Breaking the Rules: A Clinician's Guide to Treating OCD
VitenskapHelseBreaking the Rules is a show for mental health professionals designed to help you build confidence in treating Obsessive Compulsive Disorder (OCD). Effective treatment of OCD requires commitment, creativity and the recognition that things can sometimes get a little … messy. And on the show, you’ll hear from a range of leading professionals and learn everything there is to know about OCD and other related mental health concerns. This podcast is brought to you by Melbourne Wellbeing Group, a psychology practice based in Melbourne with a special focus on treating OCD. Hosted on Acast. See acast.com/privacy for more information.
Siste episoder av Breaking the Rules: A Clinician's Guide to Treating OCD podcast
- The dangers of suicidal OCD and how to recognise it (00:26:26)
With suicide remaining a leading cause of death for people aged between 15-44 in Australia, clinicians in the OCD space need to ask the question: How do we differentiate between suicidal ideation and obsessive intrusive suicidal thoughts? In this episode, we discuss how to work with a client when they come to you with suicidal thoughts, why it is critical to take all mentions of suicide seriously, and how to determine whether a person with OCD is presenting with suicidal ideation consistent with wishes to die or whether it's intrusive suicidal OCD. This episode contains discussions about suicide. If you find this episode distressing and would like more support, please seek help from your local healthcare provider. If you're in Australia, you can call Lifeline on 13 11 14 at any time. Resources and links: Lifeline website Webinars, books, and training by Melbourne Wellbeing Group OCD training workshops by Dr Celin Gelgec OCD focused supervision for healthcare professionals with Dr Celin Gelgec Connect: https://www.melbournewellbeinggroup.com This show is produced in collaboration with Wavelength Creative. Visit wavelengthcreative.com for more information. Hosted on Acast. See acast.com/privacy for more information.
- How “skinny-tok” is feeding eating disorder content to teenagers (00:35:37)
Felicity Phillips is the Founder of Weight of the World, a community-driven organisation supporting people with eating disorders and their carers through recovery. Weight of the World aims to provide peer support and education while challenging diet culture and promoting body neutrality. In this episode, Felicity shares her personal journey from pre-professional ballet to developing an eating disorder and ultimately finding recovery, explains the alarming rise of "skinny talk" on social media and how algorithms target vulnerable users within seconds, and reveals the powerful parallels between eating disorders and addiction that challenge common misconceptions about these complex mental health conditions. Resources and links: Weight of the World: A High Tea for ED Healing & Hope tickets Webinars, books, and training by Melbourne Wellbeing Group OCD training workshops by Dr Celin Gelgec OCD focused supervision for healthcare professionals with Dr Celin Gelgec Connect: https://www.melbournewellbeinggroup.com.au/ http://www.drcelingelgec.com.au/ This show is produced in collaboration with Wavelength Creative. Visit wavelengthcreative.com for more information. Hosted on Acast. See acast.com/privacy for more information.
- Is it ROCD or is there a real problem in the relationship? (00:30:04)
It's normal to have doubts and questions about our relationships sometimes. Am I in love with my partner? Am I spending enough time with my parents? Are my friends mad at me? But what happens when those normal, passing concerns turn into an obsession? In this episode, we explain the difference between ordinary relationship concerns and relationship OCD (ROCD), how to identify when ROCD is showing up, and what the next steps are for helping clients manage it. Resources and links: Webinars, books, and training by Melbourne Wellbeing Group OCD training workshops by Dr Celin Gelgec OCD focused supervision for healthcare professionals with Dr Celin Gelgec Connect: https://www.melbournewellbeinggroup.com.au/ http://www.drcelingelgec.com.au/ This show is produced in collaboration with Wavelength Creative. Visit wavelengthcreative.com for more information. Hosted on Acast. See acast.com/privacy for more information.
- Supporting new parents with OCD (00:32:52)
This is the final part of our two-part chat with Dr Bianca Mastromanno. In the last episode, Bianca discussed how she works with parents to process their childhood experiences and help them navigate parenthood themselves. In this episode, Bianca opens up about her personal experiences with parenting anxiety, digs into the challenges faced by parents with OCD, the impact of OCD on early parenthood, and how clinicians can support parents during the vulnerable early days of new parenthood. Resources and links: ‘Good Moms Have Scary Thoughts' by Karen Kleiman ‘Matrescence' by Lucy Jones ‘The Magic Years” by Selma H. Fraiberg Dr Bianca Mastromanno's website Dr Bianca Mastromanno on Instagram Dr Bianca Mastromanno on LinkedIn Webinars, books, and training by Melbourne Wellbeing Group OCD training workshops by Dr Celin Gelgec OCD focused supervision for healthcare professionals with Dr Celin Gelgec Connect: https://www.melbournewellbeinggroup.com.au/ http://www.drcelingelgec.com.au/ This show is produced in collaboration with Wavelength Creative. Visit wavelengthcreative.com for more information. Hosted on Acast. See acast.com/privacy for more information.
- Why revisiting a parent’s own childhood can help them as a new parent (00:28:06)
Dr Bianca Mastromanno is a Clinical Psychologist who works extensively in the perinatal space. Bianca uses a trauma-informed, evidence-based approach to support parents and children living with mental health concerns. In this episode, Bianca explains how she works with parents with OCD or other mental health challenges to explore and process their own childhood experiences to help them navigate the emotional challenges of parenthood. She also reflects on what she's learnt from the parents she works with and from her own experiences as a parent. This episode is part one of our two-part chat with Bianca. Keep an eye out for part two, where Bianca digs into how to better support parents with OCD through their pre and post-natal periods. Resources and links: Dr Bianca Mastromanno's website Dr Bianca Mastromanno on Instagram Dr Bianca Mastromanno on LinkedIn Webinars, books, and training by Melbourne Wellbeing Group OCD training workshops by Dr Celin Gelgec OCD focused supervision for healthcare professionals with Dr Celin Gelgec Connect: https://www.melbournewellbeinggroup.com.au/ http://www.drcelingelgec.com.au/ This show is produced in collaboration with Wavelength Creative. Visit wavelengthcreative.com for more information. Hosted on Acast. See acast.com/privacy for more information.
- The value of self-awareness, trust, and non-accommodating support (00:26:08)
This is the final part of our two-part chat with Lindsay and Emily Stetzer. In the last episode, Lindsay and Emily opened up about their early experiences with OCD and how their lived experiences led them to create Presently Bracelets. In this episode, Lindsay and Emily discuss the household dynamics of living in a family with OCD, the significance of non-accommodating support, and the role of exposure therapy, self-awareness, and trust in the recovery process. Resources and links: Presently Bracelets website Webinars, books, and training by Melbourne Wellbeing Group OCD training workshops by Dr Celin Gelgec OCD focused supervision for healthcare professionals with Dr Celin Gelgec Connect: https://www.melbournewellbeinggroup.com.au/ http://www.drcelingelgec.com.au/ This show is produced in collaboration with Wavelength Creative. Visit wavelengthcreative.com for more information. Hosted on Acast. See acast.com/privacy for more information.
- How these sisters turned their OCD into a thriving jewellery business (00:26:10)
Lindsay and Emily Stetzer are sisters living with OCD and the Founders of Presently Bracelets. Presently Bracelets offer a range of bracelets to help you navigate intrusive thoughts and embrace the present moment. In this episode, Lindsay and Emily share their individual experiences with OCD and treatment, what helps them between sessions, and what they think therapists need to know from the perspective of someone with OCD. They also share how the phrase “my thoughts are passing clouds” led to the creation of Presently. Resources and links: Presently Bracelets website Webinars, books, and training by Melbourne Wellbeing Group OCD training workshops by Dr Celin Gelgec OCD focused supervision for healthcare professionals with Dr Celin Gelgec Connect: https://www.melbournewellbeinggroup.com.au/ http://www.drcelingelgec.com.au/ This show is produced in collaboration with Wavelength Creative. Visit wavelengthcreative.com for more information. Hosted on Acast. See acast.com/privacy for more information.
- How clinicians can provide better OCD treatment (from someone with OCD) (00:35:34)
This is the final part of our two-part chat with Chrissie Hodges. In the last episode, Chrissie shared her early experiences with OCD before embracing the challenges of OCD peer support and advocacy work. In this episode, Chrissie reflects on her experiences with OCD treatments and what clinicians can and should be doing better. She also emphasises the importance of acknowledging the impacts of different OCD themes on the individual and how some themes might result in more trauma and stigma than others. Resources and links: Chrissie Hodges' website Chrissie Hodges on YouTube Chrissie Hodges on Instagram OCD Gamechangers website Webinars, books, and training by Melbourne Wellbeing Group OCD training workshops by Dr Celin Gelgec OCD focused supervision for healthcare professionals with Dr Celin Gelgec Connect: https://www.melbournewellbeinggroup.com.au/ http://www.drcelingelgec.com.au/ This show is produced in collaboration with Wavelength Creative. Visit wavelengthcreative.com for more information. Hosted on Acast. See acast.com/privacy for more information.
- Peer-to-peer: A frank conversation about OCD (00:27:26)
Chrissie Hodges is an OCD Advocate, Peer Support Specialist, and Author of ‘Pure OCD: The Invisible Side of Obsessive-Compulsive Disorder'. For over a decade, Chrissie has worked closely with individuals living with OCD, as well as providing training to government agencies to enable them to better support people with OCD. In this episode, Chrissie shares her powerful personal journey with OCD starting from age eight, describes how religious scrupulosity and emetophobia shaped her early experiences and opens up about her path from struggling in silence to becoming a prominent voice in the OCD community through peer support and advocacy work. Resources and links: Chrissie Hodges' website Chrissie Hodges on YouTube Chrissie Hodges on Instagram OCD Gamechangers website Webinars, books, and training by Melbourne Wellbeing Group OCD training workshops by Dr Celin Gelgec OCD focused supervision for healthcare professionals with Dr Celin Gelgec Connect: https://www.melbournewellbeinggroup.com.au/ http://www.drcelingelgec.com.au/ This show is produced in collaboration with Wavelength Creative. Visit wavelengthcreative.com for more information. Hosted on Acast. See acast.com/privacy for more information.
- Helping someone with a hoarding disorder takes more than throwing away their stuff (00:24:11)
Is tough love the right approach for people struggling with hoarding disorders, or is there another way? In this episode, we explain how to recognise hoarding disorder and how it differs from having a collection or even hoarding-themed OCD. We explore how to navigate the intense shame experienced by people with a hoarding disorder or hoarding-themed OCD and how to sensitively and responsibly provide intervention. Resources and links: Celin discussing hoarding on The Conversation Hour on ABC Radio Melbourne Wellbeing Group enquiry page Webinars, books, and training by Melbourne Wellbeing Group OCD training workshops by Dr Celin Gelgec OCD focused supervision for healthcare professionals with Dr Celin Gelgec Connect: https://www.melbournewellbeinggroup.com.au/ http://www.drcelingelgec.com.au/ This show is produced in collaboration with Wavelength Creative. Visit wavelengthcreative.com for more information. Hosted on Acast. See acast.com/privacy for more information.
- How to support mothers with mental health difficulties (00:21:52)
This is the final part of our two-part chat with Emily Crawford. In the last episode, Emily highlighted the importance of building supportive networks for mothers and the challenges mothers experience before and after birth. In this episode, Emily discusses how to support mothers with mental health difficulties throughout pregnancy and after birth and how to provide interventions to mothers who are struggling. Resources and links: Nest Psychology website Webinars, books, and training by Melbourne Wellbeing Group OCD training workshops by Dr Celin Gelgec OCD focused supervision for healthcare professionals with Dr Celin Gelgec Connect: https://www.melbournewellbeinggroup.com.au/ http://www.drcelingelgec.com.au/ This show is produced in collaboration with Wavelength Creative. Visit wavelengthcreative.com for more information. Hosted on Acast. See acast.com/privacy for more information.
- Why strong support networks are vital for mothers throughout and after pregnancy (00:25:59)
Returning guest Emily Crawford is the Principal Psychologist at Nest Psychology and has more than 20 years of experience as an Educational and Developmental Psychologist supporting adults, children, adolescents, and their families with various mental health issues (including OCD). She is also a 'Tuning in to Kids' facilitator and a mother of four. In this episode, Emily discusses the postnatal period for mothers and opens up about her experiences after childbirth. She explores the challenges mothers encounter before and after birth and the importance of supporting mothers and building communities so mothers can care for their babies. This episode is part one of our two-part chat with Emily. Keep an eye out for part two, where Emily shares how to help mothers experiencing mental health difficulties in the prenatal and postnatal periods. Resources and links: Nest Psychology website Webinars, books, and training by Melbourne Wellbeing Group OCD training workshops by Dr Celin Gelgec OCD focused supervision for healthcare professionals with Dr Celin Gelgec Connect: https://www.melbournewellbeinggroup.com.au/ http://www.drcelingelgec.com.au/ This show is produced in collaboration with Wavelength Creative. Visit wavelengthcreative.com for more information. Hosted on Acast. See acast.com/privacy for more information.
- Tackling ambivalence with commitment, creativity, and curiosity (00:19:47)
We’re continuing our discussion about ambivalence. Ambivalence is when a client feels conflicted about treatment, either consciously or subconsciously, and can throw up stopping blocks in treatment. In the last episode, we looked at how to spot ambivalence and tackle it when you see it. In this episode, we discuss the importance of motivational interviewing in exploring patient emotions and understanding how OCD plays into a patient’s identity. We also examine the role of patience and adaptability in treatment and how critical it is to address ambivalence through commitment, creativity, and curiosity. Resources and links: Million Steps for OCD Awareness Walk information Webinars, books, and training by Melbourne Wellbeing Group Connect: https://www.melbournewellbeinggroup.com.au/ http://www.drcelingelgec.com.au/ This show is produced in collaboration with Wavelength Creative. Visit wavelengthcreative.com for more information. Hosted on Acast. See acast.com/privacy for more information.
- Identifying ambivalence and how to tackle it (00:22:20)
What happens when a client wants to change but doesn’t know where to start, doesn’t want to do the work, or is in some other way conflicted? Ambivalence. Ambivalence is normal during therapy but can hinder a client’s progress if left unaddressed. In this episode, we discuss some telltale signs of ambivalence in clients, understanding where ambivalence comes from, and how to work through it when it happens. Resources and links: Webinars, books, and training by Melbourne Wellbeing Group Connect: https://www.melbournewellbeinggroup.com.au/ http://www.drcelingelgec.com.au/ This show is produced in collaboration with Wavelength Creative. Visit wavelengthcreative.com for more information. Hosted on Acast. See acast.com/privacy for more information.
- The crucial role of parents in treating anxiety and OCD in children (00:25:09)
This episode is the final part of our two-part chat with Natasha Daniels. Natasha is a Therapist specialising in anxiety and OCD in children and created AT Parenting Survival to help the parents of children living with anxiety and OCD. In our last episode, Natasha shared how she got into working with children, how to adapt ERP for young people, and the importance of rapport, fun, and play in therapy. In this episode, Natasha opens up about why she loves working with the parents of children with OCD and anxiety. She explains how she works with parents and shares her helpful tips for helping kids with OCD and anxiety while they’re at school. Resources and links: AT website AT Parenting Survival School website AT Parenting Survival School on Instagram Natasha Daniels on YouTube Connect: https://www.melbournewellbeinggroup.com.au/ http://www.drcelingelgec.com.au/ This show is produced in collaboration with Wavelength Creative. Visit wavelengthcreative.com for more information. Hosted on Acast. See acast.com/privacy for more information.
- Building rapport and having fun is crucial for treating children with OCD and anxiety (00:28:55)
Natasha Daniels is a Therapist specialising in anxiety and OCD in children. Natasha is the creator of the AT Parenting Survival website to provide parents with advice for helping their children living with anxiety and OCD. Natasha has drawn on two decades of experience to create a YouTube channel and a podcast and has also written several books. In this episode, Natasha reveals what drew her to working with children and teens with anxiety and OCD, as well as their parents. She discusses how to adapt ERP for younger clients, the significance of building rapport, and how to incorporate playfulness and creativity into therapy. This episode is part one of our two-part chat with Natasha. Keep an eye out for part two, where she’ll focus on one of her biggest passions: working with the parents of children with OCD and anxiety. Resources and links: AT website AT Parenting Survival School website AT Parenting Survival School on Instagram Natasha Daniels on YouTube Connect: https://www.melbournewellbeinggroup.com.au/ http://www.drcelingelgec.com.au/ This show is produced in collaboration with Wavelength Creative. Visit wavelengthcreative.com for more information. Hosted on Acast. See acast.com/privacy for more information.
- Perfectly imperfect: Spotting perfectionism in OCD treatment and how to address it (00:24:50)
Perfectionism. It’s a complicated trait that shows up a lot when working with OCD. It can present in a range of ways and can look like self-loathing, anger, people-pleasing, or even a strong sense of doubt and uncertainty in clients. In this skills episode, we dig into how perfectionism can manifest in a client, how it might present in a session, and how to address it when it does. Connect: https://www.melbournewellbeinggroup.com.au/ http://www.drcelingelgec.com.au/ This show is produced in collaboration with Wavelength Creative. Visit wavelengthcreative.com for more information. Hosted on Acast. See acast.com/privacy for more information.
- How to find the right balance in discomfort during ERP (00:25:19)
This is the final part of our chat with Associate Professor of Psychology and convenor of the clinical psychology program at the University of Melbourne, Dr Brett Deacon. In our previous conversations with Brett, he explained safety behaviours, accommodation behaviours from family and clinicians, and how accommodating behaviours that reduce discomfort can limit the efficacy of treatment for clients with OCD. In this episode, Brett expands on how clinicians can balance moving too quickly or too slowly in ERP. He also explains how he uses one simple and kind of gross demonstration in the classroom to teach future clinicians the importance of being bold and unafraid when working with clients. Resources and links: Purchase ‘Exposure Therapy for Anxiety: Principles and Practice’ here Dr Brett Deacon at the University of Melbourne Dr Brett Deacon on LinkedIn Connect: https://www.melbournewellbeinggroup.com.au/ http://www.drcelingelgec.com.au/ This show is produced in collaboration with Wavelength Creative. Visit wavelengthcreative.com for more information. Hosted on Acast. See acast.com/privacy for more information.
- Unlocking flexibility in OCD therapy (00:30:19)
George Habib is a Clinical Psychologist and Associate Director of Wellbeing Services at the University of Melbourne. Alongside this role, he's been working in his own clinical practice for over 25 years. His work, deeply rooted in trauma support and symptom interpretation, has shaped his leadership in health services and legal aid. In this episode, George tackles the clinician’s role in structured OCD treatment, highlighting the necessity of addressing deep-seated triggers. You’ll discover how a clinician’s strict adherence to protocols could influence the therapeutic journey. You’ll gain insights into how various therapeutic modalities can be integrated to effectively navigate the complexities of OCD treatment. Connect: https://www.melbournewellbeinggroup.com.au/ http://www.drcelingelgec.com.au/ This show is produced in collaboration with Wavelength Creative. Visit wavelengthcreative.com for more information. Hosted on Acast. See acast.com/privacy for more information.
- The impacts of accommodating safety behaviours on OCD treatment (00:19:35)
In our last episode, Associate Professor of Psychology and convenor of the clinical psychology program at the University of Melbourne, Dr Brett Deacon, explained the concept of safety behaviours and how to manage them in OCD treatment. In this episode, Brett dives into the data behind safety behaviours and accommodations. He expands on how making more accommodations can impact treatment and how clinician accommodations can be as limiting as parental or familial accommodations. Resources and links: Purchase ‘Exposure Therapy for Anxiety: Principles and Practice’ here Dr Brett Deacon at the University of Melbourne Dr Brett Deacon on LinkedIn Connect: https://www.melbournewellbeinggroup.com.au/ http://www.drcelingelgec.com.au/ This show is produced in collaboration with Wavelength Creative. Visit wavelengthcreative.com for more information. Hosted on Acast. See acast.com/privacy for more information.
- How to manage safety behaviours during exposure therapy (00:24:10)
Dr Brett Deacon is an Associate Professor of Psychology and convenor of the clinical psychology program at the University of Melbourne. Brett has worked in the field of psychology for over 15 years with a focus on exposure therapy for anxiety and OCD. He has published many papers on therapist barriers to exposure therapy and strategies for overcoming them and is a co-author of ‘Exposure Therapy for Anxiety: Principles and Practice’. Throughout the next three episodes, Brett explores the role of clinicians in exposure therapy and how their feelings could be holding back the client. In today’s episode, Brett addresses safety behaviours. He digs into what they are, the safety behaviours we all engage in, and how to manage safety behaviours when treating OCD. Resources and links: Purchase ‘Exposure Therapy for Anxiety: Principles and Practice’ here Dr Brett Deacon at the University of Melbourne Dr Brett Deacon on LinkedIn Connect: https://www.melbournewellbeinggroup.com.au/ http://www.drcelingelgec.com.au/ This show is produced in collaboration with Wavelength Creative. Visit wavelengthcreative.com for more information. Hosted on Acast. See acast.com/privacy for more information.
- Getting unstuck: How to address guilt and shame and move forward (00:26:18)
Guilt and shame are a normal part of the human experience. Where it can become a problem is when clients are unable to overcome, or even identify, guilt and shame they may be feeling which can lead to a “stuckness” in treatment that can be frustrating and upsetting. In this skills episode, we’ll explain the difference between guilt and shame, discuss telltale signs to look for in clients, and how to address these emotions if they are impacting treatment. Connect: https://www.melbournewellbeinggroup.com.au/ http://www.drcelingelgec.com.au/ This show is produced in collaboration with Wavelength Creative. Visit wavelengthcreative.com for more information. Hosted on Acast. See acast.com/privacy for more information.
- How genetic counselling can impact patient care (00:29:09)
Joanne Isbister is a Certified Genetic Counsellor at the Royal Melbourne Hospital. Jo has over 15 years of experience as a genetic counsellor and has clinical experience in perinatal, paediatric, and adult genetics. After Identifying a gap in local services, Jo is developing a clinical service at the RMH to provide equitable access to psychiatric genetic medicine for those in need. In today’s episode, Jo will explain what genetic counselling is and how it helps patients. She talks about the complexities of patient mental health histories and the implications of shame and stigma on patients. Jo also breaks down how genetic counselling can help mitigate some of the common fears for people living with mental illnesses around having children and passing on their genes. Connect: https://www.melbournewellbeinggroup.com.au/ http://www.drcelingelgec.com.au/ This show is produced in collaboration with Wavelength Creative. Visit wavelengthcreative.com for more information. Hosted on Acast. See acast.com/privacy for more information.
- "The Joy Thief": A practical, personal guide to navigating OCD (00:26:32)
Penny Moodie is a Co-founder of So OCD and the Author of "The Joy Thief". Penny is a passionate OCD advocate and her book, “The Joy Thief” is a deeply personal exploration of OCD along with practical advice from mental health professionals. In this episode, Penny describes the experience of writing "The Joy Thief", the effect it had on her own OCD, and the things she learnt along the way. She also shares her hopes and wishes for others with OCD who want to reclaim their happiness from their condition. Resources and links: Purchase "The Joy Thief" here Connect: https://www.melbournewellbeinggroup.com.au/ http://www.drcelingelgec.com.au/ This show is produced in collaboration with Wavelength Creative. Visit wavelengthcreative.com for more information. Hosted on Acast. See acast.com/privacy for more information.
- When does psychoeducation become reassurance? (00:24:54)
One of the main roles of a clinician is to provide as much knowledge as possible when supporting clients in treatment. But when does knowledge and education, or psychoeducation as it's known, become a reassurance trap when treating OCD? In this skills episode, we'll explore how to detect if psychoeducation is bordering on reassurance, and how to navigate that with your client. We'll also discuss the importance of transparent conversations, how sometimes providing a little bit of reassurance is alright, and that even we clinicians have to learn to accept uncertainty. Connect: https://www.melbournewellbeinggroup.com.au/ http://www.drcelingelgec.com.au/ This show is produced in collaboration with Wavelength Creative. Visit wavelengthcreative.com for more information. Hosted on Acast. See acast.com/privacy for more information.