OCD and Feeling Unreal: 10 Key Facts You Should Know
OCD and Feeling Unreal: 10 Key Facts You Should Know Imagine waking in the night, heart racing, convinced you hadn’t locked the front door. You check, walk away, but you know that nagging thought will creep back. Then you notice the walls seem “off”—everything feels...
Tailoring OCD Treatment for ADHD: Effective Strategies
Tailoring OCD Treatment for ADHD: Effective Strategies Introduction A couple of years ago, I was working with Liam, 22, who lived in Edinburgh and was doing his best to get through uni. But every evening he’d be stuck, compulsively checking door locks, taps, windows....
Effective OCD Treatment: Managing TIBs for Better Outcomes
Effective OCD Treatment: Managing TIBs for Better Outcomes Introduction: the moment things finally clicked I’m thinking of a woman I’ll call Emma. She arrived in my Edinburgh office drained, polite, and quietly frustrated. She’d “done CBT,” tried exposure and response...
OCD and PTSD: 7 Ways to Embrace Hope Throughout Life
OCD and PTSD: 7 Ways to Embrace Hope Throughout Life I want to start with a story, the way I’d tell it to a close mate over coffee. Last July, I was virtually attending the 30th Annual OCD Conference in Chicago. One of the sessions, “A Complex Comorbidity, Part Two:...
4 Profound Causes of Intrusive Thoughts and Their Management
4 Profound Causes of Intrusive Thoughts and Their Management Well, imagine we’re having a cuppa in my cosy Edinburgh office. You lean forward, a bit embarrassed, and whisper, “Are these awful thoughts I’m having… normal?” I’ve heard that many times. So, I start, “Let...
Why ERP Fails: 4 Reasons and Effective Solutions
Why ERP Fails: 4 Reasons and Effective Solutions Introduction: A Story We All Know A few years ago, a client came into my office in Edinburgh. Let’s call her Sarah. She’d been reading about ERP, or Exposure and Response Prevention, and everyone online said it was the...
Accepting OCD: 7 Essential Tips from a CBT Psychotherapist
Accepting OCD: 7 Essential Tips from a CBT Psychotherapist Introduction: A story we rarely talk about I still remember sitting across from someone in my office in Edinburgh who looked at me and said, “But how am I supposed to just accept it? It feels...
Existential OCD: 6 Key Signs You May Be Experiencing It
Existential OCD: 6 Key Signs You May Be Experiencing It Picture this. You’re walking through the Meadows in Edinburgh on a crisp autumn afternoon. The leaves are crunching under your shoes, the air smells faintly of coffee drifting from a nearby café, and for a...
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