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Ever wondered what OCD therapy actually looks like from the inside? In this mini vignette, we build a fake client, Jamie, presenting with magical thinking OCD, and walk through the whole clinical journey: assessment, formulation, and treatment, step by step.
We cover thought-action fusion, excessive responsibility, "just right" challenges, memory manipulation, and how to bring family into the support system- all with the warmth and compassion Theory A/Theory B deserves.
Whether you're a clinician wanting a practical walkthrough or someone with OCD wanting to understand what therapy might involve, this one's for you.
Podcast by:
Laura Mole, Adv. Dip, MBACP OCD specialist therapist
and
Jessica Hayes, Msc PGDip, BABCP Accred OCD and perinatal specialist therapist
Edited by Christian Nickson
Time Stamps:
00:00 Introduction chat
03:18 What is magical thinking?
05:30 Laura's button analogy
07:00 Jamie's story
14:15 Controversial start to therapy
15:00 What the assessment will look into
18:45 Thought Action Fusion
19:08 Laura's practical exercise
22:00 Challenging the concepts first, not the OCD
25:00 Challenging excessive responsibility
27:50 Just right challenges
31:30 Memory manipulation
32:20 How Jamie's family can get involved
35:00 Phrases for OCD support
40:25 Theory A, Theory B with compassion
41:35 Acceptance for the thoughts
43:25 Psychosis fears
45:30 Getting involved and extra episodes
48:17 Papyrus shout out
49:00 Goodbyes
Get in Touch:
Got intrusive thoughts to share or questions for us:
Email us at ocdcollectiveuk@gmail.com
Follow us on Instagram and Tiktok: @justcheckingpod
For our individual OCD pages, you can find Laura on Tiktok and Instagram as @ocdtherapylaura and Jess as @jess_helps_your_ocd
Please check out our privacy policy: https://docs.google.com/document/d/1YJZ4Sdh4OpxjRR9twGY6dOMH9n55Mq6qTqLBxOtN3Fw/edit?usp=sharing
Content Warnings:
We do reference some thoughts that people may find distressing so please listen with caution if this is you, and take a break if you need to.
Disclaimer:
This podcast provides educational content only and is not a substitute for professional mental health support, please contact a mental health professional for advice and support.