058: Ask David — Third-Wave Therapies & Exposure for OCD

058: Ask David — Third-Wave Therapies & Exposure for OCD

David and Fabrice begin by reading several incredibly touching reader comments on the live therapy with Marilyn. Marilyn experienced a severe depression relapse eight weeks after her initial session with Matt and David, because of a painful metastasis to her rib cage which frightened and demoralized her. She graciously agreed to come in for a tune-up with David and Matt which will be published as a special podcast within the next week or so. You will not want to miss this session!

David addresses two questions posed by listeners. The first question has to do with so-called "third wave" CBT as well as Mindfulness-Based CBT and other innovations in CBT. David stresses the difference between specific and non-specific therapeutic techniques. He also discusses the distressing but exciting fact that few or no therapies have proven to be much more effective than placebos in the treatment of depression, and why this is the case.

Another listener asked why David did not use Exposure initially in his treatment of the woman who was afraid that her baby would be switched at the hospital, and that she'd end up with the wrong baby. David concedes that if he'd thought of using Cognitive Flooding initially, it likely would have been effective. He also argues that Exposure and Response Prevention are not treatments for OCD, or for any anxiety disorder, but are simply tools one can use in treatment. David argues that for an optimal outcome, he combines four treatment models with every anxious patient: the Motivational Model, the Cognitive Model, the Exposure Model, and the Hidden Emotion Model. These models are discussed in detail on previous podcasts.

Jaksot(512)

467: Ask David: How can I help grandma and my mom?

467: Ask David: How can I help grandma and my mom?

#467 Ask David-- How can I help my elderly, demanding grandma? How can I empathize with hostile political figures? The answers to today's questions are brief and were written prior to the show. Listen...

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466: Ask David: Is friendship a need? Help! I'm lost and alone!

466: Ask David: Is friendship a need? Help! I'm lost and alone!

Ask David: Is friendship a basic human need? Lost and alone--What should I do? #466 Ask David: Is friendship a basic human need? Lost and alone—what should I do? The answers to today's questions are b...

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465: The Music of TEAM

465: The Music of TEAM

The Music of TEAM-- A Little Different from the Music of REBT! There are many paradoxes in TEAM! That's part of what makes TEAM challenging, but also exciting. Do you know what the plural of paradox i...

5 Syys 202555min

464: Hopelessness: A New Approach

464: Hopelessness: A New Approach

Hopelessness: A New Approach Featuring Mike Christensen Often, therapists are drawn to become specialists in the very area where they once suffered and felt most vulnerable. In Mike's case, he describ...

1 Syys 202554min

463: The Perfectionism Webinar, Part 2 of 2

463: The Perfectionism Webinar, Part 2 of 2

Defeat Perfectionism and Discover the Art of Self-Acceptance Part 2 of 2 Last week, we published Part 1 of the two-hour webinar on techniques to defeat perfectionism. This week, in Part 2 you'll lear...

25 Elo 20251h 1min

462: The Perfectionism Webinar, Part 1 of 2

462: The Perfectionism Webinar, Part 1 of 2

Defeat Perfectionism and Discover the Art of Self-Acceptance Part 1 of 2 This Is for Everyone--Shrinks AND the General Public! On Wednesday, July 9, 2025, Dr. Jill Levitt and I did a FREE, two-hour w...

18 Elo 20251h 5min

461: Ask David: Perfectionism, Procrastination, and More!

461: Ask David: Perfectionism, Procrastination, and More!

Ask David: How to Stop Giving a Crap Motivating a Procrastinator . . . and More The answers to today's questions are brief and were written prior to the show. Listen to the podcast for a more in-depth...

11 Elo 20251h 5min

460: Ask David: The Fear of Happiness!

460: Ask David: The Fear of Happiness!

Ask David-- The Fear of Happiness! Although we had five questions for today's Ask David episode, we spend the entire podcast on the first question from a man with an intense fear of happiness. He wrot...

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