The OCD Stories14 Sep 2025

Samantha Faden & Dr Jenifer Cullen: Successfully adjusting OCD therapy for autistic clients (#503)

In episode 503 I chat with Samantha Faden and Dr Jenifer Cullen. Samantha is autistic and has lived experience with OCD. Sam is the client of Dr Cullen. Jenifer M. Cullen, PhD, is a licensed clinical psychologist at the McLean OCD Institute.

We discuss their therapy relationship as therapist and client, how Sam's therapy journey has gone, what worked, how they learned together over time, getting an autism diagnosis, working out together where autism and OCD starts, ends or overlaps. We also discuss trichotillomania, adjusting exposure and response prevention therapy (ERP) for autistic clients, rupture and repair in the therapeutic relationship, adjusting for sensory sensitivities in ERP, having a sensory overload plan, rating anxiety during exposures through special interests, changing the pace of therapy, having more structure and clarity, changing the language used around autism, motivation in therapy, words of hope, and much more. Hope it helps.

Show notes: https://theocdstories.com/episode/sam-and-jen-503

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