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Breaking the Rules: A Clinician's Guide to Treating OCD

Breaking the Rules: A Clinician's Guide to Treating OCD

Written by: Dr Celin Gelgec and Dr Victoria Miller
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About this listen

Breaking 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.

2025 Melbourne Wellbeing Group
Hygiene & Healthy Living Psychology Psychology & Mental Health Science Social Sciences
Episodes
  • Understanding the Link Between PTSD and OCD
    Dec 29 2025

    In this powerful and insightful episode, we explore the connection between PTSD and OCD, two conditions that often intersect in complex and misunderstood ways. The discussion dives into how trauma can shape obsessive-compulsive patterns, how compulsions can emerge as coping mechanisms, and why a trauma-informed approach is essential for effective treatment.

    The speakers unpack the challenges of working with co-occurring trauma and OCD, emphasizing flexibility, creativity, and compassion in clinical work. From ERP integration to managing dissociation and building client insight, this conversation offers a nuanced understanding of how clinicians can hold both trauma and OCD safely in the therapy room.

    💬 Key themes:

    • How trauma can trigger or intensify OCD symptoms

    • Compulsions as coping mechanisms for post-traumatic stress

    • Why ERP and trauma therapy can complement each other

    • The importance of trauma-informed care in OCD treatment

    • Recognizing and managing dissociation during therapy

    • Building client insight and resilience through psychoeducation

    • Empowering clinicians to work confidently with trauma and OCD


    🔖 Chapters

    00:00 Understanding PTSD and OCD

    02:55 The Interplay of Trauma and OCD

    05:42 Navigating Treatment Challenges

    08:53 Integrating ERP with Trauma Therapy

    11:55 Building a Trauma-Informed Approach

    14:54 Fluidity in Therapeutic Techniques

    17:49 Empowering Clinicians to Address Trauma

    23:44 Conclusion and Encouragement for Clinicians


    #PTSD #OCD #TraumaInformedCare #ERP #MentalHealthPodcast #TherapyTalk #ClinicianSupport #TraumaRecovery #OCDTreatment #CopingMechanisms #TherapyForTrauma

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    25 mins
  • Understanding Parental Accommodation in OCD: Breaking the Cycle
    Dec 15 2025

    In this insightful episode, we explore the concept of parental accommodation — the well-intentioned ways family members and loved ones may unknowingly reinforce OCD behaviours. Drawing from the research of Professor Eli Liebowitz (Yale) and real-world clinical experience, the hosts unpack how accommodation develops, why it’s so hard to stop, and how families can begin to make meaningful change.

    From checking, reassuring, or adapting routines “just to keep the peace,” to facing meltdowns, fear, or guilt when setting limits — this conversation goes deep into what it means to hold boundaries with compassion. You’ll hear about ERP therapy, the SPACE model, and practical ways clinicians and parents can work together to reduce accommodation and empower recovery.

    💬 Key themes:

    • What “parental accommodation” means and how it maintains OCD

    • Why well-meaning reassurance can make symptoms stronger

    • The difference between anxiety disorders and OCD

    • Supporting children, teens, and adults through distress safely

    • Helping parents tolerate their own emotions and model resilience

    • How reducing accommodation can rebuild connection and trust in families

    • Managing clinician fears around self-harm threats and safety planning


    🔖 Chapters

    00:00 Introducing the topic: Parental Accommodation and OCD

    02:00 What it means to accommodate and why we do it

    05:00 How everyday reassurance turns into OCD reinforcement

    08:00 Fear, meltdowns, and why it’s hard for families to stop accommodating

    11:00 Emotions, modelling, and learning to tolerate discomfort

    14:00 The SPACE model and clinician guidance

    17:00 Working with parental fear and client safety

    21:00 Reducing accommodation step-by-step

    25:00 Supporting families when clients resist change

    26:40 Why it works — even if the client isn’t in therapy


    #OCD #ERP #ParentalAccommodation #MentalHealthPodcast #TherapyTalk #FamilyTherapy #SPACEModel #OCDRecovery #ClinicianSupport #ParentingAndMentalHealth #EmotionalRegulation

    Hosted on Acast. See acast.com/privacy for more information.

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    27 mins
  • Perinatal Mental Health and OCD
    Dec 1 2025

    The perinatal period is one of the most vulnerable—and transformative—times in a parent’s life. In this episode, we explore the challenges of perinatal mental health, with a particular focus on OCD and how intrusive thoughts can impact new parents during this stage.

    Our speakers discuss the role of psychoeducation, the importance of therapeutic trust, and how clinicians can best support parents navigating overwhelming thoughts and fears. We also examine the value of bringing babies into therapy, collaborative care, and the crucial reminder that intrusive thoughts do not define someone’s ability to be a loving, capable parent.


    💬 Key themes:

    • Why the perinatal period heightens vulnerability
    • The role of OCD and intrusive thoughts in early parenting
    • Using psychoeducation to normalize and reduce shame
    • Building rapport so clients feel safe to share difficult thoughts
    • The potential benefits of including babies in therapy sessions
    • Collaborative care and supporting parents holistically


    🔖 Chapters

    00:00 Introduction to Perinatal Mental Health and OCD

    02:50 Understanding Vulnerability in the Perinatal Period

    05:47 Therapeutic Approaches for Clinicians

    08:47 The Importance of Psychoeducation

    11:45 Building Rapport and Trust with Clients

    14:50 Managing Intrusive Thoughts in Therapy

    17:49 Collaborative Care and Support Systems

    20:51 Incorporating Babies in Therapy Sessions

    23:45 Creating a Supportive Environment for New Parents



    #PerinatalMentalHealth #OCD #IntrusiveThoughts #NewParents #MaternalHealth #TherapyTalk #ParentingSupport #MentalHealthAwareness #Psychoeducation #ClinicianSupport

    Hosted on Acast. See acast.com/privacy for more information.

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    29 mins
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