142. Theme Shifting OCD and Relationship Anxiety: How to Tell What’s Real

142. Theme Shifting OCD and Relationship Anxiety: How to Tell What’s Real

Did you know OCD is like an overprotective friend—one that targets what you love most? It sounds strange, doesn’t it?

In this episode of the OCD Whisperer Podcast, host Kristina Orlova is joined by Dr. Thomas Ballas, a clinical psychologist specializing in OCD, anxiety, perfectionism, and trauma. Dr. Ballas provides therapy via telehealth across 42 states and brings a practical, evidence-based perspective to the discussion.

Together, they explore the concept of theme shifting in OCD—how intrusive thoughts often jump from one obsession to another—and why ERP (Exposure and Response Prevention) remains effective even as themes evolve. The conversation also covers Relationship OCD, highlighting ways to differentiate between genuine relationship concerns and OCD-driven doubt.

The episode concludes with a discussion on rebuilding self-trust and confidence after years of navigating OCD.

If you've ever found yourself second-guessing your thoughts, your feelings, or even your relationships, this conversation offers clarity, practical tools, and a fresh way to understand what’s really going on. Let’s jump into it!

The 3 things you’ll learn in today’s episode:

  • Why OCD themes change and how to apply ERP no matter what your brain latches onto
  • What differentiates real relationship concerns from Relationship OCD and how to tell the difference
  • How to build mood-independent confidence and make values-based decisions despite doubt

In This Episode

  • [00:32] Introduction to Dr Thomas Ballas
  • [01:23] What OCD theme shifting is and why it happens
  • [02:01] Why OCD attacks what we value most
  • [03:29] The internal false alarm system and shifting fear
  • [05:07] How to apply ERP even when themes change
  • [06:11] Noticing the same patterns behind different thoughts
  • [07:05] Navigating taboo and emotionally charged OCD themes
  • [08:19] “But this time it feels different” – how to manage doubts that seem real
  • [09:23] Diving into Relationship OCD and distinguishing it from real concerns
  • [11:14] Real dysfunction vs. OCD-fueled rumination
  • [13:07] Self-doubt, shame, and the role of mood-independent choices
  • [14:25] Confidence, compassion, and choosing values-based actions
  • [15:28] Where to find Dr. Thomas Ballas online

Our Guest

Dr. Thomas Ballas is a clinical psychologist based in New York and New Jersey, specializing in OCD, anxiety, perfectionism, and trauma. Through telehealth, he serves clients in over 42 states. His approach emphasizes evidence-based techniques like ERP and values-driven recovery. Dr. Ballas is passionate about helping people regain self-trust and build resilience on their journey with OCD.

Resources & Links

Kristina Orlova, LMFT

Dr. Thomas Ballas

Mentioned

Please note, while our host is a licensed marriage and family therapist specializing in OCD and anxiety disorders in the state of California, this podcast is for educational purposes only and should not be considered a substitute for therapy.

Stay tuned for weekly episodes filled with valuable insights and tips for managing OCD and anxiety. And remember, keep going in the meantime. See you in the next episode!

Jaksot(149)

85. Unraveling the Intricacies of OCD and PTSD- Insights from Bronwyn Shroyer and Dr. Caitlin Pinciatti

85. Unraveling the Intricacies of OCD and PTSD- Insights from Bronwyn Shroyer and Dr. Caitlin Pinciatti

Learn #allthingsocd with the OCD Whisperer Channel.   Take control of your OCD with the "Be OCD Free" course. Start your ERP journey and say goodbye to intrusive thoughts. Learn practical strategies and take the first step towards a brighter, OCD-free future. Enroll now! www.beocdfree.com   *** Unlocking intricacies of OCD and PTSD with two incredible specialists. For anyone who wants to gain a deeper understanding of Obsessive-Compulsive Disorder (OCD) and Post-Traumatic Stress Disorder (PTSD), listen now.   For more information about Dr. Caitlin Pinciotti: Website: https://www.cmpinciotti.com If you are interested in participating in a research study on traumatic and stressful life events, contact: OCDTraumaStudy@bcm.edu OR https://bcmpsych.sjc1.qualtrics.com/jfe/form/SV_0j4ULJv3DxUaKtE   For more information about Bronwyn Shroyer, LCSW Website: https://www.bronwynshroyer.com OCD Training School Website: https://ocdtrainingschool.com/   *** Please note, while our host is a licensed marriage and family therapist specializing in OCD and anxiety disorders in the state of California, this podcast is for educational purposes only and should not be considered a substitute for therapy.   Stay tuned for bi-weekly episodes filled with valuable insights and tips for managing OCD and anxiety. And remember, keep going in the meantime. See you in the next episode!

3 Huhti 202323min

84. Madison on becoming an OCD Therapist and Health Anxiety

84. Madison on becoming an OCD Therapist and Health Anxiety

Learn #allthingsocd with the OCD Whisperer Channel.   Take control of your OCD with the "Be OCD Free" course. Start your ERP journey and say goodbye to intrusive thoughts. Learn practical strategies and take the first step towards a brighter, OCD-free future. Enroll now! www.beocdfree.com   *** Today I talk to Madison on becoming an #ocd therapist and health anxiety. Madison's social links: Etsy shop: https://www.etsy.com/shop/Obsessivelystrong Instagram: https://www.instagram.com/obsessivelystrong   *** Please note, while our host is a licensed marriage and family therapist specializing in OCD and anxiety disorders in the state of California, this podcast is for educational purposes only and should not be considered a substitute for therapy.   Stay tuned for bi-weekly episodes filled with valuable insights and tips for managing OCD and anxiety. And remember, keep going in the meantime. See you in the next episode!

22 Maalis 202322min

83. Christina Ennabe and I discuss later-life OCD diagnosis

83. Christina Ennabe and I discuss later-life OCD diagnosis

Learn all things OCD with the OCD Whisperer Podcast. #allthingsocd   In this discussion, Christina Ennabe and I explore the experience of being diagnosed with OCD in adulthood. We delve into the unique challenges and considerations that come with receiving an OCD diagnosis later in life.   We also discuss different ways to cope with and manage the condition. Join us as we explore this important topic.   To learn more about her work: www.christinaennabe.com Instagram: https://www.instagram.com/christinacounsels/   *** Virtual IOP and Individual OCD Therapy with Kristina Orlova (CA residents only) 30 day digital or paperback journal to help stop ruminating OCD Whisperer YouTube Channel IG @ocdwhisperer    _____ Disclaimer: This podcast is for educational purposes.  Though I am a licensed marriage and family therapist in California & specialize in OCD and Anxiety Disorders, this does not replace therapy.    See you in the next episode!   Keep going in the meantime.   *Episodes come out out bi-weekly.

6 Maalis 202333min

82. Insightful conversation with Nicole Morris on Motherhood and OCD

82. Insightful conversation with Nicole Morris on Motherhood and OCD

Learn all things OCD with the OCD Whisperer Podcast. #allthingsocd   Join us for a candid interview with Nicole Morris, a mom, podcaster and a therapist who's sharing her journey of raising children while living with OCD. Nicole talks about the challenges and joys of motherhood and how her OCD diagnosis has impacted her life as a parent. Whether you're a parent, caregiver, or simply curious about mental health, this interview is a must.   Website: https://www.ocdfamilypodcast.com/     *** Virtual IOP and Individual OCD Therapy with Kristina Orlova (CA residents only) 30 day digital or paperback journal to help stop ruminating OCD Whisperer YouTube Channel IG @ocdwhisperer    _____ Disclaimer: This podcast is for educational purposes.  Though I am a licensed marriage and family therapist in California & specialize in OCD and Anxiety Disorders, this does not replace therapy.    See you in the next episode!   Keep going in the meantime.   *Episodes come out out bi-weekly.

24 Helmi 202341min

81. Interview with Natasha Daniels on Misophonia

81. Interview with Natasha Daniels on Misophonia

Learn all things OCD with the OCD Whisperer Podcast. #allthingsocd   Unlock the Secrets of Misophonia with Natasha Daniels! Join the conversation with one of the leading experts in the field of OCD and Anxiety. Natasha Daniels shares her insights and knowledge. Don't miss this exciting opportunity to expand your understanding of Misophonia. Listen now! For further exploration, discover Natasha's cutting-edge resources and delve deeper into her work. Empower yourself with knowledge and expand your horizons. Check out these resources today! Website: www.ATparentingSurvival.com Book: https://www.amazon.com/Natasha-Daniels/e/B011K5IIWA Youtube: https://www.youtube.com/@UCuoDSSCePQ6xkbi2FJNm9kA     *** IOP and Individual OCD Therapy with Kristina Orlova (CA residents only) 30 day digital or paperback journal to help stop ruminating OCD Whisperer YouTube Channel IG @ocdwhisperer    _____ Disclaimer: This podcast is for educational purposes.  Though I am a licensed marriage and family therapist in California & specialize in OCD and Anxiety Disorders, this does not replace therapy.    See you in the next episode!   Keep going in the meantime.   *Episodes come out out bi-weekly.

6 Helmi 202318min

80. Interview with Shaun Flores on OCD and the Black Community

80. Interview with Shaun Flores on OCD and the Black Community

Learn all things OCD with the OCD Whisperer Podcast. #allthingsocd   Shaun Flores and I discussed OCD and the Black Community.   Listen to find out more.    If you are interested in learning more about Shaun Flores check out these resources: Instagram: https://www.instagram.com/theshaunflores/  Resources: https://linktr.ee/theshaunflores    *** IOP and Individual OCD Therapy with Kristina Orlova (CA residents only) 30 day digital or paperback journal to help stop ruminating OCD Whisperer YouTube Channel IG @ocdwhisperer    _____ Disclaimer: This podcast is for educational purposes.  Though I am a licensed marriage and family therapist in California & specialize in OCD and Anxiety Disorders, this does not replace therapy.    See you in the next episode!   Keep going in the meantime.   *Episodes come out out bi-weekly.

25 Tammi 202322min

79. Interview with Dr. Jonathan Hoffman (NBI) about Substance use and OCD

79. Interview with Dr. Jonathan Hoffman (NBI) about Substance use and OCD

Learn all things OCD with the OCD Whisperer Podcast. #allthingsocd   Dr. Jonathan Hoffman and I discussed Substance Use and OCD treatment.   Listen to find out more.    If you are interested in learning more about Dr. Hoffmans work at NBI, check out these resources: https://www.facebook.com/nbiweston https://www.linkedin.com/company/nbiweston/ https://www.youtube.com/user/NBIWESTON/videos https://www.instagram.com/nbiweston/?hl=en https://twitter.com/nbi_weston ***   IOP and Individual OCD Therapy with Kristina Orlova (CA residents only) 30 day digital journal to help stop ruminating ($8.95 paperback) OCD Whisperer YouTube Channel IG @ocdwhisperer    _____ Disclaimer: This podcast is for educational purposes.  Though I am a licensed marriage and family therapist in California & specialize in OCD and Anxiety Disorders, this does not replace therapy.    See you in the next episode!   Keep going in the meantime.   *Episodes come out out bi-weekly.

9 Tammi 202323min

78. Interview with Mike Heady on what kind of therapy is ICBT for OCD?

78. Interview with Mike Heady on what kind of therapy is ICBT for OCD?

Learn all things OCD with the OCD Whisperer Podcast. #allthingsocd   Mike Heady and I discussed what kind of therapy is ICBT? Is it meta-cognitive therapy? Is it cognitive therapy for OCD?   Listen to find out.    If you are interested in learning more about Mike Heady, check out these resources: Website Instagram Email michaelheady@anxietyandstress.com ***   IOP and Individual OCD Therapy with Kristina Orlova (CA residents only) 30 day digital journal to help stop ruminating ($8.95 paperback) OCD Whisperer YouTube Channel IG @ocdwhisperer    _____ Disclaimer: This podcast is for educational purposes.  Though I am a licensed marriage and family therapist in California & specialize in OCD and Anxiety Disorders, this does not replace therapy.    See you in the next episode!   Keep going in the meantime.   *Episodes come out out bi-weekly.

26 Joulu 202228min

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