Expert: Paediatric PANS & OCD specialist Barb Shephard talks ERP

Expert: Paediatric PANS & OCD specialist Barb Shephard talks ERP

** NOTE - IN THIS EPISODE I say that inference-based CBT is not evidence-based. This is wrong. I meant it is not evidence-based in children yet (although that work is underway) but it is evidence-informed in children. It is approved by the IOCDF for adult populations and is a rigorous treatment that I like as an alternative to ERP**


Meet the brilliant Barb Shephard who advocates passionately for PANS in New York.

She is an empathic therapist with a deep understanding of OCD. Here she talks about Exposure and Response Prevention for OCD, working with PANS, and how her own experiences have shaped her as a therapist.

She says: "I often meet parents and they say, we don't see them doing any rituals. Their room is untidy...It's such a dangerous idea that we have of what OCD is. When you work with OCD and you see the mental compulsions and the emotional toll that that can take on people who have no idea that it's OCD."

She is also on the team with me at MIND Global Council - an international coalition of therapists working to improve psychotherapy outcomes in PP.

PS If you live near Niagra, and visit on PP Day - you will see it lit up green - that is Barb's work!


PANS/PANDAS Stories was co-created by Jo Joyner and Lucy McDonald. It is hosted by Lucy, a child and adolescent psychotherapist with a special interest in PANS/PANDAS. She sees children, teens and families in Harley Street, Kew and online.

Take her online PANS PANDAS course for parents. More info https://lucy-mcdonald.com.

This podcast does not replace medical advice.

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Episoder(28)

Maternal anxiety, when the burden becomes the blame, and holding the biological frame. My speech at the PANS PANDAS UK conference

Maternal anxiety, when the burden becomes the blame, and holding the biological frame. My speech at the PANS PANDAS UK conference

I had 10 minutes to speak about how to support parents at the PANS PANDAS UK Conference in October. In reality I could have spoken for hours on this subject. I think supporting parents is such a big p...

28 Okt 11min

OCD Special: I-CBT - Suicidal Intrusive Thoughts with Therapist Angela Henry

OCD Special: I-CBT - Suicidal Intrusive Thoughts with Therapist Angela Henry

OCD and PANS PANDAS specialist Angela Henry talks about treating OCD using I-CBT. This is a different approach that focuses on doubt – particularly how OCD can make us distrust what we know through ou...

10 Sep 1h

The Day Our Children Changed Overnight: Two Mothers on PANS/PANDAS

The Day Our Children Changed Overnight: Two Mothers on PANS/PANDAS

A whopping episode-in more ways than one. In this podcast I speak to PANS/PANDAS parent and advocate Lindsey Forsyth and her friend and fellow PANS/PANDAS mother, Kate Rooney. Longer than normal, as t...

6 Jul 1h 14min

IVIG, Rage, and how music heals. Dr Patrick Whelan shares insights PANS PANDAS

IVIG, Rage, and how music heals. Dr Patrick Whelan shares insights PANS PANDAS

Dr Whelan is a rheumatologist from UCLA in California. He describes his discipline as almost the last port of call for many suffering from PANS/PANDAS but describes how his specialist understanding of...

18 Mai 56min

Treating the Whole Child: PANS/PANDAS, Neuroinflammation & Hope with Dr. Leila Mason

Treating the Whole Child: PANS/PANDAS, Neuroinflammation & Hope with Dr. Leila Mason

((Before I talk about this episode, I have a favour! Please scroll down - there is a survey link below - 20 minutes of your time could shape the future of therapy for this illness 💛 Thanks))This week...

4 Mai 56min

Evie Meg talks about PANS/PANDAS, encephalitis, dystonia, OCD, Bartonella and Lyme Disease

Evie Meg talks about PANS/PANDAS, encephalitis, dystonia, OCD, Bartonella and Lyme Disease

Evie Meg is the most well known advocate for immune mediated neuropsychiatric disorders with more than 15 million followers on TikTok (which I worked out is twice as many as Coldplay, people!) and 1m ...

12 Apr 56min

OCD, PANS & Dr Zoe Gillispie: What Parents and Therapists Need to Know

OCD, PANS & Dr Zoe Gillispie: What Parents and Therapists Need to Know

Dr Zoe Gillispie is one of the world's leading neuroimmune-psychiatric psychologists, working with children and families with PANS/PANDAS from her Californian practice. Here she shares insights and ex...

18 Mar 54min

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