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OCD Straight Talk

Chris Leins, MA, NCC, LPCC-S

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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://anchor.fm/chris-leins/subscribe
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Chris discusses so-called Just-Right OCD and the feeling that task didn't get completed right. He also presents some variations of Just-Right OCD and subtypes that often present with it. Feel free to reach out with any questions you might have to chris@KentuckyOCD.com. If you've found the podcast helpful, consider giving it a 5-star rating.…
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Chris discusses Illness Anxiety Disorder, and provides a look at the many ways this condition affects patients. He provides examples and shows how some tools can be applied to relevant worries in different ways. Feel free to reach out with any questions you might have to Chris@KentuckyOCD.com. If you've found the podcast helpful, consider giving it…
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Chris presents and explains a question he asks patients in therapy that is intended to help them summarize in short-form what they're learning in the process of better managing symptoms. Feel free to reach out with any questions you might have to chris@KentuckyOCD.com. If you've found the podcast helpful, consider giving it a 5-star rating.…
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Chris discusses a conversation with a listener seeking reassurance, and explains a tool that he gave her. As he's said before, uncertainty is your friend, not your enemy. Feel free to reach out with any questions you might have to chris@kentuckyocd.com If you've found the podcast helpful, consider giving it a 5-star rating.…
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Chris explains the concept that exposures are really just opportunities to practice skills that allow you to interact with your anxiety-system in a different way. The biggest hurdle that you will face in trying to "treat yourself" is not having a therapist there to ask you the real questions. Why are you not working harder to get better? Why are yo…
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Chris shares several case studies related to clinical anxiety and works to show you what they have in common so that you can better understand how to understand, dissect, and manage your own anxiety system. Feel free to reach out with any questions you might have to chris@kentuckyocd.com. If you've found OCD Straight Talk helpful, consider giving u…
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Chris discusses cracking the OCD code in this latest episode, and further applies the cognitive model to understanding, and gaining control over anxiety related disorders. Feel free to reach out with any questions you might have to chris@kentuckyocd.com or DM me on IG @ocdstraighttalk. If you've found OCD Straight Talk helpful, consider giving us a…
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Chris continues the series on striving to equip you to treat yourself by discussing the Cognitive Model. It's true that it's a basic concept ... and that OCDST has presented long presented the idea. BUT, that doesn't mean that you have worked to apply the model in real-time to your symptoms. Gotta do it! Map it out. Dissect your symptoms. You can't…
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Chris opines about the future of mental healthcare in general and OCD treatment in particular. Given the slow but steady, technological development of healthcare delivery in the past 20 to 30 years, it's only a matter of time. Soon AI human-like robots (like Max Headroom from the 80s) will serve as treatment experts, and patients will get themselve…
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Chris discusses a unique form of OCD that is, at the same time, common to the population: Perfectionism. In this case, it's not as straight forward as working to stop compulsions. The endeavor of behavior change is more about adding an ingredient than omitting one. Feel free to reach out with any questions you might have to chris@kentuckyocd.com. I…
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Chris shares a recent episode he had with OCD and anxiety and works to discuss, frame by frame: what should you do when OCD sets a trap for you and it works? Feel free to reach out with any questions you might have to Chris@kentuckyOCD.com If you've found the podcast helpful, consider giving it a 5-star rating and subscribing to OCD Straight Talk f…
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Chris discusses a menagerie of concepts in this episode, and works to bring them together for OCD-sufferers everywhere. 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 rating and subscribing to the podcast for more structured help with you anxiety- o…
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Chris discloses his own ongoing struggle with OCD, and talks about a recent conversation with a patient during which he realized an off-the-beaten-trail, just-an-innocent-part-of-who-he-is (not his OCD) has actually been his OCD all along. Feel free to reach out with any questions you might have to chrisleins04@gmail.com. If you've found the podcas…
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Chris discusses a phenomenon evident in the population nowadays that some people prefer to cut corners and find a quick fix for their anxiety. The trouble is a precious few "easy" fixes actually work for most people over the long haul. Nothing generally replaces doing the work of learning the ERP model and skill-set, and sharpening it into ready us…
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Chris discusses using the basic and core concepts of OCD and anxiety treatment for the purpose of increasing self-esteem. Feel free to reach out with any questions you might have to chrisleins04@gmail.com or @ocdstraighttalk. If you've found the podcast helpful, consider giving it a 5-star rating and subscribing to the podcast for more structured h…
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Chris discusses a few cliches that inform his work in therapy in order to orient and empower patients and listeners as to the "active ingredient" in the therapeutic process. Feel free to reach out with any questions you might have to @ocdstraighttalk on IG or chrisleins04@gmail.com. If you've found the podcast helpful, consider giving it a 5-star r…
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Chris discusses the correct way to do exposure therapy and continues the discussion on why many people don't get what they want from the process: they're not doing it the right way. Feel free to reach out with any questions you might have to chrisleins04@gmail.com. If you found the podcast helpful, consider giving us a 5-star rating and subscribing…
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Chris discusses the reality that people fall back on the habits that they know when the anxiety-related "shit hits the fan." They're going to use the so-called "coping behaviors" with which they're familiar to try and feel better, even though it is often these very responses that keep their thoughts and anxiety strong and coming back again and agai…
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Chris encourages listeners with the idea that they don't "have to" do compulsions, explaining that often people confuse intrusive thoughts and anxiety with compulsions. They in turn think they "can't" stop the compulsions. The clarity between them and the choice to stop compulsions makes a big difference, especially over time. Feel free to reach ou…
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Chris discusses the OCD and anxiety disorders hack: that thoughts and feelings following the leadership of behavioral patterns. There are a few pitfalls to keep in mind... 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 rating and subscribing to the…
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Chris discusses some personal experiences that led to the launching of OCDST in March of 2020. 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 rating and subscribing to the podcast for more structured help with your anxiety- or OCD-symptoms.…
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Chris recaps several concepts that raise the question: How do you tell the difference between OCD and objective danger? While a number of answers could be presented to the question, Chris offers two. 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 ra…
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Chris responds to an oft' repeated phrase, "Well, I have anxiety, but I don't have OCD. And for fun, he also addresses several myths and misunderstands relative to the diagnosis and treatment of the anxiety-related disorders. Feel free to reach out with any questions you might have to chrisleins04@gmail.com. If you've found OCDST helpful, consider …
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Chris discusses several ideas and studies, and works through conversations he typically has with patients at various points of the clinical process. 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 …
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Chris responds to a listener's question regarding how obsessions or intrusive thoughts might be experienced differently across the OCD-population. He lists kinds and categories of intrusive thoughts and provides several cases examples from his own experience. Feel free to reach out with any questions you might have to chrisleins04@gmail.com. If you…
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Chris discusses the difference between the style and persona of a good OCD-therapist and the supportive way of a truly helpful family member. It's about balancing two opposing ideas. But many family members fall too far to one side or the other. Feel free to reach out with any questions you might have to chrisleins04@gmail.com. If you've OCD Straig…
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Chris presents the idea that there's always some evidence, some reason to perceive intrusive thoughts as reality. This coupled with the reasonable possibility of feared outcomes heightens anxiety for OCDers. Evidence makes the thoughts feel real ... even if the evidence can point to several conclusions. So the question isn't, Can I dismantle or dis…
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Chris presents a conversation he often has with patients at the beginning of treatment. Expectations are powerful things, including if they're unrealistic. So having healthy and reasonable expectations is important, especially when it what we should expect to get out of therapy. Feel free to reach out with any questions you might have to chrisleins…
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Chris presents a definition for OCD that extends outside of the diagnostic criteria. "Why?," you might wonder. The answer is because the diagnostic criteria is so inclusive that it doesn't actually exclude very much at all. Feel free to reach out with any questions you might have to chrisleins04@gmail.com. If you've found the podcast helpful, consi…
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Chris discusses an attentional principle that is readily observable for most people. You can't both ruminate and engage the goings-on of the here-and-now at the same time. You're either doing one or the other, even if that means that you're quickly switching back and forth between the two. Chris builds on this concept and provides a practical strat…
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Chris discusses a personal journey with interpersonal boundaries, confrontation, and self-esteem. He chronicles a time he confronted a person in his life who historically treated him badly; and described how he felt about himself after having done that. He then ties this into OCD-treatment, and works to show the power of behavior-change, no matter …
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Chris presents by starting with a question that lingers in the air at this point: What am I supposed to do about my intrusive thoughts? The answer may not be what you want to hear. But it is echoed by the literature, and has been for nearly six decades. Feel free to reach out with any questions you might have to chrisleins04@gmail.com If you've fou…
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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 s…
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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 w…
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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.…
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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 he…
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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 r…
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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 …
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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.…
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