OCD Straight Talk - podcast cover

OCD Straight Talk

Chris Leins, MA, NCC, LPCC-Sthetenthousandlakes.com
https://linktr.ee/ocdstraighttalk Become a Paid Subscriber: https://anchor.fm/chris-leins/subscribe 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. Subscribe at: https://ancho
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Episodes

What's So Wrong with Trying to Manage Risk?

A listener responds to Pillar 3 with a question. Chris responds. There's ALWAYS risk; but there's only sometimes danger. Listen to find out more. 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 rating, and subscribe to the podcast for more structured help with your anxiety- or OCD-symptoms.

Jan 02, 202411 min

Accepting Uncertainty Reduces Your Need for Compulsions, Pillar 3

Chris explains a logical dynamic that goes two ways: the more we have a felt need for certainty, the harder we pursue it. And we pursue it, of course, by doing compulsions. But the harder we pursue it, the more elusive it proves to be. And then, we're back to the beginning. We have a deep and urgent need for certainty. But that street travels two ways. This is where and how Pillars 3, 4, and 5 are connected. Check out this episode to learn more. Feel free to reach out with any questions you migh...

Dec 20, 202312 min

"Practice Makes Perfect," Pillar 2

Chris recaps Pillar 1 with a few subtype-examples, and moves to Pillar 2. This is the idea of "reps," or repetitions. Doing something over and over again increases both our competence in executing a task, and sharpens our understanding of it - big picture. The same is true of exposure therapy. Reps are the backbone of getting better.

Dec 14, 202315 min

You Gotta Go to Therapy, Pillar 1

Chris tackles the first of the Five Pillars, showing that generally OCDers generally don't make a lot of progress without structured, expert help. Feel free to reach out with any questions you might have to chrisleins04@gmail.com. If you've found OCDST helpful, consider giving it a 5-star rating and subscribing to the podcast for more structured help with you anxiety- or OCD-symptoms.

Dec 08, 202318 min

What is My Role in Getting Better?

Chris launches a new series on the role of the patient or the listener in the process of getting better. He reviews a document, forged from clinical experience, and written for his patients that explains their specific responsibilities in the act of getting as much out of their therapeutic journey as possible.

Nov 28, 202314 min

When OCD Turns Itself Inside-Out and Backward

Chris discusses a couple of cases that illustrate that idea that sometimes OCD and anxiety disorders flip the script on you, and completely change the behaviors that feed them. All of the sudden, the behaviors that previously were healthy are now compulsive; and the behaviors that were compulsive are now healthy.

Nov 20, 202316 min

You Need Both Will and Strategy

"Life's a fight!" Chris discusses a personal slogan and explains what that means in the context of OCD. Fighting means both the will to win and a strategy to succeed. In the fight against OCD, you need both. Why? Because OCD has both, too.

Nov 07, 202314 min

Everybody's Pure-O ... Sometimes

Chris responds to a listener's question about the ever-popular topic, Pure-O. He highlights the concept of identifying compulsions; as Pure-Oers do compulsions, they just don't properly identify them. Feel free to reach out with any questions you might have to chrisleins04@gmail.com If you've OCD Straight Talk helpful, consider giving it a 5-star rating and subscribing to the podcast for more structured help with your anxiety- or OCD-symptoms.

Oct 27, 202314 min

Mistakes You're Probably Making in Exposure Therapy

Building off of the last two episodes, Chris discusses common errors made in exposure-work. These concepts aren't new to the podcast; but they are ... common mistakes. What that means is that you're probably doing them. And the reality is that exposure therapy generally doesn't work very well if we're committing one or both of these mistakes. Feel free to reach out with any questions you might have to chrisleins04@gmail.com. Or if you've found the podcast helpful, consider giving us a 5-star rev...

Oct 17, 202316 min

Chris Conducts an Imaginal Exposure ... on Himself

In this episode, Chris faces his relationship-OCD and does what's called, an imaginal exposure. Feel free to reach out with any questions you might have to chrisleins04@gmail.com. If you've found the podcast helpful, consider giving us a 5-star review, and subscribing to the podcast for more structured help with your anxiety- or OCD-symptoms.

Oct 12, 202345 min

The Four Bosom Buddies of Good Exposure Therapy

Chris talks through a few erroneous but common ideas of exposure therapy. These are mistakes made by both consumers and inexperienced therapists. He then explains four components of good exposure therapy. If done properly, these generally render exposure-work effective but uncomfortable. 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 subscribing to the podcast for structured he...

Oct 02, 202319 min

When OCD Says "This" Means "That"

Chris discusses fears and case-examples that involve physical symptoms and environmental experiences, and that the OCD says "this" is evidence of, or means "that." These can be difficult to deal with, because there's something real and observable thrown into the obsessive-compulsive "mix." 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 subscribe to the podcast for more struct...

Sep 22, 202310 min

Is My Anxiety Interfering with My Sex Life?

Chris discusses some literature and case-examples relative to how anxiety- and OCD-symptoms can interfere with individuals' sex life. Most notably, he shows that most common forms of sexual dysfunction, in both men and women, are caused or maintained by Sexual Performance Anxiety. 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 subscribing to the podcast for more structured help...

Sep 18, 202316 min

Kimberley Quinlan, LMFT of Your Anxiety Toolkit

Chris sits down with Kimberley Quinlan of the great podcast, Your Anxiety Toolkit. They discuss various topics from the history of their careers and supervisors who were pivotal in shaping who they are as clinicians today to what techniques they favor in therapy and why. Feel free to reach out with any questions you might have to chrisleins04@gmail.com. I you've OCD Straight Talk helpful, consider giving us a 5-star rating and subscribing to the podcast for more structured help with your OCD- an...

Sep 05, 202333 min

2 Rules of Thumb: the Difference between OCD and Skin Picking Disorder

Chris responds to a listener's question about the difference between OCD and excoriation disorder. This is an important question, because many OCDers report that they pick at their skin "as a compulsion." In many cases, they can just stop. But what happens when they can't? Feel free to reach out with any questions you might have to chrisleins04@gmail.com. If you've found the podcast helpful, consider giving it a 5-star rating, and subscribing to OCD Straight Talk for more structured help with yo...

Aug 28, 202311 min

The Chain is Only as Strong as its Weakest Link

Chris finishes the series on SCAMP and the Body Focused Repetitive Behaviors. In this episode, he focuses on the last two trigger-categories (Movement and Place) represented in the acronym. This episode was made possible by NOCD. Feel free to reach out with any question you might have to chrisleins04@gmail.com. If you've found OCD Straight Talk helpful, consider giving it a 5-star rating, and subscribing to the podcast for more structured help with your anxiety and OCD-symptoms....

Aug 16, 202316 min

Manage Feelings; but F*** Anxiety

Chris continues to series on OCD-Related disorders, this time talking through the "A" (for Affect) in the acronym SCAMP. The important idea is effectively manage triggers, to include feelings. There's one notable exception to this rule. And I'll bet you can guess what that is. This podcast was made possible by NOCD. Feel free to reach out with any questions to might have to chrisleins04@gmail.com. If you've found the podcast helpful, consider giving it a 5-star rating, and subscribing to OCD Str...

Aug 09, 202314 min

Talking Back to Thoughts in Hair-Pulling and Skin-Picking Disorders

Chris continues the series on skin picking and hair-pulling habits, focusing on Charlie Mansueto's SCAMP concept: Successful treatment of excoriation disorder and trichotillomania is not so much about exercising sheer willpower but about identifying and managing contexts or triggers. This episode is made possible by NOCD. Feel free to reach out with any questions you might to chrisleins04@gmail.com. If you've found the podcast helpful, consider giving OCD Straight Talk a 5-star review and subscr...

Aug 04, 202310 min

You Play Offense for OCD. You Play Defense for Skin-Picking and Hair Pulling Disorders

In this episode, Chris starts off by re-emphasizing the importance of identifying and preventing relevant behaviors when dealing with a number of common mental health conditions. And he continues the series on the so-called "OCD-related disorders." This episode is made possible by NOCD. Feel free to reach out with any questions you might have to chrisleins04@gmail.com. If you've found this episode helpful, consider giving us a 5-star rating or subscribe to OCD Straight Talk for structured help w...

Jul 26, 202324 min

Got Triggered? What Now?

Chris discusses evidence-based strategies for dealing with triggers relative to the anxiety-related disorders, like PTSD, OCD, Specific Phobia, etc., and other conditions like trichotillomania and excoriation disorder. There's an important difference between these strategies. Tune in to learn more. Feel free to reach out with any questions you might have to chrisleins04@gmail.com. If you've found the podcast helpful, feel free to give us a 5-star review; and contact the Kentuckiana Treatment Cen...

Jul 19, 202316 min

What Do I Do When I Don't REALIZE I'm Doing Compulsions?

Chris poses a question of what OCDers are to do when they are engaging such habitual and routine compulsions that they can't stop doing them? Feel free to reach out to chrisleins04@gmail.com with any questions you might have. If you've found this episode helpful, consider giving OCD Straight Talk a 5-star rating. And for treatment, visit KentuckyOCD.com, or contact Kentuckiana Treatment Center for Anxiety & OCD.

Jul 12, 202311 min

It's about Tolerating the Itch and Stopping the Scratching Response

Chris discusses the idea that a lot of people tolerate the scratching behavior with the hope of getting rid of the itch. But success in the fight against OCD is about tolerating the thoughts and the anxiety that they cause and instead focusing on stopping the compulsions. This is where grit and resilience, along with a touch or two of uncertainty, are you ally. Feel free to reach out with any questions you might have to chrisleins04@gmail.com. If you found this episode helpful, consider giving t...

Jul 05, 202311 min

Grit & Resilience in Your Fight Against OCD

Chris discusses patients who demonstrate grit and resilience in the therapeutic journey. Being willing and able to tolerate psychoemotive distress is ESSENTIAL to stopping compulsions. And resisting and stopping compulsions is the active ingredient to making progress against the OCD. Feel free to reach out with any questions you might have to chrisleins04@gmail.com. If you've found OCD Straight Talk helpful, considering giving the podcast a 5-star rating. And for treatment, visit and contact us ...

Jun 28, 20236 min

It's Easier to Act Yourself into a New Way of Thinking Than It Is to Think Yourself into a New Way of Acting

Chris discusses a general principle that applies not just to the management of OCD and anxiety-related symptoms, but to problems and conditions that people commonly face. 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, and reach out to KentuckyOCD.com for treating for your anxiety-related symptoms.

Jun 20, 202311 min

Why Do I Have These Intrusive Thoughts?

Chris discusses the question of why individuals experience certain intrusive thoughts? In this context, he also presents the value of embracing uncertainty. 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, and subscribing to the podcast for more structured help with you anxiety-related symptoms.

Jun 08, 202310 min

What's the Difference between Facts and Fears?

Chris discusses intrusive images and urges, noting that often they elicit anxiety because of what we think they mean. The question, of course, becomes, Do they REALLY mean that? Feel free to reach out with any question you might have to chrisleins04@gmail.com. If you've found OCDST helpful, feel free to give us a 5-star review, and subscribe to the podcast for more structured help with your anxiety-related symptoms.

Jun 01, 202312 min

Compulsions Make the Thoughts Real

Chris talks through the idea that compulsive responses give credibility to the obsessional anxiety. The question becomes, What does it look like for you to not respond ? 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, and subscribing to the podcast for more structured help with you anxiety-related symptoms.

May 25, 202316 min

Can You Imagine Anxiety-Producing Thoughts That Don't Produce Anxiety?

Building on the last few episodes, and referring to the idea of the system and its parts, Chris explains what OCD looks like when it's no longer clinically significant. The answer might surprise you. Can you imagine intrusive thoughts that don't cause you much anxiety? Feel free to reach out with any questions you might have to chrisleins04@gmail.com. If you've found the podcast helpful, consider giving it a 5-star rating and subscribing to OCD Straight Talk for more structured help with you anx...

May 10, 202313 min

Introducing Dr. B: A Follow-Up on the System and Its Parts

Chris has a conversation with Dr. B, his wife, about the OCD-system and how it works. Enjoy. 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 subscribing to the podcast for more structured help with your anxiety-symptoms.

May 03, 202310 min

The System is Made Up of Parts

Chris discusses the OCD-system, the pieces and parts that make up the whole. And he identifies the common reaction of making "feeling better" the end goal for most OCDers. But the minute we focus on feeling better as our primary aim, we instinctively seek to do something to achieve that goal. What that response is most liklely meets the definition of compulsion.

Apr 27, 202320 min
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