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183. Deciding to Take OCD Medication During Pregnancy: A Personal Story with Amber Williams Van Zuyen

As part of the Personal Story Summer Series, we’re bringing back Carrie’s powerful conversation with Amber Williams Van Zuyen, who shares her journey through harm OCD, intrusive thoughts, and the difficult decision to take medication during pregnancy. Amber’s story is relatable, faith-filled, and a reminder that you’re not alone in the struggle.

Plus, don’t miss Carrie’s upcoming live webinar Calming the Inner Chaos: Tips for Christians Seeking OCD Treatment on August 11 at 4PM CT—replay available!

Episode Highlights: 

  • What harm OCD really looks like behind closed doors
  • The guilt and confusion that often swirl around faith and medication
  • The impact of dismissive or misinformed “Christian” counseling
  • Why finding the right diagnosis and treatment made all the difference
  • How Amber leaned into Scripture, community, and honesty to reclaim her peace

Episode Summary:

Welcome back to the Christian Faith and OCD: Personal Story Summer Series! Today, I’m re-airing one of the most unforgettable conversations I’ve had—Episode 91 with Amber Williams Van Zuyen, author of Pregnant and Drowning. Amber’s story is vulnerable, faith-filled, and painfully relatable, especially for anyone who has faced the intense tug-of-war between mental health struggles and pregnancy.

Amber was diagnosed with OCD early in her pregnancy after being hit with terrifying intrusive thoughts—what we now know as harm OCD. She faced the difficult decision so many moms wrestle with: Should I take medication while pregnant? Will this hurt my baby? Will this make me a “bad” mom… or a “bad” Christian?

We talked through her childhood symptoms, her family’s history of mental health, and the spiritual confusion that can come when intrusive thoughts get tangled up with guilt and faith. Amber shares how shame nearly silenced her, how misinformed “Christian” counsel did more harm than good, and how God, good resources, and the right support brought her to a place of healing. Her honesty gives voice to a struggle many are too scared to name—and her story reminds us that you are not your thoughts.

If you’re pregnant, hoping to be, or just navigating OCD and anxiety with a side of spiritual questioning—please tune in to this one. It’s real, it’s raw, and it just might be what your heart needs today.

Tune in to the full episode now and hear Amber’s full journey.

181. My Response to the Updated IOCF’s Treatment Recommendations

In this episode, Carrie responds to the International OCD Foundation’s newly released 2024 treatment guidelines. She offers a therapist’s take on the updates, and what they mean for Christians navigating OCD. 

Episode Highlights:

  • What the IOCDF’s updated 2024 treatment guidelines mean for OCD care, and why this shift matters.
  • How Exposure and Response Prevention (ERP) compares to newer approaches like Inference-Based CBT (ICBT) and metacognitive therapy.
  • Why faith-based concerns and nervous system sensitivity can make ERP difficult for some Christians with OCD.
  • Which therapies the IOCDF considers “adjunct,” “second-line,” or “potentially harmful”—and Carrie’s take on that, especially when it comes to EMDR.
  • How to navigate your treatment choices with discernment, hope, and a plan that fits both your story and your values.

Episode Summary:

What if the treatment everyone says is “best” doesn’t work for you—or feels off with your faith? What if there are other options that deserve more attention? 

In this episode of Christian Faith and OCD, I’m offering my personal and clinical take on the IOCDF’s new 2024 treatment guidelines, and unpacking what they actually mean for Christians navigating OCD and seeking faith-aligned therapy.

These updates are getting a lot of attention—and for good reason. As a licensed professional counselor who supports Christians struggling with OCD, I wanted to offer my perspective on what these changes actually mean for those of us trying to find treatment that honors both our clinical needs and our faith.

We explore the IOCDF’s continued promotion of ERP (Exposure and Response Prevention) as the gold standard, while also recognizing that for many—especially Christians—ERP can feel like too much, too soon, or just not a fit. 

I highlight the growing visibility of ICBT (Inference-Based CBT) and metacognitive therapy, both of which are starting to gain traction as valid alternatives. I also share my thoughts on why labeling EMDR as “ineffective or harmful” can be misleading and hurtful to people who’ve found deep healing through trauma-informed approaches.

Whether you’re brand new to OCD treatment or have tried ERP and are still searching, this episode is meant to encourage, inform, and remind you that healing is possible—and there is more than one path forward.

👉 Listen to the full episode to get a clearer picture of what’s really changing in the OCD world, how to navigate these treatment options with wisdom and faith, and why you don’t have to settle for a one-size-fits-all approach.

Related Link:

180. A Pastor’s Daughter Struggles with Scrupulosity: A Personal Story with Stephanie Smith, LPC

In this episode, Carrie speaks with Virginia-based therapist Stephanie Smith about her personal and professional journey with OCD, including how it intersected with her Christian faith. They explore the development of scrupulosity, the healing impact of ICBT, and the importance of separating OCD’s voice from the truth of God’s grace.

Episode Highlights:

  • Stephanie’s personal journey with OCD, beginning in childhood and evolving into scrupulosity during her teen years.
  • Why OCD often targets a person’s deepest values—such as faith—and how that complicates spiritual life.
  • The difference between fear-based religious behavior and grace-centered faith.
  • The role of perfectionism and guilt in religious OCD and the shift toward grace-based faith.
  • How Inference-Based Cognitive Behavioral Therapy (ICBT) helps individuals stay grounded in reality and resist OCD’s imagined narratives.

Episode Summary:

What happens when your deepest spiritual values become the very thing your brain starts to fear?  Therapist Stephanie Smith knows that struggle firsthand—not just as a clinician, but as someone who grew up with undiagnosed OCD that slowly evolved into scrupulosity.

Stephanie opens up about how her struggles with OCD began in early childhood, long before she had the language or support to understand what was happening. As she grew older, her symptoms shifted into scrupulosity—a form of OCD that latches onto one’s faith, twisting deeply held spiritual values into sources of fear, guilt, and confusion.

Stephanie’s story highlights just how overwhelming it can be to live with OCD in a Christian context. She shares how intrusive thoughts, purity culture, and black-and-white thinking made her feel distant from God and unsure of her salvation, even as she earnestly tried to follow all the “rules.” We talk about the critical moment when she finally received an accurate diagnosis in her late teens, the relief that came with understanding her mind, and how therapy—especially Inference-Based Cognitive Behavioral Therapy (ICBT)—helped her reconnect with her true self and rediscover the God of grace, not fear.

Stephanie and I also reflect on the connection between identity development and OCD recovery, how perfectionism and guilt play a role, and what it means to embrace a spiritual life rooted in love—not performance.

We don’t just talk theory—we talk healing. Stephanie’s story is filled with hope, insight, and tangible wisdom for anyone feeling stuck in fear, shame, or spiritual confusion. And if you’re someone who’s navigating OCD as a Christian or supporting someone who is, I want you to know: you’re not alone, and you don’t have to stay in that place of uncertainty forever.

🎧 Tune in to the full episode to hear Stephanie’s powerful journey and learn how you can begin trading fear for peace, and perfectionism for grace. 

Explore Related Episode:

179. She Didn’t Give Up on Getting Help: Personal Story with Amber Vetitoe

As part of our ongoing OCD Personal Story series, Carrie sits down with Amber Vetitoe who bravely shares her lifelong battle with undiagnosed OCD—from early childhood fears to the heavy weight of scrupulosity and health anxiety—and the healing journey that unfolded through faith, perseverance, and the right therapeutic support.

Episode Highlights: 

  • How OCD can go undiagnosed for years, masquerading as panic attacks, anxiety, or spiritual crises
  • The impact of childhood fears and how they can evolve into OCD themes in adulthood
  • Amber’s experience with scrupulosity and the fear-based view of God she once held
  • What perseverance looks like when therapy is hard, messy, and triggering
  • How I-CBT helped Amber identify her feared self and reframe her identity
  • The importance of finding the right therapist who meets you with understanding and skill

Episode Summary:

As part of our OCD Personal Story series on the Christian Faith and OCD podcast, I am joined by Amber Vetitoe, who shares her powerful, honest journey of living with undiagnosed OCD for most of her life.

From early panic attacks and childhood insomnia to years of battling intrusive thoughts and deep spiritual fear, Amber opens up about the mental and emotional patterns she never knew were connected to OCD. Like many Christians, she struggled with scrupulosity—the obsessive fear that she had to prove her faith and earn God’s love through perfect behavior. Her OCD later evolved into severe health anxiety, constant self-monitoring, and the painful belief that she was a burden to everyone around her.

For years, Amber sought help but felt dismissed by therapists who didn’t understand the complexities of OCD, especially how it shows up in spiritual and emotional spaces. Her turning point came when she finally received a correct diagnosis and found a therapist who could meet her with compassion, clarity, and the right tools.

In our conversation, Amber shares how learning about Inference-Based Cognitive Behavioral Therapy (ICBT) helped her name and challenge distorted thoughts, reconnect with her true self, and begin walking in emotional and spiritual freedom. We talk about the long journey of healing, the importance of finding the right support, and how God’s grace became personal and transformative after years of living in fear.

Amber’s story is one of perseverance, faith, and rediscovering identity beyond OCD. It’s a reminder to anyone who feels overwhelmed or unseen: there is hope, and you are not alone in this.

🎧 Tune in to hear Amber’s story—it’s a powerful reminder that you are not too much, you are not alone, and your healing matters.

Explore Related Episode:

177. Being Diagnosed with OCD Later in Life: A Personal Story with Heather Vignali 

In this episode, Carrie welcomes fellow therapist Heather Vignali to share her personal journey with OCD, including how symptoms emerged during a major life transition—and how ICBT, EMDR, and her Christian faith played a role in her healing.

Episode Highlights:

  • The ways OCD impacted Heather’s life, including obsessive safety concerns and compulsive monitoring of her daughter.
  • What “anxiety tongue” is and how somatic symptoms can signal deeper mental health struggles.
  • How Inference-Based CBT (I-CBT) helped Heather understand the root of her intrusive thoughts through concepts like the Feared Possible Self.
  • Ways EMDR and other integrative therapies can support healing when trauma and OCD intersect.
  • How OCD can impact faith, and how to navigate scrupulosity while reconnecting with spiritual truth.

Episode Summary:

Today’s episode is part of our series sharing real and personal experiences with OCD, and I’m so excited to introduce you to Heather Vignali—a licensed professional counselor serving New Jersey and New York. Heather works primarily with adult women navigating anxiety, OCD, self-esteem challenges, and relationship stress. And for clients who want to bring their Christian faith into the counseling process, she offers that too.

Heather shares her own journey of recognizing and getting diagnosed with OCD—something that didn’t fully surface until a major life transition: her daughter’s senior year of high school. As she prepared to launch her daughter into the world, Heather started noticing signs that went beyond everyday anxiety. Physical symptoms, compulsive checking behaviors, and relentless fears about her daughter’s safety became daily struggles. Like many, she initially didn’t realize these were signs of OCD.

Through this conversation, we talk about what it looked like for her to begin questioning her own thoughts, how she discovered Inference-Based Cognitive Behavioral Therapy (ICBT), and what it’s been like to walk through the ups and downs of treatment. She gets real about what it felt like to live in the “OCD bubble,” and the shift that happened when she understood her feared possible self—this internal fear of being negligent or careless—and how it was driving so many of her compulsions.

We also dive into how OCD started to impact her faith, bringing in scrupulosity and intrusive doubts about salvation. If you’ve ever wrestled with thoughts that feel out of alignment with what you know to be true about God, this part of her story will really resonate. Heather shares how she found grounding again, how remembering God’s faithfulness helped her re-anchor her faith, and how both therapy and truth-telling community played a key role in her healing.

Tune into the full episode to hear more of Heather’s story, how ICBT helped her reframe the way she relates to her thoughts, and how she’s now using her experience to support others.

Related Links and Resources:

www.facebook.com/HeatherVignaliLPC

IG: @heathervignalilpc

176. OCD From a Young Age: Personal story with Mitzi VanCleve Episode 

In Episode 176 of Christian Faith and OCD, Carrie kicks off a new series of personal stories from individuals who have struggled with OCD by revisiting an early and powerful interview with Mitzi VanCleve. Mitzi shares her decades-long journey with OCD, including early symptoms, spiritual struggles, and finally finding hope through proper diagnosis.

Episode Highlights:

  • How OCD can begin in early childhood and evolve into different themes throughout life.
  • Why many people with OCD—especially those of faith—struggle in silence due to stigma, shame, and misunderstanding.
  • The impact of receiving a proper OCD diagnosis after years of mislabeling symptoms as general anxiety or spiritual weakness.
  • How faith, therapy, and even medication can work together in the healing journey.
  • The importance of compassionate support from churches and faith communities in addressing mental health struggles like OCD.

Episode Summary:

I’m kicking off a brand-new series where we share powerful personal stories from Christians who’ve walked through the depths of OCD—and found healing. These episodes are always some of the most listened to and loved, and I think it’s because they help people feel truly seen. If you’ve ever felt alone in your struggle, unsure how your faith fits into your mental health journey, or just needed to hear someone say, “You’re not crazy, and you’re not alone,” this series is for you.

To start us off, I’m bringing back one of the very first conversations I ever recorded for the podcast—with Mitzi Van Cleve. Mitzi was one of the only Christians I could find online back then who was openly sharing her experience with OCD. I reached out when this podcast was just getting started (back when it was called Hope for Anxiety and OCD), and she graciously agreed to share her story.

In this episode, Mitzi opens up about how OCD first showed up in her life as a young child, how the themes shifted over time, and how spiritual confusion and panic attacks made everything even harder. Like so many, she went undiagnosed for years—decades, actually—and didn’t discover it was OCD until age 50. Her journey is raw, honest, and so incredibly encouraging.

We talk about what it’s like to wrestle with thoughts you’re terrified to say out loud, how OCD targets what’s most precious to you (like your faith), and what it means to find hope—not just in healing, but in knowing you’re not alone. One of the most powerful things Mitzi said was, “God didn’t take it away—but He showed me what it was. And that changed everything.”

If you’ve been praying for answers, if you’ve ever wondered whether your struggles are “just spiritual,” or if you’ve longed to hear from someone who gets it, I invite you to tune in.

Childhood OCD, Faith Struggles, OCD Diagnosis, Church Support, Mental Health

Related Links and Resources:

Mitzi VanCleve

Mitzi VanCleve’s Book

175. Why Combining ICBT and EMDR Is So Powerful for OCD Treatment

In this episode, Carrie shares how integrating ICBT and EMDR creates a powerful, personalized approach to treating OCD. She explains how these therapies work together to address both the cognitive and nervous system components of healing through a Christ-centered lens.

Episode Highlight: 

  • Why EMDR is more than just trauma treatment and how it targets the nervous system for healing
  • How ICBT helps identify and restructure obsessional reasoning in OCD
  • The benefits of combining EMDR and ICBT for complex, co-occurring symptoms
  • How to approach therapy with questions and curiosity about your treatment plan

Episode Summary:

What if your OCD treatment didn’t have to be either/or—but could actually be both/and? In today’s episode, I’m sharing why combining ICBT (Inference-Based Cognitive Behavioral Therapy) and EMDR (Eye Movement Desensitization and Reprocessing) can offer a deeply effective and faith-integrated approach for Christians navigating OCD and trauma.

So many of the clients I work with come in thinking they’re just dealing with OCD—but as we explore their story, we often uncover layers of past trauma, spiritual wounds, or deep emotional patterns that haven’t yet been healed. OCD rarely exists in isolation, and the healing journey is often more layered than we expect.

ICBT helps us address the faulty reasoning and doubt loops that OCD relies on, giving us tools to challenge its grip. EMDR, meanwhile, works with the nervous system to gently process unresolved memories and emotional pain that may be fueling those thoughts in the background. When we use these two approaches together, we’re able to care for the mind, body, and spirit—bringing restoration at every level.

You are a whole person, and your healing deserves a whole-person approach. If you’ve ever felt like therapy was missing a piece—or like your faith wasn’t part of the process—this episode will help you understand how we can combine effective tools with deep spiritual truth to move toward freedom.

Tune in to the full episode to hear how these two therapies can work hand-in-hand to support your healing, calm your nervous system, and help you walk more fully in the peace and purpose God has for you.

174. Is ICBT Right for Me? How Do I Know?

 In this episode, Carrie explores whether inference-based cognitive behavioral therapy (ICBT) is a good fit for individuals struggling with OCD—especially those who haven’t found success with exposure and response prevention (ERP). 

Episode Highlights:

  • The key differences between ERP and ICBT, and why ICBT may be a better fit for certain individuals with OCD.
  • How ICBT helps unpack the reasoning behind obsessions rather than just managing behaviors.
  • Why ICBT can be especially valuable for Christians seeking faith-sensitive OCD treatment.
  • The limitations and challenges of ERP, including dropout rates and religious exposure concerns.
  • What it takes to succeed with ICBT, including a willingness to deeply engage with the learning and healing process.

Episode Summary:

If you’ve been listening to the podcast for a bit, you’ve probably heard me bring up ICBT—Inference-Based Cognitive Behavioral Therapy. And maybe at some point you’ve thought, “Hmm… should I be looking into that?” Or maybe you’ve heard over and over that ERP is the gold standard for OCD treatment and thought, “Okay, but what if it’s not working for me? Then what?”

You’re not the only one asking that. I’ve sat with so many clients—strong believers, committed to healing—who’ve tried ERP and walked away feeling like something was missing. Maybe it helped for a bit, or in session it seemed manageable, but day-to-day it just didn’t stick. Sometimes the approach just didn’t fit with their personality, or even worse—it didn’t feel in line with their faith. And let me be clear: ERP has helped a lot of people, and I absolutely respect that. But it’s not a one-size-fits-all solution. If you’ve felt discouraged or even a little defeated by it, I want you to know: you are not broken. You’re not a failure. You just might need a different path.

In this episode, I start breaking down some of the key ways ICBT differs from ERP—not just in method, but in mindset. We look at the reasoning behind obsessions instead of just sitting with them. We explore how OCD uses facts out of context and hijacks your thought process, and how, through ICBT, you can begin to untangle that web with clarity and confidence. We also talk about why certain types of exposures may actually feel wrong to you—not because you’re avoiding healing, but because they don’t align with your core values and beliefs.

If you’re someone who wants more than just “sit with the anxiety,” if you’re a thinker, a feeler, a person of faith—then ICBT might be the thing you’ve been hoping for but didn’t know existed.

Now, I’m just scratching the surface here.

To really understand if ICBT is the right fit for you, go listen to the full episode. I’ll walk you through four key signs this approach might be what you need—especially if you’ve tried ERP and still feel stuck, overwhelmed, or conflicted about the process.

You don’t have to stay in that place. You don’t have to choose between healing and your faith. There is a path forward—and I’d be honored to walk it with you.

173. Who Are You Really? Discovering Your Real Self with Angela Henry, LCSW

In this episode, Carrie sits down with Angela Henry, LCSW, a therapist in private practice based in Northern Indiana, to discuss her journey into OCD treatment, the integration of faith in therapy, and how Inference-Based Cognitive Behavioral Therapy (ICBT) is transforming lives—especially for Christians struggling with OCD and scrupulosity.

Episode Highlights:

  • What the “feared possible self” is and how it’s quietly shaping your compulsions
  • Why OCD recovery isn’t just about symptom relief—it’s about reclaiming your identity
  • How ICBT helps Christians reconnect with the truth of who God says they are
  • What makes ICBT a powerful, research-based alternative to ERP—especially for Christians with scrupulosity
  • Why it’s okay to keep your values—and drop the fear that’s twisting them
  • Practical ways to integrate faith into the recovery process, even when religious practices have become tangled with fear

Episode Summary:

Have you ever felt like you’re living under a weight that isn’t really you

In this episode, I sit down with Angela Henry, an OCD specialist and Christian therapist, to explore the powerful concepts behind Inference-Based Cognitive Behavioral Therapy (ICBT)—and how it helps uncover the real self God created you to be.

Angela shares her faith-led journey into OCD treatment and how the concept of the feared possible self resonates deeply with those battling OCD, anxiety, trauma, and scrupulosity. 

We also dive into how OCD often hijacks Christian values like excellence or devotion and twists them into compulsions driven by fear.

We talk about what it looks like to drop OCD while keeping your God-given values, how to trust your internal sense data as one way God communicates with us, and why identity work is central to healing—not just symptom relief.

You’ll hear stories from Angela’s clinical experience, a moving mirror-based real-self exercise, and how discovering your real self can be a spiritual breakthrough as much as a therapeutic one.

If OCD has convinced you that you’re a danger, a disappointment, or spiritually defective… if you’re exhausted from trying to earn God’s approval through compulsive prayers or mental checking… this episode is for you.

Related Links and Resources:

angelahenrylcsw.com

172. What Does Self-Care as a Christian with OCD Look Like?

In this episode, Carrie dives into the true meaning of self-care—going far beyond bubble baths and downtime. She shares her personal journey through a challenging season, exploring how soul care, healthy boundaries, and physical wellness play essential roles in managing life and faith with OCD.

Episode Highlights: 

  • Why soul care must come before any other kind of self-care—and how your connection with God fuels everything else.
  • How to identify when your schedule is overloaded and what it looks like to say no, even to good things.
  • Ways stress and OCD are connected, and how managing physical health impacts mental well-being.
  • The importance of not taking on others’ emotional burdens, and how to set healthy spiritual and emotional boundaries.
  • Simple, restorative ways to reconnect with joy and rest, even in the middle of a hectic season or spiritual struggle.

Episode Summary: 

When most people think of self-care, they picture bubble baths, painted toenails, or maybe a good book and some quiet time. And while those things can be wonderful, they only scratch the surface. 

I invite you into a much deeper, more meaningful understanding of self-care—especially as it relates to those walking with OCD and seeking healing through faith.

Lately, life has felt especially full—between my husband’s ongoing health issues, changes in my daughter’s childcare schedule, and the rapid growth of my counseling practice, I’ve had to take a hard look at how I’m caring for myself. What I’ve come to realize is that if I don’t prioritize soul care—intentional time in God’s presence, even if it’s messy or imperfect—everything else starts to unravel. 

In this episode, I open up about what soul care looks like when OCD is making prayer and scripture feel overwhelming, and I share strategies for navigating those tough moments with grace.

I also talk about boundaries, burnout, and the pressure we often feel to please others—especially in ministry and church life. I walk through five practical pillars of self-care from a Christian lens, including how to steward your body, say “no” with confidence, protect your emotional space from drama, and make time for joy and rest in your life.

If you’re feeling overwhelmed, stretched thin, or spiritually stuck, this episode is for you. You’re not broken or failing—you’re human, and God is inviting you into a rhythm of grace that refreshes and restores.

Tune in to the full episode to discover what self-care really means for you as a Christian—and how it can lead to deeper peace, healing, and spiritual renewal.