Just Want to Learn - I’m a Therapist

Hello! What a journey this ocd thing is! After 17 years with one therapist, I knew I was no longer making progress, so I changed to a new therapist. After just 6 months with her, she suggested I might have ocd and to look into getting diagnosed. She was right and I was diagnosed with ocd last summer. Meds are making a big difference but I still have lots of unlearning and re-learning to do. I’ve been struggling with whether or not to switch to a therapist who specializes in ocd. I have no issues with my current therapist, but she doesn’t specialize in ocd and I sometimes think I need someone who does specialize in it. But of course, I have Pure O, so I can think myself in circles til the cows come home. Can anyone share experience about switching to a therapist who specializes in ocd?

What does a therapy session with an OCD specialist look like for y’all? This is something I’ve always wondered because I’ve only had one OCD therapist through NOCD. Our sessions always looked like sit there and “reduce anxiety” meaning don’t think for a few minutes and take a few deep breaths and rate your anxiety level every couple of minutes. AND that was it. Is it supposed to look like that? Because I haven’t seen anyone on this app talk about this or how their therapy sessions go. I’m considering restarting therapy but I want to know how therapy goes for you guys before I go back to the same specialist. Any input would be appreciated :)

These treatments are not designed for OCD sufferers because they treat OCD like a logic disorder when OCD is very far from that. Hence why, many patients do not recover with these treatments. ⭐️ Talk therapy involves doing a lot of compulsions like rumination, reassurance-seeking, trying to figure out your thoughts, Etc. ⭐️ Similarly, standard ICBT also involves compulsions such as arguing with your thoughts. For example, if you have POCD, your therapist might say “you know you’re not p*do so just ignore the thoughts.” This is reassurance and can turn into another compulsion called thought-blocking. ‼️A reputable therapist here (Tracie Ibrahim) has told us in a support group that ICBT isn’t even evidence-based (even though people claim that it is) ⭐️ Beware of Instagram “coaches” who want your money and say they specialize in a very specific subtype of OCD (ex. relationship OCD). A good ERP therapist would know that all OCD subtypes are treated the same way so the subtype shouldn’t matter. An ERP therapist should be knowledgeable in all of them because all OCD is just OCD. One of the only things that may differ is the type of exposures you have to do. ⭐️ Also, I suggest you do not use drugs & alcohol as a crutch. You will struggle with your OCD without those, which can possibly lead to addictions. Those substances can even increase your OCD symptoms. ❤️ What I do recommend for OCD recovery: ERP therapy, behavioral activation, ACT, mindfulness, self-compassion, OCD community support, healthy distractions, bonding time with family and friends, and healthy lifestyle habits. These habits include healthy eating (try to stay away from processed foods), going out on nature walks, consistent sleep, and consistent exercise. Let me know in the comments below if you have any extra tips for what’s been helping you through your OCD journey👇