Episode 76: OCD (Part 2): Exposure Therapy—You Don’t Have to Lick Toilets [featuring Aiden Reis]

Episode 76: OCD (Part 2): Exposure Therapy—You Don’t Have to Lick Toilets [featuring Aiden Reis]

OCD is often misunderstood and can manifest in many forms from a variety of experiences that create associations with a compulsion and an outcome.

In this episode, Patrick Casale and Dr. Megan Anna Neff, two AuDHD mental health professionals, are joined by Aiden Reis, a trans, Autistic therapist who specializes in OCD, anxiety, phobias, and panic. They discuss practical strategies for effectively managing OCD through Exposure and Response Prevention (ERP) therapy using a value-driven and neurodivergent-affirming approach.

Top 3 reasons to listen to the entire episode:

  1. Learn practical strategies for rebuilding self-trust after anxiety-inducing experiences, drawing from Aiden Reis’s invaluable insights into Exposure and Response Prevention (ERP) therapy adapted for neurodivergent individuals.
  2. Discover the importance of accommodating sensory needs in therapy without reinforcing anxiety, and understand how to effectively differentiate between sensory sensitivities and anxiety responses.
  3. Gain a richer appreciation of how addressing "what if" scenarios and unhooking from distressing thoughts can lead to profound empowerment and emotional resilience, helping you live a good life despite potential challenges.

OCD can be challenging, but there are ways to manage it, and ERP done using a neurodivergent-affirming approach, can be an effective tool in managing OCD for neurodivergent individuals.

More about Aiden:

Aiden is a trans and autistic, private practice therapist based in Massachusetts. Working with Autistic and ADHDer clients, he is passionate about providing neurodivergent-affirming and LGBT-positive therapy. He specializes in OCD, anxiety, phobias, and panic. Aiden is a member of the International OCD Foundation.


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Episode 144 (Season 5): Neurodivergent Advocacy in Turbulent Times and The Future of Divergent Conversations

Episode 144 (Season 5): Neurodivergent Advocacy in Turbulent Times and The Future of Divergent Conversations

Living through uncertain times as a neurodivergent person can feel overwhelming, with the world constantly shifting and the weight of global and personal challenges piling up. In moments like these, k...

6 Feb 44min

Episode 143: FLASHBACK — Chronic Health: All Brains Belong [featuring Dr. Mel Houser]

Episode 143: FLASHBACK — Chronic Health: All Brains Belong [featuring Dr. Mel Houser]

Neuroimmune systems often intertwine with chronic health and neurodivergence, leaving neurodivergent individuals grappling with things like energy management, chronic fatigue, or other long-term healt...

30 Jan 56min

Episode 142: FLASHBACK — AuDHD Burnout City: How Autistic and ADHD Burnout Collide and Compensate

Episode 142: FLASHBACK — AuDHD Burnout City: How Autistic and ADHD Burnout Collide and Compensate

ADHD and Autistic burnout can feel like an endless cycle of overwhelm, exhaustion, and frustration—especially for those who live at the intersection of both identities. Many AuDHD individuals struggle...

23 Jan 41min

Episode 141: FLASHBACK — OCD: I-CBT and Neurodivergent Approaches to OCD [featuring Brittany Goff]

Episode 141: FLASHBACK — OCD: I-CBT and Neurodivergent Approaches to OCD [featuring Brittany Goff]

Neurodivergent individuals often find mental health topics like OCD, autism, and ADHD intertwined in ways that can complicate their personal narratives and self-identity.In this flashback episode, Pat...

16 Jan 56min

Episode 140: FLASHBACK — Giftedness: Navigating Giftedness in Marginalized Communities [featuring Sheldon Gay]

Episode 140: FLASHBACK — Giftedness: Navigating Giftedness in Marginalized Communities [featuring Sheldon Gay]

As a gifted, BIPOC individual, it can be uniquely challenging to navigate day-to-day experiences and find meaningful connections, especially prior to the discovery of giftedness.In this flashback epis...

9 Jan 1h 6min

Episode 139: FLASHBACK — Autistic Grief and Wellness: Holding Space for Hard Emotions

Episode 139: FLASHBACK — Autistic Grief and Wellness: Holding Space for Hard Emotions

Grieving the loss of a beloved pet or navigating collective trauma can feel overwhelming, especially for neurodivergent individuals who experience heightened attachment and sensitivity. This episode h...

2 Jan 55min

Episode 138: FLASHBACK — Neurodivergent Realities, Rupture & Repair, and Podcast Updates

Episode 138: FLASHBACK — Neurodivergent Realities, Rupture & Repair, and Podcast Updates

Prioritizing wellness and authentic connection is essential for neurodivergent individuals, especially during times of low energy or change. This episode highlights how embracing interdependence, rest...

26 Dec 202547min

Episode 137: FLASHBACK — Autistic Burnout City: Perpetual Sensory Hell

Episode 137: FLASHBACK — Autistic Burnout City: Perpetual Sensory Hell

Living with perpetual Autistic burnout can feel like navigating a world that’s always just a little too overwhelming, exhausting, or out of sync. For neurodivergent people, teasing apart burnout from ...

19 Dec 202546min

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