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OCD Straight Talk

OCD Straight Talk

By Chris Leins, MA, NCC, LPCC
An anxiety and OCD treatment-specialist explains how these debilitating conditions are effectively treated, why sometimes they're not, and how anxiety sufferers tend to keep themselves symptomatic. This podcast is designed both for those who suffer from anxiety disorders, and OCD and related disorders, and those who seek to treat this population with greater efficacy.
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Jason Adams

OCD Straight Talk

Jason Adams

OCD Straight Talk

1x
OCD - the "C" = EX/RP
Chris is on Instagram (@ocdstraighttalk)! On this episode, Chris explains the idea that we're not really doing exposure therapy if we're also doing compulsions (or OCD minus the "C" equals Exposure and Response Prevention), and presents the concept from a few points of view. But some people get stuck on the idea of stopping compulsions. Afterall, certain things are easier said than done. So he provides two pointers.  Feel free to reach out with any questions you might have to chrisleins04@gmail.com. If you've found OCDST helpful, consider giving us a 5-star rating, and supporting the podcast to help us produce more content. 
15:13
July 01, 2022
Edna Foa, Ph.D.
Chris sits down with Dr. Edna Foa, a psychological scientist who needs no real introduction. To those who are even somewhat familiar with the literature relative to the treatment of OCD, the anxiety disorders, and posttraumatic stress disorder, Dr. Foa is internationally recognizable as one of the great contributors to evidence-based psychotherapy. She is among those who will go down in psychological history as one of the greats.  Two schools of thought are apparent among OCD- and anxiety disorders-treatment specialists. Nowhere are these differences more visible than at the issue of "the disconfirmation of beliefs" vs. the acceptance of uncertainty. Listeners to the podcast will hear subtle references to these schools of thought.  Feel free to reach out with any questions you might have to chrisleins04@gmail.com. If you've found OCD Straight Talk helpful, feel free to give us a 5-star rating, and support the podcast to help us produce more content. 
29:09
June 20, 2022
You're Doing One at the Expense of the Other or the Other at the Expense of the One
Chris discusses the symptomatologic reality that individuals can't manage their anxiety and manage their compulsions: they're either working to keep their anxiety in check, and in so doing they're engaging compulsions; or they're identifying, resisting, and preventing compulsions when they feel anxious, and facing the anxiety head-on. They can't do both; and neither can you.  Feel free to reach out with any questions you might have to chrisleins04@gmail.com. And view my recent interview with the Anxiety Commander at (6) OCD Interview with Chris Leins | OCD Treatment Specialist - YouTube. If you've found OCD Straight Talk helpful, feel free to give us a 5-star rating, and support the podcast to help produce more content.
15:23
June 17, 2022
The Banana Peel Effect
Chris discusses a phenomenon that he calls, The Banana Peel Effect that changes the power individuals report feeling over resisting and stopping compulsions. The idea is that the more individuals engage their compulsions, the less ability they feel they have to resist and stop them. Or, the more we engage the OCD, the more the power differential shifts to favor it. 
11:08
June 09, 2022
Heart and Skill is a Powerful Combination
Chris discusses the idea of coupling your fight to get better with strategic no-how. Being determined to stop compulsions without the skill of identifying them is like swinging at the baseball with a blindfold on.  Reach out with any questions you might have to chrisleins04@gmail.com.
13:09
June 02, 2022
Is It Posttraumatic Stress Disorder Or Is It OCD?
Chris discusses a central distinction between symptoms indicative of Posttraumatic Stress Disorder, or PTSD and those indicative of OCD. The punchline is: you can't have trauma without trauma; but you can have OCD. In other words, trauma is a past-oriented system of here-and-now symptoms, while OCD is very typically a future-oriented anxiety-construct. Beyond these distinctions, however, you might say that they actually have a lot in common - from their symptom-dynamics at 30,000 feet to the therapeutic models that are widely documented to treat them.  Feel free to reach out with any questions you might have to chrisleins04@gmail.com. If you've found OCD Straight Talk to be helpful, feel free to give us a 5-star rating; and consider supporting the podcast to help us produce more content.
12:39
May 20, 2022
Is It Panic Disorder or Is It OCD?
Chris discusses the differences in symptom-presentation and evidence-based intervention between two common, anxiety-related disorders: Panic Disorder and OCD. Fundamentally, you might say, they're the same thing. But be careful, you're only right to a certain point. Important differences characterize these conditions.  Feel free to reach out with any questions you might have to chrisleins04@gmail.com. If you've found OCDST helpful, consider giving us a 5-star review, and supporting the podcast to help us produce more content. 
19:47
May 17, 2022
An Overview of Skills in Successful Treatment
Chris puts several pieces together and discusses significant challenges in the process of treatment. A different life is possible; but you've got to fight for it. Feel free to reach out with any questions you might have to chrisleins04@gmail.com. If you've found OCD Straight Talk helpful, feel free to give us a 5-star rating, and support the podcast to help us produce more content. 
10:17
May 06, 2022
Two Cases, One Lesson
Chris shares two clinical experiences that he says helped shape him as an OCD therapist. Bottom line, "It's not my job to get you better," he says. He ties therapeutic skills and strategies to the empirical truth that control and responsibility cannot be separated; they travel together. Feel free to reach out with any questions you might have to chrisleins04@gmail.com. If you've found OCD Straight Talk helpful, feel free to give us a 5-star rating, and support the podcast to help us produce more content. 
25:59
April 20, 2022
Thanatophobia and Meta-Cognitions within OCD
Chris answers a question about Thanatophobia (fear of death), and highlights the concept of meta-cognition (thoughts we have about thoughts we have) with OCD and the anxiety disorders.  Feel free to reach out with any questions you might have, Chrisleins04@gmail.com If you've found OCD Straight Talk helpful, feel free to give us a 5-star rating, and support the podcast to help us produce more content.
13:07
April 06, 2022
Real Event OCD
Chris responds to a question about a so-called subtype of OCD known as Real Event OCD. This is a unique presentation among OCD symptoms in the sense that it emerges in the context of intact memories.  Feel free to reach out with any questions you might have to chrisleins04@gmail.com. If you've found OCD Straight Talk helpful, feel free to give us a 5-star rating, and support the podcast to help us produce more content. 
17:00
March 28, 2022
How Are Obsessions & Compulsions Interconnected?
How you ever dissected your OCD to see how it works? In this episode, Chris discusses both the difference between, and the mutual connection of the symptom-dimensions of OCD.  Feel free to reach out with any questions you might have to chrisleins04@gmail.com. If you've found OCD Straight Talk helpful, consider giving us a 5-Star review, or supporting the podcast to help us produce more content.
13:44
March 01, 2022
Robert Hindman, Ph.D.
Chris sits down with Dr. Robert Hindman, a trainer at the widely respected Beck Institute, and specialist in the treatment of clinically significant anxiety problems. Chris and Dr. Hindman discuss issues spanning from the concept of the Cognitive Model to the application of that model to beating your OCD-system.  Feel free to reach out with any questions you might have to chrisleins04@gmail.com. If you've found OCD Straight Talk helpful, consider giving the podcast a 5-star review or supporting us to help us produce more content. 
28:59
February 21, 2022
Uncertainty is Your Friend; I'll Prove It
Chris grapples with the question of uncertainty. Is it your enemy, like many OCDers tend to think, or is it actually your friend? Good question. Let's talk through it. But where does accepting uncertainty end? Another good question.  Feel free to reach out with any questions you might have to chrisleins04@gmail.com. If you've OCD Straight Talk helpful, consider giving us a 5-star review, and supporting the podcast to help us produce more content. 
16:29
February 16, 2022
Why Is My OCD Not Getting Better?
Chris tackles a very common question among OCD-ers internationally - Why is it that my OCD didn't get better in psychotherapy? It is a complicated issue. But at the end of the day, there's only so many reasons why this might happen, despite the fact that the phenomenon is common.  Feel free to reach out with any questions you might have. Chrisleins04@gmail.com. If you've found OCD Straight Talk helpful, feel free to give us a 5-star rating; or consider supporting the podcast to help us produce more content.
21:05
February 01, 2022
What's the Difference between CBT and Ex/RP?
Chris discusses subtle difference between classical Cognitive-Behavior Therapy (CBT) and Exposure and Ritual Prevention (Ex/RP) in the treatment of OCD. The two have a good deal in common, as Ex/RP is really the "grandchild" of CBT; and both are based upon the cognitive model.  Feel free to reach out with any questions you might have. Chrisleins04@gmail.com. If you have found OCD Straight Talk helpful, feel free to give us a 5-star rating, or support the podcast to help us to produce more content. 
21:04
January 17, 2022
Knowing is Half the Battle
Chris discusses a summary-comment that a patient made at the "finish line" of treatment: "When you can tell the difference between the obsessions and the compulsions, you're halfway there."  Feel free to reach out with any questions you might have to chrisleins04@gmail.com. If you have found OCD Straight Talk helpful, consider giving us a 5-Star rating, and supporting the podcast to help us produce more content.
21:56
December 23, 2021
David H. Barlow, Ph.D., ABPP
Chris talks with Dr. David Barlow, one of the world's foremost experts on the treatment of psychopathology, and leading experts in the area of disordered anxiety. Chris and Dr. Barlow discuss his Unified Protocol for Transdiagnostic Treatment of Emotional Disorders, along with both the overlap of the anxiety disorders and their effective treatments. The all-important emphasis on behavior-change takes center stage as they talk about the Unified Protocol, and evidence-based psychotherapy.  Feel free to reach out with any questions you might have to chrisleins04@gmail.com If you've found OCD Straight Talk helpful, consider giving us a 5-Star rating, and supporting the podcast to help us produce more content. 
50:60
December 21, 2021
Jon Abramowitz, Ph.D., ABPP
Chris sits down with Dr. Jon Abramowitz, one of the world's foremost experts of the understanding and effective treatment of OCD. They discuss topics from cognitive therapy and exposure and response prevention, to the kind of learning that naturally occurs when individuals tolerate both uncertainty and anxiety, but without engaging compulsions.  Feel free to reach out with any questions you might have to chrisleins04@gmail.com. If you've found OCD Straight Talk helpful, feel free to give us a 5-star rating, or support the podcast to help us produce additional content.
42:47
December 08, 2021
The Mosquito Bite Analogy
At the request of a listener, Chris revisits the mosquito analogy, and explains "the moral of the story." Punchline is: you can tolerate more discomfort (in the context of OCD, more anxiety) than you give yourself credit for. The emphasis in the mosquito bite analogy is get rid of the itch by whatever means necessary. But it is the scratching-behavior that keeps the itching going. The real question is, How can you stop scratching? Feel free to reach out with any questions you might have to chrisleins04@gmail.com If you've found OCD Straight Talk helpful, feel free to give us a 5-star rating, or consider supporting the podcast to help us produce more content.
16:13
December 07, 2021
Getting Started with Exposure Therapy
Chris moves past the theoretical skills "out there," and discusses getting started with exposure therapy. The key phrase is, "start small." Grow in experience and confidence.  Feel free to reach out with any questions you might have to chrisleins04@gmail.com. If you've found OCDST helpful, please consider giving it a 5-star review, and supporting the podcast to help us produce more content. 
19:05
November 12, 2021
Jason Adams
Chris sits down with Jason Adams to discuss the complexities of parenting young children while simultaneously dealing with OCD. Chris and Jason talk about finding resources and encountering treatment, and ultimately discuss Jason's new book, OC Dad: Leaning to be a Parent with a Mental Health Disorder.  Feel free to reach out with any questions you might have to chrisleins04@gmail.com. If you've found OCD Straight Talk helpful, consider giving us a 5-star rating and supporting the podcast to help us produce more content. 
30:42
October 26, 2021
Common Errors Made in Exposure Therapy for OCD
Chris takes on the question of, Why does exposure therapy work for some people, but not for me? It's a common question; and, in many cases, the answer is actually pretty simple. Adequate exposure therapy includes prolonged and repetitive exposure to targeted, anxiety-produces objects and situations. And adequate exposure therapy means response prevention.  Feel free to reach out with any questions you might have to chrisleins04@gmail.com. If you've found OCD Straight Talk helpful, consider giving it a 5-star rating, or supporting the podcast to help us produce more content. 
23:10
October 22, 2021
What is Exposure Therapy - Exactly?
Chris discusses a study published in the early 1980s the results of which have gone on to confirm the most effective treatment available for OCD - Exposure with Response Prevention. Response prevention is the general topic of the podcast. But what is exposure therapy?  Thanks for checking out the podcast. Feel free to reach out with any questions you might have to chrisleins04@gmail.com. If you've found OCD Straight Talk helpful, feel free to give it a 5-star review; or consider supporting the podcast to help us produce additional content. 
19:02
October 06, 2021
How Bad Is My OCD?
Chris administers the Yale-Brown Obsessive-Compulsive Scale-II (YBOCS-II) Severity Items on the podcast. Listeners can measure their own symptom-severity on this validated 0-50 scale. He then goes over the "YBOCS Cheat Sheet" to orient listeners to the most direct "route" to a subclinical score on YBOCS-II. Wanna a good score on YBOCS-II? The Cheat Sheet will help you get it. Feel free to reach out with any questions you might have to chrisleins04@gmail.com.  If you have found OCD Straight Talk helpful, feel free to give it a 5-star rating, or consider supporting OCD Straight Talk to help us produce more content. 
30:22
September 24, 2021
Tell Me, "Do I Have OCD?"
Chris responds to a listener's questions about whether he can confirm an OCD-diagnosis for a listener, commenting on presentation and history of symptoms. Further, he discusses the nature of compulsive patterns and good treatment for OCD.  Feel free to reach out with any questions you might have, chrisleins04@gmail.com Also, if you find OCD Straight Talk helpful, consider giving the podcast a 5-star rating, or supporting it with a monthly contribution.  
25:27
September 08, 2021
Eric Storch, Ph.D.
Chris talks with Dr. Eric Storch, a leading OCD-treatment specialist, and one of the psychological scientists who developed the Yale-Brown Obsessive-Compulsive Scale (YBOCS), the gold-standard tool for assessing OCD-symptoms. Chris and Dr. Storch discuss the concept of the "YBOCS Cheat Sheet," along with some of the processes that collectively form the Exposure and Response Prevention protocol. Thanks, Dr. Storch for sharing your time and expertise with us! Feel free to reach out with any questions you might have to chrisleins04@gmail.com.
21:29
August 27, 2021
What Do You Mean, Compulsions Drive Obsessions?
Chris responds to a question about the link that connects, not obsessions and compulsions, but compulsions and obsessions.  Consider rating OCD Straight Talk, and passing the podcast along to a friend.  Feel free to reach out with any questions you might have. Chrisleins04@gmail.com
19:06
July 29, 2021
OCD & The 2nd Law of Thermodynamics
Chris discusses the concepts of Trace Decay Theory (of psychology) and Entropy (of physics), explaining - without apology - the necessity of repeatedly explaining important strategies. He also describes the function of actually documenting identified compulsions, noting two groups in therapy. The question is, Which one fairs better? Feel free to reach out with any questions you might have to chrisleins04@gmail.com.
19:43
July 27, 2021
The Difference between Rumination and Reflection
Thanks for the question - very good one. Chris responds to a listener and defines compulsions from a couple of vantage points.  Feel free to reach out with any question you might have to chrisleins04@gmail.com.
18:05
July 23, 2021
On Weakening the Connection between Thoughts, Behaviors, and Feelings
Chris discusses CBT-theory, which is based on "the Cognitive Model," and raises the question of how we can methodologically weaken the strong and habitual connection between these triangulated, and interconnected pieces of our experience. Feel free to reach out with any questions you might have to chrisleins04@gmail.com
30:35
July 02, 2021
True or False: If You Think It's Your OCD, It Is
Chris responds to a listener's question - A follow up on our series on uncertainty. So, true or false? Or, is it a trick question? Feel free to reach out with any questions you might have. Chrisleins04@gmail.com
21:05
June 30, 2021
EMDR vs. Prolonged Exposure for PTSD
Chris discusses the prevailing treatments for PTSD, and the weird animus that tends to stand between them. Feel free to reach out with any questions you might have to chrisleins04@gmail.com
23:45
June 23, 2021
Is Uncertainty Your Friend or Your Enemy?
Chris breaks down the reality of uncertainty, and explains how we can either work with uncertainty, or against it.  Feel free to reach out with any questions you might to chrisleins04@gmail.com
16:18
June 17, 2021
What, Essentially, Is OCD?
Chris talks behind and beyond all the technical language and diagnostic criteria of OCD. The condition, whatever it is, centers on a life-dimension common to humanity. But some people just don't find this dimension very distressing - lucky them. Others, on the other hand, find it very distressing. But theirs liberty in realizing the reality that this dimension is unchangeable. It gives birth to the question, How can we work to tolerate, and live life in light of uncertainty?  Feel free to reach out with any questions you might have to chrisleins04@gmail.com
25:06
June 15, 2021
Understanding Obsessions and Compulsions in Existential OCD
Chris responds to a listener and explains the importance of identifying compulsions, and distinguishing them from obsessions in existential OCD.  Feel free to reach out with any questions you might have. Chrisleins04@gmail.com
26:30
June 07, 2021
Macro-, and Micro-Compulsions: A Very Important Idea
Chris discusses a concept that is practical to cracking the code of OCD. Many of us approach OCD with stereotypes and assumptions. Part of what that means is that we think of compulsions as limited to checking, or counting, or washing, or whatever. But through the course of hundreds of cases, it has become clear that .compulsions extent far beyond these few, stereotypical possibilities. Many compulsions are unique to individuals: call them "quirks" or "idiosyncrasies." But many quirks that seem to appear when we're anxious - many things that we do to express our nervousness, like leg-bouncing for example, actually serve as anxiety-maintaining behaviors. These need to be stopped just the same as our stereotypical (macro) compulsions. Feel free to reach out with any questions you might have to chrisleins04@gmail.com
19:14
May 27, 2021
Common Pitfalls on the Road to Therapeutic Progress
Chris discusses several common mistakes individuals tend to make in relation to their OCD, often whether in therapy or not. This episode works to dissect the OCD and the treatment-process to show where individuals often get it wrong.  Feel free to reach out with any questions you might have to chrisleins04@gmail.com
29:58
May 26, 2021
Another Technique for Letting Go of Intrusive Thoughts
Chris revisits his conversation with Michael May, MA, LPCC, an ACT therapist and OCD treatment-specialist. He discusses the "I'm having the thought that..." strategy. Tried (by you, the consumer) and true strategies are invaluable when we're in the throws of anxiety.  Feel free to reach out with any questions you might have to chrisleins04@gmail.com
13:47
May 25, 2021
A Discussion with Mr. Michael May, LPCC about ACT for OCD
Chris discusses the Acceptance & Commitment Therapy (ACT) protocol with Michael May, MA, LPCC, an ACT trainer and clinical expert. They talk therapeutic "shop," and delve into treatment strategies that are common to ACT and Ex/RP; as well as, discuss some of the overarching concepts that are beautifully unique to the evidence-based protocol known around the world as, ACT. Feel free to reach out with any questions you might have to chrisleins04@gmail.com.
51:07
May 21, 2021
More Details on Stopping Mental Compulsions: Another Episode by Popular Request
Chris discusses two cases in which stopping rumination was an important part of the therapeutic process. Remember, if "nobody's home" to do the work of rumination, then that compulsive "work" doesn't get done. And that's a beautiful thing.  This episode includes adult, and some explicit material in the way of providing specific examples of technique-application. Feel free to reach out with any questions you might have. Chrisleins04@gmail.com
30:21
May 20, 2021
Why Does Psychotherapy for Clinically Significant Anxiety Sometimes Not Work?
Chris discusses a complex set of dynamics in modern psychotherapy that serve to offer an explanation to an otherwise puzzling problem: Why do people suffering from clinically significant anxiety often not get better in psychotherapy?  Feel free to reach out with any questions you might have. Chrisleins04@gmail.com
27:59
May 17, 2021
A Discussion about PTSD with Dr. Joseph Birli
Chris discusses trauma symptoms, and their corresponding treatments with a trauma expert, Dr. Joseph Birli. A wonderfully competent, and seasoned therapist, Dr. Birli brings many years of experience to our discussion about Posttraumatic Stress Disorder.
46:55
May 10, 2021
Is There a Connection between Obsessions and Outcomes - Association OCD
Chris responds to a listener's question about "Association OCD," pointing to the "heart beat" of this symptom-dimension.  Chris also sets-up Monday's episode: he and a guest will discuss the nature and treatment of PTSD.  Feel free to reach out with any questions you might have to chrisleins04@gmail.com
19:11
May 07, 2021
To Choose or Not to Choose: That is the Question
Chris discusses the notion that 'you are not your thoughts," and your anxiety, even when it's really, really bad, can't hurt you - unless you let it. Our compulsions make our thoughts "real." So fight, scratch, and claw to not give into the compulsions. Choose to stop them.  Feel free to reach out with any questions you might have to chrisleins04@gmail.com
24:58
May 06, 2021
Gonna Tell You A Bit about Myself
Chris discloses some of his specific OCD-presentation, and what it looks like in real time. He also responds to a listener's question/email. Thanks for checking out the podcast.  Feel free to reach out with any questions you might have. Chrisleins04@gmail.com
30:17
April 30, 2021
When I'm Loving Someone with OCD
Chris discusses a common familial scenario: family members of OCDers want to know how to be helpful. This is a frequently asked question in the therapeutic process. That said, his responses are necessarily generalized to a wide array of individualized, familial situations. Feel free to reach out with any questions you might to chrisleins04@gmail.com
41:58
April 29, 2021
Weed-Smoking, Psychotropic Medications, and OCD
Chris responds to a listener's question about meds, supplements. In the process, he discusses other substances that are commonly inquired about in treatment.  Feel free to reach out with questions you might have. Chrisleins04@gmail.com
23:23
April 20, 2021
The Cognitive Model: How You Can Force Symptomatological Change
Chris discusses two kinds of patients: one comes to the game to watch from the sideline while the others fight the battle, the other comes to fight through the stages of adversity to win with his teammates at the end. Which kind of patient are you? I'll let you in on a secret: your therapist can't get you better - at least not all by herself. She needs you to get some skin in the game. You need you to get some skin in the game.  And I'll tell you something else. If your therapist is working harder than you are to get you better, you're likely both wasting your time. Fight hard; get better. Feel free to reach out with any questions you might have to chrisleins04@gmail.com
35:56
April 15, 2021
The Various Faces of Existential OCD
Chris responds to a listener's request for a subtype-description. Like some others, this listener requested that the response be made on the podcast, rather than via email. Thanks to the listener for reaching out; and thanks for checking out OCDST. Feel free to reach out with any questions you might have. Chrisleins04@gmail.com
41:13
April 14, 2021
What's the Difference between Rational Thinking and Rumination?
Chris responds to a listener who requests clarity as to the difference between thinking "rationally" about obsessions for the purpose of disputing them, and ruminating about them. Great question; thanks for the question.  Feel free to reach out with any questions you might have to chrisleins04@gmail.com
37:42
April 12, 2021
This Makes A Behavior A Compulsion
Chris explains three important elements that, cumulatively, help to identify a behavior as a compulsion. Not every behavior is a compulsion; but compulsions often seem to be just another behavior. So which one is it? It's not enough to identify compulsions. We have to stop them, too. Feel free to reach out with any questions you might have. Chrisleins04@gmail.com
29:54
March 30, 2021
What Makes A Behavior A Compulsion?
Chris rambles about behaviors v. compulsions. If compulsions are always behaviors - and more than that, choices, then this opens a wide array of possibilities. How do we find compulsions in an ocean of options? Or, what makes a behavior a compulsion? Chris will do a brief series on this question.  Feel free to reach out with any question you might have. Chrisleins04@gmail.com
28:26
March 29, 2021
Here's My Situation, Tell Me What to Do: A (Second) Case Discussion
Chris responds to a listener's questions about a specific symptom-dimension of OCD: anxiety relative to the possibility of speaking or behaving inappropriately on a public platform. Thank you to this anonymous listener for his/her kind and courageous willingness to step forward and pose these questions. Feel free to reach out with any questions you might have. Chrisleins04@gmail.com
29:20
March 18, 2021
Here's My Situation, Tell Me What to Do: A Case Discussion
Chris reads, and responds to an email about a listener's symptoms, and OCD-system (with his/her permission). During this episode, we leave the discussion of theoretical strategies and techniques, and talk specifics of how they get applied in real-time.  Feel free to reach out with questions to chrisleins04@gmail.com.
30:25
March 12, 2021
OCD-101 vs. Advanced Techniques
Chris discusses the difference between two kinds of thoughts: obsessions and compulsions. It is an advanced skill to differentiate between intrusive thoughts and rumination - not easy, but often necessary.  Reach out with any questions you might have. chrisleins04@gmail.com.
14:14
March 12, 2021
What Causes OCD?: The Theory That Will Never Die
Chris discusses old theories and new ones regarding why OCD happens - a (very) cursory history of OCD research. But the real question is not, Why does OCD happen? It's, What do we do when it does?  Reach out with any questions you might have to chrisleins04@gmail.com
20:11
March 04, 2021
Chasing Certainty
So often, OCD-sufferers speak of obsessions as being "irrational." Many have long-been told that. But are they? Chris discusses the irrationality of compulsions, centering this monologue on the reality that we can never escape uncertainty. Chasing certainty, but never really capturing it, is the irrationality of compulsions.  Reach out to chrisleins04@gmail.com with any questions you might have. 
15:22
March 03, 2021
How Long Will It Take for Me to Get Better?
Chris discusses a - the most - frequently asked question at the top of a case: How long is this gonna take? The answer is about four months; but there are important variables to consider. Obviously not every case is the same. How can you maximize the efficacy of your therapeutic experience? Reach out with any questions you might have. Chrisleins04@gmail.com
22:24
February 23, 2021
How Can I Better Find Compulsions?
Chris discusses the "Compulsions Decision Tree" - not technical language - in order to better identify compulsions. The purpose of these 3 questions is to increase the likelihood that listeners will learn to find compulsions in real-time. The essential task of the OCD-er, aside from going to see an OCD specialist, is finding and stopping compulsions. Reach out with any questions you might have. chrisleins04@gmail.con
20:26
February 18, 2021
When OCD Causes Depression
Chris discusses a common problem among individuals suffering from OCD and clinically significant anxiety - secondary depression. What do you do when your OCD results in a comorbid (or co-occurring) depressive episode? Like OCD, depression can be thought of as a "behavioral problem" in the sense that depressive thinking tends to be associated with depressive behaviors; and depressive behaviors strengthen the whole system. 
16:21
February 16, 2021
What Compulsions Go with Which Obsessional Themes?
Chris responds to an email regarding lists of compulsions that tend to travel in packs (or subtypes). But the answer isn't what you think. The fact is that there are as many compulsion-lists as there are people suffering from OCD. The ability, the honed skill of identifying compulsions in real-time, is the missing link. 
23:55
February 02, 2021
How Do I Tell the Difference between Obsessions & Compulsions?
Chris discusses OCD 101, How do we tell the difference between OCD-components in order bring to a grinding halt our OCD-systems?  Feel free to reach out with questions to chrisleins04@gmail.com. 
20:39
January 25, 2021
Compulsions Breed Compulsions
Chris Discusses attitude. It comes down to decision and follow through. Sure, it's a little more complex than that. Sometimes we're doing compulsions that we don't quite realize are compulsions. We see them as idiosyncrasies (just behavioral stuff that makes me, me). On the other hand, a lot of compulsions are simple choices that you and I willingly make.  Beating OCD is about digging in your heals and saying, "I'm done. Come what may. F*** it." No exceptions. No Excuses. And no more compulsions.  Let's spend the next 7 days really working hard to stop engaging compulsions. Let me know how you're doing. Reach out with questions you've got. chrisleins04@gmail.com
18:27
January 20, 2021
What Do I Do When I Can't Stop My Compulsions?
Chris discusses an oft-posed question in therapy, and gives an honest and empowering answer.  Thanks for tuning into the podcast. Feel free to reach out with any questions you might have. Chrisleins04@gmail.com, or check out the practice at www.thetenthousandlakes.com.
14:09
January 08, 2021
Relationship OCD, What is It?
Chris discusses yet another symptom dimension of OCD. The truth of the matter, though, is that there is no piece of information more important in this general context than the necessity of stopping compulsions. Sorry to sound like, as it were, a broken record; but that's the truth.  Feel free to reach out with questions to chrisleins04@gmail.com. 
18:31
December 30, 2020
POCD, What Is It?
Chris responds to a listener's request for a discussion on OCD-subtypes. The topic of the next few episodes will be "kinds," or subtypes of OCD. Some subtypes will not get covered; others will be discussed, but only in some part. No subtype will receive exhaustive attention in this series. This episode is concerning so-called, POCD. Whether the specific content of this episode feels relevant to each and every listener, please bear in mind that it is identifying and stopping compulsions that is the "active ingredient" in evidence-based treatment. Feel free to reach out to chrisleins04@gmail.com with any questions you might have. 
16:30
December 16, 2020
Harm OCD, What Is It?
Chris responds to a listener's request to discuss OCD-subtypes. The topic of the next few episodes will be "kinds," or subtypes of OCD. Some subtypes will not get covered; others will be discussed, but only in some part.  This episode is concerning so-called Harm-OCD.  Reach out to chrisleins04@gmail.com with any questions you might have. 
14:20
December 14, 2020
You're Why I Podcast
Thanks for listening. Chris discusses the regrettable fact that many people struggle with OCD symptoms, and often get access to misleading, or even straight erroneous information. Chris also discusses Pure-O. The simple truth is that where there are intrusive thoughts heckling an individual in the foreground, there are compulsions happening in the background. The question is, "What" or "Where are they?"  Feel free to reach out with any questions you might have. Chrisleins04@gmail.com 
09:28
December 09, 2020
How Do I Let Go of My Intrusive Thoughts (Part 2)
Chris discusses a technique he encountered under the clinical supervision of Dr. Monnica Williams. The technique is aimed at dismissing intrusive thoughts. Exposure Statements are not "curative" in the sense that they have not been found to treat OCD. Neither do they directly reduce anxiety. Many individuals across the world, however, have stated that they are helpful for dismissing obsessions (i.e., intrusive thoughts). Feel free to reach out with any questions you might have. chrisleins04@gmail.com.
27:16
November 30, 2020
How Do I Let Go of My Intrusive Thoughts? (Part 1)
Chris explains the nature of intrusive thoughts within OCD, and employs a technique that is used to begin to dismiss them, or let them go.  This is not a technique for reducing anxiety - that technique is stopping compulsions. It's a logical strategy for "turning down the volume," if you will, on the thoughts. It's a technique for using the uncertainty of the future as a tool for letting go of thoughts in the present.  Reach out to chrisleins04@gmail.com with questions or comments.  CL
29:37
October 23, 2020
How Do I Stop Ruminating?
In this episode, Chris distinguishes intrusive thoughts (also called obsessions) from rumination (mental compulsions, DSM-5).  They're both cognitive activities; so telling the difference is often easier said than done. He then explains a strategy that is often used to stop ruminating. Please remember that this podcast is only a podcast, though. It is not meant to be consumed in lieu of evidence-based psychotherapy.  Feel free to reach out with any questions you might have: chrisleins04@gmail.com.
21:50
October 16, 2020
You're Not Doing Exposure Therapy If You're Also Doing Compulsions
This is a simple, simple reality. OCD runs on compulsions. In this episode, Chris talks about habituation, and the difference between exposure therapy with compulsions versus that without them. Thanks for tuning in.
15:49
October 01, 2020
The Most Important Question in the Treatment of OCD
Chris discusses the most important question in the effective treatment of OCD: What are your compulsions and how do you find them? The skill of finding compulsions and the determination to prevent them is a strategy that supersedes merely doing exposures for anxiety.  Feel free to reach out with question at chrisleins04@gmail.com.
16:18
September 21, 2020
Getting Better Matters Less Than Learning How to Get Better
Chris discusses the art of identifying compulsive patterns. Safety behaviors aren't just turning on and off light switches. Compulsive patterns are different for everyone. The question is, What are yours? 
14:30
September 10, 2020
I Feel Better; Therefore I ... Am Better?
Chris discusses the concept of therapeutic progress - how do we define it? If you are to judge the efficacy of your therapeutic work on the degree to which you make progress, then the next logical question becomes, What is therapeutic progress?  Chrisleins04@gmail.com; thetenthousandlakes.com
17:28
July 22, 2020
How Do I Know When My Therapist Doesn't Know What They're Doing?
Chris answers the question, How do I know when my therapist doesn't really know how to treat an anxiety-related disorder? Bottom line is, if you've been in treatment for a little while and haven't made progress, chances are pretty good that your therapist isn't a specialist. Chris speaks to "five pillars" of evidence-based anxiety treatment. But the treatment doesn't work for those who don't work the treatment. Reach out at chrisleins04@gmail.com. and check us out at thetenthousandlakes.com. 
19:12
July 11, 2020
Tomato, Tomahto: Is there a Real Difference between Anxiety-Related Disorders
Chris gripes about the treatment-system, and thinks out-loud about the industry-implications of myriad treatment protocols across so many (apparently) different conditions.  
19:14
June 09, 2020
The Big "Why?" Of All This
Chris revisits the reasons and convictions behind the OCD Straight Talk podcast, and bears witness to a distinction between generalists and specialists in the field of psychotherapy.
18:30
June 04, 2020
The YBOCS Cheat Sheet
Chris discusses the specifics of how OCD and the anxiety related disorders function comparative to the YBOCS-II, a gold-standard psychometric for measuring OCD. It all hinges on forcibly stopping safety-behaviors.
23:49
June 01, 2020
0% vs. 100%: Certainty is a Mirage
Chris discusses the ineffectiveness of striving after certainty in the context of intrusive thoughts and disordered anxiety.
13:13
May 27, 2020
Not So Certain about Being Certain
Chris discusses certainty as a fact life with or without an anxiety related disorders. It's not our intrusive thoughts or worries that are irrational but the behaviors we engage to regulate them that are irrational.
19:01
May 26, 2020
Am I Doing the Thinking or is the Thinking Doing Me?
Chris discusses mental rituals and how to decipher between mental rituals and intrusive thinking.
17:50
May 05, 2020
Where's Waldo?
In this episode, Chris discusses not only the clinical importance of stopping all compulsions, but of finding them. Safety-behaviors (or compulsions) don't scream and shout, saying "Hey, I'm a compulsions. Stop me." They have something to be gained by not being stopped. "What?" you ask. Well, if you're not identifying them as compulsions, you're not stoppin' 'em; and of youre not stopping them, then your anxiety-related disorder will continue on and on.
21:52
April 29, 2020
Habituate, Don't Fluctuate
Chris deals with an important element of exposure therapy, technically called Habituation.
18:45
April 13, 2020
Cracking the Code
Chris discusses cognitive therapy and cognitive-behavior therapy with the exposure-component as treatment-modalities for the anxiety-related disorders. Tune in for this educational talk on symptoms and treatment.
13:27
April 08, 2020
Your Anxiety Disorder's Not Happening to You, but You're Happening to your Anxiety Disorder.
Victor Meyer's 1966 study points us in the direction of the evidence-based protocol. Chris explains the basic symptom-dynamic and -functionality of the anxiety-related disorders.
15:20
April 02, 2020
Anxiety & OCD treatment specialist introduces a new podcast on a troubling theme.
In this brief podcast Intro, Chris mentions a treatment theme of individuals not making sufficient therapeutic progress by way of conventional treatments, and launches a new podcast that seeks to inform listeners as to "good treatment" in the world of the anxiety, and OCD sufferer.
02:43
March 13, 2020