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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.

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

198. How Do I Deal with Sexual Thoughts as a Christian?

As we continue the Healthy Perspectives on Sex series, Carrie explores what it means for Christians with OCD to face intrusive sexual thoughts with faith and honesty. She opens up a deeper conversation about shame, healing, and renewal in Christ.

Episode Highlights:

  • How OCD can distort normal sexual thoughts and create unnecessary guilt.
  • The key differences between intrusive thoughts and sinful thoughts.
  • Why trying to suppress or “neutralize” thoughts often makes OCD worse.
  • How faith and therapy work together to break shame cycles and bring healing.
  • What Scripture teaches about renewing your mind and embracing grace.
  • Practical steps to find peace and freedom as a Christian living with OCD.

Episode Summary:

Ever feel like no matter how hard you pray, those unwanted thoughts just won’t stop — and you start wondering if that means something’s wrong with your faith? You’re not alone.

In this week’s episode, I’m diving into a topic that’s rarely talked about openly but deeply affects so many believers: how to deal with sexual thoughts as a Christian who struggles with OCD.

If you’ve ever found yourself stuck in fear, shame, or confusion about your own mind, this conversation will bring clarity and compassion. 

OCD can twist normal, passing thoughts into spiritual panic, making you question your heart, your purity, and even your salvation. 

I’ll walk you through how to tell the difference between intrusive thoughts and sinful thoughts, why trying to pray or “fix” your way out of them only makes the cycle worse, and what it looks like to actually renew your mind through grace and truth.

We’ll talk about how God designed you as a whole person — including your sexuality — and how embracing that truth can help you find peace instead of fear. You’ll learn practical, faith-based tools for responding to OCD in a healthy way, grounding yourself in Scripture, and letting go of the perfectionism that keeps you stuck. Healing is possible, not through striving harder, but through surrendering to the renewing work of the Holy Spirit.

If you’ve been searching for hope, encouragement, and real strategies to help you walk in freedom, this episode is for you.

Tune in to the full episode of Christian Faith and OCD to learn how to break free from shame, quiet the noise of OCD, and experience the peace and confidence God has already promised you.

197. Is it Normal? Child and Adolescent Sexual Development

As The Healthy Perspectives on Sex series continues on Christian Faith and OCD, Carrie explores what healthy sexual development looks like from birth through age 25. She discusses how OCD can complicate perceptions of sexuality and calls for open, grace-filled dialogue about faith, the body, and healing.

Episode Highlights:

  • What healthy sexual development looks like from birth through age 25.
  • How curiosity, modesty, and body awareness naturally evolve as children grow.
  • The importance of teaching age-appropriate boundaries and correct body terminology.
  • How OCD can distort or shame past sexual experiences and thoughts.
  • The effects of sexual abuse on development and the importance of early intervention and healing.
  • Practical, faith-based ways to have open, grace-filled conversations about sex, faith, and identity.

Episode Summary:

As we continue the Healthy Perspectives on Sex series on the Christian Faith and OCD Podcast, I’m diving into an important and often misunderstood topic — what normal sexual development looks like from birth through age 25. My goal is to bring clarity, compassion, and a Christ-centered perspective to conversations that are too often filled with shame, confusion, or silence.

Sexual development is a natural, God-designed process that unfolds in stages — from a child’s early curiosity about their body to the complex emotions of adolescence and the longing for connection in young adulthood. 

In this episode, I break down what healthy exploration looks like at every stage and share how parents and caregivers can talk about these topics with wisdom and grace.

Unfortunately, many Christians struggle with guilt or uncertainty around sexuality — especially when OCD is involved. OCD has a way of twisting memories, amplifying fears, and attaching shame to experiences that were never meant to define you. I share how OCD can complicate perceptions of sexuality, particularly when intrusive thoughts or past trauma are part of your story.

For those who have experienced sexual abuse, this episode also addresses how trauma can affect development and why healing requires both professional support and the restorative love of Christ. We’ll talk about what healthy boundaries look like, how to build open conversations about sex in faith-based families, and how to reclaim a godly understanding of your body and identity.

If this topic feels heavy or triggering, please give yourself permission to pause or take care of your heart as you listen. Healing happens at your pace, and God’s grace meets you exactly where you are.

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.

Today, we’re talking about normal sexual development, ages zero to twenty-five. And I’m gonna break this down into different stages and ages so you can kind of know a little bit more about what to expect. I know that OCD, a lot of times, lashes on to past experience; it has a tendency to distort things. So, we’re gonna talk about how OCD gets involved at different ages.

We’ll also look at how things may have shifted or changed for someone who was sexually abused, if that’s part of your story. Now, many years ago, I was at a church program, and we were watching my friend’s son, who was probably maybe around three years old. He was standing next to a little girl in the children’s program.

Towards the end of the program, he just kind of got this look on his face and just pulled up the skirt slightly of the girl next to him, and I think my friend was a little embarrassed. He did that in front of the whole church. We all got a good laugh, right? Children at this age, they’re just curious.

They’re just trying to find answers to their questions. They’re learning about their bodies—how they move, how they work. As a part of just that curious exploration, children may explore their own bodies and touch themselves. They may show an interest in other people’s bodies. If you have really little kids, sometimes they’ll just rip off their clothes or rip off a diaper and run around the house naked.

They don’t even think twice about it. All of that is very normal behavior for this age, and so, at this stage, it’s just really important for caregivers to talk about appropriate boundaries—what types of things are okay to do on your own, by yourself, or in the bathroom, and what types of things you don’t want to do in front of other people.

Children just begin to understand that boys and girls are different and may start to understand that they have different private parts. I think it’s really important for child safety, for children to know the correct name of their body parts, just weaving it into general conversation about their body so it doesn’t have to be a strange or uncomfortable thing.

A weird thing—if they’re washing, just say, like, “Okay, did you wash your leg? Did you wash your penis? Did you wash your arm?” And just by weaving that into conversation, normalizing it, we don’t make up funny, strange names for other parts of our body, so why would we make up funny, strange names for our genitals?

There’s a really great book called Your Body Belongs to You, which just provides a very casual overview about bathing suits, covering up private parts, and kind of goes into a little bit of safe and unsafe touching. It’s required, mandatory preschool curriculum in the U.S.—I know at least in Tennessee it is.

Anyway, if your child is in any kind of public preschool or Head Start program, they start at age three and start communicating some of these messages—who it is appropriate to touch you in certain areas of your body. And I think that all of this is really great for sexual abuse prevention and helps increase kids’ ability to be able to report if something does happen.

What you want to do is just provide age-appropriate explanations if children come to you with questions—just to be able to tell them something on their level, like, “Boys and girls have different parts.” “No, you can’t go into the bathroom with Dad because boys and girls have different parts,” and that type of language.

Now, if you have a child who has been abused in the preschool age range, oftentimes that may lead to them touching themselves more often than you would see in a normal child because, as we said before, even children who have not been abused—it is very typical for them to touch themselves, explore their bodies.

It’s not sexual; it’s not to be referred to as what we would call masturbation. That’s not what we’re talking about here. All that child has learned at a very young age is that, if I have stimulation to a certain area of my body, it feels good. And so, they are going to want to replicate that, and they may act that out or play that out with stuffed animals. If they have seen particular sexual content, you may see that come out in their play.

That’s how children essentially think, reason, and understand their world—through play. And so, it is important for them to get that specific type of therapy if they’ve been abused at a very young age—for them to be able to work through the things that are coming up for them and also, along with parents and therapists, to get healthy education surrounding who is allowed to touch them and so forth.

Now, let’s talk about the elementary ages, ages six to ten, for healthy sexual development. Over ten years ago now, my first husband and I were foster parents. Our very first placement was an eight-year-old girl, and she had asked me, probably on the third day of me parenting anybody, where babies come from.

I don’t remember exactly how I responded to that. I think I just kind of responded with, “Are you asking me where babies come from?” and then moved on and changed the subject because, as a foster parent, I just wasn’t quite sure if I should even be the one answering that and how to respond. Those types of questions, obviously, are very typical for this age range.

They’re going to have more questions about getting married, about where babies come from. When my daughter was taking swimming lessons at the Y, some of the elementary school kids were convinced that the swimming instructors were married or were dating, and they told them several times, “No, we’re not together. We’re just coworkers. We’re not married; we’re not in a relationship.” Somehow, the kids really didn’t believe them. I don’t know why.

But these are the kinds of things that children have. There are a lot of stories and fairy tales and princesses and princes, etc. It’s very common for kids to maybe compare their bodies with someone else’s, notice differences between peers, and have an increased sense of modesty.

They’re no longer just ripping off their clothes and running around the house naked. Now, they don’t want anybody in the bathroom with them. They want to change on their own, etc. All of that is very normal. Some females will start the puberty process towards the end of this age range, but I’m going to save talking about puberty for the next section—adolescence.

It’s really important at this age, as things come up, to just talk about how we treat our bodies, how others treat our bodies, how we treat others, etc.—friendships, appropriate touching. My daughter just ran around one day (she’s younger), but she ran around and slapped me on the butt, and I just said, “Please don’t touch my butt.”

She got kind of upset by it or whatever, but her dad came and talked to her and said, “All Mommy asked was that you just not touch her butt.” That’s it. We’re kind of teaching things like tickling—if you’re tickling a child or wrestling or something like that and they ask you to stop, it’s really important that you respect their boundaries as a parent and stop.

Sometimes my daughter will go through this like, “Tickle me!”—she wants to be tickled—and then other times she doesn’t want to be, and it can change in five seconds flat. So, it’s like, “Hey, tickle me!” “No, don’t tickle me at all!” But just in that process, we’re teaching her that she can ask for what she wants in regard to how other people treat her body, and that we’re going to respect her boundaries.

It’s really important for younger children to know that if they do feel uncomfortable with anybody for any reason, they can come and talk to you about that. I know it can be really boring at times when your kids want to talk to you about Minecraft or whatever else is popular out there—what’s happening on a Bluey episode—but if you really plug in and listen to your children and talk with them and communicate about all of these little things, they’re going to feel more safe and comfortable to come and talk to you about bigger issues.

If you minimize their concerns, then it’s going to be really hard for them to bring up something that maybe is a bigger concern. It’s really important that we’re plugged in and that we’re invested.

If a child has been abused in these elementary ages, you’re going to see some different things happening than what would happen in the typical sexual development. You may see kids that are more comfortable with exposing their bodies. You may see kids who are reenacting certain sexual acts, and, of course, this can be very scary and uncomfortable. They may try things out with other children that have been done to them. That’s sexually reactive behavior.

If this has happened to you or you have gone through sexual abuse and you reacted, that was what your brain and body were trying to do to process what you experienced at a younger age that you were never meant to experience at that age. It’s really important because OCD will come in and potentially shame you if you acted out reactively, either with another child or if you reacted by masturbating, which I wouldn’t even feel like it’s fair to call it that at that age, because going back to what we talked about before—if a child is touching themselves, all they know is, “Hey, that feels good, and I’m trying to repeat that process that feels good to my body.”

They’re not thinking of that in a sexual nature. It can often be misconstrued by other people, especially if other parents are aware that that’s going on. There’s a lot of secrecy and shame if you have experienced abuse. You may have felt like you couldn’t tell anybody, like you were going to get in trouble. You may have had a lot of repeated thoughts about it. It affects how you view others, how you view the world, how you view yourself.

That’s why it’s so important to get help if you have experienced sexual abuse. But just know that OCD may have taken some of those traumatic experiences and twisted them, or made them say something sexually about you. OCD may have convinced you that you are oversexualized in some way, shape, or form.

Just know that once these things essentially get turned on in our body, it changes the trajectory of your path.

Now, let’s talk about middle school—the early adolescent ages, around eleven to thirteen. And I want to spend some time talking about puberty because I know, for many clients that I’ve worked with, there weren’t healthy conversations for them about puberty. Maybe they learned about it at school. Maybe their parents just kind of handed them a book and walked away and didn’t really go into it. Maybe it was a total shock to them.

There’s all kinds of different scenarios and things that can happen in families, but it’s really important—and what should happen—is for someone to communicate with you about puberty before it starts because it’s obviously a very uncomfortable time. People are very insecure; their bodies are changing very rapidly. Girls will have crushes on boys and vice versa. With puberty and all the hormonal changes, there’s an increased interest in sex and romance.

What adolescents view as romance, obviously, is a little bit different than what adults view as romance, but that’s where all of this puberty stuff gets turned on. And going through the process of becoming, from a child to a man or a woman, there’s a lot of exploration of identity, and with that, some of that comes with experimentation.

I want to say something here for Christians who may have had some same-sex experimentation and OCD is now using that as evidence that, yes, you kissed a girl when you were in middle school, and so therefore you must be gay, or you fooled around with that boy of the same sex, and so then that means you’re gay.

And what I want to say about that is that not all experiences are aligned with your identity of who you are today, but we have to focus on where you are today and not allow OCD to pull in all of this other evidence.

OCD will also say things around this time about POCD—“Remember when you were eleven and you had a crush on that nine-year-old, and therefore that somehow means that you’re a pedophile.” OCD says some really strange stuff when it comes to the sex department, so pretty much nothing is off-limits for it.

Of course, if you’re eleven years old and you like someone who is nine, obviously, logistically, we know that’s only a two-year age difference and does not make you a pedophile. But just know that sometimes OCD will pull in some of these past experiences, whether it’s experimentation, whether it’s liking somebody that was younger than you, to somehow prove something about who you are now.

Now, in ICBT, we like to look at what is the sense of data of where you’re at right now. And people who are dealing with sexual orientation OCD are struggling because they feel like OCD is convincing them that they’re attracted to the same sex, even though they would tell you, in a clear-headed moment, “No, I’m attracted to the opposite sex.”

Masturbation is really common in adolescents, young adolescents, and older adolescents. Some of that can increase over time. There are very mixed views about masturbation among Christians. You’ll find some who will tell you it’s okay, others who will tell you it’s not okay at all. Some will tell you it depends on the content of what your thoughts are when you’re doing that, regarding lusting and other things.

It’s really somewhat of a gray area. I’m not here to settle or unsettle the masturbation debate. I probably land somewhere in the middle of the extremes because I do believe it’s a gray area. I also have compassionate understanding that people are desiring to be sexually pure, save themselves for marriage, and that’s very, very hard to do when your hormones are kicked in.

We also know that the media plays a role, and friendships and relationships play a role in beliefs about sex in the adolescent time period. It’s really important, if you are a parent, to know that your kids are already getting information about sex. And so, if you don’t want to be that void, you want to be that voice of truth and of wisdom and understanding, kind of meeting them where they’re at—not overly scaring them, but just letting them know, like, “Hey, sex is a beautiful thing. Here’s why it’s beneficial for you to hold off and wait to have sex.”

We know that parents who actually talk with their children about sex are more likely to have teenagers who delay having sex until later than if it’s not talked about at all. I think sometimes parents just think, “Oh, we won’t talk about that, and then they won’t do that.” Well, no—it’s the opposite.

If kids know that they can come to their parents and ask questions, or their parents can provide them certain resources so they don’t always have to come to their parents, if you can provide some of those things, that just continues to open those lines of communication to where there can be healthy conversations surrounding sex.

We also know that more and more children and adolescents are being exposed to pornography via the internet. This has essentially become a huge thing, and pornography is a billion-dollar business—it makes more than all of the major sports leagues combined. You can look that up, those statistics.

We want to make sure that you have safeguards in place on electronic devices that your children are using and accessing. Be very careful even about some of the things that are targeted toward kids. Even some YouTube content is not necessarily healthy. I would not give a kid unfettered access to YouTube for them to just look up whatever. Even what was labeled as YouTube Kids—I don’t know if they have changed some of those parameters—but I know that there was a lot of disturbing stuff that kids could still access.

You obviously want to talk with them about online communications—that, hey, not everybody on the internet is who they say they are. They may say that they’re a thirteen-year-old boy but really be some seventy-five-year-old man. You just want to be careful about what information you’re sharing.

Things like camera phones—adolescents don’t always make the best choices, so we really need to talk through and think through that. There’s a lot of sexting that is happening in today’s day and age that, of course, is very troubling, and so we want to talk about our body in a healthy way but, hey, let’s keep some things private. We don’t need to be sharing and exposing ourselves to everybody.

If you have someone who has been abused, either as a child or as an adolescent, they can be more prone to sexually act out, to have multiple partners, to engage in sexting behavior. For them, sexual behavior has become more normalized, and they may not have that same sense of self-respect for their body. So, it’s important to build that into someone—to say, like, “Hey, this is your body. You get to decide what happens to it.”

It’s not the only way to engage in a relationship—to show yourself—or the only way to be close to someone is to have sex with them. A lot of times, there’ll just be this empty void where girls have been trying to find that connection and acceptance, and they feel like the only way that they can do that is to be used sexually.

We also want to have conversations about adolescent boys and respecting women. I think those conversations are obviously really impactful as well. I think helping adolescents understand the potential gravity of some of their choices sexually is important and helpful.

Now, with high school and later adolescents, ages fourteen to eighteen, obviously there’s a more heightened interest in sex, discussions about sex, learning things from peers, more likely to be dating or engaging in relationships, and teens are starting to develop more and more solidified ideas and values surrounding sex.

I think it’s just a continuation of the conversation. If you look at this as a lifespan situation where you’re communicating to your child about sex, then it doesn’t have to be just this uncomfortable conversation that we bring out in early and late adolescence—now we gotta have “the talk.” No, it’s a continuation of conversations that you’ve had about their body when they were younger, conversations that you’ve had about boundaries, conversations about having babies or getting married, or those types of conversations, to where your children now hopefully feel like they can come to you when they have concerns about these issues.

And I also know that a lot of people didn’t receive that. A lot of people may have grown up in a home where sex wasn’t discussed, or there were some things happening in the home where their boundaries weren’t respected. Maybe it wasn’t overt abuse, but maybe people were walking around naked, and it caused them to feel uncomfortable, or maybe comments were made about their bodies that caused them to feel uncomfortable.

So just know, if any of those things happened to you, that may have impacted how you view yourself and how you view sex. When we talk about OCD, this is also where, because of all the hormonal changes that are happening, sometimes OCD can get worse during this period of adolescence, and kids can really be in a place where they can have certain sexual themes come up, such as POCD, such as HOCD, or sexual orientation OCD.

Those may become really, really heightened around this time—just like some of those themes can be heightened around pregnancy and postpartum. If an adolescent that’s dealing with OCD feels a strong, like, connection—even just like a mentor relationship—to a younger child, OCD may twist that and say, “No, you’re really attracted to that child.”

Someone may have a platonic friendship, and OCD may get them very confused about whether or not they really like that person, and that’s really hard to tease out, because obviously, that could be potentially an everyday doubt that someone might experience: “Do I really have feelings for this person or not?”

Of course, with OCD, you’re looking at, is this creating some type of problem that I need to solve? Is this causing an intense, heightened anxiety, and I can’t seem to get out of this loop? Once again, I really just want to stress and emphasize that kids whose parents talk to them about sex are more likely to not have sex than kids whose parents don’t talk with them about it at all.

So, having comprehensive education, talking with your child about what the Bible says about sex, talking to your child about things like contraception not being a hundred percent on preventing pregnancy, the emotional side of having sex, the spiritual connectedness that you have with another person, and that we don’t want to just have that with anybody—that there are reasons that God has put boundaries in place for us.

There are really great reasons to save sex for marriage and to note that not everyone is out there having sex, even though that is the lie that is perpetuated by our society to adolescents and to young adults. Next week, I’m going to be talking about “How Do I Deal With Sexual Thoughts as a Christian,” but what I want to say about this young adult period, from, say, 18 to 25, is that I’ve met many young people who are Christians who are somewhat troubled by normal sexual thoughts. Usually, they’ll tell me, “Oh, I have these sexual thoughts, and it’s not good.” And I’ll say, like, “Okay, you’re a warm-blooded young person—congratulations!” It is completely normal at this age if you are desiring to connect with another person sexually; that’s completely normal, and it’s okay.

It can be really hard to be a single young adult and desiring to be married and not having that experience yet, and being in that sense of waiting and wondering, “Is God going to bring me a spouse, or what is happening here?” And so, just know that all of those pieces can be very frustrating if you’re single and you’re a young adult.

Also, know that it’s very challenging in our culture to remain pure and to have a godly sexuality if that is something that you are wanting to strive for. I’m going to talk about that a little bit more next week, but I just wanted you to know that it’s totally normal to have sexual desires, urges, thought processes, desires to masturbate, and sexual dreams.

All of these things are very normal for young adults—almost like if you didn’t have some of these experiences in adolescence and young adulthood, we would really kind of wonder, “Why? What is that about? Is there a lack of desire of connecting with other people in this way?” I think that wraps it up for today’s conversation.

Thanks for hanging in here with me on the podcast. If you have questions, I’d love to have some more Q and A. I’ve received some from those who are on our email list that I’m going to be addressing in a future episode. But if you have questions, you can always reach out to us via the website at careba.com.

Definitely get on our email list, because you’re the first to know about new things that are happening in the podcast. I try to send out a little encouraging devotional-type message, letting you know when new podcast episodes are coming out. We typically, in a normal cycle, only email about once a week—unless we have some other juicy, good stuff going on—and then I may email you a little bit more. But you can always opt out and unsubscribe if you try it and dislike it.

It’s okay. We all are trying to clean up our email inboxes at one time or another, and so I want that content that I’m sending out to be valuable to you. I hope that you will tune in next time for more of this Healthy Perspectives on Sex series. 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.

196. Healthy Perspective on Sex Series: How Do I Recover from Purity Culture?

In this episode, Carrie launches the Healthy Perspectives on Sex Series, opening up about her personal journey of recovering from purity culture and how its messages shaped her faith, identity, and view of sexuality. She also explores how purity culture has impacted many Christians struggling with OCD and intrusive sexual thoughts, offering insight, grace, and hope for those seeking healing and freedom.

Episode Highlights:

  • How purity culture shaped a generation’s beliefs about sex, faith, and shame, and why many are now seeking healing.
  • Why fear-based messages from both secular and Christian cultures created confusion around sexuality and intimacy.
  • How purity culture can intensify struggles with OCD, scrupulosity, and intrusive thoughts related to sexuality.
  • How to begin identifying and challenging false beliefs about sex that do not align with God’s truth.
  • Practical steps for healing from sexual pain, trauma, or shame, both emotionally and physically.

Episode Summary:

This is one of the more vulnerable episodes I’ve recorded in a while. I really wrestled with whether or not to share this story, but as I prayed and felt the Holy Spirit nudging me, I knew it was time.

If you grew up in the church during the height of purity culture, with the “True Love Waits” pledges, purity rings, and all the “just don’t do it” conversations, you probably know how complicated that message could be. For me, those teachings shaped my faith and my view of sexuality in ways I didn’t even recognize until years later.

As I’ve looked back over the podcast, I’ve noticed that episodes about OCD and sexuality are some of the ones you listen to the most. That tells me many of you are wrestling with intrusive thoughts and shame connected to faith and sexual themes. I think purity culture has played a big part in that, and it’s time we start talking about it openly with both truth and grace.

In this episode, I’m opening up about what recovery from purity culture has looked like for me, how God has been bringing healing and freedom, and why I believe it’s so important for Christians to start having honest conversations about sex, shame, and grace.

This isn’t an easy topic, but it’s such an important one. My hope is that by sharing a bit of my own journey, you’ll feel less alone and maybe even take a step toward healing yourself.

So if you’ve ever felt caught between the messages of purity culture and what you sense God’s heart truly is for intimacy and wholeness, this episode is for you.

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194. Getting Insurance to Pay for OCD Therapy with Joe Feldman of Cover My Mental Health

In this episode of Christian Faith and OCD, Carrie is joined by Joe Feldman, founder of Cover My Mental Health, who shares his family’s battle with insurance companies and how that experience led to creating free resources that help others get the care they deserve.

Episode Highlights:

  • What “medical necessity” means and how it impacts your insurance coverage for OCD and other mental health care
  • Why documenting your provider search is crucial when navigating insurance barriers
  • How to file a formal insurance complaint to get your case taken seriously
  • Ways to advocate for yourself (or a loved one) when seeking specialized OCD treatment
  • Where to find free worksheets, letters, and resources through Cover My Mental Health

Episode Summary:

Getting insurance to cover mental health treatment can feel overwhelming, frustrating, and at times even hopeless. I know so many families who end up paying out of pocket, putting treatment off, or walking away discouraged because the insurance system feels impossible to navigate. But here’s the good news: you don’t have to take no for an answer.

In this episode, I sit down with Joe Feldman, founder of Cover My Mental Health, who knows this struggle firsthand. When his family’s insurance company denied coverage for life-saving residential care for his teen, Joe and his wife refused to give up. They fought back with documentation, appeals, and ultimately a federal lawsuit — and they won. But along the way, Joe realized families shouldn’t have to go through years of litigation just to access care. That’s why he created Cover My Mental Health, a nonprofit providing free tools, template letters, and resources to help individuals and families push back against unfair denials and get the coverage they deserve.

We talk about the realities of navigating insurance: outdated provider directories, limited access to specialized care, what medical necessity letters really mean, and how documentation can become your most powerful tool. Joe also shares practical steps you can take — like filing a formal insurer complaint or enlisting the help of a family member, clinician, or even your elected officials — to level the playing field with insurance companies.

For those of us in the OCD community, where finding trained providers is already a challenge, these tools can be life-changing. Joe’s story and expertise shine a light on what’s possible when you advocate with persistence, clarity, and support. 

Most importantly, this episode is about encouragement: you’re not alone in this, and there are ways forward even when the system feels stacked against you.

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