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163. Overcoming Shameful Sexual Themes (HOCD/POCD)

In today’s episode, Carrie talks about some of the hardest OCD themes to discuss, like HOCD and POCD, and how they can bring shame and confusion. She shares insights on how OCD can distort your thoughts and how separating those thoughts from who you really are is key to healing.

Episode Highlights:

  • How OCD targets sensitive themes, like sexual thoughts, and creates shame and confusion.
  • The difference between your true desires and the obsessive thoughts OCD throws at you.
  • How your body can react in ways that confuse you, but it doesn’t mean you want those things.
  • How ICBT helps you break free from the OCD cycle and find peace.

Episode Summary:

Welcome to Christian Faith and OCD. Today we’re talking about two really tough OCD themes: Homosexual OCD (HOCD) and Pedophilia OCD (POCD). These are often hard to talk about, especially for Christians, but I want you to know you’re not alone, and there’s hope for healing.

OCD often targets the things we care about most, and for some, that’s sexual thoughts that feel very distressing. These thoughts are ego-dystonic, meaning they go against who you really are. Whether it’s doubts about attraction to the same sex or inappropriate thoughts about children, OCD can convince you that these thoughts reflect your true desires. But they don’t.

The key to healing is learning to separate these intrusive thoughts from your true self. When these thoughts pop up, it’s important not to engage in self-testing or compulsive behaviors. Remember, your body’s natural responses aren’t an indication of your true desires. These thoughts are just a part of OCD, not who you are.

You can learn to trust your true desires and let go of the shame and doubt OCD brings. POCD and HOCD don’t define you, and they don’t disqualify you from being a loving parent or partner. God loves you unconditionally and understands your struggles.

If you’re ready to begin your healing journey, I invite you to join Christians Learning ICBT and explore more resources on my website at www.carriebock.com . You’re not alone—there is always hope for overcoming these struggles.

Explore Related Episode:

We are smack dab in the middle of a themes and treatment series for OCD, and today is all about those themes that you don’t want to tell anyone, that you don’t want to talk about out loud, especially as a Christian. We’re talking about sexual themes. homosexual OCD, pedophilia OCD, which we may refer to in this episode as H OCD and P OCD, just because it makes it a little bit easier.

Hello and welcome to Christian Faith and OCD with Carrie Bock. I’m a Christ follower, wife and mother, licensed professional counselor who helps Christians struggling with OCD get to a deeper level of healing. When I couldn’t find resources for my clients with OCD, God called me to bring this podcast to you.

With practical tools for developing greater peace, we’re here to bust through the shame and stigma surrounding struggling with OCD as a Christian, sharing hopeful stories of healing and helping you replace uncertainty with faith. I’m here to help you let go of the past and future to walk in the present abundant life God has for you.

So let’s dive right into today’s episode. Every once in a while when I’m talking with a potential new client, someone will ask me a question similar to, Is there any theme that you haven’t dealt with at this point? And I will be sure to list the various themes that I’ve worked with, including pedophilia OCD, because this is one that people don’t want to share right away.

It can be really embarrassing. They feel like they have a lot of stigma or shame surrounding it. And so I hope that this episode can help dispel some of that shame or stigma that you might be feeling if you’re dealing with a sexual OCD theme. We know that OCD hijacks things that you care about and gets really fixated on them.

If you really care about children or you have a desire to have children in the future, often pedophilia OCD can come on for women who are like desiring children in those childbearing years, or it can happen as women are pregnant. I’ve seen both of those situations. Of course, this theme is obviously not just limited to women. And the biggest thing here is being able to separate having these thoughts from yourself, who you are as a person, and from your true, actual desires and intentions. That’s so huge. What we see with POCD specifically is that it’s a distrust of internal sense data. You’re distrusting what you actually want, intend, and desire. The same is true for homosexual OCD. OCD doesn’t care that you might be married and fully attracted to your husband. It doesn’t care if you’ve only dated members of the opposite sex. It does not care if you have no intentions of following through any homosexual thoughts that you might have.

It is going to try to convince you that you have some secret inner desire for someone of the same sex, and this causes a high level of distress internally for you, a lot of anxiety. That’s why we call these thoughts ego dystonic, meaning They go against who you actually are as a person. We also know that OCD is highly selective.

There are many things that you probably really do trust your internal desires on. I was just working on some updated slides for our Christians Learning ICBT training, and I thought, wouldn’t it be fun to play a little bit of Would You Rather? Now, in the traditional sense, would you rather picks two different crazy things?

Usually you’d want neither of them, but somehow you have to choose. And it’s just a fun little game that people play, but let’s not play the wild and crazy version and just think about, would you rather have, like, if someone said you won an all expenses paid vacation and you can either go to the beach or the mountains. Which one would you choose? And how do you know that? There’s something inside of you that has a pull in one direction or another. If I told you, would you rather have a piece of pie or chocolate cake? My husband would choose the pie all day long, and I would choose the chocolate cake all day long. It’s an internal preference that we have.

Do you prefer summer or winter? Outside of the OCD, you’re in a logical reasoning process where you can take the sensory information externally and internally and put it together to know what you truly want and desire. What gets really confusing in sexual OCD themes is something called arousal non concordance.

Feel free to look it up, but it’s essentially where your body responds sexually to a situation that you don’t want it to respond sexually to, such as potentially when you’re looking at a child or when you’re looking at homosexual porn. Self testing some of these things is a compulsion. People get into a pattern with these themes of saying, okay, well, let me test this out and see if I really am homosexual, then I’ll get turned on by homosexual porn.

You may get aroused by a variety of different things, and that does not prove that you actually want or desire that sexual material. Sometimes just, Thinking about sex may cause you to have a physiological response, especially if you’re in a period of heightened anxiety. So you think about that. If you’re anxious because of the OCD, you’re already in a more aroused state.

I don’t mean sexually, I mean from a nervous system, blood flow response. Your heart may be beating a little bit faster. You’re maybe breathing a little bit more shallowly. It’s complicated because our bodies don’t always respond in the way that we want it to. There tends to be a lot of internal self checking as a compulsion that happens with these types of themes.

A lot of rumination, a lot of research, a lot of Google searches, and remember every time you engage in any of those compulsions, it just feeds back that obsessional loop to say, Oh, this is something that we need to act on. This is something we need to do something about. You might have other intrusive sexual images that come into your mind from past experiences with porn.

That’s something that I’ve seen many times, and it’s not just, like, I was seeking out pornography, it could have been something that you stumbled upon or were exposed to as a child or adolescent that got all of this internal stuff really triggered or fired up in some way. There can be immense amount of shame surrounding that, or if pornography addiction was a part of your past, there can be some shame around that as well.

Sometimes people will do certain internal compulsions, like say a certain prayer, try to shake their head a certain way to get rid of the thought. Try to think something positive, like a positive neutralization to the thought. Just know that all of those things are compulsions if that’s something that you’re going through internally.

We’re really trying to not do those things in response to those obsessions. And I know that that can be extremely difficult for you. If clients come to me and they’re using language like the bad thoughts, I really encourage them to reframe that. This is OCD, so we need to call it what it is. I know some people feel like, because of maybe past sexual history, or exposure to pornography, or just Something else in their past, they may feel like somehow they have caused this OCD to happen to them.

I don’t find that thought to be true or particularly helpful in these situations. What we do want to figure out is what’s the reasoning process, what’s the story, what are the reasons for the obsessional doubt, what’s the fuel? Something has gotten really stuck, and when we can figure out what OCD’s reasoning process is surrounding this, We can find cracks and holes in that reasoning process, finding the selectivity of that doubt, doubting the internal sense data, the desires.

And then you can feed your brain an alternative story, getting in touch with who you really are as a person and what you really want. I’ll just throw this out here that POCD does not disqualify you from being able to be a great mom or a great dad. Don’t allow OCD to tell you that these thoughts mean that you’re never going to be able to get married or find someone who will understand these obsessions that you’ve had.

You do not have to be disqualified from living the life that God has called you to live. He completely understands how your brain is working at this moment in time, and he loves you regardless, unconditionally. These themes are highly treatable with ICBT, though it is so important for you to know that there is hope out there.

As hard as it is to talk about these things, I really encourage you to find a therapist that you can trust. who can walk you through this process. And if you want to join us for the next round of Christians Learning ICBT, I hope that you’ll sign up for our waiting list at cariboc. com slash training. To receive weekly encouragement, find out about our monthly meet the podcast host zoom meetings, and receive information on exclusive sales, become an email insider today.

All you have to do is go to carriebock.com and scroll towards the bottom of the page. You’ll find a spot to put in your email and receive a free download in your inbox from us. Until next time, may you be comforted by God’s great love for you. Christian Faith and OCD is a production of By the Well Counseling.

This podcast is for informational purposes only and should not be a substitute for seeking mental health treatment in your area.

162. Hope for Scrupulosity with Dr. Constance Salhany

Welcome back to Christian Faith and OCD

This week, Carrie continues the Themes and Treatment series with a deep dive into scrupulosity. Joining her for this powerful conversation is Dr. Constance Salhany, clinical psychologist and founder of Cognitive Therapy of Staten Island, They explore how ICBT offers a powerful, self-theme-based approach to treating scrupulosity, helping individuals break free from cycles of fear and guilt.

Episode Highlights:

  • What scrupulosity is and how it manifests in religious and moral concerns.
  • The difference between scrupulosity, religious OCD, and spiritual OCD.
  • How ICBT (Inference-Based Cognitive Behavioral Therapy) approaches scrupulosity.
  • The role of self-themes in OCD and how they shape obsessional doubts.
  • How understanding one’s identity as a child of God helps in overcoming scrupulosity.
  • Why trusting in a personal relationship with God is key to healing from scrupulosity.

Episode Summary:

Have you ever found yourself constantly worrying about whether you’ve sinned, confessed properly, or followed every religious practice to the letter? If so, you may be struggling with scrupulosity.

In Episode 162 of Christian Faith and OCD, I had a conversation with Dr. Connie Salhany, about what scrupulosity is, how it develops, and most importantly, how to find freedom from it.

One of the most challenging aspects of scrupulosity is how it extends beyond just religious concerns. I’ve seen this quite a bit with my clients—what starts as one type of OCD can quickly spill over into the moral/religious realm. Someone might initially struggle with obsessing over everyday decisions, wondering if they’re offending God without realizing it and then wonder if their salvation is in jeopardy. 

Scrupulosity isn’t just about religious concerns—it’s deeply tied to OCD. 

As Dr. Connie shared, many people with OCD experience obsessional doubts that spiral into scrupulosity. It can even overlap with other OCD subtypes.

For years, Exposure and Response Prevention (ERP) has been the gold standard for OCD treatment. But, Inference-Based Cognitive Behavioral Therapy (ICBT) has been gaining attention, especially for scrupulosity.

ICBT focuses on identifying the “self-theme” behind a person’s obsessional doubts. It helps reframe these fears by distinguishing between obsessional doubts and reality.

Dr. Connie shared how true healing comes from trusting not in a set of rules, but in someone—in a loving God who knows our hearts.

“The most important thing in treating scrupulosity is helping people know, that they know, that they know—trusting not in a something, but in a Someone.” – Dr. Connie 

If you struggle with scrupulosity, remember: You are not alone. God’s grace is greater than your doubts. There is hope and help available.

For a deeper dive into this conversation, listen to the full episode. 

Have you experienced scrupulosity in your faith journey? Send me a message—I’d love to hear your story and encourage you along the way!

Related Links and Resources:

cognitivetherapysi.com

Explore Related Episode:

Carrie: Welcome back to our themes and treatment series on the podcast, where today we’re talking about all things scrupulosity. I feel very honored and privileged to have Dr. Connie Salhaini on the show, joining me to talk about this important topic. Dr. Salhaini is the founder and clinical director of Cognitive Therapy of Staten Island and the founder of Catholic Mental Health Professionals.

As someone who originally trained in CBT and exposure and response prevention, I think she provides some really unique insight ICBT. Inference based cognitive behavioral therapy has shifted and changed her practice over time, specifically in working with clients who are dealing with scrupulosity.

Hello and welcome to Christian Faith and OCD with Kiri Bach. I’m a Christ follower, wife and mother, licensed professional counselor who helps Christians struggling with OCD get to a deeper level of healing. I couldn’t find resources for my clients with OCD. God called me to bring this podcast to you with practical tools for developing greater peace.

We’re here to bust through the shame and stigma surrounding, struggling with OCD as a Christian, sharing hopeful stories of healing and helping you replace uncertainty with faith. I’m here to help you let go of the past and future to walk in the present abundant life God has for you. So let’s dive right into today’s episode.

Tell us a little bit about

Dr. Connie: yourself. Sure. I’m a clinical psychologist from New York, and I have a husband and children and grandchildren and a dog. And I’ve been doing this work since the stone ages. I’ll say it’s since the mid 1980s when I was a student. So it’s a long, long time. Has this been your only career that you’ve had?

Well, when I was a college student, I worked in Burger King and lots of other places, but this has been my one and only profession.

Carrie: I just know a lot of people in the counseling field have had other careers or things and shifted gears, but I’m similar. I have not been in the field as long as you have, but this has been my only career.

That’s awesome. Your kids are grown now and you have some grandkids.

Dr. Connie: Yep. Great life, yeah. So many blessings.

Carrie: How did you get involved in the process of becoming a clinical psychologist? Did you start out working with OCD, or was that something that you just started seeing a lot more of? How did you get into the OCD work?

I knew

Dr. Connie: that I wanted to treat anxiety disorders. I knew that I wanted to do the best I could, so I researched. And at that time, CBT for anxiety disorders. I just got my hands on everything that I could. I landed an internship at a non profit patient advocacy organization called Freedom From Fear. At that time, they still do a clinic.

And so I worked in the clinic and it was A super exciting time back in the mid 1980s. Now I’m talking before Prozac, folks were using exposure, but not like with ERP that we know today. So we were using it and they had a satellite at the place that I was working, which was a research through Columbia University, College of Physicians and Surgeons and the Psychiatric Institute.

It was just such a blessing to be there at the time when they’re doing all of this groundbreaking research because the people who were coming in with OCD weren’t getting better with the tricyclic antidepressants and with some of the treatments that were done at the time. And there was like a buzz of excitement.

I had this great mentor and she was wonderful. And she was, oh my goodness, head over heels in terms of all of the research and everything, and it was really contagious. And then from there, I mean, I just kept learning. I always wanted to try to learn as much as I could for my patients. And so I learned Becky and CBT and I learned some ERP and I took classes with whoever I could take classes with, follow up with whoever I could to learn anything that I could to help people.

It was really a passion.

Carrie: You were starting to see like, Oh, what we use for anxiety. We can’t necessarily use the same strategies or the same approaches for OCD. Exactly.

Dr. Connie: Yeah, it was really, really exciting time to be there.

Carrie: And then you got trained in exposure and response prevention that was considered.

the treatment for OCD as far as the psychotherapy standpoint.

Dr. Connie: And as well as a variety of other treatments that I learned for other anxiety. Well, at that time, they were anxiety disorders, now OCDs by itself. So I learned everything that I could. And now, what’s really interesting is that two and a half years ago, I became aware of ICBT, inference based CBT.

And that spark that I was telling you about, Yeah. And it was like this contagion, this fever, it took over and I wanted to, again, to learn everything I could about ERP. And then ICBT became my thing. It threw myself in and I started to see amazing things happening.

Carrie: You’re one of the people in the ICBT community that is really kind of known for treating scrupulosity.

Certainly, there’s a lot of clinicians who treat it, but that’s one of your specialty areas within ICBT. That’s what we’re really trying to explore today is what is scrupulosity? Like, how would you define that just for the lay person?

Dr. Connie: That’s really a great question. Scrupulosity, like if we look at Where it dates back to, I think it’s always been here, but we can see maybe 15th century Roman Catholic Church and this notion that folks who have worries about sin, about committing some grave sin, a need for atonement.

Yes. And it’s kind of like. We could say like seeing sin where there isn’t sin, or it actually comes from like a little pebble, a scruple. The idea is that this little sharp pebble, right, would be like sharp or hurting and think about like a sensitive conscience and the person being exposed to this pebble and the pain.

Just thinking about the term scrupulosity, you know, depends on the literature, it depends on what you’re reading. So sometimes scrupulosity looks like a subset. of OCD. Okay. We could be religious scrupulosity or moral scrupulosity for people who aren’t religious but they’re just worried about violating some kind of moral code or value that they have.

Also you’ll see religious OCD, and that’s more about Practices, it could be practices in whatever the faith tradition is, messing up those practices.

Carrie: Like I’ve got to pray a certain way, or I’ve got to pray with sincerity. I have to, like for Catholics, I have to confess constantly.

Dr. Connie: Did I do a fast correctly?

Did I observe certain feast days correctly? We can go on and on. But the idea is that this is grave. This is terrible. This is something that’s going to result in damnation and all of that. And the thing with, um, scrupulosity, we can also see spiritual scrupulosity, again, in people who don’t belong to any faith tradition, but they may have doubts about energy forces, or it almost looks existential at times.

So this overlaps. I think of scrupulosity as OCD and you can see so many ways that scrupulosity can be involved with other forms of OCD. Like for example, pedophilia OCD, someone could have that, right? Oh no, no. What if I’m attracted to children? Oh no. What if I’m going to harm children? Oh no, then God will never forgive me.

Then I’ll be damned forever. It’s interesting because you could even see it in somebody who has symmetry. OCD, just still OCD. I don’t line these things up correctly, these religious objects or whatever. And is this going to be offensive to God? Does God think I’m disrespecting? So it’s quite interesting.

Carrie: That was one of the things I wanted to ask you about. Cause I’ve seen that quite a bit in my clients where you start out with OCD and then everything, it could be even they’re feeling like they’re going to be careless and accidentally hit somebody, hit a pedestrian. What really is then they keep going with that obsessional doubt and say, Oh, well, if I hit a pedestrian, then that would be just terrible because then I would be offending God and be on my fault, all of these different things, even some things that aren’t really moral issues that are just decisions that we make in life, someone might make that a moral issue, become really, really obsessed about it and have God connections to it.

I mean, I think, do you see this a lot with like relationship OCD? Yeah. Am I marrying the person that God has for me, that type of thing.

Dr. Connie: Yes, or vocations, the same thing. No, so we could see it. It seems like there’s anything that’s important to the person. And one of the things that ICBT does so well is it identifies the self theme under it.

And that’s the person who’s afraid of becoming this person that they’re not. Like a person who could be negligent or a person who could be bad. And then we need to define what that means to that specific person. But that theme is like the big story underneath all of these different obsessional doubts.

And I’m a cognitive behavior therapist for years and years and I never saw it explained in this way. And I think that’s why I took a liking to ICBT because we can see how all of this different themes fit. Or interconnected.

Carrie: Yeah. I love that vulnerable self peace and then also looking at the real self.

Who are you really according to your beliefs and in terms of, I think that helps Christians a lot to be able to say like, okay, if I really see myself as a child of God, I mean, that makes a huge difference in how I live out my life.

Dr. Connie: Mary, you are so right about that. I think that is the most important thing about scrupulosity and the treatment of scrupulosity is when people can come to know that they know that they know, like really trust.

You know, that they’re trusting, not in a something, but in a someone, in the relationship that they have with God. And that makes all the difference. Lots of folks know it, but because of the fear, it’s intense. The suffering is awful. When they come to know that, it changes everything.

Carrie: It really does. And I find that a lot of people will seek help from a pastor or a counselor.

A mentor, someone in their church before they seek mental health help because they think this is a spiritual issue. Well, I’m somehow doubting God or what if I’ve committed this sin? What if I have not asked for forgiveness? What if this means I’m going to hell and those types of things? So it looks at mass as a spiritual issue, even though it’s not a spiritual issue.

This is a OCD affects people’s brains. And so I think it’s really important for people to understand that, that this is not a, a deficit in their spirituality. Absolutely. Yeah, the people that I meet really, they want to connect with God in a positive way. That’s really like their true desire underneath.

And all of this OCD gets in the way of them having that really Authentic, genuine connection that they want to have.

Dr. Connie: I agree completely. And I think that’s what draws me to the treatment of scrupulosity. It’s the people, they have such beautiful hearts and real great desires. Just want to please God. They just want to live a good life.

They are really beautiful and they’re so tortured by a story that has nothing at all. And in treatment, if we can restore them to that, it’s amazing. There’s nothing better. This is like a joy if we can help folks to get there. So I love this work for that reason.

Carrie: Exposure and response prevention for scrupulosity relies on a lot of imaginal scripts. Did you have some discomfort surrounding that when you would try to utilize it with clients? Can you tell us more about that?

Dr. Connie: Sure. First off, we know that ERP works great treatment. For myself, in my treatment of folks with scrupulosity, I always shied away.

From imaginal scripts with script, I would do it with other things and I would also do exposures, let’s say, a more, I guess, in depth way with other things. I have no problem sticking my hands in the garbage, touching my face, touching my hair. Modeling that no problem, no problem at all. But I remember even in training, I was like, please don’t give me a script case.

Please don’t give me a script case because I felt so uncomfortable with that. There’s a lot of reasons why I didn’t want to add to someone’s distress, but I also didn’t want to confuse the person in terms of what their faith practice was and what was an exercise in treatment. So then I relied a lot on ACT.

Group. I did a lot, a lot of act work. I’d still do response prevention, but I wouldn’t do, yeah, like those hard, those exposure exposures. Exposures like, oh gee, that a person could be possessed by the devil or wanting to sell their soul. I wasn’t doing, it wasn’t coming from me. It violated something within me.

Again, I leaned on that a lot.

Carrie: Acceptance and Commitment Therapy.

Dr. Connie: Correct. Acceptance and Commitment Therapy. But even then, it wasn’t the best fit. I can see it now. Yeah. I’m not saying that Acceptance and Commitment Therapy doesn’t work. I’m not saying that, or that ERP doesn’t work. But for me, this is a better fit.

And I think it’s also a better fit for a lot of the people I see. Some other folks would never do those exposures. Or how about convincing clergy to allow that. Oh my goodness. That was part of what we used to do. Yeah, let’s talk to your priest. Let’s talk to your minister. Let’s explain to them what we’re going to be doing. That was a hard

Carrie: Sure, that makes a lot of sense. I think really what you’re talking about is we have to, as therapists, have to be aligned with a particular treatment because our clients are going to feel it if we’re not fully aligned or we’re not fully bought into it. And that affects, obviously, our ability to provide the services.

And I think what you said is true is like when we find something that feels like a really good therapeutic fit for our people, then the people that come to us, it kind of just fits with them as well. It’s like this nice, natural flow. How has ICBT been helpful for your clients with scrupulosity?

Dr. Connie: One of the things that I think ICBT does is it restores. The trust in themselves, in who they really are, and also it helps them grow spiritually. So when we’re removing those obsessive doubts, and some people have told me they don’t believe those obsessive doubts anymore, and I love it. I say to people, why not? And they say, well, it doesn’t make any sense. Yeah, I love that when we can do that with someone and they’re free to then practice their faith in the way that they want to, their relationship can become so much more close.

It’s difficult work and it requires the willingness of the person to do this work, but I have seen that kind of success. I think it also, ICBT doesn’t blur the lines. As much as for me, the therapeutic exercises and the spiritual practice ICBT is value free. So anyone can come with their value systems intact and there is a respect for that and so that you don’t have to go there at all with ICBT.

And I think that another thing that happens, you mentioned the real self, and this is so important, restores what people they know, but they’re doubting their true intentions, their true desires. And who they really are. It provides this other story. The doubt has this whole set of reasons behind it. We clear that up and then we look at obsessional narrative and come up together with an alternative narrative, which in my experience often is about how they are the beloved child of God.

And it just changes everything. And then after that, then we can get into situations with reality sensing and get them back into doing things in a non OCD way. It’s just so different.

Carrie: Yeah, I loved what you talked about with the true desires and intentions because that’s something that gets really doubted heavily in some of those things that we talked about before, like the pedophilia OCD and then leading into the scrupulosity OCD.

I think there are so many Christians that because they haven’t necessarily just worked on OCD in general, it’s, oh, well, I have all these horrible thoughts, whether they’re violent thoughts or thoughts about harming children or thoughts about blaspheming God. Then they’re making some type of spiritual meaning surrounding that.

Well, because I have these awful thoughts, that must mean then therefore that I’m not a good Christian or I’m not close to God or I’m not going to heaven, whatever type of meaning they’re making out of it. And so really just being able to peel back and provide some just general education about OCD, you’re not choosing to have these thoughts.

You’re not wanting to have these thoughts. This is a process that’s happening in your brain, and we can retrain your brain and retrain your ability to reason with these types of thought processes differently and really targeting that obsession that you’re having and kind of debunking the argument that it’s making.

It has led people to be kind of aligning what you were saying with their head and their heart. Well, I know that God’s loving, but I feel this fear towards God, or I feel, I notice when I have these obsessions come along that I’m really super scared, but I know that God is loving. I know that I am practicing my faith.

I know that I’m doing the right things, but it’s not aligning. And so really going through this process of teaching people the modules of ICBT is super helpful. And also, I think just really letting people know that they have options for their treatment is so huge. You as the client have the options that somebody feels like ERP is really the way that they want to go and they feel aligned with that, that they can certainly pursue that.

And if they want to do ICBT, that they can pursue that. And I think that that’s really huge for the OCD community and something that we’re trying to continue to educate people on and let them know.

Dr. Connie: Absolutely. It’s so important what you said about the reasoning process with. ICBT, it’s kind of validating for people that these thoughts don’t just intrude upon them, that there’s a reasoning process behind it.

Once they can see that, and once they can clear that up, then they can realize that those horrible feelings that they’re having, the fear, the guilt, the false guilt, as well as that, is coming from the story. Yeah, that’s where it’s from. They change the narrative and everything changes. So how does it work?

Go back to the obsessional doubt and we’re upstream as we say. Right.

Carrie: Well, for sharing all of this information. Our listeners will find it really helpful and we’ll put links for them to find you in case they’re in New York or want to pursue seeing you.

Dr. Connie: Oh, that’s wonderful. Thank you. Thank you so much.

And thank you for the work that you do. It’s so important to have somebody like you doing these podcasts, especially faith based work.

Carrie: I just want to share with all of you what God has been working with me on in my life. As I Have been studying the scriptures and coming across very specific scriptures that maybe I have shared with certain clients dealing with scrupulosity or scriptures that I felt, Hey, wow, this could really unlock something for someone with OCD.

I’m starting to take notes on those things, write down questions, and I’m not sure what this is going to turn into, if this is going to come out in podcast form or it’s going to come out in written form, but. I know that when I have it all collected and gathered together, I will be sharing it with you. I definitely have a passion for helping Christians with OCD to have a really healthy understanding of theology because oftentimes wires have gotten crossed along the way from Things that we’ve been told or things that we learned from imperfect parents, church situations that maybe weren’t the best or the healthiest, and sometimes those things can get us really stuck and keep us from being able to move forward in a healthy way in our relationship with God and God.

I don’t want anybody to be held back by any of those things. Until next time on the podcast, may you be comforted by God’s great love for you. To receive weekly encouragement, find out about our monthly Meet the Podcast host Zoom meetings and receive information on exclusive sales, become an email insider today.

All you have to do is go to karybach. com and scroll towards the bottom of the page. You’ll find a spot to put in your email and receive a free download in your inbox from us. Until next time, may you be comforted by God’s great love for you. Were you blessed by today’s episode? If so, I’d really appreciate it if you would go over to your iTunes account or Apple Podcasts app on your computer if you’re an Android person.

in and leave us a review. This really helps other Christians who are struggling with OCD be able to find our show. Christian Faith and OCD is a production of By the Well Counseling. Opinions given by our guests are their own and do not necessarily reflect the views of myself or By the Well Counseling.

This podcast is for informational purposes only and should not be a substitute for seeking mental health treatment in your area.

161. What if I Go Crazy? Health Obsessions

Welcome back to the Themes of OCD series! Today, Carrie is diving into health-related OCD, covering both physical and mental health obsessions. She explores how OCD latches onto body sensations and turns them into sources of anxiety.

Episode Highlights:

  • How OCD amplifies normal body sensations into obsessive fears.
  • The role of reassurance-seeking, especially through Google and online forums.
  • Why searching for health-related information can fuel the OCD cycle.
  • Practical strategies to break free from compulsions and find peace.
  • The importance of mindfulness and reframing intrusive thoughts.

Episode Summary:

Welcome back to Christian Faith and OCD! Today, we’re diving into health-related OCD—both physical and mental health obsessions.

Did you know some people develop an intense fear of schizophrenia or postpartum psychosis? Others fixate on illnesses like cancer, autoimmune diseases, or even long COVID. 

You might find yourself hyper-focused on every body sensation—wondering if that headache means a brain tumor, or if a moment of sadness signals clinical depression. Maybe you’ve even fallen down the Google rabbit hole, searching for early signs of serious illnesses or scouring forums for reassurance. Sound familiar? You’re not alone.

OCD often tricks us into thinking that seeking reassurance (especially online) is helpful, but in reality, it reinforces the cycle of fear and compulsions. That’s why one of the most powerful steps you can take is to gradually step away from Google searches and constant symptom-checking.

In this episode, I’ll walk you through practical strategies to break free from the health anxiety spiral—learning how to observe sensations without assigning catastrophic meaning to them. We’ll also explore how mindfulness can help you sit with uncertainty, rather than feeling the need to “figure it all out” immediately.

If you’re struggling with OCD and health fears, know that healing is possible. Let’s talk about how to move forward in faith, rather than fear.

Explore Related Episode:

Welcome back to our Themes of OCD series. Today we are covering all things health related, physical health, but also mental health obsessions.

Hello and welcome to Christian Faith and OCD with Carrie Bock. I’m a Christ follower, wife and mother, licensed professional counselor who helps Christians struggling with OCD get to a deeper level of healing. When I couldn’t find resources for my clients with OCD, God called me to bring this podcast to you with practical tools for developing greater peace. We’re here to bust through the shame and stigma surrounding struggling with OCD as a Christian, sharing hopeful stories of healing and helping you replace uncertainty with faith.

I’m here to help you let go of the past and future to walk in the present abundant life God has for you. So let’s dive right into today’s episode. You may not know that some people have obsessions about developing schizophrenia. or some type of psychosis. And for whatever reason, this seems to be common in the prenatal postpartum period.

There are a lot of women nowadays that are afraid of developing postpartum psychosis. They’ve heard things on the news or read stories on the internet. Let’s talk about the variety of health obsessions that you may be struggling with. You might have a concern about having some type of long term illness such as cancer, such as an autoimmune illness, an autoimmune disorder.

You may have concerns about long COVID. What we find is that these obsessions usually capitalize a lot on body sensations. You will have some type of body sensation and then OCD comes in and tries to make some immediate meaning out of that body sensation. I’m having a headache. I’ve had a headache yesterday.

What does that mean? Could I have a brain tumor? And that’s a tough one, right? Because you can have a headache for about a hundred different reasons. You might have heart palpitations and think that you’re having a heart attack. What this looks like on the mental health side is that you may have a down day or maybe going through an experience that genuinely makes you sad.

OCD rushes in and says, Are you depressed? Do you think you might have to go to the mental hospital? Are you developing bipolar disorder right now? You were just up yesterday and now you’re down. The OCD has a tendency to take these normal, everyday experiences such as having a headache, feeling heart palpitations, Having a down or sad day and then exploiting it and expanding it into making meaning about something that there’s no actual sense data evidence for.

OCD may cause you to think that you’re actually hearing sounds, or maybe I think I see something out of the corner of my eye, and then I’m making some type of meaning. Did I just hallucinate right now? With the compulsions for this theme, there’s a lot of internal checking that people do. People will check on their feelings internally.

They may check on their body sensations internally. A lot of reassurance seeking from friends, family, but especially reassurance seeking from the internet. There are so many forums out there like Reddit that people will look up their symptoms on, googling everything to do with the first signs of schizophrenia, or how do you know you’re going crazy, or postpartum psychosis, what is it like to live with schizophrenia, how bad does it get?

I mean, you can just imagine the amount of information that we have now at our fingertips. That people did not have 50 years ago. If you struggle with this, there’s two things that I’m going to encourage you to do. The big one is get off Google, if you can. Get off searching for things related to your health or your mental health.

Clients will argue with me sometimes that it helps them a little bit. But then other times they read things that cause them to be more distressed. It doesn’t matter if you read something and it causes you relief or you read something and it causes you distress. Either way, you’re perpetuating that obsessive compulsive cycle.

Because every time you do the compulsion, you reinforce the fact that you need to pay attention to that obsession. This is really key to understand when it comes to reassurance seeking. Because I think people think that when they get that temporary relief, that’s a positive. It’s actually not. It’s a negative.

We’re just strengthening the whole process all over again. So we want to do our best to remove yourself from Google and Reddit and those types of websites. Now, if you can’t right away, that’s okay. Can you set a timer for two minutes and tell yourself, I’m going to wait two minutes before I get on Google?

Or can you set a timer for five minutes and say, I’m going to not get on here until it’s five minutes has gone up. Now, sometimes you may find that the urge passes in that five minutes. It may not, but if it does, let’s take the victories where we can get them when it comes to OCD. Okay. The other thing I really stress to my clients is not all sensations are symptoms.

Let’s repeat that again. Not all sensations are symptoms. Bodies are incredibly noisy. They don’t always act according to plan. They do strange things. And here’s the other thing you have to understand, that your body and your brain are in constant communication through your nervous system. This is happening super fast.

My grandmother had this book I remember a long time ago that said, Your body believes everything you tell it, and the premise behind the book was basically like, you shouldn’t say things like, my arm is killing me, or I feel like I got hit by a truck. Your brain hears and your body responds accordingly.

So here’s a test. I want you to bring up a memory, could be recent, it could be a little bit farther back, but a time where you knew that you genuinely felt happy or joyful. Could have been a graduation, a wedding, a birth of a child. See if you can picture that really vividly in your mind. And get really in tune with how you felt emotionally there.

And as you start to do that, even for a moment, you’re gonna notice that your body has a response. Hopefully bringing up positive sensations for you. Or you may feel areas of your body just go more limp or relax a little bit. It depends on your comfort with relaxation and whether or not your body cooperates with that process. However, the key thing to notice is that the reverse is also true. So if we get really fixated on a symptom and we start to notice it really deeply and really fully, That this can cause that symptom to increase all the more or to be louder. So if we’re focused on that headache, saying, Oh, I have this headache.

It’s awful. And now we add some anxiety on top of that. Well, what if there’s a deeper issue? What if I’m going to have a brain aneurysm? What if I’m going to have to go to the hospital for this later? What if it’s going to be the worst migraine of my life? Some of you have dealt with some of those. And that you can get really, really worked up in what we call the secondary suffering piece.

As you get really worked up in your mind about that sensation, that sensation becomes worse because now we’ve dumped stress on top of it. Being mindful is super, super healthy, I think for all of OCD, but especially if you’re dealing with health concerns. Being able to be like a third party noticer of what’s happening without feeling like you have to get sucked into an obsessional story surrounding this body sensation.

So what does that look like? It means practicing. Just noticing the flat facts of the situation. I have a headache. It doesn’t feel good. I don’t need to make any meaning out of it right now. Now, obviously, if I have the worst headache, that I’ve ever had in my life, and it also comes with other symptoms. So usually, that’s why we say not all sensations are symptoms.

Typically, if you’re having some type of medical emergency, you’re going to have other symptoms like a stiff neck, fever, you might have tingling or numbness in parts of your body. There could be all kinds of different things that could happen as our body’s way of letting us know that we need further attention and evaluation. And that’s where we can enlist your medical professionals that you see, not in a way of reassurance seeking, but in a way to help you, okay, this is something I struggle with, I struggle with having these headaches on a regular basis, for example. How do I know if I have a headache that needs further attention or evaluation?

Maybe your doctor says if you’re having this many, maybe they say if it’s at this level of pain, maybe they say if it comes with some of these other symptoms. And that’s a really great litmus test for yourself to know is this a health OCD concern or is this a medical emergency because we don’t want to flip all the way to the other side and say, well, I’m just ignoring all that because it’s just probably my OCD.

We want to find this middle ground, which I know is really challenging because it’s easier to be in all that black and white thinking. And you think about when you do go to your doctor’s office with a symptom, what are they going to know? They’re going to want to know things like how bad it is. What’s your pain level on the 0 to 10 scale?

They’re going to want to know, when did this start? Was there some kind of origin to it? How long has it been going on? These are all types of things that you can notice for yourself and maybe jot down a note or two, not in a compulsive way, not in a I’m searching for these symptoms, but just like, Oh, that came up again.

Let me jot it down day and time, maybe. You can look at concerns about your mental health in a similar light, hopefully, if you’re dealing with some of these obsessions that you’re able to talk with a therapist about them, where we can look at normalizing emotional experiences that you might be having.

You may have been through a major grief and loss incident and you’re afraid of becoming super depressed or non functional. Maybe you’ve had a specific trauma and you just feel like you’re walking through a fog or you don’t really feel fully connected to yourself. Those are things that can be worked on in therapy to get you to a better place.

In the cases with health concerns, either physical health or mental health, you might have concerns about being disconnected from your loved ones or not being able to care for them, such as in the space of being a new mom. This is that feared self piece that we talk about in ICBT, and we want to look at what, quote, evidence OCD is using to reinforce the need for these types of compulsions. All OCD themes can be highly distressing, and I want you to know that the high level of anxiety that comes with OCD is not indicative of whether or not your obsessions are going to come true. OCD draws you in with a story and gets all of these internal fears churned up inside of you is a way to say, Hey, pay attention to this.

It’s important. I’m not going to let you let it go. You’ve got to somehow find resolution and no amount of research after research, no amount of articles is ever going to lead you to resolving that obsessional doubt. And that’s how we know. that this is OCD. We all have periods of everyday doubt with our health where maybe they say, Hey, I’m not really sure, but something’s come up abnormal on a scan or in your blood work.

We need to do a little bit more testing or a little bit more digging. They may look at doing a biopsy or a follow up scan. And during the time that you’re waiting on those things, you’re naturally going to have anxiety. But those everyday doubts get resolved when we find out the test results or find out the treatment process and plan.

What OCD does is it comes in and may even doubt results that you have received from the doctor. Maybe somebody has told you you don’t have cancer. And you’re doubting, well, did the right specimen get to the right person at the lab? Did they miss something? Was somehow the report done wrong? What if I still do have cancer?

You’re not trusting the sense data at that point. If this is a theme that you’re struggling with, that you are kept up at night wondering if you are going to die, or If you’re going to have to go to the mental hospital, I really encourage you to reach out for help and support. I am in Tennessee and you can reach me online at carriebock.com or find a therapist in your area that can help you. Know that wherever your health journey has taken you, I certainly have a husband who is experiencing a medical disability right now. So I say firsthand that God loves you, that he has a great plan for your life, and is completely in control. You can trust him with your future.

To receive weekly encouragement, find out about our monthly Meet the Podcast host Zoom meetings, and receive information on exclusive sales, become an email insider today. All you have to do is go to kiribach. com and scroll towards the bottom of the page. You’ll find a spot to put in your email and receive a free download in your inbox from us.

Christian Faith and OCD is a production of By the Well Counseling. This podcast is for informational purposes only and should not be a substitute for seeking mental health treatment in your area.

160. You Can’t Touch It!: Contamination OCD

Welcome to the Themes and Treatments for OCD series! 

In this segment, Carrie breaks down contamination OCD and shows why it’s not simply about fearing germs. 

Learn how ICBT can offer you a way out of the compulsive behaviors and bring true relief from contamination obsessions.

Episode Highlights:

  • The complexities of contamination OCD and how it goes beyond a simple fear of germs.
  • How contamination OCD can manifest through fears about illness, bodily fluids, or even specific diseases.
  • The importance of understanding your personal story behind OCD to help break the cycle.
  • The power of ICBT (Inference-Based Cognitive Behavioral Therapy) in addressing compulsions and obsessional doubts.

Episode Summary: 

Welcome to the first segment of Themes and Treatments for OCD series! 

Today, we’re diving into contamination OCD, one of the most common yet often misunderstood themes. You’ve probably seen it in movies—people constantly sanitizing or avoiding germs—but it’s much more complex than just a fear of getting sick.

Contamination OCD can show up in many forms, such as fears about germs, diseases, bodily fluids, food spoilage, or even allergies. It can also involve the intense worry that you’ll pass contamination onto someone else. The compulsions—like excessive hand washing, cleaning, or avoiding specific places or foods—can become ritualistic and deeply ingrained over time.

What makes contamination OCD tricky is the emotional reasoning behind these compulsions. Sometimes it feels like there’s a “right” way to clean or protect yourself, and if it’s not done exactly right, you just don’t feel safe. That’s where ICBT (Inference-Based Cognitive Behavioral Therapy) comes in. Unlike traditional approaches, ICBT helps uncover the reasons behind your obsessions and compulsions, digging into the personal stories that fuel your fears, not just the behaviors.

Changing old habits isn’t easy, especially when it feels like these routines are keeping you safe. But with time and practice, it gets easier. Whether traditional ERP has worked for you or not, ICBT could be a great alternative. Learn more about it at icbt.online or check out past podcast episodes for more insights. If you’re looking for a Christian perspective, join the waitlist at carriebock.com/training. You’re not alone—there’s always hope!

Tune in to the full episode for more on managing contamination OCD with ICBT and overcoming it!

Explore Related Episode:

This is the first segment in our Themes and Treatments for OCD series. When I was coming up with podcast ideas for this year, I thought we really should break down the different themes and maybe do a podcast episode on each theme. So today we are talking about contamination OCD. This is probably the most well known OCD theme.

It’s the one that gets portrayed in all the movies and TV shows. It’s the monk type person. You know, I can’t touch something or I need a sanitizing wipe. I need my hand sanitizer with me all the time, and now I’ve gotta wash my hands. Even though it’s portrayed a lot, I feel like most people don’t fully understand it.

They just see it kind of as a, oh, you have a fear of germs, you’re a germaphobe, and you don’t wanna get sick, so you don’t wanna touch anything. It’s more complicated than that, and there’s a wide variety even within the contamination OCD theme. So, you can have obsessions about germs, getting sick, and that may be you, or it may be someone else.

Maybe you’re afraid that your child is going to get sick, or your spouse is going to get sick, that you are going to somehow pass that on to someone else. Sometimes that can be more distressing than actually being sick yourself. You can have fears surrounding catching certain diseases, like HIV, or hepatitis.

Maybe you’re concerned about being contaminated by certain bodily fluids such as urine, feces, blood, or semen. This may lead to concerns about becoming pregnant or you causing someone else to be pregnant. There may be concerns surrounding food, specifically food spoiling, going bad, concerns that certain foods you’ll all of a sudden become allergic to or won’t be able to eat, and these concerns specifically don’t have anything to do with concerns about weight or body image.

Common compulsions for the contamination theme include hand washing, Excessive hygiene where you’re just in the shower for two hours, cleaning, avoiding, that could be avoiding using public restrooms, avoiding. Eating certain foods, avoiding going to certain restaurants you believe are contaminated, may involve using gloves or lots of sanitizer, and the challenge is that with contamination OCD that the routines tend to be very ritualistic.

So I have a certain way that I get ready in the morning or I have a certain way that I need to take the trash out or a certain way that I need to respond after I pump gas. The other challenge with hand washing and other compulsions is that there can be a little bit of just so mixed in, like I can’t really stop because it has to feel a certain way.

I have to feel clean. So what’s interesting about even something like hand washing, if you were to look at a traditional behavioral exposure and response prevention approach, they would say Do something and then don’t wash your hands or you’re only allowed to wash your hands if they visibly look dirty You’re about to eat.

You’ve just used the bathroom like in those settings you could wash your hands one time the cool thing that I love about inference based cognitive behavioral therapy or hereby referred to as ICBT So we actually care about the story and the reasons of how did you come to believe that washing your hands is the solution?

What obsessional doubt are we trying to resolve by doing this? It’s very different for different people. So you may say, well, I’m washing my hands this way because I used to work in a hospital and I saw someone who contracted MRSA, and I know how bad that can be. Or you may say, I wash my hands so much because I’m a single mother and there’s no one else to take care of my children if I go down and get sick.

You might say, I wash my hands so much because how can I be really sure that they’re clean? I don’t see dirt on them, right? But there may be germs because germs are invisible and how would I know when they’re all off my hands? By really uncovering the reasonings behind your obsessional doubt, which ICB tells us that there are reasons that OCD uses to support these doubts.

Sometimes they make more sense to you than others. There are facts mixed in inside the inferential confusion process. It is a fact that we should wash our hands in certain situations to prevent illnesses from spreading. We also all lived through COVID, which was a very scary time, where we were told repeatedly to wash our hands, make sure you’re washing them for 20 seconds.

There was a lot of fear, a lot of uncertainty, and for some people, that has carried over. That fear has never gone away. The long term goal in ICBT would be to look at the arguments that OCD is making, the story that it’s drawing you into, and convincing you that these compulsions are absolutely necessary in your life in order for you to maintain a sense of safety.

Once we know more about that story and understand it a little bit better, then we can start to find cracks in OCDs. reasoning process. Not to argue back with it. I think that’s a big misnomer about ICBT is people say you’re arguing with the OCD. No, we’re finding cracks in the OCD reasoning process. We’re identifying inferential confusion so that we can retrain the brain to notice these obsessions as irrelevant To our present sense data, the goal is to be able to trust your senses that your hands are clean or trust your internal sense that you’re not a dirty, awful person.

I want my clients to be able to have a certain sense of confidence that they would be able to handle situations if they did get sick or if their loved ones did get sick. And they may have gone through some things in the past where somebody was sick or they were sick and they felt like they couldn’t handle it or they didn’t handle it very well.

There may have been some medical trauma in the family history. These are the types of things that a very traditional behavioral approach, I feel like, doesn’t take into consideration. Being trauma informed is very important when it comes to OCD. So I would encourage you, if you’re dealing with contamination, look at what is contributing to that story in your mind.

How do you or other people or objects become contaminated? How does that contamination spread from one person to another person? When you do that, you may be able to recognize that some of this defies common sense data. That’s another aspect that ICB talks about, is trusting in the senses, and one of those is not just your five senses, that you can see that something is clean, you can smell something is clean, you can know that you’ve taken the steps to clean something, but really trusting common sense data.

and internal sense data as well. What does it mean about you as a person if you are contaminated or get sick? This might help you identify what you would call the feared possible self or the vulnerable self. It’s not really you, but it’s who OCD says that you are. I’m excited one of my colleagues is going to come on and talk about this concept in more detail in a future episode, how this interplays with Christian faith, which is really exciting.

I know it can be super challenging and scary. to do something differently than OCD has told you that it always has to be done. For example, if you have a certain ritualistic compulsive routine after you use the bathroom and now you are trying to make changes to that, or eliminate aspects of that, just know that that’s going to be very challenging, especially in the beginning, but the more that you are able to gain a little bit of ground, the easier and easier that it’ll be.

The most important thing that I would want anyone to know is that there is hope regardless of the OCD theme that you are dealing with. Maybe you’ve been highly advised to do exposure and response prevention if you have contamination OCD. If that has worked well for you, awesome. We’re all for it. Love that.

If you felt like ERP just wasn’t for you, or you’re interested, I would encourage you to look into ICBT. There’s a good amount of information at icbt. online. You can also search the podcast for previous episodes on ICBT that we’ve done. And if you happen to be interested in learning all of this from a Christian perspective, you can join the waitlist by going to carriebock.com/training. I’ll add this part in after I talked about being concerned about HIV. You may have concerns about being in touch with bleach, other chemicals, some type of chemical or radioactive waste.

159. Parenting a Child with OCD? SPACE coaching with Katie Wetsell

In this episode, Carrie welcomes Katie Wetsell, a parent coach and mother of four, to discuss how parents can support their children who are navigating the challenges of OCD.

Episode Highlights:

  • What it’s like discovering your child has OCD and the challenges parents face in supporting them.
  • The key principles of the SPACE (Supportive Parenting for Anxious Childhood Emotions) approach to supporting children with OCD.
  • How parents can gain confidence and tools to support their children, even if they aren’t currently in therapy.
  • The role of faith in providing strength and comfort for both parents and children navigating OCD.

Episode Summary:

I’ve been part of the inference-based cognitive-behavioral therapy community for a while now, and that’s how I came across a concept called SPACE. I wanted to bring this to the podcast because it’s something so helpful for parents out there supporting their kids—especially those struggling with OCD. 

Joining me today is Katie Wetsell, a parent coach and mom who knows firsthand what it’s like to support a child with OCD. Katie’s journey began when her son was diagnosed with OCD during the pandemic, and this experience not only reshaped her family but also inspired her to become a parent coach. Now, Katie helps parents all over by offering practical tools and emotional support.

Katie breaks down the SPACE protocol, showing us how parents can find the right balance between empathy and confidence in supporting their children. By focusing on small, manageable goals, the SPACE protocol helps parents avoid enabling OCD compulsions while also tending to their child’s emotional needs.

Katie shares valuable insights on how parents can create a nurturing, supportive environment at home without feeling overwhelmed. 

Tune in to learn how you can implement these strategies to help your child thrive and step into your role as a confident, compassionate guide, supporting them through their struggles with OCD, anxiety, or other emotional challenges.

Related Links and Resources:

parentingwithhope.org

Explore Related Episode:

Faith: Hello…

Carrie: That is my almost three year old debut on the podcast. She was in my recording space and wanted to know what’s that? And so I was showing her a few things on how the microphone works. It’s kind of cool to have my daughter on because today’s episode is for the parents out there. I know that we have a lot of people who listen to the show who are parents or a loved one of someone who has OCD. And it’s really great that you’re listening to the podcast in order to try to understand them better. As you know, I’ve been involved in the inference based cognitive behavioral therapy community for a little while now. And it was through that community that I found out about something called space for parents and I wanted to put this on the podcast for all of you parents who are struggling out there wondering, how do I best support my child or adolescent, maybe even young adult that’s living with me, who is struggling with OCD, what can I do to help them and kind of point them in the right direction?

The thing that I love about this treatment is that it doesn’t matter whether or not your child or adolescent is in therapy. There are still positive things that you can do as a parent to help nurture and support them towards a growth process. Stay tuned because I absolutely love how our guest Katie Wetzel really integrates this treatment with our faith.

Hello, and welcome to Christian Faith and OCD with Keri Bach. I’m a Christ follower, wife and mother, licensed professional counselor who helps Christians struggling with OCD get to a deeper level of healing. When I couldn’t find resources for my clients with OCD, God called me to bring this podcast to you.

With practical tools for developing greater peace, we’re here to bust through the shame and stigma surrounding struggling with OCD as a Christian, sharing hopeful stories of healing and helping you replace uncertainty with faith. I’m here to help you let go of the past and future to walk in the present abundant life God has for you. So let’s dive right into today’s episode.

Carrie: Katie, tell us a little bit about yourself and how you got into parent coaching.

Katie: I am first and foremost, a mom of four kids, so I am parenting a lot and actually benefited from a parent coach. Gosh, about 10 years ago and really helped us through a difficult season, particularly with my son, who ended up years later being diagnosed with OCD. He had a really rough time around six. We reached out for a parent coach and were really helped and then trade was a pediatric nurse Practitioner and was working as a nursing professor. Okay, then the pandemic hit and I had four kids virtual schooling. My youngest was starting kindergarten.

My oldest was starting high school. I was like, I can’t go back. My husband was a pharmacist, so he needed to be there full time. Anyway, then I basically retired from nursing. I still do a little bit, but. Then decided to get certified as a parent coach. And mainly because those last few years of nursing, I found like I was really gravitated towards parents and more passionate about parents and more able to see that I’ve always loved kids, but kids love their parents. And if I can love their parents, well, I can also love that kid well.

Carrie: I love that.

Katie: And so parent coaching was a natural next step for me to further dig in and support parents who are navigating hard things with their kids.

Carrie: Yeah. This is a side note, but I love stories about career shifts because I think a lot of times people think that they’re stuck and that they can’t do something else or that their skills aren’t going to translate somewhere else.

So that’s sounds like it’s worked out really well for you. So you talked about having your own son who struggles with OCD or was diagnosed at a younger age. Was that a shock for you? Was that overwhelming like all of a sudden I need this new set of skills because I’m having things that I haven’t seen with my other children before.

Katie: My older son had like general anxiety Definitely was like, okay when around 10 or so I was like, oh, this is not what I’m used to This is something different, but he never would go to therapy or anything So I’d learned a lot about how to help him through anxiety And then my second son, around six this time, he was really struggling, got diagnosed with Tourette’s syndrome.

And looking at Tourette’s, a lot of things, common comorbidities are ADHD and OCD. With his tics, I was always kind of curious, wait, is that a compulsion or is it a tic? It’s kind of confusing. So it was in the back of my mind and I had been watching like YouTube videos and learning Again, first anxiety because my older son, but then OCD with this question with my other child and it was when the pandemic hit, I knew he was doing some things in numbers.

Like he was like tapping and I was like, are you just tapping? Or is there a certain number? And he was like, oh, it’s a certain number. And our neurologist just called it OCD like behaviors. But didn’t actually do an evaluation and then in the pandemic, I said, Hey, buddy, seems like you’re not taking as much just kind of checking in.

Like, I noticed the Tourette seemed to be better. And he goes, yeah, but I’m counting a lot. What do you mean counting a lot? And so he was counting a lot in his head. And then we kind of asked more about it. Is it like just sometimes or all the time? Because he’s great at math, so I thought he’s just playing with numbers. And he’s like, yes, all the time. Wow. And so then we actually got an evaluation. Found out there was more going on. There were intrusive thoughts and things that we didn’t know because it was also internal.

Carrie: Yeah, I think that’s important for parents to hear who may have discovered they have a child struggling with OCD is that I think it can go on for a little while.

Before it actually externalizes and that your kids may be having certain obsessions that they’re afraid to tell you because they’re scary or they’re uncomfortable and they don’t want to tell their parents. And then I think also you have the opposite end of the spectrum where you may have children who have some confession compulsions and feel like they have to tell their parents everything.

So it really runs the symptoms kind of can run the gamut and I remember asking prior guests who had struggled with OCD when he was a child, I was like, how much of this did your parents actually know that you were obsessing about tucking in your stuffed animals a certain way when you were six years old?

And I think a lot of that just went unknown or I don’t want anybody to feel guilty if they miss something.

Katie: Oh, I was asking, I was going to specialists and it just took a while and I know that from being a nurse practitioner, sometimes it takes a while for it to ripen, to tell what it is, to be able to be clear what exactly are we dealing with but it’s still hard.

Carrie: Tell us about SPACE and that’s an acronym So, what does that stand for?

Katie: Actually, I found out about it while I was parent coaching and watching all the videos Came across it and it’s space is supportive parenting for anxious childhood emotions And it’s parenting protocol that has been researched and studied for kids with anxiety disorders, including OCD.

And when I found out about it, I was like, well, these concepts are what I’m coaching through Connected Families. So Connected Families is the Christian organization that I was getting certified through as a parent coach. But this specific protocol that it fit right in with the concepts and the messages.

That we were helping parents with through connected families, but this was more specific for anxiety and OCD with more robust tools for that specific struggle, it was a lot of things that I had come to find were true as a nurse supporting other people’s kids, but also things I had to develop as a parent again, like I said, with my oldest, who would not go to therapy things I had to learn how to support him.

And then my son with OCD, when he was doing telehealth, because it was, like I said, the pandemic, and so I was always popping into his telehealth visits, being like, Hey, this happened the other day, and I handled it like this. Is that okay? Like, I was kind of stealing a little bit of time for how do I parent him the rest of the time?

I love the work he’s doing with the therapist, but like, what do I do? How do I support him? And so coming across this space protocol really just kind of solidified and gave me confidence.

Carrie: I think that’s really key because obviously when you have a child that has OCD or anxiety, it does affect the whole family.

It’s not just affecting that child. So it’s affecting sibling relationships. A lot of times it’s affecting parent child relationships. And so I do think it’s very important for parents to get help and support for them. They may be dealing with their own anxiety or their own OCD sometimes in certain cases.

And, or, like we talked about before, they may just not have the tools. It’s like, okay, well the things that worked with my other children. Now are not working with this child with these specific needs and that is so crucial. It does take some humility as a parent to be able to say, okay, I feel like I’m a good parent, but I also need some more tools in my toolbox and I need some extra support because this child is exhibiting a different set of behaviors or symptoms than my other children.

I think it does.

Katie: Absolutely. Or myself, I’m like, gosh, I’ve never felt woken up in the morning and felt like something bad was going to happen. I never had to count things to go through a doorway. I’ve never had to do this. This is something I’ve had to face. How do I help a kid who’s struggling with something I’ve never encountered to that degree?

But I’ve also had parents who, like you said, were struggling with their own anxiety. Having that orientation of understanding and confidence in a solid plan, and even a sounding board with the coach to look through the plan with them and be like, ah, you’re doing it, gave those parents confidence to you.

Carrie: That’s good. I would imagine, and you can correct me if I’m wrong, because I know very little about this. I would imagine there’s some level of teaching parents how to empathize and attune to their children in these situations.

Katie: Yeah, so when we start the space protocol, the space program, whatever you call it, we start with just understanding baseline concepts of what is happening with anxiety, what’s going on in the kid.

What does that look like in a parent child relationship? How does that feel for you as a parent and how you engage with it? We start there with those things and then very like simple definition of support. We talk about acceptance and confidence. We work on statements. So what are the things you usually say to your kids?

What are the things you usually think? What is your mindset when you’re encountering your child’s struggle? And looking for ways we can move from the parent who’s really accepting, sometimes might be lacking confidence and so they’re overprotective, they’re protecting their kids from things that aren’t actually threats, but they have so much compassion, they’re attuned to their child’s struggle, but they’re lacking confidence.

So we help that parent take that great empathy and attunement and add some confidence to it. Another parent may be on the other side. They’re confident their kid is okay. They can do this, but they’re not very empathetic about the struggle their child is having. And so that parent can tend to be demanding.

And although they have so much confidence in their kid, they’re kind of adding anxiety because they’re skipping over that entonement and empathy. And so we’re going to try to bring both parents together. Or help the parent who waffles between protection, overprotection and demanding, get more balanced with that, both that attunement, that understanding what my child’s going through, but also confidence in their ability to overcome.

Carrie: Those two things I think are really key because I wanted to definitely bring up accommodations. This is a big thing. That parents who have a child with OCD struggle with, like, how much do I accommodate? How often do I accommodate? Sometimes they don’t even realize because kids are really sneaky about getting what they need.

Especially OCD, kids can be super sneaky about how they seek reassurance. They can be super sneaky about how they get parents to do things.

Katie: One way it’ll start another one, yeah.

Carrie: Sometimes parents may be not even in awareness of how much they’re accommodating until they have that outside viewpoint to say, Oh wow, do you realize you’ve changed your entire routine to coming in the house because you have a child who’s struggling with contamination and now this is a big deal?

How do you help those parents just in terms of accommodation, what space is approach to that?

Katie: We’ve kind of built some awareness of the mindset that’s driving our reaction to our kids. Then we build in some more consciousness around what are accommodations. So accommodations. Are things that we do because our child is anxious and how we assist them to avoid or handle that anxiety.

This is not when there’s actual danger. So that is protectiveness. If your child is anxious about I’ll give an example of we had a local school shooting and my daughter was really anxious afterwards and asked me about if I locked the doors. Me locking the doors is protecting my child, so it’s okay for me to lock the doors for us to feel safe, but she would ask me about the locks multiple, multiple times.

That’s where I’m like, okay, the more I answer, the more she’s dependent on me to feel safe, instead of the knowledge that the door is locked to feel safe. She needs me to answer every, like, more than once. So accommodation is like, my child wasn’t anxious, telling her we lock the doors every night should be the end of it.

Carrie: Right. Right?

Katie: But because my child is anxious, I might answer multiple times, thinking that I want to be a good mom and make my child feel better. So it comes from a really good place, or I may be, again, confident, like, you’re fine, quit asking. Right? Which is dismissive. But to go back to like, okay, I want to help my child, but if I help them too much, if I accommodate too much, then they get dependent on me and they say, oh, I need to ask three or four times to feel confident.

Versus learning to feel confident with that one time in their memory, the knowledge and wisdom they have from getting that answer. That’s just one example. I get a lot of times parents will be like, if they do anything to help their child, then they feel like they’re accommodating. I’m going to say it’s like, no, some children are young and vulnerable.

Their brains are not as developed. Their bodies are not as developed. They need our help as parents. Kids are wired to seek reassurance and safety from their parents.

Carrie: Yeah.

Katie: That’s what we do a lot of, like, how are you helping but not over helping?

Carrie: Yeah. And I know I’ve worked with a lot of adults who were constantly reassured as children.

Then that behavior carries into adulthood and they may not feel like they can make any decisions on their own without running it by their parent. They may not feel like they can be competent parents without constantly seeking reassurance from their spouse or from their own parents. I think it’s important if you have the opportunity to step in and develop these skills while they’re still young to say, Hey, I know it’s super hard and I know you may feel super anxious, but you can do it.

I mean, essentially that’s what I’m hearing from you is like, Oh,

Katie: supportive statement right there.

Carrie: Yeah. OCD is telling you, you can’t touch that door handle right now. And it feels super overwhelming or super scary. And like, I’m here to help you know that I’m here for you and you can do it.

Katie: Absolutely. So acknowledging that’s definitely something we had to do with my son with OCD, like, I understand it’s really loud in your voice right now, but what else do you know?

What else do you see? Like, talk back to it. One of the things I remember one time doing this places where accommodations did show up for us was around food.

Carrie: Okay.

Katie: I had a son who was a typical picky eater. I was a picky eater as a kid. I got that. But with my son who had OCD, it was clearly something different.

I remember one time he started a new theme where he was like, well, that’s a dinner food and it’s lunchtime. And I immediately was like, nope. Sounds like your OCD is getting really loud right now and trying to make some new rules to make things hard. We’re going to have this food. This is what’s for lunch.

Let’s talk back. And so some of that awareness helped him, but also me not just like, okay, well, we’ll eat something different. Not me following OCD’s rules.

Carrie: I think it is a helpful to have that balance the like you’ve been talking about of the empathy and the confidence and support and I imagine to the parents just being in tune with their own emotional experience as you’re going through this process, because there It can be very frustrating, especially for parents who feel like they’ve been dealing with this for a long time, or let’s say in the case of maybe an a little bit older child or an adolescent that just completely bucks therapy and says, I’m not doing this at all.

I don’t want to participate. This is just the way I’m going to be. And what I’m hearing from you is that space really helps in those situations support the parents to know that they can still make progress in the connection with their child, even if their child’s unwilling to participate in therapy.

Katie: Yeah, that was so exciting from the research on this program is that it was shown to be just as effective as cognitive behavioral therapy. That’s awesome. This is something parents can utilize whether or not their child is in therapy. So if your kid is, then that’s wonderful. But if they’re not, you can still make progress and.

I will say this is one thing my background as a nurse really taught me, as much as it’s helpful to have a professional work with your child directly, which I think is great, especially adolescents. But, man, kids want care from their parents the most.

Carrie: Absolutely.

Katie: Working with parents is, it’s not to say that you’re the problem, it’s to say that you can be a part of the solution.

Carrie: Yes.

Katie: It’s to say that, hey, you can also help your child and that can be difficult. So talking about your own emotions to let them not rescue them from the discomfort of their anxiety. But to allow space, use that word again, space in the traditional sense instead of the acronym, but allow space for you to confidently hold space for them to move through the discomfort and find out that they’re okay and find out that they were capable.

That’s hard to do. And so that’s the benefit of working with a therapist or coach to have someone else help you as you hold that difficult space for you and your child to move through that wave and get to the other side and see that you were again safe and capable.

Carrie: I started out my career working with children and families.

I do very, very little to none of that work right now, but occasionally we’ll take on some adolescents. But what I saw was there were the parents that kind of wanted to essentially just be like, Okay, here’s your therapist, go fix my child. And the things that we would tell parents would be like, I’m with your child one hour a week, and you are with your child all of these other hours during the week.

And so if we don’t teach you as well some of these therapeutic skills or the things that we’re trying to implement in the home or develop healthy routines and rhythms that will make them feel safe and healthy, then it doesn’t really matter what we’re doing one hour a week. That’s just a drop in the bucket.

I think that’s important for parents to know and hear because they think, well, I’m, in your case, you may see some parents that throw up their hands and say, well, I don’t know what to do. I’m not the professional. They just need to go see the therapist and then just fix them and they’ll, we’ll all be fine and the family will be better.

It’s like, no, that’s not exactly how things work. You’ve got to surround your kid and really learn and grow and develop. I think. If you’re open and willing to that process. I know being a parent has been one of the most challenging things for me because as my daughter grows and develops and she’s getting close to being three.

And so now I can understand why people use the term three nature. I mean, she can argue like a good 13 year old sometimes. And I’m like, Who are you? Like, where is my sweet child? As they grow and develop and change, like, these new behaviors happen and come out. And so, obviously, that’s amplified whenever you have a child that is dealing with mental health issues like OCD.

Katie: And I will say again, my son got his diagnosis during the pandemic, virtual schooling for kids and dealing with everything else that was happening. And I know it can feel overwhelming for the parent to get help for themselves, right? Like, I don’t have time for me if you can just help my kid and maybe that needs to be what you do is you get help your child in therapy before you look at space, but I think if you can find.

The room to work through these things. It will save you time and energy in the long run. What we do is we identify as we work through the concepts. What are accommodations? Where are they happening? Then we pick one target in the space protocol. We’re not trying to change your whole life at once.

Carrie: That’s good. That’s good.

Katie: You’re going to pick one target that thing. Hey, if, if one thing could be different, if one thing could be better, what would that one thing be? And so that one brings relief to everybody, but then it also helps you not only learned, but also practice the skills. For the next thing that’s on the list, I might work with someone on that next target or a lot of people go on their own and maybe a year later there’s one they’re stumped on and they check back with me, but we’re not changing your whole life at once. We’re going to focus and that is much more doable, especially if you’re feeling overwhelmed.

Carrie: How many sessions do parents usually participate in? Is there a range?

Katie: I typically do six sessions.

Carrie: Okay,

Katie: Now again, I’m a parent coach and so I will ask for a bit more homework in between the sessions and that typically works well.

Now everybody’s a little bit different. Some people can make progress on that first target in less than 6 sessions. And so we may just use those last few to like, again, pick a new target or. Whatever they need, I’m going to give them the full benefit and other people might need a little bit more, but six and to be a pretty good average, it just depends on prior knowledge and experience and how much is going on.

Carrie: Before we wrap up, I wanted to ask you about the faith integration piece for you. How you see this therapy, what’s that connection between this therapy and your Christian faith?

Katie: Yeah, so one of the first concepts we talk about is how children are wired to seek an adult for safety.

Carrie: That’s good.

Katie: Like, if your three year old is scared, they’re not gonna go confront what they’re scared of or hop in the car and drive away.

Right. Right. They’re going to cling to you. They’re going to go to mom first. And as adults, it may look a little bit different, but in some ways it doesn’t. As Christians, we, I go to my heavenly father when I’m scared. Yeah. Right? When I’m afraid, when things are uncomfortable or uncertain, I can find refuge.

So that’s safety I need in the Lord. And I can find strength to encounter that thing that felt threatening with his strength, with help and hope. And a lot of times that is my experience as a parent. I am either wanting my kids to be my safety, I want them to change so I feel safe, and they’re a child, like, it’s not supposed to go that direction.

So that’s where I see I step into my faith, and then sharing that with my kids, and inviting them to follow me to do likewise. Even if mom’s not there, God is always there. When you grow up, God is always there. I need to first be in that refuge and strength myself, but then showing my kids, teaching them how to go to the Lord and we can go to the Lord together, that even as adults we have the church to help us.

I find those truths are more robust in my faith versus me just being able to do it all by myself. As a Christian, we don’t have to do anything alone. We have God and His Holy Spirit and all that He provides for us. That to me is so much more hopeful than just doing it all by yourself. God can grow us in our ability, but we’re not alone and we’re not without help.

That faith helps me find the acceptance and the confidence. You know, that’s the whole gospel is that we are accepted because of what Jesus did. Even though things are hard, I can still belong and be known by God, and I can have confidence in his help and his hope.

Carrie: That’s awesome. As you were talking, I was thinking about Jesus’s love for us.

That is very empathetic. Jesus cried with people, you know, that were hurting. He had a deep level of compassion for the poor. And at the same time, he had boundaries. So there’s this balance. And I think we really struggle as human beings to be fully loving and also have boundaries. And boundaries in themselves can be very loving, especially in parenting, because boundaries protect us and so forth.

So finding that, and it’s something that I think I ask the Lord in my relationships, like, okay, is this a time where I was supposed to let this offense go and radically love this person and show grace? Or is this an opportunity for me to set a boundary, which is also very loving? Like, how do I handle and navigate these situations?

That’s what kind of came to my mind as, as you were talking about this particular treatment.

Katie: I think one of the favorite things as a coach is watching people grow in their confidence to be led by God, to ask God for wisdom and receive it. And so they’ll tell me wins where we’ve worked on concepts and targets, but sometimes they’ll tell me about, I just felt conviction that I needed to hold this boundary and it was uncomfortable, but I did.

Great. I wasn’t there. I didn’t tell you to do that, but God was there. or ideas they came up with. I can help and I can support. I can teach and I can celebrate wins with you. But like God is with you. That is the confidence that I hope parents really walk away from that they can see evidence of their growth of how God provided for them to understand and support their child, but also confidence that God is with them and will continue to answer their cry for wisdom.

Carrie: Yes.

Katie: And for redemption of this hard moment. And that’s what some, so my kids who have anxiety are teenagers now, and it’s amazing the wisdom they’ve gained by working through these hard things. During the pandemic, when everybody else was struggling with anxiety, my son, who had gotten diagnosed, the treatment was, it was like his year of bravery is what we called it.

He rode his bicycle for the first time. That’s one that sticks in my mind. He was like 11 before he rode a bike because he was anxious, not because he couldn’t. I mean, he did have some coordination issues and things. But at that point, it was more anxiety. There were just these little evidences of him overcoming and just the wisdom he gained.

Now he’s an advocate too. And so that’s why I share openly about his experience is because he’s confident about how OCD has given him wisdom and insights and his ability to not be defined by it and to overcome it. Even though it’s still lingering there, you

Carrie: know, it’s amazing. Yeah, that’s great.

Katie: I want to say that too. They share about my kids. They give me permission, but I love that. They have given me that permission out of confidence and them overcoming these struggles.

Carrie: Well, thank you so much for sharing. How can people find you?

Katie: I have a website. It’s parentwithhope.org. Parents can find me there and you can book online.

I put the podcast that I’m on on there so you can listen to me talk about other things too. And then you can even schedule a free consult call and just, yeah, let’s see if we’re a good match for SPACE or other coaching.

Great. I was just searching for providers in Tennessee who provided this therapy and you were the only one that I could tell that was definitely Christian.

So that was encouraging to me. And that’s how we got connected was through your website. I will put the link in there for people and that way they can get in touch with you. Wonderful. I’m so glad that we had Katie Wetzel on the show today to talk about space. And I want to speak to you as from one parent to another today to say that if you’re really struggling as a parent, if you feel like you’re having a hard time regulating in your relationship with your children, Maybe you have past trauma, you have been trying so hard to break those generational curses so that your children don’t have to grow up the way that you grew up.

I would love to help you process through that and walk you through that journey. If you’re in Tennessee, I have intensive therapy sessions and I’m really trying to grow that part of my practice. This year, I also do therapeutic retreats for people who are out of the state who want to come for a few days and really dive deeper into trauma work or OCD work, if that’s a part of your story.

Maybe your child is struggling, but you’re also struggling with trauma and OCD. I would love for you to come and have this transformative experience so that you can be the parent that God has called you to be and that I know you want to be inside. For more information, you can visit my website at carriebock.com, and you can contact me via the contact page. To receive weekly encouragement, find out about our monthly Meet the Podcast host Zoom meetings, and receive information on exclusive sales, become an email insider today. All you have to do is go to carriebock.com and scroll towards the bottom of the page.

You’ll find a spot to put in your email and receive a free download in your inbox from us.

We’re going to be talking about the importance of mental health and how it can help you This is a podcast that is for informational purposes only and should not be a substitute This podcast is for informational purposes only and should not be a substitute for seeking mental health treatment in your area.

158. Is This Thought a Sin? 

In this episode, Carrie dives deep into the overwhelming fear that often accompanies OCD, particularly when it feels like your thoughts might be wrong, sinful, or even harmful to others.

Episode Highlights:

  • How to discern true desires vs. OCD-driven thoughts
  • Why intrusive thoughts don’t equate to sin
  • How intrusive thoughts are not intentional and do not reflect your true desires or intentions.
  • The difference between thought suppression and thought replacement, and why they do not effectively work for OCD.
  • How the Holy Spirit can reveal your true desires and guide you in decision-making, especially in challenging times.

Episode Summary:

If you’re struggling with OCD and wondering if your intrusive thoughts are a sign of sin, you’re not alone. Many Christians feel torn, thinking they might be unintentionally harming others or dishonoring God with their thoughts. The truth is, these thoughts are often out of your control, and they don’t reflect your true desires or intentions.

As a Christian counselor, I’ve helped many clients face the same concerns. They wrestle with disturbing thoughts about violence, sexual behaviors, or blasphemy, feeling guilty because these thoughts contradict their values. But here’s the truth: intrusive thoughts are not sins.

In today’s episode of Christian Faith and OCD, I dive into the critical question: “Is this thought a sin?” I explore how God sees your heart and intentions, and why suppressing these thoughts or replacing them with scripture can reinforce the OCD cycle. Instead, we’ll uncover healthier ways to approach intrusive thoughts, grounded in faith and powerful tools like Inference-based Cognitive Behavioral Therapy (ICBT).

When struggling with OCD, the best thing you can do is trust the Holy Spirit to guide you through it. Let go of shame, and find peace in knowing that your true heart and intentions matter most to God.

Listen to the full episode now and start breaking free from mental compulsions.

Explore Related Episode:

Oftentimes I find that my Christian clients are concerned that they’re doing something with the wrong intentions or the wrong motives, that they’re intentionally trying to harm people in some way or hurt people’s feelings or take advantage of them. When that’s not actually what their true internal desire is.

And how do we know what our true intents and desires are? Sometimes it may be pretty clear to us. But sometimes it may not be, and we may be questioning, am I doing something for the right motives? 

Hello, and welcome to Christian Faith and OCD with Carrie Bock. I’m a Christ follower, wife and mother, licensed professional counselor who helps Christians struggling with OCD get to a deeper level of healing. When I couldn’t find resources for my clients with OCD, God called me to bring this podcast to you. With practical tools for developing greater peace. We’re here to bust through the shame and stigma surrounding struggling with OCD as a Christian, sharing hopeful stories of healing and helping you replace uncertainty with faith. I’m here to help you let go of the past and future to walk in the present abundant life God has for you.

So let’s dive right into today’s episode.  I wanted to take an episode and try to answer a question I think that so many of you are facing with. Is this thought that I’m experiencing a sin? Oftentimes we know that Christians who are struggling with OCD will often seek out help for their obsessions from a pastor or a small group leader.

Some type of spiritual mentor or advisor first before seeking professional help because they see these thoughts as a spiritual problem. Maybe you’ve been in church a while and you’ve heard verses like Philippians 4, 8. Whatever is true, whatever is noble, right, pure, lovely, whatever is admirable. Think about these things.

That’s a rough paraphrase. So you’re thinking, how do I do that? When I have these awful thoughts that pop into my head about sexually abusing children, violent thoughts, harming others, harming myself, blasphemous thoughts, maybe you’re struggling with homosexual thoughts that you would say, I would never act on that thought.

Regardless of the type of thought that you may be struggling with, one thing I know that I want you to know is that God already understands this issue even more than you do. God knows your heart and your mind, and He knows your true intentions and desires. When Philippians 4. 8, it’s telling us to be intentional about our thoughts.

Obsessions are not things that you are intentionally thinking about. They pop into your mind when you don’t want them to, and they’re what we call egotistonic thoughts, meaning They’re not in line with who you see yourself as and the things that you value. If we view a thought as bad, especially coming from a church teaching concept, a lot of times we will try one of two things.

We will try either thought suppression.  Or, we will try thought replacement. Neither of these actually work, but let’s look at them individually. Thought suppression is when we say, Oh, can’t think about that. Don’t think about that. Don’t want to think about that. Push that down. Push that down. Almost like you’re trying to shove a beach ball underneath the water, and then it just pops back up when you don’t want it to.

There’s a concept called thought thought fusion that captures this pretty well. It’s where When we’re thinking about, what if I have that thought? I recognize that may be very metacognitive for some of you and not quite make sense. How this shows up in practicality for people typically is, let’s say I have intrusions about hitting a pedestrian with my car.

Is that I may get in my car and then go, Oh no, what if I’m driving to work? And what if I have that thought? And then because now we’ve opened up that door or I may say something like, Oh, I’m about to drive to work and I don’t want to have that thought. And I want to try to suppress that thought and put it down.

Instead of acknowledging, like, these are thoughts that sometimes I struggle with when I’m driving in the car and getting to this place of acceptance, that’s an issue for you in your life. Just being able to acknowledge that something is there, as hard as that is, and as much as you don’t want it, That can really be the first step towards healing.

Psychology will tell you that thought suppression doesn’t work. They’ve actually done studies on this where they’ve asked people, Hey, don’t think of a white bear, I believe was the study, and then they come back and they ask people, how often did you think about the white bear, versus having a control group where they were just told, think about whatever you’re going to think about, and then they came back and asked them, how much did you think about a white bear?

Well, I didn’t think about that at all, because no one had kind of planted that in there, right? So we know that thought suppression does not work in us being able to not think about certain things. You probably know from personal experience that doesn’t work as well. Don’t feel bad if you’ve tried that, though, because many people do as a way to control their thoughts.

The next thing that we try to do to control our thoughts is thought replacement. Now this is a favorite for the church, and I actually call it kind of a Christianized CBT approach, Cognitive Behavioral Therapy. What the church does is it says, okay, if you’re having a certain thought, like a sexual thought, I want you to go find a verse that talks about your body’s a temple of the Holy Spirit, or I want you to find a verse on flee from sexual immorality.

The verse about temptation, and every time that particular thought comes up, that you repeat that verse. The problem is that in OCD, this becomes a compulsion. It may provide some temporary relief, but that compulsion is actually reinforcing the obsessive compulsive cycle, so you just get caught in that loop over and over again.

You feel slightly better, But then the thought comes back and so then you feel like you’ve got to do something about the thought. Another way this shows up oftentimes for Christians is either compulsive praying, I’m praying that God will get rid of that thought or take it away, or I’m rebuking that thought in the name of Jesus.

So I’ve seen both of those come up for people quite a bit depending on their spiritual backgrounds. Okay, Carrie, so I have these unwanted thoughts, and suppressing them isn’t working, and replacing them isn’t working, praying them away isn’t working. What in the world do I do? We’re going to get to that a little later.

Because you actually showed up for, is this thought a sin or not? And let me tell you, when it is not a time to determine whether or not a thought is a sin, it’s not a good time to determine that when you are in this OCD bubble, is what we call it, where you’ve gotten sucked into an OCD story, and now you’re looping in obsessions and compulsions, and you’re having a really hard time.

Thinking clearly and seeing your way out of that. That’s not a good time to evaluate your thought process or evaluate the content of your heart. James 1 14 15 says, But each person is tempted when he is lured and enticed by his own desire. Then desire, when it has conceived, gives birth to sin, and sin, when it is fully grown, brings forth death.

So let’s look at this process of sinning. First there’s a desire, then there’s a sin, and then if we don’t deal with our sin, it brings spiritual death. One of the things that I really like about inference based cognitive behavioral therapy, or ICBT, Is that it really encourages people to tune into what we call internal sense data, which is your true intentions and desires.

So if I asked you today, do you have a desire to travel across the country? Some of you might say, yes, that’s so exciting, I really want to do that. And then others of you are going to feel something inside like, no, I really just like being at home and I want to be in my cozy pajamas and watch a movie on TV, sipping my hot chocolate.

I’m good. I don’t really like to travel or I don’t want to go too far. OCD is going to cause you to question what you actually desire spiritually. Oftentimes, I find that my Christian clients are concerned that they’re doing something with the wrong intentions or the wrong motives, that they’re intentionally trying to Harm people in some way or hurt people’s feelings or take advantage of them when that’s not actually what their true internal desire is.

And how do we know what our true intents and desires are? Sometimes it may be pretty clear to us, but sometimes it may not be. And we may be questioning, am I doing something for the right motives? I will give you an example from my own life, way back in  2015, for those of you who aren’t familiar with my story.

My first husband left, he did not want any part of the marital home, and I had to make a decision about whether or not to try and stay in the house, or try to sell it. I was really praying through this process, and obviously it’s a big decision to make when you’re already emotionally a mess. But I was concerned that I was trying to hold on to this house for reasons of greed or monetary gain.

And through the process of prayer and being in touch with the Holy Spirit, it took a process of several days and weighing out all of the options. God really showed me that the reason I wanted to stay in my house was because I felt safe there. And it was in a good neighborhood, and so perhaps, I’m not sure, and I know God would have taken care of me either way, had I sold the house, I think that I might have ended up living in an apartment complex or somewhere else where I didn’t feel as safe as being able to stay in my home.

This led to me pursuing getting roommates in order to be able to pay the mortgage and stay there, but my point of the whole story of telling you that is that as you pray about decisions or as you are concerned about eradicating certain sins from your life, the Holy Spirit is able to reveal to you the desires of your heart and the things that are not in line with God’s will for you.

We can really trust and rest that the Holy Spirit is there to keep us on course and on track. Doesn’t mean that we aren’t ever going to get off track. We do have sin in our lives that’s going to come up. It’s the Holy Spirit’s job to search our heart and to convict us of that sin. When we look at the progression in James 1.

14 and 15, We see that sin is not an instantaneous situation. We look at situations, for example, where someone decides to have an affair on their spouse, and we think, oh wow, that was sudden, that just seemed to come out of nowhere. Well, from the process of these verses, that’s not the case at all. We come to a point of decision, but even before we come to that point of decision, there’s a desire.

So there’s a heart condition first, and then a behavior. That leads me to believe that intrusive thoughts in themselves do not have enough time to give birth to sin. If we say, oh, I’m having this thought, and I don’t want to have this thought, it’s just popping into my mind. All kinds of people have intrusive thoughts.

The problem is that when Christians have these thoughts that go so against their values, They then try to make some type of meaning about it, that somehow my desires are evil because I’m having these types of thoughts pop into my head, or I’m not a good Christian, or I don’t love God because I’m struggling with intrusive thoughts.

That’s not the case. OCD is a mental health condition that affects your brain. It’s not a spiritual problem. I talk with so many people who have trouble grasping this, but it really helps reduce shame. And it really helps you seek the proper type of treatment so that you’re not continuing to suppress thoughts and replace thoughts.

Here’s a verse that some of my clients get really stuck on. I wanted to talk with you about it a little bit. Matthew 5, 28. But I say to you that everyone who looks at a woman with lustful intent has already committed to lust. adultery with her in his heart. Specifically for people who struggle with sexual intrusions, this can be a very challenging verse because they feel like, well, I must be committing adultery because I’m having these sexual intrusions in my brain.

If you look at the entire context of this passage, Jesus is calling out the Pharisees in the Sermon on the Mount. He’s saying, look, you guys are doing all these outward, quote, religious type activities. You’re tithing, not just you’re tithing your money, but now you’re tithing, like, your spices. But your hearts are corrupt.

You don’t care about people. You’re not loving the poor. You’re looking down and judging other people. Doesn’t matter how good you look on the outside if the inside is corrupt. If you interpret Matthew 5. 28 into that larger context. It goes back to what we were just talking about earlier, about intentions, the heart, trusting the Holy Spirit for conviction.

This verse is not about us working to control our internal experience that’s happening. We submit ourselves to the Holy Spirit who works within us, both to will and to work for His good pleasure. Philippians 2. 13. There’s probably much that could be said on this topic, but I want you to know that if you are struggling with these types of intrusive thoughts, You’ve tried suppressing them, you’ve tried replacing them with scripture, you’ve tried praying them away.

I want you to know that there is help and hope. I would love to tell you more about inference based cognitive behavioral therapy and how that might be helpful for you, especially if you’re dealing with a lot of mental compulsions. It helps you to learn how the obsession is irrelevant. All the tricks and cheats of OCD, the thinking errors that are involved, the over reliance on possibility, and really targets you recognizing the irrelevance of the obsession so that you can move forward and not buy into the OCD lies and story.

Stay tuned as over the next couple months we’re going to be talking about the individual themes of OCD, how they show up. I’ll be flying solo again on some of the episodes, but I also have some guests that I’m trying to arrange and bring along that I’m really excited about. Until next time, may you be comforted by God’s great love for you.

To receive weekly encouragement, find out about our monthly Meet the Podcast host Zoom meetings, and receive information on exclusive sales, become an email insider today. All you have to do is go to  karybach. com and scroll towards the bottom of the page. You’ll find a spot to put in your email and receive a free download in your inbox from us.

Christian Faith and OCD is a production of By the Well Counseling. This podcast is for informational purposes only and should not be a substitute for seeking mental health treatment in your area. 

156. Developing Healthy Routines Without Obsessing about Them with Carrie Bock, LPC-MHSP

If you’re looking to make healthy changes in the new year, you’re in the right place. 

In this episode, Carrie is diving into the topic of routines, but from a perspective that doesn’t involve getting obsessed or perfectionistic about them.

Episode Highlights:

  • How to create healthy routines that support your mental and emotional well-being without feeling overwhelmed.
  • Practical tips for reducing stress by establishing structure in your day-to-day life.
  • Ways to combat perfectionism and embrace progress over perfection in your routines.
  • Simple hacks to make routines easier to stick to, such as prepping ahead and using reminders.
  • The importance of flexibility and grace in your routines, allowing room for God’s plan.
  • How to align your routines with your God-given desires for a more fulfilling and peaceful life.

Episode Summary:

For those of you trying to make healthy changes this year, we’re in the middle of a series called New Year’s Desires. Let’s focus on living out the God-given desires of our hearts, connecting with Him and others.

Welcome to Christian Faith and OCD. I’m Carrie Bock, a Christ follower and licensed counselor helping Christians struggling with OCD find deeper healing. We’re here to break through the shame around OCD struggles in the Christian community and replace uncertainty with faith.

Today, let’s talk about developing healthy routines without letting them become obsessions. Routines bring stability, save mental energy, and create purpose—but they shouldn’t turn into compulsions. How can we stay balanced?

A simple routine like meal planning or laying out your clothes in advance can make your day smoother. But sometimes, life happens, and we need to let go of rigid routines for connection or special moments. This is especially important for those with OCD, who may feel the need for perfection. But remember, it’s okay to have flexible days.

If you’re finding that OCD is getting in the way of your routines or perfectionism is causing you to shut down, I want to encourage you to take small, manageable steps and focus on consistency rather than perfection.

If you’re ready to dive deeper into breaking free from OCD’s grip on your life and developing healthy routines that work for you, listen to the full episode for more practical tools and encouragement.

Explore Related Episode:

For those of you trying to make healthy changes in the new year, we’re in a midst of a series called New Year’s Desires because resolutions somehow were meant to be broken, but we want to be living out of the God given desires of our heart to connect with him and other people in our lives.

Hello, and welcome to Christian Faith and OCD with Carrie Bock. I’m a Christ follower, wife and mother, licensed professional counselor who helps Christians struggling with OCD get to a deeper level of healing. When I couldn’t find resources for my clients with OCD, God called me to bring this podcast to you with practical tools for developing greater peace.

We’re here to bust through the shame and stigma surrounding struggling with OCD as a Christian, sharing hopeful stories of healing and helping you replace uncertainty with faith. I’m here to help you let go of the past and future to walk in the present abundant life God has for you. So let’s dive right into today’s episode.

Today I want to talk with you about developing healthy routines without becoming obsessed about them. We all have something that we know we should be doing, and we want to get into this healthy rhythm, routine experience, but it’s just challenging for us to do that. And also, there may be concerns that if you do get into some type of routine, that it will become compulsive, or you’ll become perfectionistic about it.

And then if you miss a day, you end up shutting down and just saying, well, Let’s see, I wasn’t meant to do that because I messed it up over here. So how do we find this balance? If you’ve been around a little while, you know that I like to talk about the why that we do things. So we’re going to talk about that first.

What are the purpose of routines? Why do we need healthy routines and rhythms in our life? Well, first of all, they create a level of stability and predictability. When you have a routine, it provides a certain anchor in your day to know, hey, this is my time to do this thing. And that helps us really prioritize and accomplish that which is most important to us.

If you see someone’s calendar and you see someone’s bank account, you’ll see what’s truly important to that person. Routines help us feel safe. They’re really great for children, if you have children. They help us feel a sense of connection to other people because we know, like in our family, when we sit down to dinner every evening, we know that that’s a time to connect with each other, to talk about our day.

to eat nourishing food, and that’s a routine and a rhythm that we have in our home. Routines also keep us from having to think all the time. If you make a meal plan on the weekend, and you know what you’re going to eat for the week, and it’s on the calendar, you don’t have to be thinking or scrambling at five o’clock or 530 every night going, Oh no, what’s for dinner?

I don’t have anything. I don’t have any meat thawed out in the fridge. I don’t have Maybe an ingredient that I wanted to have to make something. Oh, let’s just do something really quick or spend more money. Causes this weight on our mental activity as well if we don’t have a plan or we don’t have a routine.

This is a secret hack that I’ve been doing. You know how Steve Jobs wore black. He had like a certain outfit that he wore all the time, so he didn’t have to think about what he wore. And I decided earlier this year that I was going to start picking out my clothes for the week, the work week on Sunday.

Like on the weekends, I’ll just get up and decide what I want to wear. But sometimes the mornings can be really hectic, and I don’t want to use that extra brain energy. So I’m able to look at my schedule and see, well, how many in person clients do I have or virtual, what outfits might be most appropriate based on the weather report, et cetera.

And it allows me to exercise that thought process then, and then I don’t have to think about it during the work week, which has been really great for me. I don’t know if that would work for everybody, but just a little small hack that I’ve been doing is making my clothing decisions on the weekends. Now, we’ve talked about the purpose of routines, but there are maybe times where we intentionally break our routines.

I will give you an example. We are pretty strict about getting our daughter to bed between 7 at night because That helps her rhythms. It helps our rhythms as a family. And sometimes she has a hard time falling asleep or different things. She may not be asleep, but at least getting her in the bed in that timeframe.

But there are times where we certainly have our daughter up later. Because we may have friends over, we may have gone out to eat with some friends, or we may be doing something fun as a family together. We might be involved in a church event that’s in the evening where we keep her up a little bit later.

Sometimes we break routines in order to have fun or to connect with others. And I know some of you are saying, wait a minute, you said the purpose of having a routine was to connect with others. That’s also true, but we have to recognize when the need of the moment is more important than the routine itself.

This will help you in terms of value based decision making. What do I value more right now, getting my daughter to bed at a certain hour? Or do I value more this time or experience that I’m having at church or with my friends? Now, there certainly are times where we say, Hey, if you’re going to go out to dinner with us, we need to meet you at like five, because that gives us time to eat, socialize, go home, et cetera, put our daughter to bed, even though some of our friends without kids probably would rather eat at six or six thirty.

That’s just not a good situation for us. You may need to break your routine if OCD is getting in the way or wanting you to do it perfectly. I know I’ve talked with a lot of people that really obsess about a variety of things regarding their schedule. They might obsess about what they’re actually doing.

They might obsess about how much they have to do. They might obsess about not being able to accomplish certain things. And maybe I know I need to get something done. I need to run over and do this errand, but I don’t have time today in my schedule. The end result of all of these scenarios ends up being that you just shut down and you do nothing.

Which is so not helpful. What we want to do is help you break out of, like, whatever your current spiral is. And, you know, OCD really likes avoidance quite a bit. So that makes sense that there becomes this shutdown and doing nothing. We spend so much time thinking about doing the things that we don’t actually do the things.

You may have to do a shorter version of the routine you wanted to do, you may have to break things down into smaller steps. I don’t know your specific situation. I was talking with someone the other day about a routine issue, and what we noticed was that It was a daily routine that a lot of us normally engage in, but for this individual, it was extra hard because OCD was telling them that they had to do it this prescribed way or with these steps that took them a long time.

So I said, I know it’s going to be uncomfortable for you, but what if We were able to do this routine sometimes this way and that other times we’re able to do a shorter version of this routine. And I want to just clarify, it was not a compulsion per se, it was more of just a way that they like to do things.

Sometimes when we like to do things a certain way, there’s nothing wrong with that, but maybe we don’t have time to do it and then that was causing problems because then this person wasn’t doing the daily routine that they needed to do at all. Right? It was an all or nothing thing. Either I have to spend an hour doing this, Or, I just won’t do it at all, versus saying, well what if you spent a half hour on some days and then some days you spent an hour, that’s fine, when you have more time.

And as you know, OCD’s rules are completely arbitrary and it just makes it up as it goes along. If you’re going to develop a specific routine, first let’s think of the reason for your routine, start with your why. And know that your goal is not perfection, but stability or creating that anchor to your day.

Number two, write down the steps to your routine and utilize technology if that helps you. Now, I know this may sound really basic and simple, but if you’re having struggles Like, for example, getting ready in the morning on time. Maybe there’s all these things that you know that you have to do to get out the door, but your brain feels really scrambled and they don’t end up in any kind of order.

Everything’s rushed and you end up forgetting something. If mornings are really chaotic and hectic for you, it might be helpful for you to do things in a particular order so that you can keep track of where you’re at in the process. Especially if you have children that are interrupting that process, you want to have approximate time frames that you’re going to engage in your routine because you need to know how long certain tasks take you.

And if you don’t know how long certain tasks take you, then you may need to just evaluate that first before setting up that routine. For example, I have to buffer a little time in my morning for me to actually wake up and get dressed before I can start working out, because initially I would be like, oh, well, I can start working out at this time.

And if I do a 30 minute workout, then I will be done at this time. However, things were not working like that and I was getting pushed back. So then I had to originally kind of push my get up start time a little bit earlier in order for me to get acclimated and adjusted, make sure that I had all of the tools laid out for my workout.

If I was going to need weights or bands or other things that I had those in front of me too. You can get super idealized about how you think things should work, and then as you start to do it, notice that you need to tweak or make changes. That’s totally fine. Making changes is not a problem. You can do that.

Don’t send it to an all or nothing where you just throw out the routine completely. And you want to be able to use some technology, if that helps you, in terms of reminders. I have certain reminders on my phone that pop up, and it was funny because I was sitting with my daughter the other morning, and I was like, Oh, my phone just made this calendar noise.

Like I have an appointment in 30 minutes. And then I was like, Oh yeah, I do have an appointment online in 30 minutes. I mean, I was together and fine, but I was like, Oh, I am going to need to go upstairs in a little bit. I had completely forgotten because it wasn’t an every week type of situation. It was a little bit of an off day.

I had reminders in my phone for a long time to make sure. That my daughter had lunch money because there’s one day a week where they buy lunch for the kids that I need to actually have cash and bring that to her school to give to the teachers. So I would have a little note in my phone, make sure you bring five dollars.

And whether you write things down in a paper planner, or you use reminders on your phone, or you have a Google calendar, whatever you do, just be really consistent about how you’re tracking those tasks or those routines or rhythms that you need to get done. until it becomes just an ingrained habit of something that you do all the time.

Step number three is to set yourself up for success. In a sense, make sure that you have what you need. So great mornings, I know I’ve talked a lot about the morning routine, but great mornings actually start the night before. It’s when you have the clothes picked out, or you have your workout stuff laid out, or you have your meal prepped, breakfast prepped, or you have some things chopped up for dinner.

Whatever it is, making sure that you’re taking the time to set yourself up for success and that you have all the materials, that the lunch boxes are laid out so that all you have to do is put the lunch in and put the cooler pack in in the morning. You should be able to set yourself up to have just a gentle rhythm and flow to your routine so that it’s easy.

You’re wanting this process to be what we call a low barrier to entry. You’re wanting to make it so that you get up and it’s like, okay, I’m up and here are my clothes and here are my things that I need to get ready and here is my Bible and it’s right by my chair where I’m going to sit and read it, just making everything so ready to go so that you don’t have to put a ton of energy into going, Oh, what was I going to do next?

Oh, where did I put my Bible? Oh, I had it in the other room last night. Just making sure that things are getting put where they go. Obviously, that’s a big task that we all need to work on. I know I’m guilty of leaving things and not putting them back where they go, but I’m working on it. It’s a progress.

It’s not perfection. I have developed this rhythm of planning meals on Thursday nights. Thursday night after my daughter goes to bed, I will go through and plan our meals for the next week, I will order our groceries online, I will make sure that it’s gonna be a good time for them to come, whatever, so usually then we’ll get groceries on Friday, and there may be some meal prepping or chopping that happens on Saturday or Sunday, whether that’s cutting up fruit, or cutting up vegetables for the week, or, um, Making sure that meat’s thawed out or portioned in a container.

There’s things that happen sometimes during the weekend, and it’s not a perfect system. It doesn’t always happen. Some weeks that I know that we’re going to be super busy on the weekends, I’m not going to try to do all that extra. I’m going to just keep things very simplified. I have a list of items that we usually buy every week, so I can go through that.

It’s on an index card. I can go through that index card pretty quickly and go, if we don’t buy it every week, it may be an every other week thing, so I’ll just check the pantry or the fridge. Okay, how much of that do we have? Do we need more? Yes, we do. Add it to the cart. I usually can run through that pretty quickly, and then I will buy whatever we need for the planned meals.

And my husband also knows too, like when I’m going to be doing the grocery list, if there’s anything that he wants, he’ll add that those things to the grocery list or say, Hey, when you do the shopping, make sure we get some of this or that. But I will tell you what used to happen so that you know what life used to look like.

It used to be, I kind of did the meal planning and the grocery list, like, when I got around to it. So it’s like, sometimes it might be Thursday night, but then other days, times it might be Friday. And then I’m ordering the food on Friday, but then I’m not really getting it till Saturday. And then I might not have an ingredient for something I need.

Oh, no, I have a brunch I’ve got to go to Saturday morning, but I didn’t have the order in time to make sure that the ingredient got here. So then I’m running to the store and nobody quite knows when groceries are arriving or not arriving. Do you see the difference there? One feels a lot more chaotic and one feels a lot more safer or comfortable because everybody knows kind of what the routine is and what the structure is, and we know when we’re going to be getting items in the house.

And I know too that that time is dedicated and blocked off on my calendar and in my life for that purpose. And understand that everything that I’m telling you, there’s a flexibility and a rhythm and a flow to it. If I am sick as a dog Thursday night, I’m not going to be planning meals for the next week.

I’m going to be resting and rejuvenating and just telling my husband, we’re going to eat what’s already in the house for a little bit until I can get back on my feet. Or if there’s something I really need, I might have him order the groceries. Don’t allow OCD to make you some type of slave to your routine.

Where it says, well, you said you were going to do the groceries on Thursday night. So therefore you have to do them Thursday night. No, I don’t have to. It just makes life a little bit easier or the rhythm a little bit better. But the world is not going to collapse if I don’t order the groceries until Friday or Saturday, things will be quite OK.

Leaving room to be flexible and adaptable is really healthy for your brain. Step number four is to focus on one routine at a time until it gets really solidified in your brain, until you get in that rhythm. Don’t try to create a completely new schedule for yourself where if you’re currently getting up at 7 a.

m. you’re wanting to get up all of a sudden at 5. You’ll be able to do that for a few days. But then you’re going to burn out, probably crash, be exhausted. And if you want to get up two hours earlier, you’re going to have to adjust the time that you go to bed. Morning success starts the night before type of situation.

You don’t want to be white knuckling through routines. That’s not the design of them. Remember, there should be some element of ease and flow. When you make one small change at a time, you’re much more likely to stick with it. That’s why I’m saying focus on one routine, and you may just focus on getting that one healthy routine established, solidified in your life for a month, and that’s okay.

You’re going to learn it, you’re going to flow with it, you’re going to recognize pieces that aren’t working, that might need to change, you’re going to feel probably really good and accomplished, even 20 days, for example, that if this was a daily routine that you were trying to establish, for example, right?

That’s good. That’s still much more than what you were doing before, which might have been 10, or it might have been zero. I don’t know the particular routine that you’re trying to add to your life. When we try to make large, drastic, all at once changes, typically our brain and our body resists that. And like I said, we can do it maybe for a little while or white knuckle our way through it, but then eventually we will go back and revert to our old behavior.

This is an example that I use with clients pretty frequently, is that if you change the rudder controls, what direction the ship is going to go in, even if you make a minor adjustment to that rudder, over time, that boat is going to be going in a vastly different direction. You may not see it at first, when it first goes out.

But over give it time and all of a sudden, wow, that ship will be very far from the direction that it was originally going. There’ll be a big gap between where it was if it had just kept going in the same direction versus if it just changed slightly. And so you want to think about slight changes.

measurable changes that you can make that can lead to long term different results. And then the last thing I would tell you is not to give up. This can be a challenge for you in your life. And when you try to do healthy things for yourself, OCD might get in the way. Doubt or self confidence issues might get in the way.

Your past might get in the way. But don’t give up on those positive things that you really feel convicted by the Lord that you need to be doing, whether that is spending daily dedicated time with him, whether that’s exercise, whether that’s putting healthier food in your body, whether that’s connecting with more social relationships or friendships.

Instead of shutting down, giving up and doing nothing or reverting back to former behaviors. Recognize where things went awry, and actually expect that sometimes things aren’t going to work out as planned, or aren’t going to go according to your routine. And that is an opportunity for you to then tweak and make changes as necessary.

And you can continue tweaking and continue making changes until things are really solidified, and you have these healthy routines without obsessing about them. That is what I hope for all of you in this new year. I hope you will join me next week as we have a very special guest. Brittany Poppy is going to share her story about how she felt like she could not be forgiven for something that she did and how God broke through through his word to show her that she absolutely is.

So next week, our episode is going to be when God forgives what you can’t forget. And I really hope that you will join us for that personal experience episode. To receive weekly encouragement, find out about our monthly meet the podcast host zoom meetings and receive information on exclusive sales, become an email insider today.

All you have to do is go to carriebock.com and scroll towards the bottom of the page. You’ll find a spot to put in your email and receive a free download in your inbox from us. Christian Faith and OCD is a production of By The Well Counseling. This podcast is for informational purposes only and should not be a substitute for seeking mental health treatment in your area.

155.  I Can’t Sleep! 3 Tips While Struggling with OCD 

In this episode, Carrie dives into the connection between sleep and mental health, sharing insights from her journey with sleep apnea and the transformative power of better sleep habits.

You’ll also hear snippets from past episodes, including discussions with Martin Reed and Dr. Charles Page, who offer fresh perspectives on insomnia.

Episode Highlights:

  • Practical tips for improving your sleep habits.
  • Common symptoms of sleep apnea and how to address them.
  • Why striving for “perfect sleep duration” might be harming you.
  • The benefits of embracing natural sleep patterns.
  • Insights from Martin Reed and Dr, Charles Page on managing insomnia effectively.

Episode Summary:

Welcome to episode 155 of Christian Faith and OCD, part of our New Year’s Desires series. Instead of just setting resolutions, I want to help you act on what you truly desire. For some of you, that might be a good night’s sleep. If that’s you, I’m here to offer insights that might help you get better rest tonight.

Before diving into today’s tips, I want to mention a great opportunity: Christian’s Learning ICBT is closing soon, and I’d love for you to join us. For more info, head to carriebock.com/training.

Now, onto better sleep. My first tip is to rule out physical causes like sleep apnea. In episode 116, I shared my own experience with sleep apnea, even though I didn’t fit the typical risk profile. I didn’t realize that my family history played a role, but once I got tested, I learned a lot about how sleep apnea affects not just your physical health but also your mental and emotional well-being. If you suspect you might have sleep apnea, get tested—it’s treatable, and untreated sleep apnea can lead to serious health risks.

Sleep apnea happens when your airway collapses during sleep, causing you to stop breathing for short periods. This can happen many times throughout the night, leading to excessive daytime fatigue, snoring, trouble focusing, and even depression. The good news is CPAP therapy can help, and technology has improved to make it more comfortable than ever. .

Sleep problems might not always be about sleep apnea. If you’re struggling, speak with your doctor and consider a sleep study. Episode 68 featured Martin Reed, who discussed how CBT-I (Cognitive Behavioral Therapy for Insomnia) helped him sleep better after traditional advice failed. You might not need 8 hours of sleep, as sleep needs vary from person to person. Instead, focus on creating an environment that supports rest.

Another tip for improving your sleep is to reflect on if God might be trying to speak to you. This insight goes back to episode 51, where Dr. Charles Page, a sleep expert, shared how he handles being woken up in the middle of the night. Many of you might relate to this feeling—you fall asleep just fine, but then wake up in the middle of the night and can’t fall back to sleep. This tip is especially for you.

Tune in to learn more tips if you’re struggling with insomnia and looking for practical ways to find peace and rest.

Explore Related Episodes:

Welcome to episode 155, where we are in a series called New Year’s Desires because we don’t want to just make resolutions. We want to be acting out of our desires. I know that some of you are just really desiring sleep. And if that’s you. This episode is hopefully going to help you know what to do to sleep a little bit better at night.

Hello and welcome to Christian Faith and OCD with Carrie Bock. I’m a Christ follower, wife and mother, licensed professional counselor, who helps Christians struggling with OCD get to a deeper level of healing. When I couldn’t find resources for my clients with OCD, God called me to bring this podcast to you.

With practical tools for developing greater peace, we’re here to bust through the shame and stigma surrounding struggling with OCD as a Christian, sharing hopeful stories of healing and helping you replace uncertainty with faith. I’m here to help you let go of the past and future to walk in the present abundant life God has for you.

So let’s dive right into today’s episode. Genuinely, one of my desires for 2025 is to know how to serve you, the listening audience, better. So if there’s anything that I can do in order to do that, I’d love to hear from you. You can always contact me through our website, carrriebock.com/podcast. There are forums on there you can fill out if you just want to leave a comment, episode suggestion, whatever you want to do.

We’re also currently in the homestretch. If you want to get into Christian’s Learning ICBT, I would love to have you. You can go to carriebock.com/training for more info. My first tip for better sleep is to rule in or out any physical causes that might be causing you sleep disruption. I talked about my own journey of being diagnosed with sleep apnea back in episode 116.

I’m going to play you a snippet from that episode, but before I do, what I want to add is that I was not your typical sleep apnea risk factor individual. What I mean by that is typically someone who has a larger neck circumference or is significantly overweight is at higher risk for sleep apnea.

However, I believe that, based on other family members who also have sleep apnea, that some of my condition is genetic. I can look back and see now that I know more about sleep apnea, I can see how my mom had some of the symptoms, and definitely My father did as well. Neither one of them were treated for it.

Because of what I’ve been through, I often will talk with clients or friends or family members that have some of these same sleep apnea symptoms and encourage them to get a sleep study because we’re in a day and age where that’s not hard to do. You can do it at home, you can get a device that they put on your finger and it will measure how many times you stop breathing, roughly.

It’s not a perfect, accurate measurement and if it comes out undetermined, you may have to do an in person sleep study. But it’s worth it just to know or to rule this in or out because it’s very treatable and the results of not getting treated are detrimental to your health physically, but also mentally and emotionally.

LRE. Sleep apnea is when the muscles in the neck relax at night, causing the airway to collapse, causing someone to stop breathing for a short period of time. This can actually happen many times in a single hour of sleep. So imagine multiplying that by the number of hours that you sleep at night, meaning that you could potentially stop sleeping 30, 50 times in a night easily.

The symptoms of sleep apnea are daytime sleepiness, fatigue, snoring. I didn’t realize that snoring meant that somehow your airway was constricted. I thought it was just a thing that some people did. Observed episodes of stopped breathing. Sometimes that may happen if you have somebody that you’re sleeping with at night, like a spouse.

Waking up during the night, gasping, choking with a rapid heartbeat or in a panic. This is an important symptom for some of you who are struggling with anxiety. You may not know that just waking up in a panic might be a symptom of sleep apnea. Morning headaches. And when you lose oxygen to the brain, your head hurts.

Trouble focusing, even on tasks that should be routine or pretty simple. Depression, blood pressure fluctuations can happen with sleep apnea. Restless leg syndrome or jerking movements during sleep. If your legs or arms just seem to be jerking a lot. That’s your body trying to wake you up. And the treatment for sleep apnea is CPAP therapy, which is where a machine blows air into your airway to keep it open, keep it from collapsing.

You may have heard all kinds of horrors about CPAP therapy, but I really didn’t have too much trouble adjusting. CPAP machines and masks. Slowly making them more and more comfortable, getting you fitted the right way so that it’s easier to get adjusted to. So often, we assume that mental health problems are always based in our mind alone.

And you have to understand that our physical health and our mental health are so intertwined. Sometimes there is a genuine medical route that is either causing your mental health symptoms, or it could be exacerbating those symptoms. Maybe you have a propensity already towards anxiety and depression, but lack of oxygen to your brain due to sleep apnea is just exacerbating that problem so much more.

If you have any of these things, symptoms that I listed before and they just seem chronic, they’re not going away, they’re not getting better. All your blood work looks fabulous but you know something’s wrong. Please get tested. Don’t let the CPAP horror stories deter you. Untreated sleep apnea puts you at greater risk of having a heart attack or stroke.

So please get tested. At least rule it in or out if you suspect that you may have sleep apnea at all. It’s been over a year since my sleep apnea diagnosis and I can tell you that I am a dedicated CPAP user. It has honestly transformed my life. I feel so much better, so much more able to think clearly, be productive, feel alert, and present with my family.

There is no reason to continue feeling horribly if you don’t have to. Maybe it’s not sleep apnea, but there could be another physiological reason that you’re not getting sleep. Make sure that you talk to your doctor about it and get a referral for a sleep study if needed. In episode 68, we talked with Martin Reed about approaching insomnia differently.

He had a story of being taught all of the general information that there is about sleep, about how to create a good sleep environment, make sure that you’re in a positive sleep routine, etc, etc. And found that he was still having a lot of trouble sleeping, which caused him to pursue further information on CBT I for insomnia.

One of the things that I asked him about was regarding, is it true that we all need eight hours of sleep? Because maybe some of you are putting pressure on yourself to try to get a certain amount of hours of sleep at night.

Martin Reed: There is a lot of misleading information out there about sleep. A lot of it does focus on sleep duration.

So many of us can have the belief that we need to get eight hours of sleep, or we need to get a certain amount of sleep. The thing about that is anytime we read information about we should be getting a certain amount of sleep, it’s always just based on averages. It’s a bit like saying everyone should be five foot, 10 inches tall, just because that’s the average height.

I don’t know if that is, but I’m just guessing here, you know, that all I’m just getting at is it’s just one of these things that’s based on averages. So there are always going to be happy, healthy people that exist outside of these averages and. Just like with our height, we can’t control sleep duration.

We can use our behaviors in a way that creates good conditions for sleep, but in terms of how much sleep we’re going to get, we have no control over that. And often we get most caught up in the struggle when we do try and control that. They don’t need to aim for eight hours or seven hours of sleep. You know, they just need to allot an appropriate amount of time for sleep.

You know, give themselves the opportunity to get sleep. And the body is always going to generate, at the very least, the bare minimum amount of sleep we need, no matter what, as long as we’re giving it the opportunity to generate sleep. We never lose the ability to sleep. So it’s really about just trying to not control things that we cannot control.

And sleep duration is one of the things that we can’t control, unfortunately.

Carrie: Are there any helpful tips for people who just have a hard time shutting their mind off, want to go to sleep?

Martin Reed: Yeah, definitely. Well, I think first and foremost is making sure we only go to bed when we’re. Truly sleepy enough for sleep.

I’m talking about finding it hard to stay awake because our sleep drive system will always overpower like that arousal system or the mental chatter. Once it’s strong enough, no matter what, without fail, it might take a night or two, but sleep will always happen. That sleep drive will always be strong enough at some point.

So we can always get ourselves one step ahead by making sure we only go to bed when there’s that strong sense of sleepiness. And then in terms of all that mental chatter, all the mental gymnastics, really all that is, it’s our brain looking out for us. You know, it’s not our brain trying to cause us problems.

It’s like our brain is being a really overly enthusiastic friend who’s trying so hard to help us out. It’s just kind of getting in the way. I think just recognizing that, you know, this isn’t an adversarial relationship. It’s just our brain trying too hard to help us out. That can be helpful. And just recognizing that that’s what our brain does.

Our brain’s number one priority is to look out for us. Often we get most caught up in all this mental stuff when we quite understandably try to fight them or avoid these thoughts, these feelings, these emotions, because they’re unpleasant. So naturally we don’t want to experience them. But unfortunately, that’s when we usually get most caught up in the struggle, trying to fight them, trying to suppress them.

It’s not usually helpful over the long term. Short term, sometimes we can like push feelings and thoughts away. They always come back and then when they come back, they tend to be stronger. It’s a bit like pushing a beach ball down under the water. You know, it’s just going to push back harder and harder the more we try and push it away.

Sometimes I think it’s just helpful to recognize like, this is my mind looking out for me. I’m feeling, identifying and acknowledging everything you’re feeling. This is my anxiety coming back. This is my frustration, my anger, whatever it is you’re feeling, just identifying it, labeling it, recognizing it, not trying to fight it or push it away can be really helpful.

Just the fact that we’re thinking Thinking certain things or our mind is racing doesn’t mean we’re not going to be able to sleep. We can still sleep when we have difficult thoughts and difficult feelings and difficult emotions, but it becomes a lot more difficult for that to happen when we try and get engaged in controlling them and pushing them away or trying to avoid them, trying to fight them.

And I think, you know, as a last resort was if you’re just spending a lot of time in bed and it really just does not feel good to be in bed. It might be helpful to just get out of bed and just do something a bit more pleasant until conditions feel a bit better for sleep.

Carrie: I wanted to share that I know what it’s like to not be able to sleep.

When I was pregnant with my daughter, I had very intense restless leg syndrome, and nothing would relieve that. There wasn’t any medication that I could safely take while pregnant. I remember just crying and begging God in the middle of the night that I would just be able to sleep. I will say that God didn’t always give me rest during those periods, but what he did give me.

was his strength and power to keep going through those difficult times until I could get to a place where I could sleep again. One thing that often troubles us and keeps us up at night is stressing about not sleeping. We will watch the clock. We will think, Oh, I only have three more hours and then I have to get up for work or, Oh, no, what if I can’t fall back asleep?

It’s 2 a. m. right now. So if you can come to an acceptance of things outside of your control, even though you can create the optimal environment for sleep. That may not mean that you get the sleep that you need. That’s a hard thing when you feel like, okay, well, I’m avoiding the caffeine, and I have a dark, cool room at night, and I’m going to bed around the same time, and I’m, etc.,

etc. All the things that people tell you to do. So what we can do is do the best that we can, and then we have to rest everything else in God’s hands. So Martin there really gave us tip number two, which I labeled as resist the urge to fight your inner experience. We talk about this a lot on the podcast, learning to be in a state of mindfulness.

It takes practice. It takes intentionality. It is not going to happen overnight. But learning to really be present and say, Okay, I’m feeling angry. I can sit with that for a moment. I can be curious about it. I don’t have to immediately make it go away. I don’t have to immediately judge it. I can create space and allowance for this emotion, and in doing so, that often gives the freedom for that emotion to dissipate.

Emotions are like waves. They will come up, and they will go down. If we try to block them or stop them at some point, it usually makes the entire process last longer, and we end up in a longer period of suffering than we really need to be in. Mindfulness helps you create a sense of distress tolerance, being able to tolerate difficult thoughts, feelings, and body sensations.

And our third tip is to reflect. On if there is something God is trying to speak to you. This comes way back from episode 51, Surrendering Our Insomnia to God with Dr. Charles Page. And he shares how he handles being woken up in the middle of the night. As I know some of you feel like, hey, I can fall asleep just fine, but then I wake up in the middle of the night and can’t fall back to sleep.

So this tip is for you.

Dr. Charles Page: Sleep was God’s idea. We were created to sleep. And I think one of the big ideas that the scriptures tells us, and it kind of fits in with the rest of our lives. One of the reasons I think we were to sleep is God really wanted us to turn off. You think about the creation story, I mean, starting in Genesis one, it says in the evening and the morning were the first day.

And so it’s funny, you know, we get it the other way around. We think, well, you know, when the day starts, when the sun comes up, when I get up in the morning, that’s when the day starts. When a competing thought or worrying thought enters our mind, we can’t just take it out of our mind because it’ll boomerang back into our thinking.

We have to replace it. And that’s where meditation comes in. For example, Philippians chapter four, you know, talks about there’s anything good, anything noble, you know, think about these things, just talking about that kind of that art of meditation. And I think that’s so key for us, you know, because, you know, you show me your focus, I’ll show you your future.

And as we begin to focus on the scriptures, It begins to fill our minds with the good stuff. You can even go back to the Psalms. For example, if you think about David, one of the Psalms is the fourth Psalm. It was an evening Psalm that David prayed when he was going through the toughest time in his life.

This was when Absalom had usurped the throne and he was running for his life, crossing the sea. Jordan River. I mean, just multiple stuff that was robbing him of sleep. And as he goes through this process, you know, at the end, he says in Psalm 48, I will lay me down in peace and sleep for you, O Lord, let me dwell in safety.

And so this process of prayer and meditation, I think, is huge. For me, when I am woken up in the middle of the night, one thing that I’ve learned to do many times. When I’m kind of tossing and turning in my bed is take a step back and listen to God. Sometimes those are opportunities that God is trying to get our attention.

I think most of us in the culture that we live, man, we’re going so fast during the day that we don’t have time to really stop and listen. God wants to speak to us and sometimes He has to wake us up at night to get our attention. In 1 Samuel, you know, the story of Samuel, he has a little boy and he’s there and he’s there at the temple with Eli and he’s going to sleep, you know.

God’s saying, Samuel, Samuel, when he gets up and goes to Eli, it’s back and forth, you know, and all the time God’s trying to get his attention to give him a message and he doesn’t catch it. And I wonder how many times I’ve done that. It’s actually an opportunity to meet with God and think about what Samuel would have missed out on if he hadn’t.

He would have never stopped and heard that when that was the beginning of a series of steps that set Samuel in the direction. So often when I’m waking up in the middle of the night, just kind of keeping in my mind, you know, God, are you saying something to me? And sometimes he’s not. I always try to keep a journal at the bedside because, you know, sometimes a thought will come into my mind.

It may be just a random thought, or it may be something that’s really something that God has woken us up to tell us.

Carrie: To sum up, our sleep tips are the three R’s. Rule in or out any physical causes that may be causing sleep disruption. Two, resist the urge to fight your inner experience. And three, reflect on if there is something God is trying to speak to you.

I hope these tips helped you, and if they did, feel free to share with a friend.

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153. What if I Can’t Relax? How to Start

In today’s episode, Carrie discusses the challenge of finding true relaxation when your mind is constantly racing. She offers insights on how our bodies hold onto stress and provides practical tips on how to begin retraining our brains and nervous system for relaxation.

Episode Highlights:

  • Why relaxation can feel impossible when you’re constantly performing
  • The value of rest, as Jesus exemplified, and how to apply it in your own life
  • How to begin retraining your brain and body to embrace relaxation, even in small doses
  • Practical tips on mindfulness and distress tolerance to help you relax and be present
  • How to use spiritual practices and reflection to discover the root of your tension and find healin.

Episode Summary:

Do you ever feel like your mind is constantly racing, and your body is tight, tense, and unable to let go? 

Why is it so hard to relax? In our Western culture, we place a lot of value on performance and productivity. We’re constantly running, whether it’s in our jobs, parenting, or personal health. But Jesus, our Savior, modeled a life of simplicity and focus on God’s will, not on personal achievement or status. As Christians, our worth isn’t based on what we do but on God’s love and purpose for us.

If you’re finding it hard to relax, it might be due to a cycle of constant performance – whether for your boss, your family, or even for God. But the truth is, God wants us to honor Him by finding balance and rest.

Sometimes, the struggle to relax also stems from our past – whether from growing up in a high-stress environment or dealing with trauma. Our nervous systems often remain on high alert long after the threat is gone.

Relaxation isn’t just about taking a break—it’s about retraining our minds and bodies to slow down and trust in God’s timing. In this episode, I’ll guide you through practical steps you can start using right now where you can fully disconnect from the hustle and experience true relaxation. 

Tune in for more insights and practical tools to find deeper peace in your mind and body, and learn how to grow in your walk with God while overcoming OCD.

Explore Related Episode:

Do you feel like your mind is always going, just constant movement, constant thought process? Is your body just so tensed up and tight? Your stomach’s tight or your chest feels constantly tight? These are the kinds of things that I hear about from clients regularly. I just can’t seem to relax. My body just won’t be able to let go.

So I thought it would be a good time right before hopefully you have some time off to talk about what to do if you can’t relax and how to get started with that process.

Hello and welcome to Christian Faith and OCD with Carrie Bach. I’m a Christ follower, wife and mother, licensed professional counselor who helps Christians struggling with OCD get to a deeper level of healing. When I couldn’t find resources for my clients with OCD, God called me to bring this podcast to you.

with practical tools for developing greater peace. We’re here to bust through the shame and stigma surrounding struggling with OCD as a Christian, sharing hopeful stories of healing and helping you replace uncertainty with faith. I’m here to help you let go of the past and future to walk in the present abundant life God has for you.

So let’s dive right into today’s episode. Before I forget, I want to say Merry Christmas to everyone. A week from today is Christmas Day, so we won’t be producing an episode that week. It will be worth the wait, though, because on January 1st, I have Jen Tucker back on the podcast. If you remember, we did an episode back with her on breath prayers, so catch up on that one during Christmas week if you haven’t already listened to it.

Jen is coming back on the show to talk with us about a ancient form of Christian meditation that she’s implemented in her own life to help her grow deeper in her walk with God as well as reduce anxiety. So it’s a great episode when you’re not going to want to miss. What if you feel like you can’t relax?

You may even be asking yourself this question, why is it that I have difficult time relaxing? One reason is that we place so much value, especially in Western culture, I don’t know if it’s the same in other cultures around the world, but we place so much value on performance. And what are you doing? We don’t place a high value on rest, which means that we’re constantly trying to run around and be productive.

We’re productive in our parenting by taking our kids to extracurricular activities. We’re productive in our work life by producing something and then, oh, we have to have a side hustle because Jenny down the street does and she wants to get out of her corporate job. Not really asking ourself if that is even right for this time or season in our life.

Then we’ve got to be productive in our health, doing some type of exercise, workout program, hit this, or, oh, I’m doing this XYZ cleanse on my body. I’m not that crunchy, but these are the things that you hear people talk about, right? Everybody’s like, We have to have goals and what’s your goal for your life right now and achievement, achievement, achievement.

We take that and create some type of meaning about ourselves. Here’s the deal though. When you look at Jesus, we’re trying to follow a Savior who wasn’t about self promotion. In fact, a lot of times when he did miracles or certain things for people he would say, don’t tell anybody. Of course, they were just healed, so they were telling everybody, but he was almost like trying to keep things under the radar until the right time or didn’t want.

People didn’t necessarily make a big deal out of him. Jesus didn’t have a fancy house. He didn’t own a lot of land. He was so focused on what does God want for me today? And just a beautiful thing about that that I am reflecting on is that sometimes that meant taking time with a Samaritan woman at the well, talking to someone who Was at a different racial, class, socio economic level, maybe, than he was.

Sometimes it meant hanging out with the quote, sinners. What was most important to Jesus wasn’t the activity. It wasn’t the money, obviously. It was about really ministering to people and pleasing God. Loving God, loving others. That’s what we need to get back to when we boil it all down as Christians. Our value is not even based on how much quote religious activity we’re engaged in because unfortunately there’s some people listening right now who are doing so much at church that you are on the brink of burnout.

I’ve been there, I know how that is, and you feel like, well, got to do all these things for God. In order for God to be pleased with me to one reason we might not be able to relax is because we are in this frenzy of performance. I want you to evaluate, is that you? Are you trying to constantly perform for your boss, for your spouse, for your kids, for God?

The reality is that we need to have an audience of one and constantly be filtering what we’re doing through, are we honoring and serving God and doing the things that He wants us to do? We’re told to seek His kingdom first and everything else will follow. By dropping your internal performance requirements for yourself, that’s going to get you into a healthier place to be able to change your mindset in order to relax.

Sometimes we have to shift our mind and our body will follow. Sometimes we really have to work on calming our body, and that will help us relax our mind. Those are those two different helpful ways, and we have to know how to do both of those, because our minds and bodies are constantly interacting. It may be time to reflect on whether or not you saw your parents relax and take time off.

Was dad working 70 hours a week and that’s just what you knew therefore followed suit with that? Maybe even you had a stay at home mom But she was constantly running or constantly going or constantly cleaning something and she couldn’t ever just sit down and watch TV Or couldn’t ever just sit down in silence Maybe you’re struggling because you’ve come out of a difficult season where you did have to be on high alert You Due to some type of trauma or due to being in a toxic work environment.

Maybe you’ve gotten out of an unhealthy relationship and your nervous system, a lot of times, it takes time for it to come down, recalibrate, and adjust to what’s actually happening right now. If you have not heard, trauma is not something that’s just stored in your brain, it’s stored in your body as well.

Oftentimes our body has not caught up to what our brain already knows. This is why people come into counseling and say, I know that OCD is being ridiculous. I know when I’m in a clear headspace these things are not true, but they feel intensely true and my body is responding in a real way to the sphere.

And I’m like, yes, it is. Learning to regulate your nervous system in small doses is the key here. That’s what I want you to pick up as a main point from this entire episode. You are literally having to retrain your brain and body if you’re in that high alert, fight, flight, or freeze state constantly. And there are some people who come in And what I say is, it’s like their nervous system is on fire.

So if your nervous system is on fire, number one, please remember that medication is an option for you. And know that there isn’t a quick fix to this. It’s going to take some time to re regulate your nervous system, to re train your brain. There’s no magic wand that we can zap over you and help you to be more calm, but it is going to take consistent retraining where you say to yourself, all right, let me sit here for one minute and not do anything.

If you’re one of those people that’s constantly on the go, constantly moving, constantly performing. Just take a minute to sit and purposefully not do anything because what that’s doing is it’s telling your brain This is okay. The first time you do it, it’s gonna be super uncomfortable. Just prepare yourself for that You’re not gonna know what to do with yourself.

You might be fidgety. You might be feeling not so great But the more that you do that and then slowly kind of increase some of that time like okay nervous system I just want you to know We’re just sitting here, we are valuing rest, we are valuing relaxation, we are valuing what the scripture teaches us about Sabbath, that is one of the big reasons for Sabbath is to rest in the dependency that we have in God, it’s not all about us.

That one minute that you’re sitting there not performing and doing anything. It’s a great time to start practicing mindfulness. What mindfulness does is it increases our awareness and helps us develop what we call distress tolerance. Distress tolerance is what it sounds like. It’s your ability to tolerate uncomfortable emotions, to tolerate anxiety, anger, sadness, whatever is coming up in your internal experience.

mindfulness. It helps you be able to tolerate the distress of thoughts that are there while at the same time creating this third person perspective where you’re becoming an observer of your own experience without being caught up in the middle of it. Becoming an observer, being curious about your experience, allows you to increase your awareness of what’s actually going on in the present moment.

And when you are able to isolate the present from the past and the future, that reduces a lot of distress. Because we only have to worry about right now. I can’t fix tomorrow. It’s like Jesus said, let tomorrow worry about itself. It’s another day. I think a lot of times people try to practice mindfulness or meditation and they give up too early because it’s hard and it’s uncomfortable and it’s not a clear one, two, three step process to a new life.

It is a deeper level work. It’s an introspective level work that often we’re not taught how to do that. Going back to, we just stay busy and we focus on doing. God is not just interested in what we do, God is interested in who we are. So if we’re going to have true character formation, we have to go a little bit deeper.

I want to give you a little bit of an example of something that as I’m recording this I’m processing through in my own life. I’ve been noticing that I’ve been more irritable lately and noticing that and it has allowed me to pray about that. Ask God, okay, what is going on in my spirit? What is happening with me emotionally that is causing me to be more irritable?

Irritability is getting in the way of me producing the fruits of the Spirit that I want to be producing, like patience and kindness. Becoming aware of this process within myself and my recent behavior allows me to confess this to God and it allows me to become curious and to say, Okay, God, I am submitting myself.

To the transformational work in the Holy Spirit. I cannot do this on my own. I cannot fix this irritability on my own Give me wisdom and guidance and I’ve asked so many questions. Like what is contributing to this? Is this a Physiological change hormonal change that’s happening. Is there something that I’m angry about?

Is there someone that I haven’t forgiven that I need to forgive? It’s a process. It doesn’t happen necessarily all at once. As you’re reflecting and maybe taking this difficulty to relax before the Lord, God will give you wisdom. God will give you spiritual peace. God will give you guidance on whatever your next step is.

But if we don’t take the time to even sit and acknowledge, Hey, this is an issue. And I know for my, the betterment of my physical, emotional and spiritual health, I want to be able to learn how to relax, how to let go, how to trust, how to really know deep in my soul that God is in control. I don’t have to control everything in my environment.

What we’re talking about is sanctification. This process of becoming more like Christ, and for me, meditating on scriptures about anger, I want to be slow to become angry. For you, it might be meditating on scriptures that have to do with Sabbath or trust or that God loves you. Really allowing those scriptures to sink down deeply into you.

Another thing I will tell you in terms of being able to relax is that sometimes we can put too much pressure on ourselves to relax. I don’t know if you’ve ever been at the doctor’s office or getting a massage and they’re telling you to relax and then you’re having struggles like, Oh no, now that I’m thinking about trying to relax, it’s just really hard to.

I had a situation with a doctor where they were trying to look at my throat and she had the dreaded tongue depressor on my tongue and I felt like I was going to gag. So she tells me just to relax. I’m like, okay, Carrie, I understand this. Because when you’re anxious, one of the things that can happen is that your throat can close up.

I don’t know if my throat was constricting or if my tongue was, like, stiff. I don’t know what was going on, but clearly she knew that I was having trouble at this moment. And I also thought, how do you relax when somebody has this tongue depressor so far back in there? It’s a trouble. But I did breathe, and I think we were able to get the throat looked at.

This is why sometimes people will say that deep breathing exercises don’t work for them. First of all, some people do have obsessions about breathing when they start to focus on their breathing. So notice if that’s you, you probably don’t want to be doing deep breathing exercises. And there may be other people who do deep breathing exercises where they don’t get obsessions, but they get so focused on trying really hard to relax that it actually makes them more tense because they don’t feel a level of safety in order to be able to relax.

Typically, that’s a trauma response to something that’s happened in your life, like your nervous system is like, no, that feels too vulnerable to relax. Sometimes it may be difficult to relax in front of other people where you feel like you can’t actually relax on your own. That’s also a thing. I had to learn this very early working with clients with chronic anxiety or PTSD to be super nonchalant about if they weren’t able to relax in session and just roll with it and try something different.

Now, with Parth’s work, we’re able to explore a little bit more. Okay, well tell me about that part that doesn’t feel safe to relax or that part that feels like it has to be going all the time or has to be performing. Maybe there’s a sense that you feel like you have to be managing or somehow on all the time, if that makes sense.

In your process of learning to relax, I want you to see if you can find some things that bring you joy. It’s okay to let go and have a little fun. We don’t have to be serious all the time. Is there a movie or TV show that just makes you laugh out loud? I’ve shared about this before, but one of the things that I find relaxing is Paint by Numbers, because I don’t have to think about what color I have to paint it.

I don’t have to think about freehanding something, which, first of all, I do not have the artistic talent for, but it’s a slow, kind of steady, easygoing process. I can do a little bit and then put it down for a little while. I can come back to it. And it feels good for me to be creative. Maybe you’re not a creative person, but you like fixing things or tinkering with different projects.

Maybe you find just laying out in the sunshine to be relaxing. Some people like baths. They find those as relaxing. I went through a period with that. I can find baking relaxing sometimes, I don’t do that as much anymore, but there was a period of my life where work was really crazy, I never knew what was going to be thrown at me, but I knew that I could come home, throw some ingredients together, put it in the oven, and come out with banana bread, and something felt really wonderful and magical about that because it was predictable when everything else was not predictable.

What is it for you? What is a small step that you can take to retrain your brain to learn that relaxing is okay, and that you can relax and let go a little bit? Don’t try to change this one overnight. But if you do have some type of trauma in your past that you feel like is keeping you from being able to relax, I would say definitely find a trauma therapist, somebody that can do some type of EMDR, brain spotting, something that’s really going to get your brain and your body engaged in the process.

Somatic experiencing is also really great. Wherever you are in your journey, remember to just be very kind to yourself. And remember, these small steps, even one minute of mindfulness can add up and cause a ripple effect to bigger change. Until next time, may you be comforted by God’s great love for you.

Were you blessed by today’s episode? If so, I’d really appreciate it if you would go over to your iTunes account or Apple Podcasts app on your computer if you’re an Android person. and leave us a review. This really helps other Christians who are struggling with OCD be able to find our show. Christian Faith and OCD is a production of By the Law Counseling.

This podcast is for informational purposes only and should not be a substitute for, seeking mental health treatment in your area.

152. Struggling with Motivation in OCD Therapy? A 4 step process to get going!

In this episode, Carrie shares practical insights on overcoming barriers to motivation, especially when dealing with OCD. She breaks down how to identify what’s holding you back, practice self-compassion, and approach challenges with grace and curiosity. 

Episode Highlight:

  • Why it’s hard to motivate yourself, even when you want to make changes
  • How OCD therapy can be challenging and exhausting, but you can keep going
  • How focusing on priorities, rather than making excuses, can help you make time for recovery
  • Why saying “no”  to OCD opens up time for self-care and better habits
  • How to get specific about what you want in your life and why it’s important for motivation
  • How rewarding yourself and tracking progress can help you stay motivated on your recovery journey

Episode Summary:

Have you ever felt stuck, wondering why you can’t just motivate yourself to do the things you really want to do? Trust me, you’re not alone.

Today’s episode is all about the struggle with motivation. You know that feeling when you have a goal, but somehow can’t bring yourself to take the next step? It’s common in OCD therapy. 

As a counselor, I’ve worked with many people who struggle with motivation because of OCD. They spend hours on rituals like washing or seeking reassurance, leaving little time or energy for the healthy habits that are essential for healing. If you’re feeling stuck or frustrated with your progress, I want to help you shift your mindset. Let’s stop being hard on ourselves and instead ask: What’s in the way, and how can I overcome it with God’s strength?

In today’s episode, I’ll share practical tips to help you stay motivated, whether it’s focusing on therapy, prioritizing self-care, or simply setting small, achievable goals. We’ll also talk about how rewarding yourself for even the tiniest victories can keep you moving forward, one step at a time.

Tune in to learn how to embrace progress over perfection, stay motivated, and lean into God’s strength as you work toward healing.

Explore Related Episode:

Have you ever felt like, why am I not doing the thing that I say I want to do? Why can I not motivate myself, get my butt in gear to do the things that are important to me? That is what we’re talking about today. Hello and welcome to Christian Faith and OCD with Carrie Bock. I’m a Christ follower, wife and mother, licensed professional counselor who helps Christians struggling with OCD get to a deeper level of healing.

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

I’m here to help you let go of the past and future to walk in the present abundant life God has for you. So let’s dive right into today’s episode. You may know that Christians Learning ICBT is starting January 13th. And while this training is geared towards lay people, not necessarily professionals, we did have one professional join us this fall.

So I wanted to play you a little snippet of what her experience was like. Hello, I am Erica Kesey. As a therapist and a coach, I have been able to take this information and use it with my clients to be able to actually break them free from those obsessions. It’s been absolutely amazing, and now it has totally unlocked them in ways that we would never been able to do it without this training. To find out more information about Christians Learning ICBT, go to carriebock.com/training. I’m sure you’ve had this experience where you may have had a particular goal in your life that you were wanting to achieve. But then when you actually go to put the steps in place, it seems like you just can’t push yourself to do it.

You just can’t seem to get there. What I see in OCD therapy is a couple different things. One, it’s hard. It’s not easy in this recovery process. You guys, the OCD warriors out there, It’s hard to keep going day after day when you feel like you’re fighting all of these thought processes and you might have struggled to get particular help that you’ve been looking for.

You might have tried a couple things that haven’t worked for you, and it just seems hard to pick yourself up to keep going and going again. With clients, what I see is that, well, I’ll give them homework, or they’ll have a specific goal they’re working towards, or some small actionable step that they’re going to take that week.

It could just be reading their ICBT homework, writing their obsessional story. It could be a goal towards stress management and reducing their stress level at home. And then we come back the next week and maybe they haven’t done the thing. And I think for a lot of us, it goes towards this road of shame.

Like, oh, I didn’t do the thing I said I was gonna do. I feel awful about it. I’d like to take a different perspective and say, okay, well, let’s reduce the judgment and reduce the shame on it and just be curious about it. What got in the way of you doing the thing? Or what do you feel like is the roadblock or the barrier?

I think your first step really is to be curious about this motivation issue. Like if you were an employer and you had an employee that wasn’t working very hard, you could go really hard on them and say, why aren’t you doing the thing that I told you to do? Or you could take a more gentle approach and say, Hey, I noticed your performance standards haven’t really been up to par lately.

Why do you think that is? Help me understand. Tell me what’s going on. Because you might not know. Maybe that person is caring for an aging loved one. Maybe they’re under some health stress that they’re not gonna tell you about. This is a way that we want to be with ourself. Just very gentle, self compassionate.

Okay, so I didn’t do the thing that I set out to do. Let me be curious about that. Are there thoughts connected to that? Is there a sense of hopelessness? Like, I could try this, but I just don’t feel like it’s ever gonna get any better. It could be that you feel like you don’t have any time for your OCD therapy, or you don’t have time to engage in the things that your therapist is asking you to do.

When we say we don’t have time for something, what I hear is, I’m prioritizing other things over that. So what am I prioritizing over engaging in strategies that are actually going to help move the needle and get you to a positive place with your OCD recovery process? And it’s amazing when you say no to OCD, just a little bit, imagine how much time you can get back.

Because what I hear is people telling me that they’re spending two hours washing something. Or they went down the YouTube rabbit hole trying to get some type of reassurance for their relationship issue that could have been funneled into doing something more healthy for their self care or for their OCD recovery.

You might not have time to do things that will be helpful to you, like journal, or meal plan, or other healthy habits, taking a walk, exercise, because you are spending a lot of time scrolling. We have to be honest with ourselves and take a hard look. I took the Facebook app off my phone because I was habitually going into it.

I still struggle some with habitually checking my emails, it’s like, oh, is there a new email in there? I don’t know why I get so excited about email, it’s still gonna be there, it can wait. My point is, how much activity are you spending on things that are mindless and not really helping you with your physical, mental, or emotional health?

I know some of you out there are my caretaker individuals, and you are so focused on taking care of your children, making sure that your household is run well, taking care of your husband, taking care of parents, other people, everybody else but yourself. And so in your curiosity process, as you’re going through and examining, why am I not engaging in things that are healthy for me?

Are you feeling guilty because you’re doing things for you instead of doing things for others? This is where I have to go back to Jesus example, where he took time to retreat, to get away from everybody else, to go spend time with the Father, to fill up before he could pour out. Jesus also said no to people.

He took time to rest. He took time to socialize, slow down, dine with people. He was serving, loving, and meeting other people’s needs, but he also knew that he had physical needs and spiritual needs that needed to be attended to. I think some of us who are knee deep in the trenches, doing a lot of work at church, being involved in a lot of Christian activities, I think we forget that our spirituality and our relationship with God is more about being than doing.

Our doing has to flow out of our being, otherwise we are going to get burnt out because we’re going to be reliant on our own strength instead of plugging in and relying on the strength of God. After you’ve been curious about what’s going on, why am I not doing the things, then we need to go back to, like, get super specific about what is it that you want and why do you want that.

I’ve worked with so many people who will come into counseling and honestly they don’t even know what they want and part of our process is really helping them sink down and tune in and dial into when you say I want to be free from OCD, when you say I want to have peace, Tell me what that looks like. I need to know.

Okay, well, I’m spending this much time taking an hour and a half shower that I could be spending with my child. I’m asking so much reassurance from my spouse that they’re now annoyed and frustrated with me and almost a little cringey when I come to talk to them about something. I need to get back to that friendship relationship with them.

That’s what I want. This is your time to get super specific. You may often look at what you want to remove from your life and I would say that’s not a good place to start because if you remove something from your life, it’s going to have to be like filled in with something else and if we don’t even know what that something else is, there’s not much motivation for us to start removing stuff.

A greater analogy would be that if you have a bunch of weeds in your garden maybe and you want to pull those up so you can pull up the weeds but then if you don’t plant something else there that’s going to flourish and grow and use that soil and expand and spread out eventually like if you were to plant enough plants they would crowd out the weeds logically for the most part.

Or, there might be still a little room for the weeds to grow, but they wouldn’t have the whole garden territory. What are some positives that you can plant in your life that will rowd out the weeds of OCD? I know a lot of you are incredibly smart people, deep thinkers. And you are going to need a healthy way to engage that mental activity.

If we just say, okay, let’s just pluck out the OCD and then you don’t have any other way for your brain to be challenged, that might really hurt you and the OCD just ends up creeping back in there because it’s a way of your brain, like, expanding and problem solving and mulling over things. You might need a healthy project that you can get knee deep in the weeds with and have that level of focus and instead of it going towards OCD problem solving, have it go towards a hobby or a new skill that you want to learn.

Before my daughter was born, I was really engaged in trying to learn Spanish, and I was on the app, and I was playing the different games and trying to figure out what was going on. I have not kept up with that, but my point is, when you are really focused in on a task like that, you’re expanding your brain, you’re using your mental energy, but it’s really hard to focus on anything else at that point, to have other things competing.

So what is it that you really want? Is OCD keeping you from engaging socially? Is it keeping you from dating? Is it keeping you from having more friends? Or going out to restaurants? My point is, you don’t just want OCD to go away, just like someone doesn’t just want to lose weight. There’s a reason they want to lose weight.

They’re looking for more confidence, or for greater health numbers, or the ability to do certain things that they’re not physically able to do now. When you dial into what you really want, it helps you know And stay motivated to move forward. If you can visualize yourself in these positive avenues that you’re looking for, if you can visualize yourself getting in a dating relationship, for example, and I know that that may seem really far off.

It may seem super hard. You may feel very insecure about being able to do something like that because of OCD. For some people, I know it’s having children. They feel so nervous about having children because they’re struggling with OCD. Whatever the thing is, if you can picture it and have that positive picture in your mind going forward, that’s so going to help you stay motivated.

That’s what I’m after. That’s what I’m moving towards. It’s a new identity. A lot of times it’s a new version of yourself. Once you have that positive picture in mind, then I want you to think about what is going to actually motivate you to get there. Now, motivation is interesting because different people are motivated by different things.

There might be something that motivates me that really doesn’t motivate you. And this goes back to what do you want? There are all kinds of different things that you can use to celebrate or reward yourself along the way. We do this with children all the time and we forget to do it as adults. I had a cousin that worked for a major brand, I probably shouldn’t say it, but anyway, this individual worked for a major brand and my aunt said one day, they run that place like a kindergarten classroom.

And I thought, Well, they haven’t been in business for a long time, so there must be a really good reason why they’re running it like a kindergarten classroom. What she meant by that was it wasn’t like they were talking down to them. She meant it in a positive that they had all kinds of goals and rewards and stars and swag that they could get.

Because it works, because those types of things motivate people. So for you, it might be a coffee, it might be, let’s go to this new restaurant that I’ve been wanting to try, let me go get a pedicure. Some of those rewards might be naturally built into what you’re wanting to do. So for example, if someone’s afraid of flying and we help them work through that, They’re able to now go on vacations that they weren’t able to go on before.

Some of the rewards might be naturally built in, but if they’re not, then that’s an opportunity for you to say, Okay, how am I going to make sure that I’m tracking my progress? That I’m really celebrating that I’m talking, it could be as small as when I have a victory over OCD, for example, if Googling is a problem when I say every time that I say no to Googling.

I’m putting a sticker on my calendar, or every time I get away from the sink in ten minutes or less, I’m putting a sticker on my calendar. I’m gonna really celebrate that, and then when I get a certain number of stickers, I’m gonna have this type of reward. Kindergarten classroom it for yourself. Some of you are really motivated by positive words, or by verbal praise.

That’s great. You can do that for yourself or you can have other people around you engaged in that process. Like if you tell your spouse, Hey, whenever you see me really struggling and I don’t ask for reassurance or you see me like, say, start to ask and then stop. Will you please acknowledge that? Will you please say something positive?

Or will you write me a note when you feel like I’ve been doing a little bit better with OCD? It is helpful to have others acknowledge when we’re doing a little bit better, but it’s also important to be able to acknowledge your own accomplishments in this area. When we have praise, that reinforces and makes us want to do that more.

Like I said, we have no problem doing this with children all the time. We’re like, good job, kid. You put your plate in the sink after dinner. My daughter right now, we’re doing the whole like potty training deal. Here’s a gummy bear if you sit on the potty, like, woohoo, we have songs, we have a little book with plays music, all the things to make it a positive, happy, praiseful experience so that she wants to do that more.

The other thing that we do with rewards very easily is we can say, let me get this done and then I’ll go do that, a less preferred task and to a more preferred task. For example, if I say, oh, I’ve really got to write this email out or I’ve really got to work on this report, let me do this first and then I’m going to take a break and do that and go outside and rest for a little bit.

Let’s work really hard as a family to clean the house together and then we’ll order a pizza or go out for dinner. Maybe you’re working on exposures or you’re working on ICBT homework and you say okay after I do this Then I’m going to do something more preferable I’m not gonna watch that show that I have saved in my queue until I’ve done this piece right here So now that we’ve talked about rewards a little bit, and rewarding yourself to be motivated, I want to talk to you about who is on this supportive journey with you.

Do you have friends that know that you’re going through this? Do you have family members? Do you have a spouse? Do you have parents? Like, who is on the journey with you? That you can have healthy accountability with that you can say to that person, like, Hey, ask me, have I done this thing next week? When you see me, I have a business bestie.

We meet once a week and we just talk about it. What are you doing in your business this week? What are you going to be working on? What’s the next step? And just having that healthy check in accountability regularly is so important. And it has helped both of us be able to move our businesses to a healthier place.

You can do that in your OCD recovery process, you can get some friends or family together to check in with you, that you can provide information, I don’t think it’s always just having somebody else, like, ask you, you need to be able to share yourself and be okay asking for what you need, like, hey, hey, Whether that’s what we were talking about before, like asking for praise at certain times, asking, can we go do this together if I meet these certain goals?

I would love to be able to support you in January with Christians Learning ICBT. I am in Tennessee, but we have people from all over that are going to be on there just learning these modules together, learning how to have a healthier, relationship with their OCD, learning to manage their thought process differently, and to say no to OCD’s demands, to give in to compulsions.

I would absolutely love to have you on there. If you go to karybach. com slash training, we’ll also put that link in the show notes for you. But it’s karybach. com slash training. You can find out all about Christians Learning ICBT. You’ll find out when we’re meeting once a week, but even if you aren’t able to meet at that time, we’ve had several people, this cohort who weren’t able to make the lives, but they did go back in and watch the course material.

They set aside an hour and a half a week to really engage with the video and then do the homework and have seen progress. Until next time, may you be comforted by God’s great love for you. Were you blessed by today’s episode? If so, I’d really appreciate it if you would go over to your iTunes account or Apple Podcasts app on your computer if you’re an Android person and leave us a review.

This really helps other Christians who are struggling with OCD be able to find our show. Christian Faith and OCD is a production of By The Well Counseling. This podcast is for informational purposes only and should not be a substitute for seeking mental health treatment in your area.