe family members need...
Duration: 00:26:32What it's like to live with OCD
May 01, 2023Penny Moodie and Rosie Frankish are the Co-founders of So OCD, a website resource built to provide local support for Australians with OCD. Penny Moodie is an OCD advocate, with a background in media and communications, who is currently writing a book about OCD whilst studying for a social work degree. Rosie Frankish has a background in psychology and currently works in the community mental health sector, where she is involved in the development and delivery of specialist mental health and homelessness programs across Victoria.
In this episode, Penny and Rosie share their stories of being diagnosed...
Duration: 00:28:29How to support a loved one in treatment
Apr 17, 2023Navigating the process of supporting loved ones in treatment can feel like walking through a minefield. It's easy to question if it's appropriate to involve yourself in the treatment process, where the boundaries lie, and how to even begin. These questions can feel overwhelming and often lead to us doing nothing at all.
In this skills episode, we discuss how clinicians can expand their treatment plans to include a client's family and friends, while still maintaining appropriate boundaries. We'll also emphasise the importance of accessing knowledge, practising self-care, communicating, and holding space for grief for those who...
Duration: 00:31:31How to use the inhibitory learning model in clinical practice
Apr 03, 2023Dr Jonathan Abramowitz is a clinical psychologist, author, and Professor for the Department of Psychology and Neuroscience at the University of North Carolina in America. With over 25 years of experience, Jon is recognised internationally as a leading authority on the treatment and study of OCD and is dedicated to researching and publishing his findings on OCD treatment and passing on his knowledge to the next generation of clinical psychology students.
In today's episode, Jon explains how to integrate the inhibitory learning model into clinical practice and the importance of maintaining consistency in that process. He then shares h...
Duration: 00:26:16The evolution of the inhibitory learning model
Mar 20, 2023Dr Jonathan Abramowitz is a world-renowned clinical psychologist and a Professor in the Department of Psychology and Neuroscience at the University of North Carolina. Jon has over 25 years of experience working in the treatment of OCD and related disorders and has contributed to hundreds of scientific publications in that time. He also trains clinical psychology students and is the author of several books and book chapters.
In today's episode, Jon explains how he came to be involved with OCD treatment and research in the first place. He shares his insights on the evolution of the inhibitory learning m...
Duration: 00:22:17Adapting ERP for group therapy
Mar 06, 2023It's easy to get bogged down in the options that are available when deciding on treatment options for clients. Treatment for OCD can include inpatient treatment, one-on-one treatment, group therapy, and anything in between.
In this episode, we're going to do a deep dive into group therapy, and how to adapt ERP to work in a group therapy setting (spoiler alert: it's easier than you think). We'll explore the structure of a group therapy session, and how to manage challenges such as cost and time limitations. Plus, we'll discuss the power of group therapy, and how beneficial i...
Duration: 00:29:27The challenges in embracing uncertainty
Feb 20, 2023Dr Jonathan Grayson is a Licensed Psychologist, Author, and Director of the Grayson Center in LA and the Adjunct Clinical Assistant Professor of Psychiatry and the Behavioral Sciences at the University of Southern California. Jonathan has specialised in OCD treatment for over 40 years and even authored an award-winning book on the topic, 'Freedom from Obsessive Compulsive Disorder: a Personalised Recovery Program for Living with Uncertainty.'
In this episode, Jonathan continues explaining what it's like to live in genuine uncertainty and explores the challenges both clients and clinicians can face when fully embracing uncertainty. Plus, he shares...
Duration: 00:34:11Uncertainty and OCD
Feb 06, 2023Dr Jonathan Grayson is the Director of the Grayson Center in LA as well as the Adjunct Clinical Assistant Professor of Psychiatry and Behavioral Sciences at the University of California. Jonathan has over 40 years of experience in the treatment of OCD and was the recipient of a Lifetime Achievement Award from the International OCD Foundation.
In today's episode, Jonathan explores the concept of uncertainty and how to get better without knowing all the answers. He then goes on to share valuable insights into how to discuss uncertainty with clients and even demonstrates how it works in treatment. Duration: 00:15:36
Utilising ERP in group therapy
Dec 19, 2022Dr Clair Lawson is a clinical psychologist and the Director of her group private practice, Lawson Clinical Psychology, in Perth, Western Australia. She has over 21 years of experience working as a clinical psychologist in government and private practice settings and has spent much of this time treating OCD. Clair is also a training supervisor for clinical psychology students at the University of Western Australia and a mentor for allied health businesses looking to increase their impact.
In today's episode, Clair shares her perspective on what ERP is like in a group therapy setting and the ways you...
Duration: 00:28:48The trajectory of OCD research and treatment
Dec 05, 2022Paul Salkovskis is a Professor from the Oxford University in the UK. Paul has worked as a clinical psychologist since 1979 and as a researcher interested in the treatment of anxiety disorders, including OCD, panic disorder, agoraphobia, and health anxiety. He's also on the editorial board for several psychology journals and is the current president of the British Association for Behavioural and Cognitive Psychotherapies.
In today's episode, Paul explores the current research trajectory into OCD and treatment options. Paul shares his knowledge from years of working with OCD and his ideas on how betrayal functions in OCD. He f...
Duration: 00:34:39Familial influences on anxiety and OCD
Nov 21, 2022Dr Eli Lebowitz is an Associate Professor from Yale University who studies and treats childhood and adolescent anxiety. Eli is also the Program for Anxiety Disorders Director at the Yale Child Study Centre. His research focuses on the development, neurobiology, and treatment of anxiety, but his passion lies in exploring cross-generational and family influences on anxiety and related disorders.
In today's episode, Eli shares some ways clinicians can support parents if their children are diagnosed with OCD. He also details some of the reasons we might be getting it wrong in supporting families and explains how the...
Duration: 00:41:46How to deal with meltdowns
Nov 07, 2022Emily Crawford is an Educational and Development Psychologist with over 20 years of experience supporting adults, children, adolescents, and their families with various mental health issues (including OCD). She is passionate about engaging parents in the support of their children and tailoring approaches to support her client's individual needs. Emily is also a 'Tuning in to Kids' facilitator and a mother of four young children herself.
In today's episode, Emily breaks down all things meltdowns. She shares why kids have meltdowns, what parents can do when their child is melting down, and why it's so hard for parents...
Duration: 00:37:28Autism and OCD: Similarities, differences, and treating clients with both
Oct 24, 2022Dr Marie Karakis is an Educational and Developmental Psychologist who works closely with neurodiverse young people, including those with autism, ADHD, and OCD. She is also the Director of Young Minds Psychology, a private practice that provides assessment, intervention, treatment, and school consultations.
In today's episode, Marie shares her insights into the similarities and differences between autism and OCD in young people and what to consider when treating OCD in neurodiverse clients. Plus, Marie details some of the things she found most useful in her practice, such as the importance of forming client connections.
The intersection of OCD and anxiety
Oct 10, 2022Dr Emily O'Leary is an experienced Clinical Psychologist passionate about treating OCD and the Managing Director of three clinical psychology practices and one psychiatry practice. She also manages a consulting business that provides training and supervision to other psychologists in her areas of interest.
Emily is committed to raising awareness of the complexity of disorders like OCD and anxiety, which she does via lectures, workshops, and online and print media in Australia and worldwide. In today's episode, Emily shares her knowledge of OCD and anxiety and how they present in clients that deal with both. She also d...
Duration: 00:36:17OCD and body-focused repetitive behaviours
Sep 26, 2022Tanya Arabatzoudis is a Clinical Psychologist with a special interest in body-focused repetitive behaviours (BFRBs), specifically trichotillomania. She spent her postgraduate studies exploring how emotion regulation and trichotillomania were linked and now works with patients with OCD and BFRBs.
In this episode, Tanya explains BFRBs and the current limitations on research into these behaviours. Tanya also breaks down how to use the SCAMP model in your practice and reminds us all how important it is to be able to 'go with the flow'.
Connect:
https://www.melbournewellbeinggroup.com.au/ http://www.drcelingelgec.co... Duration: 00:21:01How to include fun and families in a young person's treatment
Sep 12, 2022Catherine McGrath is a Senior Psychologist at the Melbourne Wellbeing Group. She has over 15 years of experience working with young people and families who are dealing with all sorts of mental health concerns, including OCD.
In today's episode, Catherine shares her tips on when to include family in the treatment of a young person before detailing her experience working with younger clients with OCD. She then discusses ideas for how to have fun in therapy with games like 'Spot It'.
Connect:
https://www.melbournewellbeinggroup.com.au/ http://www.drcelingelgec.com.auWhat is ERP for OCD treatment?
Aug 29, 2022We've been leading up to this moment for the past few skills episodes. We have referenced ERP and talked about it, but what is it?
So in this episode, we'll finally answer that question! We're also going to answer other frequently asked questions about ERP, such as do we need to do a hierarchy, aren't we just teaching distraction, and how does ERP work with the different subtypes of OCD?
Connect:
https://www.melbournewellbeinggroup.com.au/ http://www.drcelingelgec.com.au
This show is produced in collaboration with Wavelength Creative. Vis...
Mental health in schools
Aug 15, 2022Brydie Huggins is a school psychologist with over 15 years of experience working with young people in school settings. She's passionate about involving parents in the treatment process and delivering programs such as Tuning in to Kids, which helps teach an emotion coaching approach to parenting.
In today's episode, Brydie explains the impact that schools can have on a young person's mental health and the importance of sound systems to support them in this environment. Plus, she shares an insight into the importance of setting boundaries as a practitioner to ensure you deliver the best support for your c...
Duration: 00:31:21Treatment options for OCD
Aug 01, 2022OCD is a complex disorder, and it's easy to feel stuck when it comes to treatment options, no matter the client's age. So what are the treatment options, and when should we use them?
In today's episode, we're talking through the various types of treatment available for OCD, from psychological therapy to deep brain stimulation. Then, we'll share our insights into how you can get messy with treatment whilst remaining evidence-based in your work.
Connect:
https://www.melbournewellbeinggroup.com.au/ http://www.drcelingelgec.com.au/
This show is produced in c...
The common pitfalls of treating OCD
Jul 18, 2022Dr Michael Twohig is a well-renowned professor of psychology at Utah State University. His research includes exploration of acceptance and commitment therapy in OCD treatment, and he has published over 200 scholarly works and seven books.
In today's episode, Michael explains the most common problems when treating OCD. He also talks us through his two most recent books, ACT in Steps, co-authored with Dr Michael Levin and Dr Clarissa Ong, and The Anxious Perfectionist, co-authored with Dr Clarissa Ong.
This episode is part two of our conversation with Michael. Check out our last episode for the f...
Duration: 00:22:14How to utilise acceptance and commitment therapy in treatment
Jul 04, 2022Dr Michael Twohig is a professor of psychology at Utah State University, where he teaches and studies the use of acceptance and commitment therapy in OCD treatment. He co-runs the Acceptance and Commitment Therapy Research Group and has published over 200 scholarly works, with funding from sources such as the National Institute of Mental Health and the I-OCD-F.
In today's episode, Michael talks us through his research on acceptance and commitment therapy and its potential uses for OCD treatment in conjunction with ERP before sharing his insight into the importance of flexibility as a healthcare practitioner.
T...
Duration: 00:24:24The subtype we haven't mentioned yet
Jun 20, 2022Today, we're back with another Skills episode, covering the OCD subtype we haven't discussed yet: Pure O. We'll be discussing where the term came from, why we're so confused by it, and what the research tells us about this unique subtype.
In this episode, you'll hear us exploring and thinking out loud about Pure O. We talk about where the idea of Pure O came from, what it looks like in session, and how it can create confusion for clinicians and clients alike if it's misunderstood.
Connect:
https://www.melbournewellbeinggroup.com.au/ h... Duration: 00:20:33What modern medicine is missing in treating the mental health crisis
Jun 06, 2022Dr Johanna Lynch is a Senior Lecturer at The University of Queensland, as well as a General Practitioner. She presents to audiences internationally and across Australia, and conducts professional case consultation and coaching for GPs and multidisciplinary clinicians.
In this episode, Johanna shares more about how the mind and body connection to healing is the missing link in most modern medicine. You'll be inspired by her wisdom and her carefully developed approach to distress that makes sure not to dismiss or ignore pain. Plus, an insight into her book, all about whole-person care.
This episode...
Duration: 00:23:25The importance of whole-person care
May 23, 2022Dr Johanna Lynch is a General Practitioner and Senior Lecturer at the University of Queensland. Alongside presenting to audiences across the globe, Johanna works closely with GPs and students, teaching whole-person care and mental health skills.
In today's episode, Johanna shares how she came to work in the mental health industry and be a champion for whole-person care. She introduces us to the importance of listening in the healing process and details some of her research on using whole-person care to help create a sense of safety.
This episode is part one of our two-part c...
Duration: 00:21:30Subtypes of OCD
May 09, 2022In today's episode, we're exploring everything you need to know about themes and subtypes of OCD, and asking the critical question: do subtypes of OCD matter?
We talk about the different kinds of subtypes and how these may change throughout someone's life. We'll also explore when it might be helpful to categorise OCD subtypes with a client and give you a handy way of conceptualising themes of OCD using the analogy of form versus function.
Connect:
https://www.melbournewellbeinggroup.com.au/ http://www.drcelingelgec.com.au/
This show is produced in...
How psychologists and psychiatrists can work together
Apr 25, 2022Dr Claire Cody is a Psychiatrist and the director at The Village Clinic, where she looks after infants, children and teens, alongside consulting for various hospitals around Melbourne. Claire has a passion for working holistically with young people and families and hearing their stories so they can work together towards recovery.
In this episode, Claire shares her thoughts on the role psychiatry plays in treating mental health in young people and discusses best practices in establishing a multidisciplinary team that best supports families, before getting personal by sharing some of her own intrusive thoughts.
...
Duration: 00:30:42How do we assess symptoms of OCD?
Apr 11, 2022Today, we dive into the all important question: How do we assess symptoms of OCD?
Assessment of OCD doesn't always happen in one session - sometimes you need to work with someone for a long time before they reveal a part of themselves that then allows you to make a diagnosis.
And so on today's episode, we discuss OCD's symptoms according to the DSM-5 Diagnostic Criteria, and the various types of assessments you can use when screening for OCD. And we also explore how to determine if someone's thoughts are egosyntonic or egodystonic (and what t...
Duration: 00:30:31The role of psychiatry and medication in the treatment of OCD
Mar 28, 2022Dr Scott Blair-West is a consultant psychiatrist and the Co-founder and Medical Director of the OCD program at The Melbourne Clinic. Scott also works in private practice, as well as pro-bono for the Asylum Seeker Resource Centre. And … he also provides training on anxiety disorder management and CBT to trainees, psychologists and psychiatrists.
In this episode, you'll hear about the role of psychiatry and medication in the treatment of OCD, the benefits of inpatient admissions and some of the interesting things Scott has learned during his career including… (wait for it!) his belief that providing reassurance to clie...
Duration: 00:34:30What is OCD?
Mar 28, 2022Welcome to our very first episode! We're so excited to be kicking off our podcast today by explaining a common question we get: What is OCD? We'll be discussing everything from what obsessions and compulsions look like, to what happens in the brain when someone has OCD.
In this episode, you'll learn about the complexities of OCD in a way that will help you and your clients understand it better. We also dive into the mechanisms behind how compulsive behaviours occur and why Exposure and Response Prevention (ERP) therapy is so effective in helping your clients gain...
Duration: 00:25:55