143. Why You Can’t Stop Picking: The Truth About Body-Focused Repetitive Behaviors

Can ERP really help you face your biggest fears? In this episode of The OCD Whisperer Podcast, Kristina Orlova speaks with Natalia, a therapist specializing in OCD treatment. Together, they explore the foundations of Exposure and Response Prevention (ERP) therapy and why it is considered first line treatment for OCD.   Natalia opens up about: The basics of ERP and how it actually works in practice Why people fear ERP and worry it will feel “torturous” How therapists can guide clients step by step without overwhelming them Strategies for building confidence and willingness in the recovery journey   This conversation also dives into: Common misconceptions about ERP and OCD treatment The importance of flexibility, creativity, and pacing in therapy How ERP is not about “beating you down” but about empowering lasting change Whether you are navigating OCD yourself or supporting someone, this episode offers clarity, tools, and hope to help you understand ERP and take the first step toward recovery.   📲 Natalia Aiza (guest): LPC, Founbder of Kairos, specializes in OCD, anxiety, ADHD, and parent coaching for all ages. OCD Colorado: https://www.kairoswellnesscollective.com/ Instagram: https://www.instagram.com/letstalk.ocd   ✂️TIMESTAMPS: [00:30] – Introduction to ERP Series & Guest Natalia [01:05] – What is ERP? Understanding the basics [02:35] – Why would anyone face their fears? [05:40] – Misconceptions: Is ERP “torture”? [07:57] – How ERP is structured step by step [09:23] – Willingness vs distress levels: where to begin [11:30] – Helping clients move past fear and resistance [14:08] – Different approaches & therapist styles in ERP [17:08] – Starting with the least threatening exposures [18:21] – Distress tolerance vs compulsions: key nuance [20:09] – Examples of distress tolerance exercises [21:32] – Flexibility in ERP: adapting to clients’ needs [23:45] – Getting into the right mindset for ERP [25:04] – How long does ERP take to start showing relief? [28:20] – Closing reflections & key ERP takeaways   ✅ Free Resources & Links 🎁 Free OCD Survival Kit & Classes → www.shorturl.at/KcTxM 📖 OCD CBT Journal → www.shorturl.at/7pUxB 🌐 Website → www.korresults.com/ ✍️ OCD Academy→ www.ocdacademy.thinkific.com/   📲 Stay Connected Facebook: www.facebook.com/korresults Instagram: www.instagram.com/ocdwhisperer/ TikTok: www.tiktok.com/@ocdwhisperer Twitter (X): www.x.com/korresults Website: www.korresults.com/   📩 Business Inquiries: info@korresults.com   ✅ About OCD Whisperer Welcome to OCD Whisperer! My channel covers OCD recovery, intrusive thoughts, ERP therapy, CBT, anxiety management, and mindfulness tools. Join me for expert interviews and personal insights into overcoming OCD. Subscribe to find support, strategies, and hope for your OCD journey.   ⚠️ Disclaimer: Please note while the 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.   🔑 SEO Keywords ERP therapy for OCD OCD recovery tools OCD treatment explained exposure and response prevention managing intrusive thoughts facing OCD fears OCD therapist tips     © OCD Whisperer

11 Sep 31min

What does it mean to succeed while living with OCD? In this episode, Kristina Orlova sits down with Scott Stirret, founder and CEO of Venture for Canada and author of The Uncertainty Advantage, to explore how OCD and uncertainty intersect with ambition, business, and personal growth. Scott opens up about his diagnosis during the pandemic, how OCD shaped his thoughts and rituals long before he had a name for it, and why getting evidence-based treatment through ERP was life-changing. He also shares candidly about setbacks, recovery, and what it means to manage OCD as a lifelong condition. Together, Kristina and Scott unpack the sneaky ways OCD shows up, the power of mindfulness and self-compassion, and how embracing uncertainty can actually become a strength rather than a fear. Whether you’re navigating OCD yourself or supporting someone who is, this conversation offers hope, practical strategies, and a powerful reminder that success and OCD are not mutually exclusive.   The 3 things you’ll learn in  today’s episode: Why healing from OCD is a gradual process and not about “making thoughts go away.” How mindfulness and self-compassion can help untangle mental compulsions. Practical tools Scott uses like exercise, rest, and relationships—to manage OCD while leading a successful career.   In This Episode [00:01] Kristina’s welcome and introduction [00:36] Meet today’s guest, Scott [01:32] Scott’s OCD diagnosis and journey [04:08] Learning that OCD management is long-term [06:39] Writing The Uncertainty Advantage and the fear of uncertainty [08:26] Navigating OCD while building a business [09:58] How OCD manifests for Scott [11:21] Untangling mental rituals and compulsive thinking [13:22] Labeling compulsions with gentleness [14:20] Daily practices for ongoing management [16:01] Finding meaning in OCD and writing the book [18:47] Sitting with difficult feelings instead of running from them [20:44] Developing empathy through lived experience [21:13] Where to find Scott and his new book Our Guest Scott Stirret is the founder and CEO of Venture for Canada, a national charity that helps young people build entrepreneurial skills and careers. Over the past decade, the organization has raised over $80M and supported more than 10,000 youth across Canada. Scott is also the author of The Uncertainty Advantage, a book that guides early career professionals to build resilience by embracing uncertainty. Resources & Links   Kristina Orlova, LMFT Instagram YouTube OCD CBT Journal Tracker and Planner Website   Scott Stirrett LinkedIn The Uncertainty Advantage on Amazon Substack Personal Website – with his Uncertainty Quiz   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!

26 Aug 22min

Pregnancy and postpartum bring a unique set of challenges, especially for those struggling with OCD. How can you navigate the overwhelming changes while managing intrusive thoughts? In this episode of The OCD Whisperer Podcast, host Kristina Orlova, LMFT, is joined by Gina Abbondante, MSW, LCSW, C-NDAAP, a therapist specializing in OCD and anxiety disorders in the perinatal and postpartum periods. Gina shares her expertise on how OCD manifests during pregnancy and the postpartum period, and how neurodivergent individuals can be supported through a neurodiversity-affirming approach. Together, Kristina and Gina dive into how therapies like Inference-Based CBT (ICBT) can be tailored to address the unique challenges faced by expectant and new mothers, and why holistic strategies, such as managing sleep and embracing self-compassion, are essential for long-term healing. If you’re a new or expecting parent struggling with OCD, this episode provides invaluable insights, practical tools, and an empathetic approach to managing your mental health through this transformative life stage.   The 3 things you’ll learn in today’s episode: How OCD manifests uniquely during pregnancy and postpartum. Why sleep management is crucial for those managing OCD during the perinatal period. Practical ways to blend evidence-based therapies with neurodiversity-affirming practices for more holistic support.   In This Episode [02:00] Gina’s background and approach to OCD treatment [04:50] OCD during pregnancy and postpartum: unique challenges [07:30] The impact of neurodivergence on OCD in new parents [10:15] How Inference-Based CBT can be used in pregnancy and postpartum [13:00] Gina’s personal experience with neurodivergence and OCD [16:00] The role of sleep and managing stress in OCD recovery [20:00] Practical tools for new parents managing OCD [24:30] Closing and final thoughts   Our Guest Gina Abbondante, MSW, LCSW, C-NDAAP is the Founder and Clinical Director of Change of Mind Counseling, specializing in the treatment of OCD and anxiety disorders, particularly during pregnancy and postpartum. Gina is trained in various therapeutic modalities, including Exposure and Response Prevention (ERP) and Inference-Based CBT (ICBT), and is a passionate advocate for neurodivergent individuals, offering neurodiversity-affirming assessments for ADHD and autism. As a parent and partner to neurodivergent family members, Gina brings both personal and professional experience to her work, helping others navigate the challenges of mental health during life’s most transitional moments.   Resources & Links Kristina Orlova, LMFT Instagram YouTube OCD CBT Journal Tracker and Planner Website   Gina Abbondante, MSW, LCSW, C-NDAAP Website Instagram   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!

19 Aug 25min

What does it feel like when your mind gets stuck on a loop, telling you again and again that you’re a bad person? That’s the reality of Pure OCD. In this episode of The OCD Whisperer Podcast, Kristina Orlova sits down with Sah D’Simone, spiritual teacher, humanitarian, and creator of the Somatic Activated Healing method, for an open and heartfelt conversation.   Sah shares his journey with intrusive thoughts that made him question his worth, how growing up in a Buddhist culture shaped his experience, and how the loss of his mother made everything even more intense. Instead of letting OCD take over, he’s leaned into Buddhist wisdom, somatic healing, and service to others as powerful ways to heal.   Together, Kristina and Sah unpack how OCD fuels cycles of self-obsession and why real healing often begins with learning to slow down, relax, and be present. They talk about the role of evidence-based treatments like ERP and ACT, while also highlighting holistic practices that calm the nervous system and nurture recovery.   If you’ve ever felt trapped by your own thoughts, this conversation offers hope, practical tools, and a fresh perspective on what healing can truly look like.   The 3 things you’ll learn in  today’s episode: Why relaxation and not constant productivity is crucial for calming an OCD brain. How Pure OCD manifests and why labels can be both freeing and limiting. Practical ways to balance evidence-based OCD treatments with Buddhist-inspired mindfulness and self-compassion. In This Episode [00:01] Introduction and guest welcome [58] Sah’s background and work [03:09] OCD and self-obsession [04:03] Sah’s personal OCD story [04:54] Pure OCD and identity [07:16] Cultural and religious influences [09:04] OCD manifestations and coping [09:53] Kristina’s OCD experience [10:45] The internal experience of OCD [12:51] Relaxation and cultural challenges [15:21] The importance of true relaxation [16:18] Blending Buddhist wisdom with evidence-based OCD therapies [17:57] Mind wandering and savoring the moment [18:57] Closing and farewell Our Guest Sah D’Simone is a spiritual teacher, grief educator, humanitarian, and creator of the Somatic Activated Healing Method, which blends Buddhist teachings, dance, and social justice. With a mission to bring love where love is not, Sah has dedicated his life to both personal transformation and global humanitarian service, supporting communities from Los Angeles to Nepal and India. Resources & Links   Kristina Orlova, LMFT Instagram YouTube OCD CBT Journal Tracker and Planner Website   Sah D’Simone Website Instagram    Somatic Activated Healing Online Membership, which comes with a 7-day free trial 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!

12 Aug 19min

Is Exposure and Response Prevention (ERP) the only way to treat OCD? What if there’s another evidence-based approach that works differently and might even feel more intuitive to some?   In this episode of the OCD Whisperer Podcast, host Kristina Orlova brings together a panel of seasoned OCD clinicians: Mike Heady, Christina Ennabe, Mike Parker, Carl Robbins, and Bronwyn Shroyer. Together, they unpack the essentials of Inference-Based Cognitive Behavioral Therapy (ICBT) and how it compares to ERP.   They bust common myths like whether ICBT is just arguing with your thoughts and explain how it helps people move out of imagined fears and back into reality. They also dive into when ERP might still be helpful, how ICBT handles doubt differently, and what the research says about its effectiveness.   Whether you're new to ICBT or trying to figure out which approach fits you best, this conversation brings depth, clarity, and a refreshing perspective on OCD treatment.   The 4 things you’ll learn in  today’s episode: Why mixing ICBT and ERP can be confusing if you don’t fully understand both How ICBT focuses on obsessional doubt rather than just intrusive thoughts What “reality sensing” really means and why it’s not the same as doing exposures What the research says about ICBT’s effectiveness and how it compares to ERP   In This Episode [00:31] Meet the panelists [03:56] Can CBT and IBT/ICT be used together? [07:29] Is CBT arguing with OCD? [11:09] Doubt vs. intrusion in OCD [17:49] Reality sensing vs. exposure [20:40] Normal vs. obsessional doubt [24:30] Reassurance in therapy [26:22] Research and evidence for IBT/ICT [36:07] Core fears and feared possible self [37:34] Closing remarks and resources Guests Featured Mike Heady, Co-owner and co-director of the Anxiety and Stress Disorders Institute (ASDI), co- chair for ICBT SIG at IOCDF Carl Robbins, Director of Training at ASDI and veteran OCD clinician Christina Ennabe, Licensed therapist specializing in OCD and trauma, Board Member OCD New Hampshire Mike Parker, Private practice owner focused on OCD using ICBT, ERP, and ACT. Host of the YouTube channel, OCD Space Bronwyn Shroyer, LCSW, ICBT trainer, and co-founder of OCD Training School, co- chair for ICBT SIG at IOCDF   Resources & Links   Kristina Orlova, LMFT Instagram  YouTube  OCD CBT Journal Tracker and Planner  Website Christina Ennabe Website LinkedIn https://www.christinaennabe.com/icbt-course-ocd-escaping-rabbit-hole  Mike Heady Anxiety and Stress Disorders Institute LinkedIn Mike Parker Website LinkedIn https://www.icbttrainingonline.com  Carl Robbins Website LinkedIn Bronwyn Shroyer Website LinkedIn OCD Training School   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!

5 Aug 36min

What if the most powerful way to help your anxious child isn’t to fix them—but to change you? In this episode of the OCD Whisperer podcast, host Kristina Orlova welcomes licensed therapist and anxiety expert Robyn Isman to discuss the SPACE protocol (Supportive Parenting for Anxious Childhood Emotions). Robyn, certified in SPACE, explains how this evidence-based approach helps reduce childhood anxiety by focusing solely on parents' behaviors rather than direct child intervention. She breaks down the SPACE framework, emphasizing how parental accommodations—such as avoiding triggers or providing excessive reassurance—unintentionally reinforce anxiety cycles.   Robyn highlights key steps in SPACE, including educating parents about anxiety as an interpersonal dynamic, identifying accommodations, and creating targeted plans to reduce them. She stresses the importance of "supportive language," which validates a child's fears while expressing confidence in their ability to cope. The conversation also tackles common challenges, such as managing meltdowns during the process and reframing accommodation reduction as an act of love. Robyn shares inspiring success stories and teases her upcoming membership program for parents seeking guidance.   Listeners will gain practical insights into fostering resilience in anxious children by stepping back—with compassion—to let them grow..   The 3 things you’ll learn in  today’s episode: Why reducing accommodations—not increasing them—is key to helping your anxious child. How to shift from "fixing your kid" to examining your own role in the anxiety cycle. Actionable tools from the SPACE method: mapping accommodations, supportive language, stress testing, and more.   In This Episode [00:00] Introduction and free OCD resources [00:45] Meet Robyn Iseman, SPACE-certified therapist [01:10] What is the SPACE method and how does it work? [02:20] Understanding anxiety as interpersonal [04:30] Parental accommodations: what they are and why they matter [07:50] Mapping accommodations and setting target behaviors [10:20] How to handle meltdowns and anger using SPACE [14:00] Emotional regulation—for parents [17:50] How to respond when your child gets upset [20:30] Supportive language and delayed response techniques [23:30] Creating distance from anxiety through externalization [25:50] Addressing safety, stress-testing, and tapping out as parents [28:45] The power of the “announcement” and doing this with love [33:00] Real-life results: How SPACE transforms family dynamics [35:11] Robyn’s upcoming membership and where to find her Our Guest Robyn Isman is a licensed therapist and anxiety expert certified in the SPACE method, with over a decade of experience working with children, teens, and families. Through her private practice and upcoming membership platform, Robyn equips parents with tools to confidently support their anxious children—without reinforcing the anxiety itself. She offers education, strategy, and compassion in equal measure.   Resources & Links   Kristina Orlova, LMFT Instagram  YouTube  OCD CBT Journal Tracker and Planner  Website   Robyn Isman  Website LinkedIn Instagram Facebook Parenting The Anxious Child Membership 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!

29 Juli 36min

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 Instagram  YouTube  OCD CBT Journal Tracker and Planner  Website   Dr. Thomas Ballas Website Instagram LinkedIn   Mentioned Cognitive Therapy for OCD Sneaky Rituals with Jenna Overbaugh  ICBT with Kristina Orlova and Christina Ennabe 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!

15 Juli 16min