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Author: Carrie Bock

Carrie Bock is a Licensed Professional Counselor in Smyrna, TN who helps people get to a deeper level of healing without compromising their faith. She specializes in working with Christians struggling with OCD who have also experienced childhood trauma, providing intensive therapy for individuals who want to heal at a faster pace than traditional therapy.

209. Three Common Objections to ICBT 

Carrie explores three common objections to Inference-Based Cognitive Behavioral Therapy (ICBT) and explains why OCD treatment is not one-size-fits-all. 

Episode Highlights:

  • Why OCD treatment is not one-size-fits-all and must be tailored to the whole person
  • How ICBT addresses the unique reasoning process behind OCD obsessions
  • Why struggling with OCD does not mean you’ve lost the ability to think or reason well
  • The difference between obsessional reasoning and everyday, present-moment reasoning
  • How trusting sensory data can help break free from “what if” thinking
  • Why ICBT is not about arguing with OCD, but expanding beyond its narrow story
  • How faith, identity in Christ, and ICBT work together to bring hope—especially for scrupulosity

Episode Summary:

Today’s episode came straight out of real conversations I have with clients and listeners—especially those of you who have been told, “ERP is the gold standard for OCD treatment,” and now you’re wondering what it means if ERP didn’t work for you… or didn’t feel like a good fit.

Maybe you’ve tried Exposure and Response Prevention (ERP) and felt overwhelmed, discouraged, or even ashamed when it didn’t bring the relief you hoped for.

Maybe you’ve been curious about ICBT, but you’re thinking, “Is this really legitimate?” or “Am I just avoiding the hard work?”

We talk about all of that in this episode.

I share why OCD treatment is not one-size-fits-all, why ERP can be helpful for many people and still not be the right approach for everyone, and how labeling one method as the only “right” option can quietly leave people feeling broken when they’re not getting better.

We also unpack a big misconception—that ICBT is just “arguing with OCD” or trying to think your way out of a disorder. Instead, we talk about how OCD uses a very specific reasoning process, and how ICBT helps you recognize when you’ve slipped into OCD’s imagined future instead of living from the present moment—where God’s grace actually meets you.

This episode is especially for you if:

  • You’ve done ERP and are wondering what other options exist
  • You struggle with scrupulosity or faith-based OCD
  • You’re asking, “Will anything ever work for me?”

I want you to hear this clearly: ERP not working for you does not mean you’re hopeless. There is still a path forward.

🎧 Tune in to the full episode and let’s walk through these objections together.

 Welcome back OCD Warriors. Today we’re talking about three common objections to ICBT, so let’s get into it. Hello and welcome to Christian Faith and OCD with Carrie Bock. I’m a Christ follower, wife and mother, licensed professional counselor who helps Christians struggling with OCD get to a deeper level of healing.

When I couldn’t find resources for my clients with OCD, God called me to bring this podcast to you with practical tools for developing greater peace. We’re here to bust through the shame and stigma surrounding struggling with OCD as a Christian, sharing hopeful stories of healing and helping you replace uncertainty with faith.

I’m here to help you. Let go of the past and future to walk in the present abundant life God has for you. So let’s dive right into today’s episode. Number one that I often hear is, well, I’ve been told that ERP or Exposure and response prevention is the gold standard of treatment for OCD. Can I just tell you that I’m so tired of hearing that.

I’m so tired. I’m so done. I’m so over it. We’ve gotta stop saying that there is no one size fits all for OCD treatment. I have met many, many people struggling with OCD. Some of them need a little bit of DBT skills woven in because they just have no tolerance for any kind of emotional distress. I’ve met people who have had just very poor relationship skills.

They struggle in their family relationships. They struggle with boundaries, communication, assertiveness. I’ve met with people with trauma. His trauma is feeding into their OCD. We’ve got to stop acting like if OCD is the nail, then ERP is the hammer. I’m done. Now, this has been said many times over and over, and quite frankly, to throw them out on Front Street io.

CDF is responsible for a lot of this language. Now we know that there have been many, many studies done that have shown exposure and response prevention to be effective. We also know on the flip side. That ERP has a high dropout rate. It’s very difficult. I’ve talked with many of you who are looking for alternatives and who have done some ERP and really didn’t feel either that it was effective for you or didn’t feel like that was a road that you wanted to go down because of your spiritual beliefs and how exposing yourself to certain things did not align.

I do think there is a way to do ERP that’s spiritually and religiously sensitive and sound hats off to the many, many clinicians out there who are doing that. What happens when you tell someone that something is the gold standard of treatment? And then it doesn’t work for them or they don’t find it effective.

Creates a lot of hopelessness. It creates a lot of shame. It creates a lot of, what in the world is wrong with me? Because if this is the gold standard and I did the gold standard, then shouldn’t I be better? And so I really wish that they would adjust that language to say that people with OCD. Have complex things going on and they need to find possibly a blend of treatments that will work the best for their unique situation.

They’re coming from a good place because they want people to get evidence-based care, and I understand that and I do appreciate the promotion of evidence-based care, but I also know that people are people, they’re not study participants. Many, many of them are not study participants and many, many of them would not qualify for an OCD study due to the massive other things that they have going on in their life or in their clinical presentation.

I’ve talked about that on the podcast before, so I won’t be labor that point either. ICBT has also been researched. ICBT is being used by many clinicians. Are having great success, and I see this all the time, not only with my own clients and my own students, but from talking with other ICBT clinicians who have been able to help many, many individuals.

There is no one size fits all for OCD treatment, whoever you decide to seek help from, please make sure that they have the training and experience needed in OCD to be able to treat you. If you are going to seek, whether it’s E-R-P-I-C-B-T, or some other form of therapy, ask the questions, ask the hard questions.

Ask your therapist, what percentage of their caseload do they see? Who has OCD? Ask them what kinds of themes they’ve worked with, if that’s something that’s a concern for you, or how they might treat your particular theme. The second objection that I hear pretty frequently is people say, well, wait a minute.

I have a mental health condition and you’re telling me that I need to use my brain. To reason my way out of OCD, well, you have the ability in your everyday reasoning process to reason many different types of things. I have seen people who are struggling with OCD, who are incredibly successful. They’re problem solvers, they’re engineers, they’re in tech.

They’re doing just amazing things, super smart, and they have the ability to reason a variety of different ways. Yes, of course. Your brain has that ability to be able to change and shift the way that you’re thinking about things. That’s the beauty of neuroplasticity. Also, we know that there is a OCD way of thinking.

And an everyday reasoning process way of thinking that we talk about in Icbt. So people will say things to me like, yeah, and I do this and I have to do this compulsion because of this. And I’ll say like, I mean, I know it doesn’t make sense. I’m like, well, it does like in OCD world, it makes complete sense to me what you’re saying because I understand that obsessional reasoning process.

But we also know that we’re in everyday reasoning processes. All day long day where we are determining if situations are safe or not, and we’re not using those same rules that OCD uses. So the key thing is if you can start to recognize when you’re in a non obsessional reasoning process, like what’s the difference?

ICBT says you’re able to really trust your sense data of what’s happening. In the present, in the here and now without going into this land of imagination of all kinds of what if hypotheticals, and you do that on a day-to-day basis. When you get in your car, when you look both ways across the street when you go into a store or you’re kind of like scanning the environment, okay, there’s somebody over there that’s loitering or I’m not really sure what they’re doing, they’re kind of out of place.

Maybe I’ll just kind of walk the other direction. You might have had situations like that, I know I have, where you have to be on a little bit more high alert for your safety based on the location that you’re in or what you’re doing, and you’re able to use your sense data to determine that. There may be times where you’ve looked at packages of food and it was just very clear that for whatever reason it was spoiled.

You didn’t get to it fast enough in the refrigerator. Senses of sight and smell are able to tell you like, Hey, that food is not any good. What OCD does is it’ll read the tag on the package of chicken that says it expires tomorrow. And OCD will say something like, what if it actually expires today? And what if that means that there might be some harmful bacteria in this chicken and we could cook it all the way?

How do I know if it’s really done? It’s still may. Maybe it’s a little pink in the center. I might really need to look at like that’s the obsessional reasoning process versus just really trusting in your senses and not going into the land of futuristic thinking, I’m gonna be sick all of a sudden from this chicken, which is perfectly fine for me to cook in a normal, healthy way.

So yes, you do have the ability, even though this is a disorder that affects your thought process, you have the ability to think differently about it, to look at alternative narratives. The third objection that I hear about I ccbt is that it’s really just arguing with your ocd. That’s all you’re doing.

You’re saying, well. You’re writing some type of alternative narrative, and that’s just engaging with the Ooc D in a way that you shouldn’t, and you should just be disconnecting from that and being able to move towards your values or expose yourself to things that are scary. And we’re not arguing with OCD, we’re not saying that some of these things are not possible.

We are saying that not everything that’s possible is probable. OCD doesn’t really care if it’s a 0.0001% chance it will still convince you that this is going to happen. So we don’t worry as much about probability because many, many different things are probable. What we’re saying is what data do we have to show that is going to happen?

If we don’t have any data to show us that that’s going to happen, our real sensory information, then that’s not something that we need to be concerned about. It’ll almost be like saying that you’re preparing for a rainy day when it’s completely sunny outside and you look at the weather report, it looks like it’s gonna be sunny or maybe partially cloudy, and you say, well, I really need to put on my boots and my raincoat because theoretically it could potentially rain today.

What we’re doing with alternative narratives in I CCB t is we’re not trying to argue with the obsessional story. We’re not trying to say, oh, this alternative narrative, it’s right and the obsessional story, it’s wrong because that is too black and white in itself. There may be some genuine uncertainties that OCD latches onto and that makes things really confusing.

There are some things that you might not be able to know right now. Like for example, should I marry this person? Maybe you haven’t been dating them or knowing them long enough really to make some type of determination about that, but you could make some determinations about what you’ve seen in terms of how they act or their character.

If nothing else, you can make a determination about, yes, I wanna continue getting to know this person, or no, I don’t. But the general, like, where is this gonna go in the future? Might be a true uncertainty that you have to live with. And when we look at that alternative narrative, we’re just trying to like debunk the obsessional story as like the only story in your brain.

Like this is the only possibility of something that could happen. It’s almost a way of just being creative and expanding your mind to say, yeah, that could happen. Things could go terribly horrible, awful, and all of my deepest fears come true, or things actually could be okay. Maybe, I don’t know in this situation, but as Christians, we can rest and we can trust God.

That comes from knowing that God loves us, that God cares about us, that God has our best interests at heart. If you’re struggling with scrupulosity, those things may be really hard to grasp ahold of right now. That’s one of the reasons that I’m really trying to incorporate more and more tools for Christians in my online course Empowered Mind.

We are getting ready to start up on Monday, this kind of last call, if you wanna get in there and be involved, but I would love to have you. So you are all invited. If you’re just done kind of fighting with OCD and you’re unsure of what to do next, but maybe you’ve tried some different things and, and what you’ve tried hasn’t worked, I just encourage you to try ICBT to just go in.

I’ve yet to have a person who dropped out because they were absolutely terrified or just felt like they needed to avoid all the content. There’s a way to practicing with your particular theme, feels too scary or too daunting. You can certainly look at some other examples and practicing with maybe a past theme that you’ve been able to work through that doesn’t bother you anymore.

Or just a complete different story, something maybe that isn’t emotionally charged for you. So that’s one thing that I really love about it. You don’t have to necessarily use your own stuff in the beginning until you feel more comfortable and more confident in being able to apply the skills. One of the things that I really want to shake up, as I talked about in the beginning, is this idea that there is a one size fits all.

Really have to look at people as unique individuals, what their needs are, what they’re most struggling with, how things have worked or haven’t worked over time, and develop a solid plan for that. So I really encourage all of you to look at what your options are, but hopefully this episode helped you. I recognize or work through some objections that maybe you’ve had to engaging with Icbt, whether you are a clinician or a therapist listening.

Ultimately, your big question may be, will this work for me? Will this work for my particular theme? Will this work if other things haven’t worked for me in the past? In other words, is there any hope of me being able to develop some skills to deal with this ocd? As I always say, I believe that there is hope for you regardless of what you have been through or how severe things are looking right now.

This treatment has been shown to work across a variety of different themes. I feel like ICBT is great for scrupulosity because of the emphasis on identity and focusing on your true self versus this feared false self that OCD has convinced you that you are or you’re going to become if you don’t engage in compulsions.

Until next time, may you be comforted by God’s great love for you. Christian faith in OCD is a production of by the Well Counseling. This podcast is for informational purposes only, and should not be a substitute for seeking mental health treatment in your area.

208. Is it OCD Voice or God’s Voice? Hearing from God for Healing with Heather O’Brien

In today’s episode, Carrie sits down with Heather O’Brien—minister, author, speaker, and host of the Heal With God podcast—to discuss how to discern God’s voice when OCD and scrupulosity create fear and confusion.

Episode Highlights:

  • How Scripture and the Holy Spirit work together to bring clarity and peace
  • Why you don’t have to be afraid of “missing” God’s will in everyday decisions
  • What it looks like to break agreement with lies and replace them with God’s truth
  • Why God’s guidance produces peace, not pressure, urgency, or shame
  • How Christian community can support healthy spiritual discernment

Episode Summary:

Many people I work with share that they once believed OCD was the voice of God, leaving them overwhelmed by fear, urgency, and constant self-doubt. I hear this especially from those struggling with scrupulosity, people who genuinely love God and want to follow Him, but feel exhausted by constantly questioning their thoughts, motives, and decisions. Over time, that pressure can quietly reshape how we see God, making Him feel demanding, distant, or impossible to please.

In Christian Faith and OCD Episode 208, I sit down with Heather O’Brian, minister, author, speaker, and host of the Heal With God podcast, to talk through how to tell the difference between God’s voice and OCD’s voice in real, everyday life. We discuss decision-making, the fear of “getting it wrong,” and why God’s guidance is not marked by panic, urgency, or threats. 

We also explore how Scripture, listening prayer, and trusted Christian community help bring clarity and grounding, and why God’s will isn’t something you’re constantly on the verge of missing.

If you’ve ever felt afraid to move forward, worried that ignoring a thought might be disobedience, or wondered why following God feels more stressful than peaceful, this episode was created with you in mind. 

Hit play and join the conversation.

Connect with Heather O’Brien:

calledtopriesthood.com

heatherobrien.net

207. Increased Confidence in Who God Created Her to be: A Personal story with Ashley Lawrence

In this episode, Carrie sits down with Ashley Lawrence, a wife, mom, homeschooler, and artist who shares her journey with OCD, and how God met her in the middle of years of fear, doubt, and unanswered questions.

Episode Highlights:

  • How scrupulosity can mimic a “faith problem” when it is actually OCD
  • What mental compulsions can look like, including rumination, internal checking, and reassurance seeking
  • How warning passages in Scripture can become triggers for obsessive doubt and fear
  • How ICBT helps “disarm” OCD’s reasoning and make intrusive thoughts feel less convincing
  • How identifying the feared self versus your real identity in Christ can support recovery and peace

Episode Summary:

Have you ever opened your Bible hoping for peace, only to walk away feeling more anxious than comforted, then quietly wondered what that means about your faith?

I sit down with Ashley Lawrence, who shares her personal journey with scrupulosity and OCD and how she spent years believing she had a spiritual problem rather than a mental health one. Like so many Christians, Ashley loved the Lord deeply, yet felt trapped in cycles of doubt, fear, and constant mental checking that never seemed to bring relief.

In this conversation, we talk about how OCD can latch onto Scripture and deeply held beliefs, turning faith into a source of fear instead of rest. Ashley shares how learning about Inference Based Cognitive Behavioral Therapy (ICBT) from a Christian perspective helped her begin to understand the OCD reasoning process, separate fear from truth, and loosen the grip of obsessive doubt. We explore how ICBT does not ask you to abandon your faith, but instead helps you live more fully from the truth of who God says you are.

My prayer is that this episode reminds you that struggling with scrupulosity does not mean you are failing God. It means you are human, and God is patient, compassionate, and present with you in the middle of the struggle.

Share this episode with someone who may be silently wrestling with spiritual anxiety or intrusive thoughts.

If you are prayerfully considering next steps, I invite you to learn more about Empowered Mind and see if it may be the support you have been asking God for.

You do not have to walk this journey alone. Healing takes time, grace, and support, and God is with you every step of the way.

206. She Hid the Knives and Prayed She Wouldn’t Die: A Personal OCD Story with Blessing Afolabi-Jombo

In this episode, Carrie sits down with Blessing Afa Jumbo, a wife, mother, and writer, who shares her courageous journey with OCD—how intrusive thoughts, postpartum struggles, and performance-based faith shaped her view of God, and how grace, proper treatment, and healthier theology have brought healing and hope.

Episode Highlights:

  • How OCD can disguise itself as spiritual conviction, warfare, or responsibility, placing unbearable pressure on the Christian
  • The heavy burden of performance-based faith and the fear of failing God as a Christian and a mother
  • Postpartum OCD and harm-related intrusive thoughts, and the courage it takes to name them for what they are
  • Finding freedom through proper support, including medication and therapy, alongside faith.
  • Relearning the heart of God as loving and gracious, not punitive.

Episode Summary:

What if the intrusive thoughts you’re battling don’t mean you’re spiritually failing, but that you’re dealing with OCD?

In this episode of Christian Faith and OCD, I sit down with Blessing Afa Jumbo for a heartfelt and eye-opening conversation about how OCD can quietly weave itself into a Christian’s faith, especially during pregnancy and postpartum. 

Blessing shares how fear of death and intrusive thoughts slowly transformed her relationship with God into one driven by pressure, responsibility, and the belief that she had to perform perfectly in order to stay protected.

As we talk, we explore a question I hear often from Christians with OCD: How do I know when something is conviction versus OCD? Blessing opens up about the fear that kept her silent, the shame of believing her thoughts defined her, and the moment she realized that what she was experiencing had a name. We also discuss how learning about OCD began to reshape her theology, helping her see God not as a harsh taskmaster, but as a loving Father who meets us with grace in our suffering.

If you’ve ever felt trapped in your own mind, exhausted from trying to get it right with God, or unsure whether faith and mental health can truly coexist, tune in and listen to Blessing’s story. 

And if you’re ready to develop a more empowered way of responding to OCD, one that helps you recognize when OCD pulls you into imagined stories instead of present reality, I encourage you to learn more about Empowered Mind, my Christian ICBT course, at carriebock.com/training.

205. You’re Not Alone in Your OCD: Survey Results and Upcoming Episode Plans! 

In this episode, Carrie reflects on insights from the listener survey and shares how that feedback is shaping the direction of the show in 2026. She also explores what healing can look like for Christians with OCD and how to take meaningful steps forward.

Episode Highlights:

  • What the listener survey revealed about where listeners are in their OCD journey
  • How listener feedback is guiding the podcast’s direction in 2026
  • A preview of upcoming topics
  • How the podcast is intentionally designed to support your specific questions and struggles
  • Why evidence-based treatment matters for OCD and what to look for in a therapist

Episode Summary:

What if your voice and your story mattered more to this podcast than you ever realized?

One of the greatest gifts of hosting Christian Faith and OCD has been the opportunity to hear directly from you. 

In this episode, I share insights from the listener survey we conducted around the podcast’s 200th episode and explain why your responses meant so much to me. Hearing your stories offered a clearer picture of the real questions, struggles, and experiences so many of you are carrying, often quietly and for a long time.

I also walk through what many of you have tried in the past, what has and hasn’t helped, and why evidence-based treatment for OCD matters. 

As we look ahead, I share what’s coming in 2026, including a deeper focus on scrupulosity and other listener-requested topics. I also provide updates on my course, Empowered Mind: Christian ICBT for OCD, created to help you build a healthier relationship with intrusive thoughts and grow in confidence, clarity, and peace.

This episode is also an invitation to pause and consider your own journey. What might your next step be? Whether that step feels big or small, my hope is that you’ll feel encouraged to move forward with intention, prayer, and grace. You don’t have to have everything figured out, and you don’t have to take that step alone.

204. Putting to Bed Year End Regret to Start Fresh in the New Year

In this episode., Carrie explores how Christians can navigate year-end regret with both honesty and grace, especially when OCD keeps pulling them back into “what ifs” and past decisions.

Episode Highlights:

  • How to acknowledge regret without getting stuck in rumination or shame.
  • Why accepting God’s forgiveness is more powerful than trying to “forgive yourself.”
  • A simple four-step process for moving through regret with honesty and grace.
  • How OCD distorts regret and keeps you replaying the past, and how to step out of that cycle.
  • What Peter’s story teaches us about restoration, calling, and God’s tender pursuit of His children.
  • How to trust God’s sovereignty when you fear your decisions may have “messed up” His plan.

Episode Summary:

Have you ever stepped into a new year wishing you could go back and undo something from the year before? As we wrap up 2025, I am talking about the quiet weight of regret and how OCD can magnify it until it feels overwhelming. 

In this episode of Christian Faith and OCD, I share from my own life and from years of counseling Christians with OCD who struggle to let go of the past, often fearing they have somehow stepped outside of God’s will or His forgiveness.

I’ll walk you through a four step process that helps us face regret with honesty, compassion, and a deeper awareness of God’s presence in our story. You will hear how I have had to apply these steps to my own year, from business decisions that did not go as planned to relational fallouts that left me seeking wisdom and healing.

We also look at Peter’s story in Scripture and how Jesus restores him after his denials, reminding us that God knows exactly where to find us when we feel ashamed or stuck. 

If OCD has kept you replaying your decisions or wondering if you have ruined something God intended for your life, I pray this episode brings reassurance that His sovereignty covers your missteps and His grace is more than enough.

Tune into this episode, and share it with someone who needs a gentle, hope filled reminder of God’s love as they enter a new year.

203. Immanuel: God is With You Always

In this Christmas episode, Carrie dives deep into a truth we often miss in the middle of all the holiday noise, and what Immanuel—God with us truly means for those moments when we don’t feel His presence. 

Episode Highlights:

  • The meaning of Immanuel and Jesus’ humble arrival.
  • How to trust God’s nearness even when you don’t feel Him
  • How God draws close to the brokenhearted and understands every layer of your suffering.
  • How the humility of Christ’s birth reflects God’s desire for intimate relationship with us.
  • What it looks like to walk with God daily through the Holy Spirit

Episode Summary:

As we step into the busyness of the Christmas season, I wanted to pause with you and return to the heart behind all our celebrating: Immanuel, God with us. 

In this episode, I share how easy it is to get caught up in the whirlwind of gifts, lists, pageants, choir rehearsals, and all the holiday expectations that quietly pull our hearts away from the simple, stunning truth that God chose to step into our world as a humble baby. He did not come in power or prestige; He came in vulnerability and closeness so we would know, without question, that He is near.

If you’re walking through OCD, wrestling with fear or spiritual uncertainty, or carrying wounds from past hurts, especially church hurt, you will hear why your feelings of distance do not change God’s unshakable promise: “I will never leave you nor forsake you.” I walk through key Scriptures that remind us that nothing, not our doubts, not our past, not our emotions, can separate us from the love of Christ. God understands every layer of your pain, your questions, and even your fears surrounding Him. He draws near to the brokenhearted and sits with us in the messy, raw places we often hide from others.

My prayer is that this Christmas, you experience Immanuel in a fresh and deeply personal way, that you sense His compassion in your suffering, His steadiness in your uncertainty, and His invitation into a closer, moment-by-moment relationship through the Holy Spirit. He came near because He wants to walk with you, not just in the joyful moments but in the hard and lonely ones too.

Tune into the full episode for encouragement, biblical grounding, and a gentle reminder that God is truly with you, right in the middle of whatever you are facing this Christmas.

202. Why I’m Grieving When No One Has Died: The End of my Individual Therapy Practice

In this episode of Christian Faith and OCD, Carrie shares the unexpected grief she’s walking through as she steps away from individual therapy. She reflects on how God is leading her into a new chapter and explores how you can move through your own transitions with faith, courage, and compassion.

Episode highlights:

  • Why Carrie is no longer offering weekly individual therapy and what this shift has looked like emotionally, spiritually, and practically.
  • The unique benefits of intensive therapy like EMDR and ICBT for Christians with OCD and trauma, and how it differs from weekly counseling.
  • How overthinking, early childhood experiences, and self-doubt can fuel OCD, and why deeper work on these roots can bring meaningful relief.
  • How ICBT integrates with Christian faith, especially around identity in Christ.
  • Practical ways to walk through your own transitions with honesty, grief, and hope, while trusting God’s leading. 

Episode Summary:

Welcome back to the podcast, OCD Warriors. As we move toward the end of the year, I’m opening up about a tender place in my heart and a transition that has brought its own kind of grief. 

I’m calling this episode “Why I’m Grieving When No One Has Died,” because sometimes the deepest aches come not from losing a person, but from letting go of a season we’ve loved.

In this conversation, I share why I’m closing the doors on providing individual therapy after several years and how God has gently led me into a new chapter through prayer, discernment, and a whole lot of wrestling. You’ll hear how grief can quietly weave its way through life transitions, even when the world around you is cheering you on. I open up about the emotional weight of telling long-term clients goodbye, the beauty I’ve seen in intensive therapy, and the way God keeps inviting me to trust Him as I expand my work with Christians learning ICBT.

As you listen, you’ll learn how grief shows up in transitions, why my practice is shifting, what intensive work is making possible, how I’m processing both fear and obedience, and the new ways I hope to support this community moving forward. 

My hope is that as you listen, you feel permission to honor the grief in your own transitions, even the ones that others may not notice or fully understand. 

If you are grieving something right now and no one has died, please know you are not alone. God meets us tenderly in these in-between seasons, and His love remains steady through every change we face.

201. What Does it Look Like to Have both OCD and ADHD? with Nikole Krueger, LCSW

In this episode, Carrie welcomes a special guest, Nikole Krueger, LCSW, to explore the often-overlooked overlap between OCD and ADHD. They share practical tools and guidance for understanding your neurodiversity with clarity, compassion, and a Christ-centered sense of hope.

Episode Highlights:

  • How Nikole defines ADHD as attention dysregulation rather than a true “deficit” of attention, and what that looks like in everyday life.
  • How hyperactivity can show up on the outside or stay hidden on the inside, causing many people, especially women, to miss a diagnosis for years.
  • Why more adults are being diagnosed with ADHD later in life
  • How trauma, depression, sleep issues, and other conditions can mimic or overlap with ADHD and OCD, making accurate diagnosis more complex.
  • The ways OCD and perfectionism can mask ADHD symptoms
  • What evidence-based assessment and treatment can look like when someone has both OCD and ADHD

Episode Summary:

As I continue to walk alongside Christian clients who are navigating OCD, I’ve noticed something becoming more and more common: many of them are also showing signs of ADHD. These overlapping symptoms can make life feel confusing, exhausting, and at times discouraging. 

In this episode, I sit down with Nikole Krueger, LCSW, to explore this important and often misunderstood intersection.

Nikole brings both clinical experience and personal insight. She was diagnosed with severe, sudden-onset OCD at age nine. Now she works with neurodiverse clients with OCD, autism, and ADHD, which gives her such a compassionate and informed perspective.

Nikole and I talk about what ADHD truly is and why it is often misunderstood. She explains how some people experience hyperactivity on the inside rather than in their behavior, which can make ADHD especially easy to miss in girls and women. We also discuss how ADHD can hide underneath OCD and why some people notice their ADHD symptoms more clearly once their OCD feels better.

We touch on how trauma, sleep issues, depression, and OCD can all mix with ADHD symptoms, making it hard to know what belongs where. Nikole shares encouraging reminders that complexity does not mean failure and that our stories matter to God, who meets us with gentleness in the places we struggle most.

There is so much more in the full conversation, including stories, examples, and insights. If you’ve ever wondered whether ADHD might be part of your story, or if someone you love seems to be walking through both OCD and ADHD, this episode offers clarity and encouragement.

Connect with Nikole Krueger:

www.ocdtherapies.com

200. Two Secret Weapons to Escape Discouragement

In this heartfelt 200th episode, Carrie reflects on five years of podcasting and God’s steady faithfulness through seasons of loss, doubt, and unexpected grace. She shares two “secret weapons” for overcoming discouragement and finding renewed strength when life feels heavy.

Episode Highlights:

  • Honest reflections on the highs and lows of podcasting for five years
  • Two biblical “secret weapons” to help you escape discouragement and find hope again.
  • Why contentment is something we learn through experience—and how Philippians 4 teaches us to live it out.
  • How to stay rooted in faith when life feels uncertain or overwhelming.
  • Practical ways to apply mindfulness and Christian mental health tools for OCD, anxiety, and emotional burnout.
  • Encouragement to keep showing up in your calling, trusting that God is still at work even when you can’t see the results yet.

Episode Summary: 

It’s hard to believe we’ve reached episode 200 of the Christian Faith and OCD Podcast! I’m so thankful for everyone who filled out our listener survey, shared messages, or just quietly listened and prayed along these past five years. You’re the reason I keep showing up to the mic — even when it’s been hard. There have definitely been hard seasons.

There were moments when I wanted to quit podcasting altogether — after loss, exhaustion, and so many “God, are You sure?” prayers. But every time, God reminded me: you’re still called to this. Through all the grief and uncertainty, He was gently shaping my heart with two lessons that have become my lifelines whenever discouragement tries to take over.

If you’ve ever felt like you’re spinning your wheels, or maybe the winter months just seem heavier on your heart, this episode is for you. In it, I share the two secret weapons that help me escape discouragement — tools that have carried me through seasons of doubt, grief, and even spiritual dryness.

I’ll give you a hint: they’re not quick fixes, but they are muscles you can strengthen. And when you do, they’ll change the way you walk through suffering — with peace, presence, and a deeper trust that God hasn’t gone anywhere.

Because even when the days feel dark and the journey long, there’s still light. There’s still purpose, and there’s still hope.

Tune into Episode 200 of Christian Faith and OCD to hear the full story — how God met me in discouragement, what those “secret weapons” really are, and how you can begin using them right now.