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The OCD Stories

Welcome to The OCD Stories, hosted by Stuart Ralph. The podcast has been heard over 8 million times globally. Check out your first episode from our existing hundreds of episodes featuring experts, and people experiencing symptoms just like you today. If you do, you may just feel understood, heard and possibly help you identify your next step in your own personal journey to healing. Disclaimer - this podcast is not a replacement for therapy. Please seek treatment from a licensed mental health professional.
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Now displaying: Category: self-help
Apr 12, 2026

In episode 533 I chat with Dr Steven Phillipson and his patient Sean. Steven is a licensed clinical psychologist who specialises in Cognitive-Behavioral Therapy for OCD. Steven is the Clinical Director at the Center for Cognitive Behavioral Psychotherapy in New York. He is joined by one of his patients, Sean, who has kindly agreed to share his story.

We discuss Sean’s OCD story, Steve discusses the idea of Sarnos (psychosomatic symptoms), Sean’s difficulty bragging and worrying about Sarnos, exposure and response prevention therapy (ERP), the idea of the brain voice and the gatekeeper voice, and much more. Hope it helps.

Show notes: https://theocdstories.com/episode/steve-and-sean-533

The podcast is made possible by NOCD. NOCD offers effective, convenient therapy available in the US and outside the US. To find out more about NOCD, their therapy plans and if they currently take your insurance head over to https://go.treatmyocd.com/theocdstories

Join many other listeners getting our weekly emails. Never miss a podcast episode or update: https://theocdstories.com/newsletter 

Apr 5, 2026

In episode 532 I chat with Dr Sorcha O'Connor. Sorcha is a neuroscientist and PhD graduate from Imperial College London, where she led the PsilOCD study investigating low-dose psilocybin for OCD. 

We discuss Sorcha’s background that led her to this work, what is psilocybin, the background to the study, what the actual study looked like for participants, the outcomes of the study, what’s happening in the brain during a dose of psilocybin, future studies, how psychedelics may improve learning, integration sessions with a therapist, what people with OCD can take from this study, limitations of the study, and much more. Hope it helps.

Show notes: https://theocdstories.com/episode/sorcha-532

The podcast is made possible by NOCD. NOCD offers effective, convenient therapy available in the US and outside the US. To find out more about NOCD, their therapy plans and if they currently take your insurance head over to https://go.treatmyocd.com/theocdstories

Join many other listeners getting our weekly emails. Never miss a podcast episode or update: https://theocdstories.com/newsletter 

Mar 29, 2026

In episode 531 I chat with Alex who has kindly agreed to share his OCD story with us. 

We discuss his OCD story, suicidal themed OCD, inference-based cognitive behavioural therapy (I-CBT), worries of harming others, existential themed OCD, how his wife helped, meditation, low self worth, understanding the past, peadophile themed OCD, health anxiety, self compassion, and much more. Hope it helps. 

Show notes: https://theocdstories.com/episode/alex-531

The podcast is made possible by NOCD. NOCD offers effective, convenient therapy available in the US and outside the US. To find out more about NOCD, their therapy plans and if they currently take your insurance head over to https://go.treatmyocd.com/theocdstories

Join many other listeners getting our weekly emails. Never miss a podcast episode or update: https://theocdstories.com/newsletter 

Mar 22, 2026

In episode 530 I chat with Amy who has kindly agreed to share her OCD story with us. 

We discuss relationship themed OCD, harm themed OCD, contamination themed OCD, realising that what was going on was OCD, compulsions, disordered eating, how her husband helped, finding the OCD community, doing exposure and response prevention therapy (ERP), medication, and much more. Hope it helps.

Show notes: https://theocdstories.com/episode/amy-530

The podcast is made possible by NOCD. NOCD offers effective, convenient therapy available in the US and outside the US. To find out more about NOCD, their therapy plans and if they currently take your insurance head over to https://go.treatmyocd.com/theocdstories

Join many other listeners getting our weekly emails. Never miss a podcast episode or update: https://theocdstories.com/newsletter 

Mar 15, 2026

In episode 529 I chatted with Jonathan Hoffman. Jon is a licensed psychologist and Board Certified in Cognitive and Behavioral Psychology. He co-founded the NBI Ranch and the Neurobehavioral Institute (NBI), where he was Chief Clinical Officer, exiting these roles at the end of 2025 after many years of practice. 

We discuss an update on Jon, what are mental rituals/compulsions, the history of mental rituals/compulsions, are mental rituals/compulsions behaviours, we debate what is good science, how do we study mental rituals/compulsions, and much more. Hope it helps.

Show notes: https://theocdstories.com/episode/jon-529

The podcast is made possible by NOCD. NOCD offers effective, convenient therapy available in the US and outside the US. To find out more about NOCD, their therapy plans and if they currently take your insurance head over to https://go.treatmyocd.com/theocdstories

Join many other listeners getting our weekly emails. Never miss a podcast episode or update: https://theocdstories.com/newsletter 

Mar 8, 2026

In episode 528 I chat with Jeff Bell, a past guest of the podcast. Jeff is a long time OCD advocate and is the author of “When in doubt, make belief” and “rewind, replay, repeat”. Jeff co-founded adversity to advocacy.

We get a recap of his OCD story, the idea of greater good motivation, lessons OCD has taught him that helps him deal with other conditions such as his Parkinson’s disease diagnosis, we discuss stoicism, advocacy and service, and much more. Hope it helps.

Show notes: https://theocdstories.com/episode/jeff-528

The podcast is made possible by NOCD. NOCD offers effective, convenient therapy available in the US and outside the US. To find out more about NOCD, their therapy plans and if they currently take your insurance head over to https://go.treatmyocd.com/theocdstories

Join many other listeners getting our weekly emails. Never miss a podcast episode or update: https://theocdstories.com/newsletter 

Mar 1, 2026

In episode 527 I chat with Ethan Tuccienza. Ethan is a licensed clinical social worker (LCSW) and clinical director of Behavioural Psych Studio’s LA office.

We discuss his therapy story, dialectical behaviour therapy (DBT), exposure and response prevention therapy (ERP), exposure to emotions, DBT-PTSD as an intervention, trauma, shame, tolerating emotions, he shares a couple DBT skills including willing hands and mindfulness of our emotions. We also discuss guilt, shutting down during exposures and what to do, and much more. Hope it helps.

Show notes: https://theocdstories.com/episode/ethan-527

The podcast is made possible by NOCD. NOCD offers effective, convenient therapy available in the US and outside the US. To find out more about NOCD, their therapy plans and if they currently take your insurance head over to https://go.treatmyocd.com/theocdstories

Join many other listeners getting our weekly emails. Never miss a podcast episode or update: https://theocdstories.com/newsletter 

Feb 22, 2026

In episode 526 I chat with Mike who has kindly agreed to share his OCD story with us. 

We discuss sexual orientation themed OCD, existential themed OCD, somatic themed OCD, harm themed OCD, compulsing around the recovery process, getting therapy, working with Dr Steven Phillipson and Dr Michael Alcee, words of hope and much more.

Show notes: https://theocdstories.com/episode/mike-526 (Episode includes explicit language)

The podcast is made possible by NOCD. NOCD offers effective, convenient therapy available in the US and outside the US. To find out more about NOCD, their therapy plans and if they currently take your insurance head over to https://go.treatmyocd.com/theocdstories

Join many other listeners getting our weekly emails. Never miss a podcast episode or update: https://theocdstories.com/newsletter 

Feb 15, 2026

In episode 525 I chat with Charlotte who has kindly agreed to share her OCD story with us. 

We discuss her story, worrying she was pregnant as a kid, realising it’s OCD, experiencing theme switches, harm themed OCD, mental health health anxiety, suicidal themed OCD, getting therapy, acceptance and commitment therapy (ACT) and exposure and response prevention therapy (ERP), acceptance, her joy journal, and much more. Hope it helps.

Show notes: https://theocdstories.com/episode/charlotte-525

The podcast is made possible by NOCD. NOCD offers effective, convenient therapy available in the US and outside the US. To find out more about NOCD, their therapy plans and if they currently take your insurance head over to https://go.treatmyocd.com/theocdstories

Join many other listeners getting our weekly emails. Never miss a podcast episode or update: https://theocdstories.com/newsletter 

Feb 8, 2026

In episode 524 I chat with Ray Kolke. Ray is a licensed mental health counsellor (LMHC) who works with people affected by OCD and anxiety.  

We discuss his therapist background, why he doesn’t ask his clients how they are feeling at the start of the session, he discusses not focusing on feelings in more detail, rumination, his tool of rumination by the numbers (RBTN), he breaks down this tool, and much more. Hope it helps. 

Show notes: https://theocdstories.com/episode/ray-524

The podcast is made possible by NOCD. NOCD offers effective, convenient therapy available in the US and outside the US. To find out more about NOCD, their therapy plans and if they currently take your insurance head over to https://go.treatmyocd.com/theocdstories

Join many other listeners getting our weekly emails. Never miss a podcast episode or update: https://theocdstories.com/newsletter 

Feb 1, 2026

In episode 523 I chat with Angie who has kindly agreed to share her OCD story with us. 

We discuss health anxiety, contamination themed OCD, and suicidal themed OCD. Doubting whether it’s OCD or not, compulsions, uncertainty, getting therapy including exposure and response prevention therapy (ERP), relationships, exercise, having a dog in relation to OCD, and much more. Hope it helps.  

Show notes: https://theocdstories.com/episode/angie-523

The podcast is made possible by NOCD. NOCD offers effective, convenient therapy available in the US and outside the US. To find out more about NOCD, their therapy plans and if they currently take your insurance head over to https://go.treatmyocd.com/theocdstories

Join many other listeners getting our weekly emails. Never miss a podcast episode or update: https://theocdstories.com/newsletter 

Jan 18, 2026

In episode 521 I chat with Regan who has kindly agreed to share her OCD story with us. 

We discuss her OCD story, the journey to getting an OCD diagnosis, moving countries in adolescence, panic attacks, harm themed OCD, contamination themed OCD, exposure and response prevention therapy (ERP), nightmares, childhood experiences of OCD, her cat in the context of OCD, her partner, the grounding techniques Regan uses, and much more. Hope it helps. 

Show notes: https://theocdstories.com/episode/regan-521

The podcast is made possible by NOCD. NOCD offers effective, convenient therapy available in the US and outside the US. To find out more about NOCD, their therapy plans and if they currently take your insurance head over to https://go.treatmyocd.com/theocdstories

Join many other listeners getting our weekly emails. Never miss a podcast episode or update: https://theocdstories.com/newsletter 

Jan 11, 2026

In episode 520 I chat with Brad Hufford. Brad is a Licensed Clinical Social Worker (LCSW-C) who specialises in working with OCD. He is a therapist at the Behavior therapy Center of Greater Washington.

We discuss Brad’s OCD story, being a therapist over the last 30 years, exposure and response prevention therapy (ERP), the therapy relationship, the idea of functioning well despite distress is still a victory, motivation in ERP, words of hope and much more. Hope it helps. 

Show notes: https://theocdstories.com/episode/brad-520

The podcast is made possible by NOCD. NOCD offers effective, convenient therapy available in the US and outside the US. To find out more about NOCD, their therapy plans and if they currently take your insurance head over to https://go.treatmyocd.com/theocdstories

Join many other listeners getting our weekly emails. Never miss a podcast episode or update: https://theocdstories.com/newsletter 

Jan 4, 2026

In episode 519 I chat with Ally Kristan who has kindly agreed to share her OCD story with us. 

We discuss her story, her compulsions, starting therapy in adolescence, grief, worries of harm coming to others, what else has helped her, intuition, her book, connection with nature, animism, penguins and the Antarctic (Ally’s a penguin expert), and much more. Hope it helps. 

Show notes: https://theocdstories.com/episode/ally-519

The podcast is made possible by NOCD. NOCD offers effective, convenient therapy available in the US and outside the US. To find out more about NOCD, their therapy plans and if they currently take your insurance head over to https://go.treatmyocd.com/theocdstories

Join many other listeners getting our weekly emails. Never miss a podcast episode or update: https://theocdstories.com/newsletter 

Dec 28, 2025

In episode 518 Jonny Say and I practiced some Acceptance and Commitment Therapy (ACT) skills together. Jonny is a UK based therapist and co-director at The Integrative Centre for OCD Therapy. 

We discuss the skill dropping anchor, how the skill dipping in and out of the stream can help us learn how to deal with rumination, Jonny and I role play a client session using dipping in and out of the stream, and much more. Hope it helps.

Our ACT skills training for therapists: https://www.icocdtraining.co.uk/live-training

Show notes: https://theocdstories.com/episode/jonny-stu-518

The podcast is made possible by NOCD. NOCD offers effective, convenient therapy available in the US and outside the US. To find out more about NOCD, their therapy plans and if they currently take your insurance head over to https://go.treatmyocd.com/theocdstories

Join many other listeners getting our weekly emails. Never miss a podcast episode or update: https://theocdstories.com/newsletter 

Dec 21, 2025

In episode 517 I chat with Spenser Gabin. Spenser is a Licensed Marriage and Family Therapist based in Encinitas, California

We discuss his OCD, becoming a therapist, his thoughts on Ian O’Brien’s episode and clinical perceptive on Ian’s research findings on exposure and response prevention therapy (ERP): drop out rate, explaining how ERP links to life, setting expectations, ERP as a lifestyle, and motivation in ERP. We also discuss building trust in therapy, therapist disclosure, self-efficacy, and much more. Hope it helps.

Show notes: https://theocdstories.com/episode/spenser-517

The podcast is made possible by NOCD. NOCD offers effective, convenient therapy available in the US and outside the US. To find out more about NOCD, their therapy plans and if they currently take your insurance head over to https://go.treatmyocd.com/theocdstories

Join many other listeners getting our weekly emails. Never miss a podcast episode or update: https://theocdstories.com/newsletter 

Dec 14, 2025

In episode 516 I chat with Emma who has kindly agreed to share her OCD story with us. 

We discuss OCD around parenting, real event themed OCD, group therapy and experiences of it, rumination, reassurance, dealing with shame, creativity in recovery, and much more. Hope it helps.

Show notes: https://theocdstories.com/episode/emma-516 

The podcast is made possible by NOCD. NOCD offers effective, convenient therapy available in the US and outside the US. To find out more about NOCD, their therapy plans and if they currently take your insurance head over to https://go.treatmyocd.com/theocdstories

Join many other listeners getting our weekly emails. Never miss a podcast episode or update: https://theocdstories.com/newsletter 

Dec 7, 2025

In episode 515 I opened the 10-year anniversary episode up to the listeners. People were able to make a recording of a 30 second sound bite for the show. This episode features all those recordings. Thank you to all those who submitted a sound bite. And thanks to you for listening and for your support over the last 10 years. What a ride it’s been!

Show notes: https://theocdstories.com/episode/10-year-515

The podcast is made possible by NOCD. NOCD offers effective, convenient therapy available in the US and outside the US. To find out more about NOCD, their therapy plans and if they currently take your insurance head over to https://go.treatmyocd.com/theocdstories

Join many other listeners getting our weekly emails. Never miss a podcast episode or update: https://theocdstories.com/newsletter 

Nov 30, 2025

In episode 514 I chat with Dr Ronald Nicholson. Ron is a clinical psychologist.

We discuss why it’s important to talk about artificial intelligence (AI) and OCD, AI and reassurance, how AI can play into compulsions, cognitive struggles due to over reliance on AI, the detriment of the loss of engagement with other humans, technology reducing distress tolerance, the future of mental health in this AI age, and much more. Hope it helps. 

Show notes: https://theocdstories.com/episode/ron-514 

The podcast is made possible by NOCD. NOCD offers effective, convenient therapy available in the US and outside the US. To find out more about NOCD, their therapy plans and if they currently take your insurance head over to https://go.treatmyocd.com/theocdstories

Join many other listeners getting our weekly emails. Never miss a podcast episode or update: https://theocdstories.com/newsletter 

Nov 23, 2025

In episode 513 I chat with Amanda who has kindly agreed to share her OCD story with us. 

We discuss OCD themes of religion, harm and contamination. Amanda talks about depression, controlling food, stopping driving, navigating the Covid pandemic and OCD, compulsions controlling other people,  therapy, grief and loss, figuring out it was ok not to do her compulsions, exposure and response prevention therapy (ERP), inference-based CBT (I-CBT), medication, managing family accommodation, words of hope and much more. Hope it helps.

Show notes: https://theocdstories.com/episode/amanda-513

The podcast is made possible by NOCD. NOCD offers effective, convenient therapy available in the US and outside the US. To find out more about NOCD, their therapy plans and if they currently take your insurance head over to https://go.treatmyocd.com/theocdstories

Join many other listeners getting our weekly emails. Never miss a podcast episode or update: https://theocdstories.com/newsletter 

Nov 16, 2025

In episode 512 I chat with Dr Steven Phillipson and Sarah. Steven is a licensed clinical psychologist who specialises in Cognitive-Behavioral Therapy for OCD. Steven is the Clinical Director at the Center for Cognitive Behavioral Psychotherapy in New York. He is joined by one of his patients, Sarah, who has kindly agreed to share her story.

We discuss what is metaphysical themed OCD, what is metaphysical contamination OCD, trauma, Sarah’s OCD story, her sticking points in recovery, getting the wrong diagnosis, how her husband supported her, and her therapy with Steve. Hope it helps.

Show notes: https://theocdstories.com/episode/steve-sarah-512

The podcast is made possible by NOCD. NOCD offers effective, convenient therapy available in the US and outside the US. To find out more about NOCD, their therapy plans and if they currently take your insurance head over to https://go.treatmyocd.com/theocdstories

Join many other listeners getting our weekly emails. Never miss a podcast episode or update: https://theocdstories.com/newsletter 

Nov 9, 2025

In episode 511 I chat with Melissa Mose. Melissa is a Licensed Marriage and Family Therapist who treats OCD. Melissa is president of the IOCDF affiliate OCD SoCal.

We discuss her new book for therapists on internal family systems therapy (IFS) for OCD, what is IFS, integrating IFS and exposure and response prevention therapy (ERP), working with parts that get in the way of therapy, noticing and working with OCD parts, understanding parts of us, understanding OCD parts in detail so that we can notice intuition better, and much more. Hope it helps.

Show notes: https://theocdstories.com/episode/melissa-511

The podcast is made possible by NOCD. NOCD offers effective, convenient therapy available in the US and outside the US. To find out more about NOCD, their therapy plans and if they currently take your insurance head over to https://go.treatmyocd.com/theocdstories

Join many other listeners getting our weekly emails. Never miss a podcast episode or update: https://theocdstories.com/newsletter 

Nov 2, 2025

In episode 510 I chat with Dr Steven Poskar. Steven is a psychiatrist and clinical director of OCD NYC. He is also a member of the Scientific and Clinical Advisory Board of the International OCD Foundation.

We discuss his therapy journey, myths and misconceptions around OCD medication, SSRIs for OCD, choosing an SSRI based on their side effect profiles, weaning off medication, augmenting medication for OCD with anti psychotics, glutamate medications for OCD, benzodiazepines, psychedelic drug trials for OCD, cannabis, some reasons why medication doesn’t work, supplements, and much more. Hope it helps.

Show notes: https://theocdstories.com/episode/steven-510

The podcast is made possible by NOCD. NOCD offers effective, convenient therapy available in the US and outside the US. To find out more about NOCD, their therapy plans and if they currently take your insurance head over to https://go.treatmyocd.com/theocdstories

Join many other listeners getting our weekly emails. Never miss a podcast episode or update: https://theocdstories.com/newsletter 

Oct 26, 2025

In episode 509 I chat with Ian O’Brien. Ian is a psychotherapist based in Dublin, Ireland, who specialises in OCD.

We discuss his OCD story including relationship OCD (rOCD) and pOCD, getting therapy, support groups, and becoming a therapist. We then discuss his research on why people struggle to engage with ERP (Exposure and Response Prevention) in which he analysed over 100 interviews from The OCD Stories podcast to explore the real challenges people face in starting, sticking with, or completing ERP. He shares the three major themes that emerged where people struggled with ERP including lots of sub themes, and suggestions for improvements in ERP, and much more. Hope it helps.

Show notes: https://theocdstories.com/episode/ian-509 

The podcast is made possible by NOCD. NOCD offers effective, convenient therapy available in the US and outside the US. To find out more about NOCD, their therapy plans and if they currently take your insurance head over to https://go.treatmyocd.com/theocdstories

Join many other listeners getting our weekly emails. Never miss a podcast episode or update: https://theocdstories.com/newsletter 

Oct 19, 2025

In episode 508 I chat with Michael Stier. Michael is a Licensed Clinical Professional Counselor (LCPC) and Director of Education and Training at the Anxiety Specialists of Atlanta.

We discuss his therapy story, working with health anxiety, the health anxiety book he co-wrote, what is health anxiety, insight in health anxiety, bodily sensations, values based living, and much more. Hope it helps.

Show notes: https://theocdstories.com/episode/michael-508

The podcast is made possible by NOCD. NOCD offers effective, convenient therapy available in the US and outside the US. To find out more about NOCD, their therapy plans and if they currently take your insurance head over to https://go.treatmyocd.com/theocdstories

Join many other listeners getting our weekly emails. Never miss a podcast episode or update: https://theocdstories.com/newsletter

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