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23. Acupuncture and Anxiety With Encircle Acupuncture

Written by Carrie Bock on . Posted in Anxiety, OCD, Podcast Episode. No Comments on 23. Acupuncture and Anxiety With Encircle Acupuncture

Today, I had the privilege of having not one, but two guests on the show! Alexa Hulsey and Trey Brackman, both licensed acupuncturists came on to talk to us all about acupuncture and how it can be helpful for anxiety among other things.

Episode Highlights: 

  • What is acupuncture and how does it work?
  • What happens during an acupuncture session?
  • Modalities acupuncturists use for patients who feel anxious about acupuncture needles.
  • Some theories about how acupuncture helps with anxiety 
  • Acupuncture and spiritual connection

Episode Summary:

In today’s episode, I’m talking with Alexa Hulsey and Trey Brackman from Encircle Acupuncture about how acupuncture can help with anxiety and overall health.

Alexa shares her journey to becoming an acupuncturist, explaining how community acupuncture allows them to treat more people at an affordable rate. Trey talks about the difference between private room acupuncture, where one patient is treated at a time, and community acupuncture, where multiple patients are treated in a shared space, making it both cost-effective and more accessible.

A typical acupuncture session begins with filling out some forms, followed by a brief discussion of what you’re seeking help for. The acupuncturist will then create a treatment plan tailored to your needs. During the session, you’ll relax in a recliner while acupuncture needles are gently placed in areas like the head, arms, and legs. These needles help stimulate healing in your body, and you’ll usually rest for about an hour before the needles are removed.

Acupuncture doesn’t just help with physical pain—it can also have a positive impact on anxiety, stress, and other mental health concerns. Through acupuncture’s holistic approach, many find relief from pain and emotional burdens, improving their overall well-being.

Listen in as we explore how acupuncture works, the science behind it, and how it can be a natural, effective way to support both your physical and mental health.

Links and Resources:

Alexa Hulsey, L.Ac, Founder of Encircle Acupuncture
Trey Brackman, L.Ac

Encircle acupuncture
Community Acupuncture 

Transcript

Today on the show we are talking all about acupuncture. I was able to interview Alexa Hulsey and Trey Brackman from in circle acupuncture. They are both a licensed acupuncturist and they talk to us about what an acupuncture session looks like and how acupuncture can benefit anxiety.

So let’s dive right in.

Alexa: My name is Alexa Hulsey. I’m a licensed acupuncturist. I have been practicing since 2005. And I am the owner of Encircle Acupuncture here in Nashville. We have two locations in Nashville. I like to say that I became an acupuncturist because I wanted to help people. And then I became a community acupuncturist because I wanted to help a lot of people. Community acupuncture is set up in a way to make acupuncture affordable and accessible to really anyone who needs it because we offer our services in an affordable way. 

Carrie: Awesome and Trey?

Trey:  How did I get into acupuncture. That’s almost 30 years ago. I got my first acupuncture treatment right out of high school and decided that that’s what I wanted to do after my own experience. I’ve been practicing now for 18 years in a community-based setting. And I did private room acupuncture for a long time and was really hard for me because I couldn’t do it with enough people and it wasn’t affordable enough for them to get it enough to be beneficial to them. And when I found Alexa, nine years ago, I actually went into one of her clinics to get acupuncture and I was like, this is what I want to do and how I want to do it. I’ve been with Alexa full-time for nine years this year. 

Carrie: So tell us a little bit about the difference between what you just said there about maybe a private acupuncture versus a community acupuncture clinic.

Trey: So private room acupuncture is one person in one room, typically on a massage table and community acupuncture, we have a big room and pre-COVID, 21 or two chairs in east Nashville. And in Bellevue, 13, 14 chairs recliners, and you’ll have a patient every 10 minutes and in a community acupuncture setting. Typically in private room, you’ll have a patient every 30 or 45 minutes. So you can treat a lot more people in a day than you can do in community acupuncture than you can in private room. 

Carie: Awesome. 

Alexa: Community acupuncture really gets back to the root of how acupuncture has been traditionally practiced for thousands of years in China and in other Asian countries. Acupuncture was typically done in groups. In some areas, an acupuncturist would travel to a village and just treat people in somebody’s house. And so our set-up, it kind of feels like a living room. Everybody’s in a comfortable chair and it makes it so that we can see more people and that way we can charge less.

Carrie: Awesome. I really liked that concept in terms of receiving care and receiving health in a community setting. Whereas a lot of times in America, our healthcare is so individualized and isolated at times too, because of that. That’s really neat. A lot of the listeners probably have never had an acupuncture session so we just want to talk with them a little bit about what does that even look like? 

Alexa: Sure. I’ll walk you through what a typical acupuncture session is like. We start like pretty much any medical appointment with you, filling out some paperwork, we’ll ask about your medical history and then we’ll do a brief intake with a new patient.

The goal of our intake is really to just figure out why are you here? What can we help you with? What’s really bothering you. And we try to really focus in on a patient’s chief complaint and what is going to be the thing that we really want to focus on. What patients will find often is that if we focus on one or two things for their first few treatments, then all of these other things that they might not have even mentioned to us also start to feel better because everything is connected. So it’s kind of fun when that happens. We really focus on a patient’s chief complaint.

We will recommend a treatment plan based on what they’re seeking help for and what our experience is in treating that condition. A treatment plan varies, but generally people need a course of treatment and not just one acupuncture treatment. So it’s like taking vitamins. You can’t just take one vitamin, you got to take a lot. So you’ll need a course of treatment. Usually, sometimes we have people come in once a week. Sometimes we want them to come in every day if their pain is so severe that they can barely walk. So we talk about a treatment plan.

And then we’ll have a patient, they’ll be in a recliner in our clinic we use points on the extremities. Patients will just roll up their sleeves and pant legs. They don’t have to change clothes or anything like that. And we will needle a few points on the head, arms, and legs. Usually, we’ll use somewhere between 10 and 20 needles during a treatment. Once the needles are in, we cover up the patient with a blanket and walk away. And then that’s when the real magic happens is when a patient is resting with the needles in. We typically let them rest for about an hour and then we’ll take the needles out and, and the treatment is done. So really most of the acupuncture treatment is the patient lying there, relaxing, doing nothing.

Carrie: That sounds like a good time to me, just relaxing and doing nothing. I have had acupuncture and I did find it to be super relaxing. And that’s one of the reasons that I wanted to have you both on the show because we’re talking a lot about anxiety. 

It’s interesting. The point that you brought up there, Alexa, about how when you work on one issue, you don’t always realize the domino effect that’s going to happen If you’re working with someone in terms of pain and then all of a sudden their pain is relieved. They notice they start sleeping better and then they notice it’s like a ripple that happens and that’s really neat. Or then maybe they come up with some other things like therapy, they come up with some other things that they want to work on once one thing is relieved. It’s like, “well, maybe can you help me with this too?”

Alexa:  Yeah, that definitely has, 

Trey: I would say 90% of the time. Yeah.

Carrie:  Yeah. In terms of anxiety and pain and other physical issues, sometimes when you have physical issues the anxiety surrounding dealing with those issues can be so great and almost worse than the actual medical problem that you’re having right now.

I know that happened to me a couple of years ago, I was dealing with some digestive issues and someone said, “Well, maybe you’re just stressed about it.” And I said, or “maybe you’re just stressed in general and that’s causing these digestive issues. And I said, “I don’t think you understand my stress is from the digestive issues” because I can’t figure out what’s going on and how to fix it. This is not a psychosomatic complaint. 

Alexa: Anxiety and depression are huge components especially of pain conditions. Dealing with pain for a long time that does become depressing. You start to think my life is never going to be the same again.

You become anxious about what the future holds.  And then those anxiety and depressive feelings can compound the pain that you’re feeling and taking a pain medication can help the pain, but it’s not going to do anything for your depression and anxiety. Whereas what we do with acupuncture is a much more holistic approach.

Carrie: Can you explain a little bit of from maybe what’s been studied about how does this actually work? 

Trey: Well, there have been a lot of modern-day studies that through MRIs and thermal imaging, that show that it reduces inflammation, improves blood flow, can stimulate hormone releases, balance your hormones, but how the body actually knows to do that when we take the needles and put them in these specific points, there is no definitive answer as to how the body knows to do that when we’re doing acupuncture, but it works. It’s been working for thousands of years and just in the 18 years I’ve practiced, just observing people come in and get better and reduce their pain or help their anxiety or their OCD or their arthritis in their knees, whatever it is, how it’s doing that, I’m not sure anyone has really discovered the real true one answer to that. 

Carrie: I’d love a good mystery and intrigue, but I’m also very intuitive. So I’m kind of in that camp of like, well, if it works let’s use it. You know, I don’t need you to always explain everything to me on a scientific study level.

Testimonials are very valuable. Do you think that this is a little bit of an offshoot of a question, but things like acupuncture and chiropractic and holistic wellness, a lot of times aren’t valued or paid for by insurance companies. Do you think that we’ll get to a point where we shift from a disease model to a health model at all? Do you think that we’re making any strides towards that?

Alexa:  I do think that we’re making some strides. Acupuncture is being used by the military and is being paid for by the military. There is talk of acupuncture being used by medicare to treat acupuncture specifically for treating lower back pain is going to be covered by medicare one of these days. Trey probably has been hearing the same line too, since he went to acupuncture school. I’ve since I enrolled in acupuncture school, I’ve heard insurance reimbursement for acupuncture universally is just around the corner. It still hasn’t happened. 

So our work around has been just, well, let’s not even worry about insurance. Just charge a price that everyone can afford. Our prices are less than a copay and now we don’t even have to worry about insurance. We don’t have to fill out insurance forms and that gives people a lot more flexibility because insurance will usually limit, some insurance does pay for acupuncture.

We will usually limit the number of treatments a person can get or what it can be used for. The way that we approach it is, let’s just let the patient decide what they need and just make it available to them. 

Carrie: And the community based acupuncture model, I just wanted to point that out that that’s not just in the Nashville area that people can actually go online and find community-based acupuncture in their area.

Trey: Yeah, worldwide. 

Carrie: Oh, worldwide. That’s awesome. 

Alexa: Worldwide, absolutely. There are clinics everywhere. If you do an internet search for community acupuncture, type in the name of your city. Not every town has a community acupuncture clinic, unfortunately, but it becomes more and more prevalent. 

Carrie: Whenever you guys want to come to Rutherford county, you’re welcome. It’s open invitation. 

What about if people are anxious surrounding needles, if people say, “I don’t really know if I can do that acupuncture thing, because she just said she was going to stick a lot of needles in me.”

Trey: We actually see that quite a bit and my personal approach to that is I’ll use four needles on somebody who’s typically a little bit anxious.

You can do a really good treatment with just four needles, especially for someone who has anxiety surrounding needles. And that first one or two treatments for them is about them getting used to the idea and feeling acupuncture needles go in and realizing that it doesn’t hurt. I have several patients that are still needle-phobic, but they come anyway because it really helps them, but they just put in their earbuds, turn on their meditation or whatever, their music, and they close their eyes and they just don’t watch and then they’re fine. Usually, I start very slow with them and just do four, maybe four, sometimes six needles, and go from there. 

Carrie: It could be a really good exposure for some people that have that specific phobia, it might help them have a more positive experience. But also the needle size that you’re talking about is a lot smaller than a typical needle.

Trey: Yeah. Two of your hairs together. They’re like 36 gauge. They’re tiny. 

Carrie: Yeah. So maybe that helps relieve some people’s anxiety here thinking about trying acupuncture. It’s not as bad.

Alexa: It’s truly not as bad as you think. A lot of patients report that they don’t even feel the needles. Which if you’ve never had it, it seems impossible, how can I not feel the needle going in me, but it is because they are so, so thin and fine. We did this more before the pandemic, but if someone wanted to bring in a friend or a family member who was anxious about the acupuncture, we would invite them to come in, just like say, “Hey, come sit next to your friend and watch what happens and just relax. See what it’s like.” It’s more difficult to do that now during the pandemic obviously because we have a lot more restraints on how many people we can have, but our model does allow for friends and family to come in together. So if somebody wants to try it and they want to bring a friend for moral support and the two of you get treatment at the same time, we can do that.

Trey: And we’ve had lots of children over the years and teenagers who have come in to get it and their parents will come and sit with them and hold their hand while they get their first few needles. We’ve done that as well for four kids. 

Carrie: Yeah, I think that’s really helpful for people to know that this is a good option for children and adolescents too. A lot of times people are looking for more natural remedies because they don’t necessarily want to put their child or teenager on medication right away, and this might be a good alternative option for them to look into. 

Alexa: Definitely. 

Carrie: Anything else that you wanted to say in terms of how you’ve seen acupuncture be helpful for anxiety?

Alexa: I think we could probably both speak to a lot of cases where we’ve seen acupuncture be helpful for anxiety. I would say that, that is probably the number two thing that brings people into our clinic. The first being pain. We do treat a lot of pain and the second is probably anxiety. We see so many people with anxiety. People don’t always have great results with some of the pharmaceutical options that are out there to treat anxiety.

They might have side effects, or they just don’t want to be taking that and they’re needing solutions. I don’t know how much we want to get into sort of the theory of how it helps anxiety. 

Trey mentioned that there’ve been some studies showing that acupuncture reduces inflammation, increases circulation. The way that we look at it is that acupuncture is going to basically remove blockages in your body. So we look at the body as a system of energetic flow and we call that energy Qi in Chinese medicine. Qi reaches every part of your body and it’s really what makes us alive. Qi gets blocked easily by lots of different factors.

And so we’re really using the needles just to remove those blockages and restore balance, and then the body does. The work on its own that it needs to do to be into a balanced and harmonious state with something like anxiety, a lot of times we’re working on the heart system and that doesn’t necessarily mean that someone with anxiety has heart disease, their blood pressure might be fine.

Their blood flow might be fine, but there’s an imbalance there in that system. The heart is the center of the emotions in traditional Chinese medicine and it gets out of balance easily when there’s a lot of external stressors. And so a lot of times we’re working on restoring balance to that system.

The heart system also is related to sleep. So people with anxiety often experience a lot of problems with sleep. So we can work on those things in tanem. Sleep is one of those things that we’ll often get better without someone expecting when they’re coming in for acupuncture. And then they’ll come back, like you said, after a few treatments and say, “oh, I’m sleeping better. And I wasn’t expecting that.”

Carrie:  That makes a lot of sense to me in terms of what you were saying about the heart because a lot of people who experience anxiety have a more rapid heart rate and their stress system is getting over-activated in times where it doesn’t need to be activated. It’s also connected to pain because the pain pathway in our brain also runs through that limbic system controlling the fight, flight or freeze response. It’s interesting how all of those things are interconnected and then when we’re out of balance, as you said, and something gets stuck, if you can release that it’s like the body already knows what to do to heal itself, which is very similar to a type of therapy I do called EMDR, which works at the brain level. And it’s kind of from the same premise like your body and your brain already know what to do to reach that point of healing. It’s just a matter of getting you unstuck. So that’s really neat. 

Alexa: Yes, absolutely. 

Trey: I always referred to it as getting out of your own way and letting your body do what it already knows how to do.

Carrie: That’s good. Let’s talk about maybe people who are coming from a Christian faith perspective. I did a previous show on mindfulness, which was super fun and we talked about origins of mindfulness and how that can integrate with Christian faith. I think when things come out of Eastern origin, some Christians are like, “Oh, that’s not Christian.[00:20:46] That’s more rooted in Buddhism and we have to watch out for that. It could be a spiritual practice that goes against our faith.” Would you mind speaking to that concern a little bit?

Alexa: Sure, absolutely. Our approach, first of all with acupuncture and traditional Chinese medicine, spirituality is a huge part of health. And so it’s important that a person feels that their whatever practices they’re doing are aligned with their spirituality because that’s going to promote healing. Traditional Chinese medicine comes from a tradition of Daoism. It’s really rooted in Daoism and Daosim isn’t a religion, it’s a philosophy.

And it’s a way of looking at the world and the body and health based on observation of nature. So we take those observations of nature and then apply them to the body. So for example, we talk about the pathways of chief low in the body. We relate those to bodies of water, and some points are described as being like springs or like rivers or like wells because those points behave the way that those bodies of water would, it would behave in nature.

So Daoism can really be in alignment with any religious beliefs. And for that reason, a person of any religious faith can get acupuncture, can be treated by an acupuncturist, and still rest assured that the treatment is going to support their spirituality. It’s going to support their religion. It’s not going to be in conflict with anything that they believe.

Carrie: Do you find that some people have spiritual experiences, like when they’re receiving acupuncture like having a sense of spiritual connectedness? 

Trey: Yes, and that was one of the things I was actually just going to touch on in all the years I’ve practiced. I’ve worked on a lot of people who have come in and are Christian and a great many of them over the years have told me one of the things that they love about coming to acupuncture is that it allows them time to pray and when they get their needles because it clears out all the rest of the chatter that goes on in our heads. They turn their phone off. They take their smartwatch off and they truly just rest and it allows them to really actually be clearer about what they’re praying for, or who they’re praying for. And I have seen and heard that a lot over the years that it just clears out the clutter of the brain and it allows them just to focus on that one thing and in that way. 

Carrie: That’s awesome because I think I have had that experience in terms of receiving acupuncture. I don’t remember why, but I remember that I ended up crying one of my first few sessions and it was just this, I can’t really explain it other than there was a sense of spiritual connectedness to God in that moment through prayer. And just that sense of being able to just be and just rest and be present is really powerful. Something that we don’t do enough in our society is just allow ourselves to be and to rest and to give our bodies space and openness to heal or to connect with something outside ourselves. 

Alexa: It’s so powerful and it’s so healing when you can get into that state where you’re feeling connected to the divine and you’re feeling really in alignment with your own spirituality. It’s a huge part of healing and also when people are going through a difficult time with their health, they really rely on their faith to get them through that.

I love what Trey was saying about people using that time to pray because faith is what gets many of our patients through their most difficult challenges.

Trey: And when there’s a lot of people in the clinic when the clinic is full and everybody’s in there, and they have their needles in and they’re all in their space, you can feel the hum of the energy in the room where all the people in here are doing the exact same thing.

They’re there, they’re resting, they’re healing. They’re letting go of their stress, their anxiety and you can feel that hum when there’s two, three, four, five, six, seven, 10, or 12 people in the room, all doing the same thing. If you’re paying attention, you can feel that hum of all of them trying to heal and whatever level they’re trying to get it to.

Carrie: Does that feel like a lot of energy or does that feel like a release of energy? I’m just curious.

Trey:  It depends on the people. Sometimes it’s really heavy and strong and it’s like you’re parting it to get to the people and sometimes it’s light and airy. It depends, I think on who’s in the clinic and why they’re here and what they’re praying about or meditating about or focusing on while they’re here. So the feel of it actually changes. 

Carrie: That’s very interesting. 

Alexa: And it’s cool because in that way, each patient in there is contributing to the healing of the other patients as well. You’re creating this collective healing space. So we’re all helping each other, which is not a typical approach in healthcare.

Like you said, it’s usually very individualized, very isolated, but our approach is we all have something to offer. We can all give and receive in the process of healing. So it’s beautiful to be able to be a part of that. And Carrie, you mentioned about having an emotional release and that is not unusual at all for someone to have an emotional release during a treatment or after treatment crying. Sometimes people laugh.

And I noticed that especially with patients who are dealing with anxiety because anxiety can be so much work to manage just in your daily life. Just trying to navigate situations that people without anxiety wouldn’t find difficult when you have anxiety. It is difficult whether it’s going to the grocery store or having a conversation with a coworker.

So it’s so much harder to do some of those things that when you finally do get the chance to rest and relax, you don’t realize how much emotion you’ve been holding on to and then that release feels great and it’s an important part of healing. 

Carrie: That makes a lot of sense to me because it does take a lot of energy when you have anxiety, too, whether it’s to get through the day or sometimes that energy is used to suppress other painful emotions and that makes sense to me. 

So we’re kind of winding down to the end of our interview, but I do want to say that I’m going to put some links in the show notes for those who are local to look up Encircle Acupuncture and for those who are not local to look up community acupuncture near them so that people can join in on this experience.

Since the show is called Hope for Anxiety and OCD, I like to ask our guests to share a story of hope at a time that you received hope from God or another person.

Alexa:  I’ll go first. I feel so lucky because I get to hear stories of hope pretty much on a daily basis from our patients. It is very inspiring to be around. One patient in particular, who has really inspired me as a patient who a couple of years ago received a very scary cancer diagnosis. She had been coming to the clinic for a long time, just for various ailments, and then she received this diagnosis and it was so scary but she was determined to do what she had to do and she followed her doctor’s advice to the letter.

She did all of her chemo. She does all of her radiation. She did all of that. She put a lot of trust in what her doctor was recommending and at the same time, she also said, “I’ve got to do more. This is the fight of my life and so I have to be all in.” She did more research and homework than I’ve seen most patients do.

And she really became an expert on healing her cancer and she did, she beat it, and she’s more than a year cancer-free now. Even some of her nurses have made comments to her, like, “wow, you are really doing so much to heal.” And her response has kind of been like, “well, you know, I have to.” She’s a very spiritual person and really relied on her faith to get her through

the scariest time in her life. And I still see her every week and she’s doing great. She’s just to me, an example of courage in the face of something really scary and using that as an opportunity to learn. She’s come out of this even healthier than she was before. She’s a huge inspiration.

Carrie: That’s awesome. 

Trey: I have several. I could probably filter through but mine is oddly more personal, which is normally not what I would share. Nine years ago, Alexa and I hashed out an agreement on a little over nine years ago, hashed out an agreement on a napkin actually. And I lost the job that I had and I called Alexa that same Friday at like noon.

She called me back at two o’clock and I started the following week and it really has allowed me to do something I was ready to walk away from because it wasn’t fulfilling for me. And that totally changed in the nine years I’ve worked for you. We’ve treated hundreds of thousands of people, and it’s brought a lot of joy to me personally, and by extension to my wife and kids.

Carrie: That’s awesome. 

Alexa: And Trey I just love that we’ve been working together for so long, but I think everybody can relate to that feeling of just being in a place where it’s just not right and you want to change and it’s scary to make a change, but you can do it. It can transform into something that you love. [00:32:00] So that’s an inspiration to me too, I’m glad you shared that. 

Carrie: That’s awesome. Thank you so much for being on the show and for sharing with us, your wisdom and your experience with acupuncture and kind of letting all the newbies know what it’s like, and hopefully, it’ll encourage people to try it out sometime.

Alexa: I hope it does. Thank you for having us. 

Carrie: You’re welcome.

_______________________

I know I talked on this episode a little bit about my own experience with acupuncture. I wanted to do that because initially going into it. I was really nervous like is this going to be something that’s not in alignment with my Christian faith? And I did a lot of research, read everything on the website, as well as some other information on the internet about acupuncture and how it works and what the process was. And I said you know what, I don’t see anything for me personally that goes against the Bible or goes against the major tenants of Christian faith. I believe that acupuncture is one of the tools that God has given us to help heal our bodies and lead us towards a place of greater health.

And for you, it may or may not be for you and that’s okay. Hopefully, I won’t get any hateful emails on this issue. If I do, I’ll just ignore them and pay attention to the people that are enjoying the show. 

Speaking of people who are enjoying the show, did you know that we have people who are listening all over the place, including Mt. Juliet, Tennessee? Which is not too far from here. All the way to West Lake Stevens, Washington, and Paradise, Nevada. I know that we have some people who are listening in Europe, Africa, and Australia as well. So, where are you listening from? Let us know by messaging me on Instagram or Facebook, I would love to hear from you. And if you aren’t following us there, please do.

Hope for Anxiety and OCD is a production of By The Well Counseling in Smyrna, Tennessee.

Until next time. May you be comforted by God’s great love for you.

18. ERP is Not the Only Option for OCD

Written by Carrie Bock on . Posted in Counseling, OCD, Podcast Episode. 7 Comments on 18. ERP is Not the Only Option for OCD

Today I am flying solo to discuss my own experience of learning about Exposure and Response Prevention Prevention and why I ultimately went back to using EMDR to treat OCD. 

Episode Highlights:

  • The reason ERP is so widely recommended for OCD treatment
  • The problem with psychological studies: People are complex 
  • Problems I saw firsthand with ERP
  • Benefits of using EMDR to treat OCD

Episode Summary:

In today’s solo episode, I’m diving into a conversation that I feel is so important—alternative treatment options for OCD beyond Exposure and Response Prevention (ERP). So often, when OCD treatment comes up, ERP is the first (and sometimes only) approach that gets discussed. While ERP has helped many people, it’s not a one-size-fits-all solution, and I want to open up the conversation about other options—especially for those who may have struggled with ERP or felt like it wasn’t the right fit.

One of the reasons ERP is the most recommended treatment for OCD is that it’s been researched extensively. But research studies often exclude people with dual diagnoses, like PTSD, meaning the findings might not always apply to real-world cases where OCD and trauma overlap. In my practice, I often see individuals dealing with both, which led me to explore different treatment approaches—including Eye Movement Desensitization and Reprocessing (EMDR).

Through my work with trauma survivors, I’ve seen firsthand how unresolved distress can drive OCD symptoms. While ERP focuses on reducing compulsions, I became concerned that it might not always address the underlying pain fueling obsessive thoughts and compulsive behaviors. I also noticed that many of my clients carried deep shame—whether about their OCD diagnosis, past trauma, or self-worth—which sometimes made traditional ERP difficult or even counterproductive.

That’s why I started adapting EMDR for OCD treatment. Unlike ERP, which challenges compulsions head-on, EMDR works at a deeper, physiological level to reduce internal distress. It helps people process past experiences, rewire emotional responses, and build resilience without relying on compulsive coping mechanisms. I’ve found that this approach can be especially helpful for those who struggle with scrupulosity or faith-related OCD, where traditional ERP methods—such as banning prayer—might feel harmful rather than healing.

I’m not here to say that ERP is bad or that it doesn’t work. But I do believe in keeping an open mind and recognizing that different people need different approaches. If you’ve tried ERP and it hasn’t worked for you, or if you’re curious about alternative treatments for OCD, this episode is for you.

Related Links and Resources:

Exposure and response prevention for obsessive-compulsive disorder: A review and new directions

Studies on EMDR and OCD

Transcript

On today’s show, it’s a solo episode. So you just get me and I want to continue this conversation that I started with Sarah about EMDR as a treatment option for OCD. I’m really excited to share this with you because I feel like when people start talking about OCD, that the very next thing they start talking about is exposure and response prevention (ERP)

I’m not saying that there’s anything wrong with exposure and response prevention, or as we’re going to call it ERP for this episode. What I am saying is that there are more options than just ERP for treating OCD. ERP has helped a lot of people. And so if it’s helped you then more power to you, that’s awesome.

 I’m so thankful and glad but if you feel like you’ve struggled with ERP or you feel like you want to learn about a potential different option then this show is for you. 

The reason that ERP is so most often recommended for OCD is because this treatment option has been researched more than others treatment options. And let me tell you about psychological studies and how those typically work. When someone is studying a condition such as OCD, they’re typically trying to only study OCD. And a lot of times we’ll rule out people who have what we would call dual diagnosis. They have more than one diagnosis on record. [00:02:10] I had a hospital reach out via email several years ago saying, “Hey, we saw that you see people with OCD and we are trying to do this research study. Would you let people know?” And I emailed them right back. And I said, “well, would my clients be ruled out if they also had PTSD.” And they said, “yes, they absolutely would be rolled out.”

At that point, I realized that whatever they were studying ceased to be relevant to the actual clients that I see in my practice. I often see people who are not only dealing with OCD, but they also have a history of childhood trauma. The other thing I want to bring up about psychological studies is that there’s a lot that we don’t know. Psychology is a relatively young science. While we’ve learned many things over the years about how the brain works and how different methods of therapies work and how some therapies are better for certain diagnosis, there’s still a lot that we don’t know. And the types of people that we see in counseling, they don’t fit. Just say standard one size fits all profile. Something that often happens. Whenever I go to a new training, you will learn about something like, “Oh, we have this really great method,” and they’ll show you the success stories. They may even show you video of it working well with a client that they worked with with permission. Obviously, we don’t just videotape people. We ask for their permission for learning and education purposes. But they may have these great examples. And then inevitably you will take that back and you’ll say, “Hey, can I try this new technique with you that I learned?” And it may work on the first person that you try it with and you may try it with a few other people. [00:04:18] And inevitably it doesn’t matter what the psychological technique is, you will run into someone that it just doesn’t work for that you have to revamp or adapt it differently or use something else entirely. And that’s one of the reasons that I want to expose you listeners on the show to a wide variety of mental health treatment options for anxiety and OCD because I don’t think that there is a one size fits all. And a lot of times when people look at counseling. They lump it as one big thing.  I tried counseling and then, you know, that didn’t really work for me but there are many different types of counseling and I hope this show is kind of helping you and exposing you to some of that.

So let’s talk about my background with ERP that I wanted to share with you. I had an experience where I went to a two-day training on exposure and response prevention. The reason that I sought out that training in the first place was because I was seeing a lot of clients with anxiety that was really starting to become a niche of my practice. [00:05:40] So seeing people with trauma and people with anxiety, And I started to see that when certain clients would have peak levels of stress, they would start to engage in some OCD compulsions. And it made me realize that if I was going to see people with anxiety, I was really going to have to understand more about OCD, how it’s approached and try to figure out how to help these people who were experiencing OCD symptoms in peak stress points.

So I went to this training. It was very professional training, excellent information on OCD, excellent information on exposure and response prevention, how to start utilizing it in your practice. It certainly didn’t make me an expert on it or anything, but it was enough to get me started, to start working with some people that, had a diagnosis of OCD, not just had a few symptoms here or there. That point. I started seeing some people who were coming out of inpatient treatment, where they had received treatment for OCD and they needed some follow-up with their ERP. There were some patterns that I was starting to notice and particular patterns that I wasn’t comfortable with. One pattern I noticed with these individuals was that they seem to be carrying a lot of shame. It was either shame related to past trauma, self-esteem issues or even just having the OCD diagnosis in general and having to deal with that on a day-to-day basis. So that was a level of concern for me because I don’t want people to be stuck in shame. I had to ask myself, is it a win if people stop engaging in compulsion? if they’re still carrying around a baggage of shame. That just didn’t seem to jive with me or, or feel good in my practice. I also worried about whether or not ERP could be contributing to some of that shame because part of the process of ERP at times is to track certain behaviors, such as times where you engaged in a compulsion and times where you didn’t. I noticed these clients also had an untreated trauma history as well, which since I was a trauma therapist, that concerned me.

The main issue I had with ERP though seem to be what I call a glorified whack-a-mole process. Really targeting symptoms instead of getting to the root of the issue. This seemed horribly inefficient because one you would target one theme or one compulsive behavior then another obsessional theme with another compulsion would pop up right behind it.

What I’ve learned from trauma therapy is that you can treat symptoms all day long, but if you don’t treat the issue underneath that’s driving the behavioral symptoms, you’re not going to get very far. It’s going to be a lot harder. It’s going to be a struggle like swimming upstream. 

I had one experience where a very skilled and trained ERP therapist told me that she banned prayer for a client that was dealing with scrupulosity. That bothered me as well because I’m not going to ban a behavior that’s crucial and critical to someone’s faith practice. The idea of exposure and response prevention, which we’ve talked a little bit about in previous episodes is that, ultimately your goal is to have a client be able to sit with the obsession without acting on the compulsion. Doing this inside of session with the therapist, as well as outside of the session for practice, for homework.  And the ideas to be able to sit with that until the anxiety level drops. That can be really challenging and very distressing for clients. If they’re able to get through it, then there is a certain level of success and accomplishment that they feel. But sometimes the difficulty level of ERP contributes to the dropout rate. 

One study that I read that I will put in the show notes for you is that ERP has a 20 to 30% dropout rate and ERP has a 50% success rate in terms of symptom remission. So here we have a lot of people promoting ERP as a treatment option for OCD, and there’s a 50% success rate.

I want you to just think about that for a minute. There’s few things that we would recommend that had a 50% success rate. If you’re dealing with obsessions and compulsions that are wrecking your life, 50% sounds like a pretty good gamble of something to bet on that it may work for you. The problem that I have is hearing from other professionals that this is an automatic go-to treatment and this is what’s been studied and you really shouldn’t look into anything else. Sometimes other treatment options are discouraged and I have a problem with that because I think that we all should remain humble as professionals and recognize that different people need different things or different approaches.

I want to tell you a little bit about what I’ve been able to do with EMDR therapy with clients who have OCD. Ultimately, I decided to go back to what I knew and to adapt EMDR for the treatment of OCD. One of the things that I like about it is that it helps reduce the body level internal distress that people experience. A lot of times what I’ve seen is that individuals with OCD are able to go in their head. They’re able to solve problems. They’re able to kind of mentally escape from emotions and difficult distressing physical sensations. So by utilizing EMDR we’re able to work at a body level on reducing that physiological distress that people experience.

In the initial preparation phases, I’m working with people on things like mindfulness, distress tolerance skills to be able to sit with difficult emotional experiences. And often as they’re able to do that, they start to feel a little bit better. We definitely target the shame piece with education about OCD. Sometimes, that’s the first EMDR target is dealing with that shame versus trying to deal with the OCD. What I’ve found is that if people can release the shame first, then that helps them be able to engage in the next part of therapy, dealing with the obsessions and compulsions. EMDR starts with what’s going on in the present and then looks at what past memories may be contributing to the present experience because it approaches things that way. You’re really able to get down to the root of what’s going on instead of just working on various symptoms. 

Sometimes the root has to do with control, either dealing with things that are outside of one’s control or feeling this need to be in control or be perfect in some way. Sometimes it has to do with vulnerability. There can be all kinds of different things underneath that layer. 

So this is a process. There’s a process of dealing with the shame piece and developing self-compassion. There’s a process in learning some skills to manage day-to-day when the OCD arises. And then there’s this deeper layer of really getting to the root of what experiences contributed to this development in the first place. And what I’ve found is when you’re able to do those things with that process, people feel a lot better about themselves and they may still have some OCD symptoms, but it’s more like, “okay, I’m noticing that that’s there and it’s in the background and I’m a lot better able to ignore it than when I started therapy.” And that’s huge. That’s absolutely huge for people. 

Anytime that you can get to a place where you’re managing the obsessions and compulsions and noticing that they’re there but not getting roped into them, that’s an absolute huge win. And however you get there, whether you use ERP or whether you use some people are using ACT, Acceptance and commitment therapy for OCD, or whether you’re using EMDR or another method, just know that there are different options for you. You don’t have to be locked into one treatment option because of your diagnosis, regardless of what that diagnosis is. I’m going to include some information for you in the show notes about exposure and response prevention and the article that I read regarding that, which was a review of the research and then some studies on EMDR and OCD. And you can look for yourself and evaluate. It’s often helpful to incorporate more than one therapeutic technique together.

I believe this is where people, especially who have complex presentations, are able to see the best results. So you certainly could incorporate EMDR with ERP. I’ve done that for clients before, especially more so in phobia situations where they needed kind of like a gradual way to ease into getting over a certain fear.

Today’s story of hope starts with me crying in a parking lot in Target because I couldn’t build a website in 2017. I was in the process of building my business By The Well Counseling, trying to get everything off the ground. There’s a lot that goes into starting a business and I was running on fumes. I was working full time, seeing clients. And then in the evenings, I would be working on stuff to start the business. One of the things I believed I needed to get going was a website. Someone had recommended a certain site for me to build my own website. And I could not figure it out on my own, hence the crying in the Target parking lot. Everything had just reached a boiling point. I was overwhelmed and in tears and just thought I cannot do this anymore. Fast forward, Now I’ve built several websites. I had a former blog website that I’m not using anymore that I built. I built a completely brand new website for my counseling practice on a different platform about a year ago and I partially built the Hope for Anxiety and OCD website. I did get some help from a professional on that one to make it look more snazzy. But what I learned that I thought I couldn’t do, which was build a website, I could actually do. I just didn’t know it yet. So maybe there’s something in your life right now that you feel like, “I can’t do it. There’s no way,” but you may be looking back a few years later and say, “Wow! That very thing that I thought I couldn’t do, I can do it now.”

That’s my story. Do you want to share your story of hope with me? I would love to hear it. You can contact me through our website anytime at hopeforanxietyandocd.com.

Hope for Anxiety And OCD is a production of By The Well Counseling in Smyrna, Tennessee. Our original music is by Brandon Mangrum and audio editing was completed by Benjamin Bynam. 

Until next time. May you be comforted by God’s great love for you.

Do I have Anxiety or OCD?

Written by Carrie Bock on . Posted in Anxiety, Counseling, OCD.

Understanding the difference between anxiety and OCD can be challenging. After all, both disorders affect the mind and body. Those with anxiety or OCD can experience physical, mental, emotional, and spiritual distress. Let’s start by looking at the symptoms of each disorder.

Common Symptoms of Generalized Anxiety:

  • body tension
  • increased heart rate 
  • frequent worry
  • difficulty concentrating
  • feeling edgy 
  • difficulty sleeping

At a basic level, anxiety occurs when your internal fear response kicks in when it’s not needed. Our fear response is a good thing, given to us by God to keep us safe. The problem is that our brains and bodies are imperfect. Thus, the fear response can get turned on in response to something that is not actually going to hurt us. As an example, let’s say that you have generalized anxiety and get nervous when put in new situations. Your brain has made a connection somewhere along the way that new situations are potentially dangerous and must be avoided or engaged in with extreme caution.

Today, you are meeting your new male coworker. You may have worrisome thoughts. What if he’s mean or rude? What if he doesn’t like me? I’m always so awkward in these types of situations. What should I say? Your body starts to get hot and a little sweaty. You notice your heart has started beating a little faster. You take a few deep breaths, wipe your sweaty palms, and tell yourself everything is probably going to be fine with the coworker. You’re still a little edgy, but have calmed yourself down enough to meet him. Meeting a new coworker is not a life or death situation, but your body may be so worked up that it feels like it is.

Understanding OCD:

OCD involves the presence of both obsessions and compulsions. An obsession is an intrusive thought that feels real, doesn’t respond to logical reasoning, and often creates internal doubt. While obsessions are a thought process, they are accompanied by distressing emotions and body sensations that are similar to what a person with anxiety experiences. This is the part that is confusing and often leaves the OCD undiagnosed for years. Compulsions are a behavior that someone feels compelled to engage in as a way to satisfy the obsession. Like scratching an itch, there is temporary relief, but in the long term, engaging in a compulsion strengthens the obsession, starting the whole obsession/compulsion cycle over again. Obsessions and compulsions can vary widely, but I have listed some common examples here:    

Examples of common obsessions: 

  • Offense: I must have hit someone with my car while driving. I offended my coworker. I have sinned or offended God. 
  • Cleanliness: I have touched something that caused me to be contaminated. I’m dirty. This surface is dirty. I’m going to throw up.
  • Harm: You may picture yourself harming yourself or someone else. You may be concerned about harming yourself, spouse/loved one, or child.
  • Relationships: Am I destined to be with my boyfriend/girlfriend? Maybe I married the wrong person. 
  • Just so: Something doesn’t feel right, so I have to keep focusing on this aspect until it feels “just so.” 

Examples of common compulsions: 

  • Checking: Checking the appliances multiple times before you leave the house or turning your car around to see if you hit someone
  • Counting: completing actions according to a certain number such as flipping the light switch 3 times, avoiding certain numbers
  • Repeating: re-doing schoolwork because you didn’t like your handwriting, repeating certain words in prayer or repeating a prayer a certain number of times
  • Reassurance seeking: Asking your boyfriend multiple times if everything is OK between the two of you, asking your boss if you have done the right thing, asking for permission to do something you don’t need to ask permission for, asking someone questions a different way until they give you a desired response. 

Let’s circle back to the example of meeting the new coworker, looking at it from an OCD lens. You have obsessive thoughts you can’t seem to get out of your mind about potentially harming the coworker. You picture yourself spilling coffee on him or accidentally tripping him. You put your coffee cup back on your desk. Your body starts to get hot and a little sweaty. Your heart has started beating a little faster, but you’re too consumed with your thought process to notice. Please don’t let me be awkward, you pray internally. It doesn’t feel right, so you say it two more times. Please don’t let me be awkward. Please don’t let me be awkward. You feel a small sense of relief, but then wonder if you should find the boss to get more information about the coworker in order to make sure you don’t offend him or harm him in some way.   

The importance of determining if you have anxiety or OCD:

Why does it matter anyway? The key to effective treatment is proper diagnosis. If you see a therapist who practices Cognitive Behavioral Therapy for anxiety, they may teach you to challenge the anxious thoughts like you are in a court of law, looking at contradictory evidence.  This would only seek to strengthen OCD, causing more distress. You may see a kind therapist who misses the OCD and provides reassurance that everything is going to be OK. You see the therapist every week, feeling a little better, but after six months of therapy, you’re not any better than when you started. You still have tremendous struggles outside of session. OCD treatment involves increasing one’s ability to tolerate distress. This can be done through several different therapies: Acceptance and Commitment Therapy (ACT), Exposure and Response Prevention (ERP), or Eye Movement Desensitization and Reprocessing (EMDR).

In my experience, EMDR is a great treatment for both anxiety and OCD. Unlike other forms of talk therapy, EMDR works at a brain and body level to help reduce uncomfortable body sensations. Clients defeat the avoidance that anxiety and OCD bring by learning mindfulness and distress tolerance skills. Present behavior is traced back to past learned experiences. After processing, clients may notice some obsessive thoughts, but they are now in the background instead of the foreground. Clients are able to experience the obsession without engaging in the compulsion. If you are in TN and interested in EMDR therapy, click here. 

What is EMDR?

Carrie Bock, LPC-MHSP of By The Well Counseling is a Licensed Professional Counselor who specializes in helping clients with trauma, anxiety, and OCD get to a deeper level of healing through EMDR via in person and online counseling across Tennessee and EMDR intensive therapy sessions. Carrie is the host of the Hope for Anxiety and OCD podcast, which is a welcome place for struggling Christians to reduce shame, increase hope, and develop healthier connections with God and others.

Panic Attacks, OCD, and God: A Personal Story with Mitzi VanCleve

13. Panic Attacks, OCD, and God: A Personal Story with Mitzi VanCleve

Written by Carrie Bock on . Posted in OCD, Personal Testimony, Podcast Episode. No Comments on 13. Panic Attacks, OCD, and God: A Personal Story with Mitzi VanCleve

Author Mitzi VanCleve shares her own personal story of experiencing anxiety, panic attacks, and OCD and ultimately, how God has used these things for good in her own life.

  • Obsessions Mitzi experienced even as a young child
  • Experiences of mental health stigma from Christians 
  • Learning about panic attacks from a magazine article
  • Mitzi’s experience with scrupulosity OCD
  • Acting as if
  • How she used used imaginal exposure to help treat her OCD
  • How she made the decision to take mental health medication as a Christian 
  • Wrestling with God about having OCD
  • How church leaders can support individuals experiencing OCD

Verses discussed: Psalm 13, 2 Cor 1:4-5, 2 Cor 12

Resources and links:
Strivings Within- The OCD Christian
In Your Dreams 
OCD Online
Grace Abounding to the Chief of Sinners
ERP (Exposure and Response Prevention) 
ACT (Acceptance and Commitment Therapy)

By The Well Counseling

More Podcast Episodes

Welcome to Hope for Anxiety and OCD Episode 13. Today, I’m sharing an interview with author Mitzi VanCleve. She shares her own personal journey of diagnosis, treatment and interactions with the church in regards to dealing with panic attacks, anxiety and OCD. I’ve found her story to be incredibly hopeful in terms of how we can grow closer to God through struggles in our lives. So let’s dive in. 

Transcript Of Episode 13

Carrie: When did you start to have symptoms of OCD? 

Mitzi: Well, that really started even as far back as when I was a toddler. I know that sounds surprising. The only thing I can say about that is in my childhood right up until I was quite old, I never understood a lot of what I was experiencing was actually OCD. The first thing that I can go back and look at is really long-held obsessional fears and themes. The very first one was it was sort of unusual as OCD things are. It was a fear of being flushed down the toilet and the sphere was so intense that I would not use the big toilet until I was five years old and I was forced to go to kindergarten.

Even as a small child, three years old, four years old, I could sit there and watch a toilet being flushed, look at the hole in the bath and the toilet and say, “well, I can’t fit through there,” but it didn’t make any difference. My brain had just decided this was the thing to be afraid of and from there, once I got past that one, there was health obsessions. I remember, a really long period of time where I heard about the idea of swallowing your tongue and that just drove me nuts. I worried about it, wondered how that can happen. I ask my parents about it. I would forget about it while I was playing then when I go to bed at night it would come back and that’s when I would really struggle like the times when I didn’t have anything to do. So there was a lot of weird themes and health obsessions. 

By the age of 10 is when I first developed some obsessions related to self-harm. That just started with hearing about a form of not self-harm, but just a form of harm that could happen to a person. I don’t want to really go into the details. Sometimes it’s a little bit hard to explain specifically obsessions in details because it can get a little graphic and upsetting that people who don’t have OCD don’t really understand.

Why would you think that? And so this morphed from my fear of this thing happening to me to actually doing it to myself, like losing control and harming myself. That just went on and on and on for the longest time. There was something in me that knew these things weren’t at all logical and so they scared me so much.

I wouldn’t really tell my parents. I would exhibit symptoms of anxiety. I would have nausea. I would get up in the night shaking and feeling like I needed to vomit and things like that. I was afraid to, especially about the harming thing, I was afraid to verbalize that as a kid, but that’s where it started.

It became more debilitating after the birth of my children. After the birth of my second child, I developed panic disorder. Not knowing what that was I always struggled with social anxiety and just your basic kinds of anxiety disorders as a kid, but I didn’t know such a thing existed.

I never heard about OCD, anxiety disorders, panic disorder. Those words were foreign to me. I only heard about crazy people. There’s a thing where there’s a stigma and even as a child, the stigma was there. That idea that I might be crazy was terrifying to me and so when the panic attacks started, that felt like I was going crazy.

My first one was not nocturnal. I was falling asleep and I woke up with a panic attack and that happened to me a lot. It still does sometimes. I just know what it is now. That combined with that old harming obsession, the panic attack, the feeling of I’m losing my mind. I’m losing control. The derealization, that deep personal personalization that you feel at that moment makes you feel like you aren’t going to be able to control yourself. That combined with the harming themes. After the birth of my children, the harming thing switched from me, hurting me, going crazy, and possibly hurting one of my children in a really awful way and that was just so debilitating. I can’t even begin to describe how awful it was.

Carrie: The hard thing about OCD thing is that the themes do shift. As you get older or go through different developmental stages in life. It seems like once you have a handle on one theme, sometimes another theme will then pop up.

Mitzi:  Oh, yes, it’s very true about OCD. That’s why it’s important to understand how the disorder operates, how to get on top of a theme before it gets on top of you.

And then it grows too big and large. It gets kind of stuck in your head. I do try to tell people that there’s physical symptoms with this too when you’re going through this. For me, some of the things I experienced during that really bad season, which was a very long season of unharmosity was an inability to eat.

I struggled to get calories down. I’m five foot eight. I dropped to 114 pounds. People thought I was anorexic. It had nothing to do with anorexia. I just was nauseous. The anxiety was so bad. I couldn’t sleep. And of course, if you have an anxiety disorder and you’re not eating and you’re not sleeping, that makes things even worse because that level of physical stress on your body is going to make a disorder worse. So that was what it was like and how it was like for me before I knew it was wrong. 

Carrie: I’m curious about what your parents thought. Did your parents just think like, “Oh, she’s really nervous a lot, or she’s kind of an anxious child” or they had no idea everything that was going on in your head?

They didn’t. There were some people in my family, distant relatives who had struggles which caused them to even not want to leave their house and things like that. My mom would talk about that and she would say, “You know, you’re going to end up like that” but she didn’t really know what was going on.

 I know my mom, there were like reassurances, which is a usual reaction for a parent to do that. A lot of times it manifested just as me being sickly. When I was struggling with certain health obsessions, I would get very, just like I described

sick to my stomach and I would lose weight. And so they were taking me to the doctor and try to figure out what was wrong but it was being approached like it was a physical issue. A lot of this just due to the fact that I didn’t verbalize a lot of the OCD themes, but even if I had, I’m not sure there would have been enough knowledge back then for my parents to know what was going on because that was in the 60’s when I was growing up. I think the information and knowledge and understanding about what OCD is and how it operates has come a long way since then.

Carrie: Right and hopefully also our physicians and pediatricians are also able to recognize a little bit better when they’re seeing some symptoms that potentially could be anxiety in a child, which often presents more as physical ailments.

Mitzi: I will share that when I got really, really bad with the harming OCD and the panic attacks, they were just relentless. I lost count. I have no idea how many I would have in a day or in the evening. At that point, I did open up to my mom. I began to know, “okay, this obviously is something to do with a mental health issue.” And so all I can think of was I probably need to see a psychiatrist and so I needed to share that with him, somebody. I had talked to my husband very little about it, just a little bit and I opened up with my mom. Growing up as a Christian and in a lot of Christians, there was that stigma [00:10:30] especially back then that Christians don’t have mental health issues. And so as I was sharing with her, I thought it might be a good idea for me to see a psychiatrist. She was really upset about it and she talked about faith and then she said something that was really hard, “that’s just for weak people.”

It was hard because it put the brakes on my pursuing that at the time, and I did pursue it still, but I didn’t get a diagnosis. The person I saw didn’t have any clue and he was relating things to stress and it, again, faith and, and it just I got nowhere. 

Carrie: Okay. So you did see a psychiatrist, but they weren’t able to help you with that?

Mitzi: No, he just and of course, some of the scary obsessional themes, I didn’t verbalize them. I talked about anxiety and I talked about the panic attacks. I didn’t hit that word though. Just this is what’s happening and tried to describe it. So it wasn’t a good experience and it didn’t help me, sadly.

Carrie: Yeah, that’s unfortunate when people do reach out for help and then they find somebody that isn’t familiar maybe with OCD, or doesn’t quite know how to help them navigate through that process. 

So what was that process of getting the help that you needed? 

Mitzie: The first help that I got was really for the panic disorder and that was interesting.

I, I believe that during the time of my praying through this and asking God for help and just feeling so desperate that God came through. At that time I was still struggling. I was pregnant again, that tells you how long I was still struggling tremendously and I had become pregnant again.

I was about four months pregnant. I was at my aunt and uncle’s cottage, my husband and my brothers, my family, and my aunts and uncles they were watching a TV show which I did not need to watch at that time. It was called “Alien” which you’ve heard of. It’s the perfect show if you’re struggling. I was trying to avoid watching it.

So I picked up a reader’s digest magazine and the words on the front of the magazine where they show the stories, one of them said panic disorder. It said it might not be what you think it is. Just the word panic struck a chord with me. I opened up this magazine and started reading the story of this woman who had panic disorder and it was me. I was reading about myself and they listed all the symptoms of a panic attack and I had all of them. I finally had an answer for that. And so at the time, I was pregnant and I really couldn’t implement meds and things like that. I just started working on things like breathing techniques.

After I delivered, I started doing really intensive aerobic exercise. I was jogging four and five miles a day, and I gradually getting healthier which eventually took me into a period where the disorder waned. It wasn’t as bad as it had been, but that’s when I learned just about panic disorder. I didn’t have any idea about OCD and so that kind of wax and wane on and off throughout the rest of my life up until the age of 50.

Carrie: So I think your story is very similar to other people’s in terms of a lot of times there’s a big gap between when people start to have symptoms and when they even find out this is actually OCD they’re experiencing because they feel ashamed of the symptoms. They feel ashamed of the thoughts, or they feel like, “okay, this sounds really crazy and nobody’s going to understand it or believe it, or they’re going to lock me up somewhere if I tell someone that I’m having these thoughts especially related to harm.”

Mitzi: Yes. What you say about they’re gonna lock me up somewhere was a genuine fear of mine because I couldn’t understand why I was having the thoughts to start with. For me to share that with somebody, they’re going to be like, “You really are dangerous.” Sometimes I would think maybe that would be good because then my kids will be safe. That’s how awful it is. You feel like your brain is telling you this is something that you should be afraid of this thought. I say it’s almost like you have a phobic response to the thoughts that you’re having and you’re having to live with them in your head.

If it’s a spider or something, you can just run away from it. Once it’s a thought in your head, it’s there. All that you’re doing to try to get rid of it makes it worse. Of course it did with me because I didn’t know it was OCD and I didn’t know what to do about it. It was at the age of fifty.

Carrie: So at the age of 50, what happened?

Mitzi: I had already been struggling. I was going back through a flare of anxiety and panic attacks because there’d been a lot of stress in our life. I’m not going to go into all the details, there were a lot of changes, big life changes. One on disability moves, just lots of changes, lots of uncertainty.

And so I didn’t notice it for a while, but it was kind of too late by the time I did start to say, Oh no, you know, I’m going back through this again. I was having panic attacks. I was starting to have obsessions about my health again, related to stuff that normally I would just brush off. 

That’s how OCD is It’s always looking for a target, something to be upset about. During that time, I was praying again, reading my Bible, doing all the things I normally do as a Christian to try to receive information from God about what I can do about this. How can I help myself, but also just gain comfort. And I got a lot of comfort from the songs, even back when I was in my twenties, because I saw in there things that described how I was feeling. 

My son also gave me some sermons on tape and he said, “These are really good, Mom.” We always share things like this. So I put one of those sermons in. It was actually on it on a CD. I was doing dishes, I was trying to stay very busy and distracted. This particular pastor was talking about our struggles with sin. As Christians and I understood. It wasn’t new to me that as Christians, we will still be fighting sin our whole life. It’s not something that we’re cured of. It’s something we’re aware of. We’re made aware of when we become a Christian and we have a desire to please our Savior. So we work continually towards pleasing him through obedience. He finally says this one statement, which I don’t even know why he said it in the middle of the sermon. He says, “If you call yourself a Christian but you’re still all the time struggling and sinning as strongly with sin, you really might want to think, are you really a Christian? In the past I would have been like, “yeah, of course.” This time my brain just latched onto that. It was like, wait a minute. What if he’s right? What if all this time, all these years, I thought I was a Christian I’m not. And what if the reason I struggle with this thing, whatever it is is because of that. It just was like a dam broke open and the intrusive thoughts related to that, just pour it out just one after another.

I just began this war with it. It was a mental 24/7, every minute I was awake, I couldn’t sleep and that was the new OCD thing, but I didn’t know it was OCD.

Carrie: No one’s ever had that before. It was a new theme. 

Mitzi: Yeah. Until I was engaging with my compulsion. So by then, at this point in my life, of course, we had the internet and I was doing what’s called research, lots of Googling, researching around the topic of,  “Am I still saved?,” doubting your salvation. I was reading all these articles about how we can know we are Christians and I would read them. It didn’t help. It didn’t make it go away.Suddenly one day I stumbled across a Christian forum that said doubting salvation and then it said, OCD. I was like, ”what?” That’s what I’m going through. Out of curiosity, I opened it and I started reading the posts from the people in this group

and it was amazing. It was just like the Reader’s Digest thing. I was reading my story. They were telling exactly what I had been going through. I was stunned and as I read more and more in this forum, and then I started going further out about OCD, what it is, how it manifests, what causes it. I had it and I had it since I was a kid and I never knew, and that opened up the door for me to finally have a way to manage this beast called OCD.

From there I began learning and learning more about ERP, about medications, about therapies like ACT. All the ways that this thing that I called “it”, this ugly “it,” for all these years, it had a name. I get tearful sometimes talking about it because God did answer my prayer.

He just didn’t answer in the way I was wanting. The way I was wanting was just take this thing away, whatever it is. He was pointing me to, “This is what it is, and this is what you can do.” It was just astonishing to me that I could live my whole life, basically until I was 50 years old and never have been able to get help.

There were so many long seasons of just debilitating, crippling suffering, and it was hard for me to believe, but just the relief, so overwhelming. 

Carrie: We talked about that in an earlier episode with someone about how diagnosis itself can be a relief when you get a proper diagnosis. And then you can say, “okay, now that we know what we’re dealing with, what can we do about it?” “What’s our next step forward?

Mitzi: Exactly. Even after you get a diagnosis because OCD is OCD, it’s going to make you doubt but as you begin to bravely risk working with things like Exposure Response Prevention (ERP) therapy for me, it was brave when I was told, I probably needed to try some medications, but that was hard for me. Some of that was pride. Some of it was just because I have never taken anything like that before. What will it do to me? All the fears and that was a big struggle, but it’s so worth it because the alternative is staying stuck and doing the same thing over and over and not getting better and feeling worse. 

I was determined just like with a panic disorder, I was like, “What can I do about this?” And I found out these things are effective. It was hard. It’s not like you began ERP and the next day, I’m all better. It’s a process. The longer you’ve been struggling with the theme, I think it’s a longer process. Your brain’s got this practice cycle of intrusive thought, anxiety response, compulsion, more intrusive thoughts, more anxiety, more compulsions. It’s a habit that needs to be undone and that takes time. 

Carrie: Right. Did you get into therapy at that point? 

Mitzi: I started going to a therapist and I think this is the hardest thing about OCD is being able to find a competent therapist. My therapist was good for dealing with basic anxiety disorders, like panic disorder, generalized anxiety, social anxiety, but when it came to OCD, she was asking me to apply basic cognitive behavioral therapy like you would for depression which would be to challenge the thoughts, to counter the thoughts into right logical reassurances.

Carrie: Which is exactly what you don’t want to do with OCD.

Mitzi: I started doing that and I got worse and I was like you know what, but there was one thing she offered up that was great and I still say it today, it’s act as if, and that’s part of the choice

part of OCD. OCD thoughts may be telling me this and telling me that, but I’m going to act as if these things aren’t true. And in the realm of Christianity and scrupulosity, even though my brain was telling me, “I think you might becoming an atheist.” I could say I’m going to act as if I’m a Christ follower. I’m going to do all the things that a Christ follower does even if my emotions will not validate that choice. That is my choice. So that aspect helped, the other was worse. So I pretty much learned on my own, I did visit some really good websites like ocdonline.com. Dr. Philippson. A lot of his work was just phenomenal to help me understand.

I learned about imaginal scripting, imaginal exposures, and I wrote them and did them and recorded them. I was able to learn that on my own, but a lot of people really do need a competent therapist because it takes a lot of grit and determination and courage to do ERP. I just think having a competent psychologist who’s trained to do these things and understands the disorder is something, unfortunately there just aren’t that many and a lot of it has to do with network, with insurance too, which was one of my biggest hurdles. I could not afford the counselors and the therapists that I needed to see. I had to go to the ones in network and even later on when I was going through a bumpy time with my OCD, after I knew what it was, I was just going through a really bumpy time.

I thought I could sure use someone right now and my therapist had passed and I called around and I would ask, or I would write. I know I communicated through email. I would say, “what do you know about ERP and ACT as far as treating OCD?” And they would say,” I don’t know what that is but I can help you with your OCD.” I’d be like, “Probably not.”  So that’s a hard thing. That’s a really hard thing.

Carrie: It is hard because really, therapists would have to pursue training after their degree to specialize in OCD. And a lot of people don’t do that unless they have some type of personal connection or in my situation, I was working with a lot of people who just thought they had anxiety and then I was starting to see more OCD as I was starting to hear more about what they were actually worried about and struggling with. So that’s kind of how I got branched off into it, but I think a lot of therapists have not received further training on it.

I want to get in with you on the spiritual aspects, really of struggling with OCD. I know a lot of people who are struggling out there probably are praying prayers just like you pray, “God, this is awful. I feel terrible. I’m all tore up inside. Will you please just like touch my body and touch my mind and take this all away.” How did you work through some of that wrestling with God?

Mitzi: When I didn’t know I had OCD, I did a lot of that and it was a wrestling time. I thought during that time, maybe this was due to pass. Maybe there was something I needed to confess. So I would pour over everything I could think of and current things and confess for the OCD and the anxiety I would go through. I knew these verses, every verse related to worry, anxiety, all of those things. 

I had most of that memorized. Anyway, I did understand what those things meant. What I didn’t understand was the difference. The Bible talks a lot about anxiety and worry, but if you look at those passages of scripture, you will see these are situational.

Worries and concerns, they’re about real-life trials and afflictions. It isn’t this always there’s a free-floating sense of dread and physical symptoms and everything of anxiety that can even be there when you aren’t even worried about anything. It’s like panic attacks, for instance. So that was confusing to me, but there was also a feeling because God wasn’t taking it away just miraculously. Maybe he’d abandoned me. 

There’s a particular Psalm, Psalm 13, I think it says “How long, Oh Lord, will you forget me forever? How long will you keep hiding your face? Please answer me.” 

Just the desperation there of the feeling when we’re going through painful suffering and trials of “where’s God in all of this?” It took a while for me to understand growth through affliction and that came gradually. There’s several aspects of this. There’s my own, not understanding the difference between commonplace, worry that everyone experiences, and a disorder like anxiety or a real mental health issue.

That was the biggest hurdle for me to get over was to learn. So when I learned that I had OCD and I learned I have panic disorder, I was able to shift over into, “well, maybe this is how God’s answering my prayer.” I was able to see just like if  because I do have hypertension, the answer to that, God gave me wasn’t you just miraculously heal my hypertension, it was for me to go on medication, treat my hypertension. And so that helped me to understand that these are very real disorders and to learn about how they develop, why they develop, how they’re genetic. I see that in my family that’s definitely genetic and that it’s not a sin to treat a disorder and affliction and seek professional help for it.

That was something I had to work through, but when you try to talk about it to other Christians, actually, if you don’t know what’s going on, but you know it’s a mental health issue. You may not know, like we’ve talked about how you can have OCD and not know it. So you might be going to a pastor or Christian friend, and you might talk a little bit about your anxiety disorder.

They come at you with what I call “mini-sermons.” They start telling they start quoting you all the verses about anxiety as if you’d never heard them before. It was especially when they know you’re Christian. They know you study the Bible. They know that you followed Christ to the best of your ability.

It’s very condescending because they water it down too. “You just don’t know how to not worry because you don’t trust God.” This is a faith issue. If you had more faith, it’s even gone so far, and this is the one that drives me the most nuts is if you have a mental health issue or anxiety disorder, people will say things to you like you have a theme? That sort of thing. That’s bad. This is awful especially for a person with scrupulosity, religious OCD themes. I mean, that’s horrifying. It just makes it 10 times worse. There’s this lack of knowledge out there when it comes to understanding these disorders.

I really think anxiety disorders are probably the least understood because of Bible verses about worry being equated with an anxiety disorder and they’re not at all the same. And if you’re a sufferer you definitely know the difference, but people who don’t have experience or a loved one who they know and see going through this, they just automatically assume, unfortunately, that this is what it is.

Carrie: Right. It’s hard for pastors and ministry leaders to understand. They don’t necessarily have that type of training or clinical background. And sometimes they’re dipping toes in the water that they need to kind of stay out of and just say, “Definitely we will support you and love you and pray for you but we also want you to get professional help because that’s important and God can use those things in your life. God can use therapy and medication.” These negative experiences that you had with maybe pastors or other people in the church who were well-meaning, let’s say, and trying to help you, did that cause you to want to go public with your story and write a book?

Mizi: Yeah. Yes, it really did. It wasn’t just that though but that was a big part of it. What you just said about they really don’t have the training or the ability to recognize these disorders. Scrupulosity, for instance. If a person is struggling with doubts about their salvation and maybe this pastor has known this person for most of their life and they’re suddenly in their office and they’re going through all these thoughts with them, then the pastor gives them the reassurance from scripture and they’re like, “okay” and then they come back again.

They start saying the same thing over again and even the pastor there’s a level of frustration that can develop and they’re not equipped and they aren’t knowledgeable about OCD and how it manifests itself in a person who’s suffering. So I found that it was really important to share my story about living with anxiety disorders as a Christian and a Christ-follower, but in particular about OCD because it’s so misunderstood. And in particular about scrupulosity OCD because when you go that direction, people are even more inclined to think it’s a spiritual issue even the sufferers themselves really struggle.

They can even know they have OCD and they accepted about all the other kinds of themes and obsessions that they struggle with. For some reason, when it switches over to their relationship to Christ then it’s a spiritual issue. So the book explains why it’s not, and that OCD is OCD no matter what the theme, the treatment approach is the same. If there are things you don’t understand, which is very possible about your walk with God that you can learn through the Bible true, valid, real questions in OCD that can even happen because we’re all at different places in our walk with Christ. [00:37:05] You can still learn that thing, but you don’t have to learn it 50 times. That’s when you know, what’s OCD. It’s like if the answers don’t suffice, if the anxiety isn’t satiated, and laid to rest with answers that are logical reasoned arguments, it’s OCD. Especially if you have OCD, you can pretty much be sure. And so I wanted to lay that all out my own journey because I felt that there’s probably a lot of people with this struggle. If a Christian, a believer, a follower of Christ has OCD, there’s a good chance that it’s going to go that direction and they’re in their life at some point, because OCD always goes after what’s most precious to you.

And for the Christian, their walk with Christ is the most precious thing of their entire existence. So it’s going to go there and I wanted people to understand they weren’t alone, but I also knew there were a lot of people like me who got all the way to 50 or 25 or 30, 40, whatever and didn’t even know that that’s what it was. I thought by sharing my story they could discover that the way I did and, and get directed towards the help they needed and that was important to me. The other aspect of it is the growth in it through that. Before I go there, I did want to add to what you said about ways that the church can support people with these issues, these different kinds of anxiety, all mental health issues as far as that goes. 

I think the number one thing they do is listen and then validate the experience as a real affliction not merely a spiritual issue that can be fixed by more prayer, more Bible study, more faith but to literally be willing to support people and say, “Hey, this is a real medical or mental health issue for which you can get help. We want to encourage you towards going to your doctor and starting that process. We want to encourage you that if they say you should see the specialist to go ahead and do that.

We want to encourage you that if they suggest medication might be helpful to you, by all means, please, please do that because it’s so harmful to say things, like it’s a lack of faith and taking medication, means that you aren’t trusting in God and all the things that you can.

And it’s so harmful and I don’t even know how to describe what I’m trying to say. It puts up such a roadblock.

Carrie: It just makes the problem worse. 

Mitzi: Yeah and it hurts people. It’s important for churches to be able to be compassionate, pray for the person with a mental health issue, and the same exact way you pray for anybody who has any other type of health issue. Treat them the same, validate instead of turning it into a spiritual issue. I wanted to say that this is what the church needs to do. 

Carrie: Yeah. I think that that’s so important and so helpful because we have this ability to rally around people who have just had a baby in the church. We’re really good at that. We can bring you a casserole and we’re really good at rallying around somebody that’s going through cancer or has lost a loved one but then when it comes to something that’s invisible, like an anxiety disorder or OCD, almost like people don’t know what to do with that.

Mitzi: Yes. They either don’t know what to do with it or they’ve kind of bought into the stigma and I’ve tried to kind of sort that out. I don’t know all the reasons people don’t believe in the validity of mental health issues but I suspect that part of the reason might be just a fear of my total health issues because of when I was really young and I was first starting to experience these mental health issues to the point where they were debilitating, all I could think of was I’m going to get locked up in asylum. So there’s these visions and pictures that people have of what it’s like or what people are who are crazy, that sort of thing.

So there’s fear around stigma of what it is to struggle with any kind of mental health issue and it said because there’s so much help out there. There’s so many people in the churches that are sitting in the pews who have mental health issues and you won’t even do that. 

Carrie: Absolutely, that’s huge. So as we’re getting towards the end here at the end of every show, I like to ask the guests to share a story of hope since this is called Hope for Anxiety and OCD. So this is the time that you’ve received hope from God or another person. 

Mitzi: Okay, there’s lots of stories I could tell. There’s been so many things and I get notes from people all the time about how the book has led to them for the first time discovering this is what’s wrong and finally getting the help they needed. So that’s how God’s used my experience where you comfort one another with the same comfort you yourself have received from God, which has been very humbling to me. For me, I don’t even remember how I knew to read this book, but I picked up a book by a person called John Bunyan that he wrote in 1666 and it’s called “Grace Abounding to the Chief of Sinners.” Mr. Bunyan’s story resonated with mine in ways I could not have believed. As I read this book about his experiences, really what he had was OCD scrupulosity. When you read this book, it is just absolutely eye-opening and the struggles that back and forth.

That’s how it debilitated him, how it crippled him, how he would be trying to even preach later on a sermon and the intrusive thoughts would just be blaring in his head and he was so terrified they were going to come out of his mouth right while he was preaching and it just crippled him. He tells this whole thing and it’s so interesting to read because it’s like that’s what it was like for me. At the end of his account, in this book, he says, he admits that this thing was an affliction that God had allowed in his life. It was an affliction. The very next thing he says is God, I’ll use his language, “God Duff order it for my good” and then he gives this list of all the ways God had used this to grow him and his faith. Even his account of how he learned to just accept the uncertainty of the thoughts and to press on in his choice to venture all for the sake of Jesus Christ was ACT basically.

This is amazing. I’m thinking God knew that I was going to read that book. He wrote it in 1666. God knew when I read that book, John Bunyan’s story was going to encourage me and it would show me something. It would show me that this affliction has a purpose. The last chapter of my book, I share the purpose in my own life.

That chapter is called Purposeful Affliction. One of the biggest ways I’ve changed in how I talk about my anxiety disorders and in my OCD in particular, as I used to kind of go along and say, “well, I have OCD, but God can still use me in spite of it.” That’s kind of how I worded it. Now I say, I have OCD and God is able to use me because of it. That’s because of the ways He’s grown me through this experience of affliction. That’s not uncommon. God, Paul talked about it, talked about a storm in the flesh. God said to me, my grace is sufficient for you. My strength is perfected in your weakness.

Paul ends up saying, I’m going to glory in this affliction because of this because when I’m weak, I’m depending on God’s strength and not my own. God uses these things in ways, perseverance, and empathy. The things that I learned through my OCD in particular, in my OCD scrupulosity is just amazing but reading that book that was just literally a godsend. And you think about it, they didn’t even know what OCD was back then, but God laid it on John Bunyan’s heart to write about it and so 1666, 150 years old. Here we are and I’m like reading this book and I’m like, “this is amazing.”

It just shows that OCD has been around for a really long time. It’s not a new thing. It’s just that we now understand you know what it is and there’s help and there’s hope, and everyone who is struggling with this, I just want them to have the chance to understand what it is and how to get help especially for my brothers and sisters in Christ. 

Carrie: Right. Your story and what you’re doing and just being vocal and open about being a very strong Christian who has also had a struggle in an affliction, I think it’s so hopeful to other people. Hopefully, who will hear this podcast, but what we’re talking about with church leaders that such my passion and desire is that people would just get however they get it, whether they’re getting it through listening to a podcast or reading your blog or talking to somebody with a personal struggle. I just want people to be able to sit with people in pain and say, “We’re here for you.”

Mitzi:  Yes. It’s so huge. It is so important and it’s important to understand that it’s painful. Like you called it invisible and it is. I would still get up every day, go through the motions like a robot. Sometimes I would fix my hair. I would put on my makeup. It was difficult to go out when I was really, really sick, but I still did it. I would sit in church and be tortured because of my OCD, but I would sit there and sometimes I’d want to run out, but you can’t see it. It is really debilitating.

The only way you could see it on me was I would get really skinny. I would get quieter. I would withdraw. I probably didn’t smile and laugh much. Those kinds of things but it’s very painful. For me definitely has been the thing that caused the most pain in my life and the most long-lasting because it can just hang on and hang on. I went through one whole pregnancy with it and then in between, and then another whole pregnancy. I still had the same thing going on. That’s how long it can hang up. 

Carrie: If people want to dive in and read your whole story, will you tell us the name of the book? I will put a link to it in the show notes as well. 

Mitzi: Sure. The name of the book is “Strivings Within-The OCD Christian” and you can find it on Amazon. If you just write that in and even my name, you can look at my name, it’s VAnCleve. That’s the main book I have out there. I do have another book.  We’ve talked about as far as OCD today necessarily, but it’s a direction, another direction up and going, and it’s a fictional book with a little bit of my experience mixed in as a teen. That was about what it was like to have social anxiety and it’s written in a fictional form and that one’s called, “That’s in Your Dreams. That’s the name of that one. That’s all also on Amazon, but it’s kind of a nice book for teens who struggle with that type of anxiety, social anxiety. It might be relatable to them in a story form. It’s just a story about a girl trying to go to high school and trying to fit in, be normal and the social anxiety is always shoving her back down. And so I want to try to work on those kinds of things too for teens, but I haven’t been very dedicated with that.

Carrie: Thank you so much for coming on and sharing your story.

Mitzi: Thank you, Carrie. I appreciate the opportunity, anytime. I can share not because of what it does for me, but what I hope it might do for someone else who’s looking for answers, looking for hope, looking for someone who can relate to what they’re going through. And also like you said, for the church and for pastors and people in leadership positions to understand better what these disorders are, what they’re like, and how they can help. So thank you. 

Carrie: Ever since I did this interview with Mitzi, I have been really pondering this idea of growth through affliction in our lives. I hope that you chew on that one for a little bit too because there are so many different things that God uses that are hard to go through and yet they grow us closer to him. They grow us closer to other people and they shape our character in ways that we might never have received had we not gone through those difficulties.

I hope that this podcast has encouraged you. If it has, will you do me a big favor and tell a friend. There’s probably someone in your circle of influence who needs messages that will help them reduce shame and increase hope and that’s what we’re all about on the show. Thank you so much for taking the time to listen today. 

Hope for Anxiety and OCD is a production of By The Well Counseling in Smyrna, Tennessee. Our original music is by Brandon Mangrum and audio editing completed by Benjamin Bynam.  Until next time.  May you be comforted by God’s great love for you.

What is EMDR?

Written by Carrie Bock on . Posted in Anxiety, Counseling, OCD.

When people first hear about Eye Movement Desensitization and Reprocessing (EMDR), they are often skeptical. That’s OK because I was too once. I wasn’t sure how waving my fingers back and forth in front of my clients was going to change how they felt about the past. However, I was desperate. Cognitive behavioral therapy for the treatment of trauma just wasn’t cutting it for the complex client presentations I was seeing. We could talk for hours about how the abuse a client experienced wasn’t their fault. They could give me the right answers, but didn’t feel it. They could change their thoughts, but their bodies were still reactive. Once I started using EMDR and saw first hand how great my clients were feeling, I was hooked.   

What is EMDR?

EMDR is an experiential therapy that allows clients to process trauma at a brain level to access healing at a different level than traditional talk therapy. Other approaches to healing from trauma such as Exposure Therapy or Cognitive Processing Therapy (CPT) require the individual to tell the entire story of the trauma repeatedly in order to become desensitized from it. However, with EMDR, telling the story of the trauma is not a requirement. This brings a sense of relief for clients who do not want to retell the entire story, cannot remember the whole story, feel it would be too lengthy to tell, or are bound by security clearances. 

The other difference between EMDR and cognitive based therapies is that EMDR addresses body sensations associated with traumatic memories. A rape victim may no longer believe the rape was her fault (changing the thought), but may still carry a sense of shame and distressing body sensations that accompany that emotion. Trauma is often stored in the body can manifest as physical sensations such as chronic digestive issues or panic attacks. I have seen several clients have a reduction in physical symptoms after EMDR therapy. 

What is the EMDR process like?

There are eight phases of treatment in EMDR. The initial phases involve screening and preparing the client for being able to reprocess the trauma. The therapist works with the client on building awareness of their present experience emotionally, physically, and mentally. The client also develops skills to tolerate a variety of emotional states and cope with day to day symptoms such as anxiety, nightmares, or intrusive thoughts/memories about the trauma. Clients with an extensive trauma history may take months to prepare for trauma processing. On the other hand, clients who have had previous talk therapy and have coping skills to manage their day to day life may find more value in doing an EMDR intensive. 

The next phases are focused on targeting traumatic memories to reprocess the various aspects of the trauma. The client may see pictures, feel intense emotions, and experience body sensations that were happening at the time of the trauma. This process can be difficult and disturbing to the client, which is why not rushing the preparation phase for clients with complex PTSD is crucial. Bilateral stimulation to the brain is utilized through the use of eye movement, tactile stimulation, or alternating audio sounds. The bilateral stimulation is not painful and does not cause the client to go into a hypnotic trance. The client will be present during the reprocessing.   

EMDR allows the traumatic material to get unstuck and connect to more positive, adaptive material in the brain. At the end, memories that were highly distressing are no longer distressing to the client. Sometimes the change is very surprising because the client expected to always be bothered by the memory! By healing from these past wounding experiences, clients are able to respond to present situations in new ways. Sam no longer blows up every time there is a conflict at home. Susan is no longer having frequent pain attacks. John still has intrusive thoughts related to OCD, but he is able to dismiss them instead of giving into compulsions.    

How do you get trained in EMDR therapy?

If you are interested in learning more about EMDR therapy, you can visit www.emdria.org. This is the website for EMDRIA, the EMDR International Association. Therapists who have been trained in EMDR through a training approved by EMDRIA have completed six days of training and 10 hours of consultation. Training in EMDR therapy is an experiential process. The therapist has to perform EMDR on others and receive it themselves in the client role. Those who have been certified in EMDR have completed an additional 12 hours of advanced training along with an additional 20 hours of consultation with an EMDR consultant. An EMDR consultant has gone through additional hours and has had their consulting supervised by another consultant.    

I was initially trained in EMDR in 2013, pursued certification, and became a consultant in 2019. Over the years, I have been able to help clients suffering from PTSD, recent traumatic experiences, anxiety, phobias, panic attacks, OCD, depression, and dissociation to name a few. I have also started providing intensive therapy in EMDR for individuals who are looking to heal faster in a shorter amount of time. 

Carrie Bock, LPC-MHSP of By The Well Counseling is a Licensed Professional Counselor who specializes in helping clients with trauma, anxiety and OCD get to a deeper level of healing through EMDR via individual and intensive therapy sessions. Carrie is the host of the Hope for Anxiety and OCD podcast, which is a welcome place for struggling Christians to reduce shame, increase hope, and develop healthier connections with God and others.

Is ERP the Only Option for OCD?

Written by Carrie Bock on . Posted in Counseling, OCD. No Comments on Is ERP the Only Option for OCD?

Individuals who are diagnosed with Obsessive Compulsive Disorder (OCD) are often told that they need to receive Exposure and Response Prevention (ERP) in order to treat their OCD. While ERP has been widely researched and works for some individuals, ERP is not the only treatment option for OCD. Eye Movement Desensitization and Reprocessing (EMDR) can be effective for treating OCD, especially with individuals who have a history of childhood trauma.     

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8. One Therapist’s Story of Discovering Her Scrupulosity OCD with Rachel Hammons

Written by Carrie Bock on . Posted in Counseling, OCD, Personal Testimony, Podcast Episode. No Comments on 8. One Therapist’s Story of Discovering Her Scrupulosity OCD with Rachel Hammons

In this episode, Rachel Hammons, a counselor in Nashville, shares her personal experience with scrupulosity OCD and how it affects both faith and mental health. She offers valuable insights on recognizing, understanding, and managing OCD, particularly in the context of moral and religious obsessions.

Episode Highlights:

  • The signs and symptoms of scrupulosity OCD, a lesser-known subtype of OCD.
  • How scrupulosity OCD can impact an individual’s relationship with their faith and moral decision-making.
  • The importance of recognizing the difference between normal doubt and OCD-driven anxiety.
  • Effective treatment methods, including Exposure and Response Prevention (ERP) therapy.
  • Practical strategies to break the cycle of compulsions and manage intrusive thoughts.

Episode Summary:

In today’s episode, I’m speaking with Rachel Hammons, a counselor based in Nashville who specializes in helping people with OCD, especially scrupulosity OCD, a subtype that can deeply affect individuals’ relationships with their faith. Rachel shares her personal journey with OCD, explaining how she came to recognize the condition within herself while studying it in her professional career. As someone who works with clients struggling with OCD, Rachel provides invaluable insight into how the condition can manifest, particularly in the realm of moral and religious obsessions.

Rachel opens up about the internal battles she faced, including the overwhelming need for certainty about right and wrong, which often resulted in compulsions such as seeking reassurance or mentally “correcting” thoughts she deemed sinful. She describes how this cycle of obsession and compulsion can make it difficult to differentiate between normal doubt and OCD-driven anxiety.

If you’re struggling with similar issues, whether you’re dealing with OCD or supporting someone who is, Rachel’s insights will resonate deeply. Tune into the full episode for a candid conversation on how to better understand scrupulosity OCD and learn tools that can help break free from its grip.

Links and Resources:

Rachel Hammons
More information on ERP and OCD

 

Should I Take Medication for my Anxiety or OCD?

Written by Carrie Bock on . Posted in Anxiety, OCD. No Comments on Should I Take Medication for my Anxiety or OCD?

Maybe this is a question you’ve asked yourself. Perhaps you have concerns about side effects, becoming dependent on medication, or wonder if this option is for you. My response to this question is always the same: It’s a personal decision. Each person has to decide what is best for their body depending on their own symptoms. Some of my clients are able to tolerate medication with little side effects while others try several different medications and react negatively to all of them. Some want to try counseling first before starting medication. I respect and honor each individual’s decision.  

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6 Factors to Consider Before Searching for a Counselor

Written by Carrie Bock on . Posted in Anxiety, Blog, Counseling, OCD.

Note of clarification: In this article, I am using the terms counselor and therapist interchangeably to refer to a provider who is trained and licensed by the state to practice. I am not referring to someone who may engage in counseling or counseling techniques who has not been formally trained to practice professionally. 

If you want to find a doctor, there are several ways you could approach this. You could ask a friend, check the insurance website, the doctor’s website, or read reviews. Finding a therapist comes with unique challenges. I have listed the important factors to consider when finding a therapist below. Understanding this information helps you know what information to cover in the initial phone call or email when reaching out to a therapist.      

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Welcome to the page

1. Carrie’s Welcome to Hope for Anxiety and OCD

Written by Carrie Bock on . Posted in Anxiety, OCD, Personal Testimony, Podcast Episode. No Comments on 1. Carrie’s Welcome to Hope for Anxiety and OCD

In this episode, Carrie Bock discusses the reason she started a podcast for Christians struggling with anxiety and OCD. She shares her own personal story of loss and how her faith in God got her through it, learning more about His character along the way.

Episode Highlights:

  • How to navigate the intersection of faith and therapy when dealing with anxiety and OCD.
  • The importance of addressing mental health from a holistic perspective—spiritually, emotionally, and physically.
  • Why it’s okay to seek therapy and medication as a Christian without feeling ashamed or less spiritual.
  • Practical ways to overcome shame and embrace healing in your mental health journey.
  • Insights from personal and professional experiences on how to cope with unanswered prayer and find hope amidst mental health struggles.

Episode Summary:

I’m Carrie Bock, a Christian and a Licensed Professional Counselor. In this episode, I share my personal journey of navigating both my faith and my career, where I often find myself between two worlds: one that values secular therapy and one rooted in Christianity. It’s been a unique experience, but I believe wholeheartedly that all truth belongs to God, whether it’s found in scripture or the latest psychological study.

I’ve spent years helping people heal from anxiety, OCD, and trauma, and many of my Christian clients feel conflicted about therapy. They’ve been told by others in the church that seeking therapy or medication is wrong, and some even feel ashamed for struggling with mental health. That’s why I’m so passionate about sharing the message that you can have Jesus and therapy! Therapy addresses anxiety from a holistic perspective—spiritually, mentally, emotionally, and physically—and I want to help people see that it’s okay to pursue healing on all fronts.

In this podcast, I’ll be talking to pastors, therapists, and everyday people who have found hope while navigating mental health challenges. Whether you’re struggling with anxiety, OCD, or trauma, you’ll hear stories and insights that can reduce shame, increase hope, and build healthier connections with both God and others.

I’m also diving into important topics like unanswered prayer, physical causes of anxiety, help for anxious children, and different therapy techniques for mental health struggles.

Join me on this journey as we explore the intersection of faith and mental health. You’ll learn practical, biblical, and therapeutic tools to help you live a more abundant life.

Resources and links:

By The Well Counseling

For more information on foster care and adoption in the US:

Adopt US Kids

Court Appointed Special Advocates

Wendy’s Wonderful Kids

Explore Related Episode:

33. What is it Like to be a Counselor? Steve Interviews Carrie