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Tag: Christian OCD Testimony

230. Handling OCD Flare Ups with ICBT: A Personal Story with Rachael Kelley

In this episode, Carrie sits down with Rachael Kelley, a Christian writer and former Empowered Mind student, to discuss navigating OCD flare-ups, overcoming scrupulosity, and learning to trust God’s love throughout the recovery journey. 

Episode Highlights:

  • How Rachael Kelley learned to navigate OCD flare-ups without viewing them as failures in recovery.
  • The primary obsessional doubt that was driving many of her scrupulosity fears.
  • Why OCD often disguises itself as spiritual conviction and how to recognize the difference.
  • The ICBT strategies that helped her challenge intrusive thoughts and obsessional reasoning.
  • How learning to tolerate uncertainty strengthened both her recovery and her faith.
  • Practical tools, support systems, and mindset shifts that continue helping her move forward when OCD resurfaces.

Episode Summary:

The Recovery Truth Most Christians With OCD Don’t Expect

What if one of the biggest signs of growth isn’t the absence of OCD, but how you respond when it comes back? Many Christians begin recovery hoping for a day when intrusive thoughts completely disappear, only to find themselves discouraged when symptoms resurface. In this episode, Rachael Kelley, Christian writer, OCD advocate, and former Empowered Mind: Christian ICBT for OCD student, shares her honest journey through scrupulosity OCD, relationship OCD, and one of the most difficult seasons of her recovery. 

Why Do OCD Flare-Ups Happen Even After Significant Progress?

Many people assume that once they’ve found the right treatment or recovery tools, OCD should stop showing up altogether. Rachael shares what happened when intrusive thoughts returned after significant progress and how those moments challenged everything she thought recovery was supposed to look like. Instead of signaling failure, these flare-ups revealed something unexpected about the healing process that continues to shape her journey today.

How Can Christians Tell the Difference Between God’s Voice and OCD?

One of the most painful struggles of scrupulosity OCD is the fear that intrusive thoughts might actually be God trying to get your attention. Rachael opens up about how this fear kept her trapped for years and why learning to recognize the difference became a turning point in her recovery. She shares a framework that helped her begin separating anxiety-driven messages from the character and nature of God.

What Is the Hidden Fear Driving So Many Scrupulosity Obsessions?

On the surface, OCD can appear to be about dozens of different concerns, from theology and morality to relationships and decision-making. But what if those obsessions are all connected by a deeper fear? Rachael shares the primary obsessional doubt she uncovered through ICBT and why identifying that root issue changed the way she approached recovery.

Can Your Brain Really Change After Years of OCD?

When OCD feels relentless, it can be hard to imagine life looking any different. Rachael describes a season when anxiety became so overwhelming that she questioned whether she could continue functioning normally. What happened next wasn’t an overnight transformation, but a series of changes that gradually shifted her relationship with intrusive thoughts and helped her find hope again.

Why Does Uncertainty Feel So Intolerable With OCD?

Whether it’s a major life decision, a theological question, or a new relationship, uncertainty often becomes fertile ground for OCD. Rachael shares why the search for certainty kept pulling her deeper into anxiety and what she learned about moving forward when answers aren’t available. Her perspective may challenge the way many Christians think about faith, trust, and control.

How Can ICBT Help You Break Free From OCD’s Reasoning Traps?

One of the most powerful parts of Rachael’s story is learning how OCD convinced her to distrust what was right in front of her. Through concepts like primary obsessional doubt, sense data, and obsessional reasoning, she began recognizing patterns she had never seen before. These insights didn’t eliminate every struggle, but they completely changed how she responded when OCD tried to pull her back into old cycles.

What Happens When You Stop Chasing Perfect Recovery?

For many people with OCD, perfectionism quietly follows them into the recovery process. Rachael shares how letting go of the expectation of perfect healing opened the door to something far more sustainable. 

Rachael also shares the surprising realization that helped her navigate future flare-ups, the practical email inbox analogy she uses to sort intrusive thoughts without getting stuck in them, and the encouragement she wishes someone had given her during her darkest season. If you’ve ever wondered whether recovery is still possible when OCD keeps showing up, this conversation offers hope, perspective, and a powerful reminder that setbacks don’t have the final word.

Connect with Rachael:

www.instagram.com/rachael.anne.writes

rachaelannewrites.substack.com

My Game Plan for Getting Through an OCD Flare-Up

Transcript

Carrie: Today we are returning with our summer personal story series, and I have with me today Rachael Kelley, who was one of our Christians Learning ICBT students, that we have rebranded that course to Empowered Mind Christian ICBT for OCD. I’m excited to hear from her since it’s been a little while since she’s taken the course and just kind of has had a little bit of time to practice, and we’re talking about those times where OCD flares up today and how to continue practicing skills that you’ve already learned.

Carrie: I know this is gonna be relevant for many of you as you’re on your recovery journey.

Welcome, OCD warriors, to the Christian Faith and OCD podcast, where we are all about reducing shame and stigma of struggling with OCD as a Christian, sharing hopeful stories, and replacing uncertainty with faith as you develop practical tools for greater peace.Carrie: I’m Carrie Bock, Christ follower, wife, mom, and licensed professional counselor in Tennessee. I pray you are blessed by today’s episode

Welcome, Rachael. Glad to have you here today.

Rachael: Thanks. I’m glad to be here.

Carrie: Yeah. How did you discover that you were dealing with scrupulosity OCD? How did that come about?

Rachael: Really, when I look back at my childhood, I can see kind of patterns of OCD popping up, but it wasn’t really until I was in college that it really manifested itself as relationship OCD to start. A couple years after that, I was dealing with a particular string of intrusive thoughts that led me down a research rabbit hole, and eventually to a Reddit forum that made me realize, like, “Oh, this might be OCD that I’m dealing with.”

Rachael: I’ve been a Christian my whole life, but my faith has really become more and more important to me over the past couple years. And as that was growing, the scrupulosity also started growing. It seemed like the more I cared about doing the right thing in a Christian sense, the more my OCD was latching onto that and twisting it.

Carrie: That’s frustrating, right?

Rachael: Yeah, definitely. I had a friend who I met with super early on in the process of, like, learning that I had OCD too. Just that initial dose of empathy was really helpful, like, okay, somebody else gets it. And from there I kinda started doing my own research, which eventually led me to finding this podcast, which was just about four years ago now that I first stumbled upon it.

Carrie: Awesome. You’ve been around a little while then. People have different thoughts about OCD recovery. I think initially they’ll come and say, “Okay, I just never wanna have another intrusive thought ever again,” and we have to educate people. Everyone has intrusive thoughts, even people that don’t have OCD. How has your perspective on, like, healing and OCD recovery changed from maybe where you were in the beginning?

Rachael: That’s a good question. Actually, like a long time ago, probably like a year or two after I had listened to the podcast, I remember, and I don’t know if you remember this, but I had, like, sent you a Facebook message or something, and I was like, “Hey,” like, “thanks so much for just what you’re doing for this community.

Rachael: It’s awesome.” And then you had said something like, “Well, we’re always looking for people to share their story on the podcast if you’re interested.” At the time I was like, “I don’t think I’m at a place where I can go on that podcast and be like, ‘Look at what I’ve learned,'” ’cause I was really just in the thick of it still.

Rachael: And so I kind of over time formulated this goal of like, okay, one day I’m gonna reach this point of healing where I feel good enough and, like, perfect enough to go on the podcast and be like, “All right, guys, you can make it through, like everyone else made it through to this perfect healing state, and now I’m there, too.”

Rachael: So that has definitely adjusted. Over the past, like, six months or so, like there’s been growth throughout the whole journey, but definitely the most healing has happened over the past six months, and that’s thanks in combination to getting on a good medicine And at the same time taking the ICBT course with you.

Rachael: But even since then, I’ve experienced the whole healing is not a linear journey thing that people say. I’ve had plenty of flare-ups along the way, especially if there’s, like, something new happening or a change, or I have to make an important decision. Yeah, things can really flare up for me. But with the new tools I was learning, God has, like, given me The grace to start getting back to this new normal that I now get to live from.

Rachael: Yeah, such a blessing, and probably something I now take for granted. But now when I go through flare-ups, I get frustrated, but I also trust that it’s gonna pass, ’cause, like, if God got me through all those other ones, then He’s gonna get me through this next one, too. Now, coming on the podcast, I don’t feel like I have reached that 100% healed state.

Rachael: I don’t think I’m gonna get there, or any of us will get there until we get to heaven or the new creation. But I think it’s important for people to know that even if they still feel like they’re in the middle of this healing process, which all of us are, that struggling with their OCD doesn’t mean you’re failing.

Rachael: God is really teaching us something different each stage of the journey, and there’s no rush to achieve a certain level of healing by any particular point. We can do what we can, but we just gotta trust His sovereignty. Just trust that there’s still gonna be growth happening, even if we can’t feel it, and we can still pursue our values and still live meaningful lives even when we are struggling with OCD.

Carrie: Yeah. Was that a hard acceptance to come to you of, like, “Okay, sounds like I can still live a good life even though there are gonna be some of these mental health struggles that pop up from time to time”?

Rachael: I think it took me a while to get there, and probably, like, something I would still struggle with, ’cause I feel like a lot of people that have OCD are also either perfectionists or have some control issues in some way.

Rachael: So I definitely spend a lot of time being like, “All right,” like, “it’s not just quite right. Like, if I could just obsess a little bit less, it would be perfect, and then I would be better.” So I still have to check myself in that area sometimes. But I think my overall mindset towards it has shifted, and I’m like, “Okay, like, I’m at a livable level.

Rachael: I can get through the day. I can connect with people.” Not every minute is fun. Sometimes I’m struggling, especially during lunch, for some reason. I don’t know if it’s ’cause I, like, take a break from work, and now my mind is wandering.

Carrie: Free space to think.

Rachael: Yeah. But I think it’s just normal to go through those ebbs and flows.

And kind of releasing the control of, like, it has to be perfect all the time, it’s been helpful.

Carrie: Where were you at before you took the ICBT course? Like, what was going on that you said, “You know what? I need a little bit of extra help or support at this point in my life”?

Rachael: Over those few years after I realized I had OCD and, like, deciding to take the course, I had tried a lot of different things.

I was working, and I still work with a Christian counselor, but she’s not trained in OCD. So we had tried some things like EMDR that didn’t quite touch on the OCD, but it was helping with other things. So I would do a lot of stuff on my own. I would try ERP things on my own. I would do different workbooks.

I had tried getting healing prayer, just, like, asking God, “Heal me, strengthen me.” And I had even tried an ICBT workbook on my own, like, earlier last year. So I took the course in the fall, and sometime in, like, the spring or summer- I had tried, what’s the guy’s name that developed OCD?

Carrie: Dr. Ardema.

Rachael: Yeah, I had his workbooks, and I made it through the first one, and then the second one is very dense and overwhelmed.

Carrie: You were like, “What in the world is he talking about right here?” Yeah. Number two has a lot of meat in there

Rachael: Yeah, during the summer last year, I was hitting really, like, a rock bottom point. My OCD was so flared up that it felt like everything I looked at was just triggering an obsession. That might be a hyperbole, but that’s what it felt like in my brain.

There was a point where I was obsessing a lot about my job, and I was afraid, like, am I gonna be able to, like, keep functioning and keep working, or is this OCD gonna, like, make me so that I can’t even work? And I ended up being able to stay at work, and I didn’t drop out or anything, but it was right around then where I decided to take the course.

I had to prove to myself, like, okay, can I make it through another week of work? And if so, then I will take this course. If not, then do I need to go to, like, get more extreme treatment somewhere? I don’t know.

Carrie: Wow. So you were on the verge of, “I might need to go somewhere and get residential or intensive outpatient-type treatment.”

Rachael: Yeah, there was one day that was especially bad where I was like, “Oh, my gosh, is this where I’m headed?” Luckily, that wasn’t the case. God was able to get me through that day, and then got through the rest of the week, and I feel like that was a turning point where I was really like, “Okay, I cannot keep listening to this voice of OCD.”

Like, I have to be like, “No, I’m not gonna listen to you because it was just destroying me from the inside out.” So that was kind of this turning point, and then when I felt that little bit of strength again, like, okay, I can make it through a work week, I think this course is the next right step. So I decided to take the course, to invest in that.

Rachael: There were so many things that helped me through it. I feel like I recommend it to everybody now because.

Carrie: Aw that’s sweet …

Rachael: yeah, there were just so many, like, aha moments throughout. It really breaks down OCD and helps you understand it a lot better, like how does it work. And I was kinda glad too that I had done some of the resolving OCD workbook beforehand ’cause it felt like, okay, I’m, like, getting a review of these things I was learning now.

But now from having that Christian perspective as well was really helpful, so I felt like that really grounded me. Overall, it was a really good experience. I remember every Monday afternoon, it felt the little safe haven where I was like, okay, now I’m gonna have somebody that understands me, speaking life, and, like, helping me not feel my brain is beyond repair.

Carrie: Yeah. I think the hope piece is so huge. Like, that’s one of the reasons that we’re here. Whether people take the course or not, just them being able to have hope that they can get better, have a different relationship, you know, with their OCD is, is really important and really huge for people to hear, regardless of how bad it feels right now.

Carrie: Tell us about some of the things that you learned that stood out to you in terms of ICBT, learning about primary obsessional doubt, those types of things.

Rachael: Yeah. I feel like, I mean, so many things from it stuck out to me, but the primary obsessional doubt was one of them. Also, the idea of, like, sense data So basically checking if an obsession is based on sense data is, okay, is this obsession grounded in reality or is it coming from the imagination?

And that’s a really good litmus test to see if something is OCD or not. The primary obsessional doubt was really eye-opening. Just like the idea that all of our obsessions, or at least you could have a couple different primary doubts. Is that right?

Carrie: Yeah. I mean, I think you can, but in terms of scrupulosity, you want to really…

Carrie: Like, it can just go in so many different directions and have you stuck on a particular scripture verse or stuck on a particular obsession over here, and you can get lost in the weeds, and you never really actually get to the root of what the doubt actually is, if that makes sense.

Rachael: Once I kind of thought about that with your help, I think we had an email exchange, and you were like, “Hey, don’t get distracted by all these obsessions and where they’re taking you.

Like, look at what is the thing that is connecting them all. What is the root of all this?” And for me, I learned that was the obsession that if I do the wrong thing, God is gonna stop loving me, and this is, like, nowhere in the Bible does it say that. But in my brain, for some reason, that’s what I was afraid of.

So I had a lot of obsessions targeted around, like, okay, is this thing sinful or not? Can I watch this movie? Can I read this book? Can I listen to this certain pastor? Can I be friends with this person? Just really being distressed by the idea of I have to make sure I’m not sinning, or else I’ll lose God’s love.

Rachael: When I’m outside of that OCD head space, and I look at that, I’m like, no, scripture says that God, no one can snatch me out of His hand, and He loved me when I was still His enemy, so, like, why would He stop loving me now? But when you’re in the head space of that, it just seems totally legit that, oh, yeah, what if God doesn’t love me?

Or, like, what if He stops because of something I’ve done?

Carrie: Yeah, and it kinda goes to the obsessional reasoning process that the first step is that you distrust the sense data. I think sometimes that’s distrusting the scriptures, and, like, for Christians, well, I don’t know if that really applies to me ’cause OCD will tell you, like, “Yeah, that’s for other people,” or, “I don’t think that really applies to you or what you’re dealing with.”

Carrie: Yeah, like, feeling disconnected from God’s love or heard that from other people as well. But I think obsessions that you’re talking about, about decision-making and morality and sinning and not sinning are very common for a lot of different Christians. So really targeting that, and then what was it like for you when you went into, like, your alternative narrative, and you were able to utilize some of those scriptures?

Carrie: Did that help you, you know, through that process?

Rachael: Yeah. The alternative narrative was really powerful for me. Basically, and correct me if I’m wrong about any of this, but the alternative narrative is kind of presenting, like it seems, an alternative story that you can tell yourself versus this obsessional story that OCD has been telling you.

Rachael: OCD, like, takes all of these facts, or things or facts, and weaves together this narrative and then tells you this story of, like, “This must be true.” But then the alternative narrative kind of presents this other option of, like, “Hey, but what if this is true?” And so for me, developing the alternative narrative, I really wanted to focus it around that primary obsessional doubt and, like, refute what it was saying.

Rachael: So I wrote this really long thing in my notes app that was, like, basically just a bunch of statements and affirmations, and each one was backed by a verse from scripture. And over the course of one or two months, I would read it every morning, and it would reaffirm truths like, I can’t lose God’s love.

God loves me like a father. My attachment to him is this secure attachment, things like that. It was really helpful, I think, and now I have alternative narrative version two that’s, like, targeted at other things that I’m struggling with right now.

Carrie: Okay.

Rachael: One thing that I think is important to note about the alternative narrative, too, is to not use it when your OCD is really flared up, because then it could just become another reassurance compulsion of like, “Oh man, I’m anxious.

Let me read this thing to convince myself that I’m really okay.” So taking the time to engage with it when your OCD is quieter, like, hopefully you do have a moment like that and can engage with that. I think that can help your brain kind of rewrite those beliefs in a healthier way, rather than, like, the compulsive, “My gosh, I need to think a different way.”

And a kind of example of that change happening, I remember near the end of last summer, there was a month or two where things were– when I was really in the thick of it, every morning I would wake up an hour and a half before my alarm, and the obsession of the day would pop into my head, and I wouldn’t be able to fall back asleep, and I would just be flipping around, thinking about whatever it was, and eventually I’d have to get up and go to work, where I was also obsessing about what I was doing all day.

But over time, as the medication started to kick in, as I was taking the course, as I was reading this alternative narrative to myself, things gradually started to change. I started to notice, like, “Oh, I’m falling back asleep again. I’m not staying up from four to five thirty AM.” Then I had been, like, waking up with this pit in my stomach every day, and then that kinda stopped happening.

And then all of a sudden, I started waking up, and I would lay in bed, and I would just be like, “Wow, I’m really loved by God. That’s so awesome.” It was just, like, this complete reversal of what had been happening, and so much so that I’m like, “Okay, only God can do that.” It hasn’t been, like, all up and to the right since then.

Like, I don’t wake up every morning just, like, overjoyed about my salvation. Sometimes it feels a little more neutral. Like, sometimes I still get worried about things. But it’s just a testament to, like, your brain can change. Even if your OCD is flaring up, even if you’ve been stuck in this pit for a long time, and it feels like it’s gonna last forever, God can change your brain, and He can help you get through that.

Carrie: That’s huge. I think a lot of people look at this as, well, it’s a neurobiological disorder. It has some genetic ties. Maybe some people, they’re like, “Well, you know, my grandmother had it, and my mom had it, and my brother has it,” so forth, and they can look at that and feel hopeless, like, “Oh, well, I’m just kind of, like, destined to have OCD.”

Like, what you’re saying is, like, there is help, and there is treatment. You know, there are medications that can be helpful for people, and there are tools and strategies that you can learn and different ways to interact with the OCD. So I think all of that is really beautiful, and just coming to this understanding of “God loves me,” I mean, that’s huge because so many people with OCD, Christians, just feel bad or sinful, or God doesn’t love them, God’s disappointed in them, God’s angry with them, whatever.

Carrie: Fill in the blank. And these beliefs are shaped by a variety of different things, whether it’s parents, past teachings, OCD, and believing OCD’s voice is God. And that’s kinda one thing that you’ve struggled with in the past. How have you been able to differentiate that this is OCD versus this is God?

Rachael: Yeah. That was one thing that I think kept me trapped for a really long time because I would think that, what if God is speaking to me through my OCD? So I would hear this voice in my mind being like, “Oh, don’t watch that movie. Like, what if it’s sinful?” Or, “What if this pastor is gonna lead me astray?” Something like that.

Of course, like, I wanna be obedient to God, so it puts a lot of pressure on, like, “My gosh, am I supposed to be following this voice now?” Whatever decision I make, it just felt super anxiety-driven, and I can’t mess up. And there were a couple things that really helped me break out from that, and, like, that is still something I struggle with all the time when OCD flares up.

It is just so convincing when you’re in that head space, and you’re just like, “Okay, but what if this time it’s God?” And, like, you have to go through the whole process again, be like, “I know that’s not God.” There’s actually some people, like, that I’ve told in my life that I’m like, “Hey, when I’m in the OCD head space, I might reach out to you and be like, ‘Please tell me not to listen to my brain right now, because it’s just being irrational.'”

So having that support system is really, really helpful. One thing that was helpful, I remember on a podcast, I think, you just saying multiple times, like, God does not speak through OCD. Maybe He’s gonna sovereignly use your OCD to teach you something or, like, I don’t know, build your trust in Him, but the voice of OCD is a voice of confusion and condemnation, and that is not what God sounds like.

Rachael: I don’t know if I’m saying his last name right, but Michael Kear’s book that I was introduced to because of this podcast, that was really helpful, too. He has a really great chapter in his book, Waging War against OCD, that was really helpful, just differentiating between, “Here’s what OCD sounds like.

Here’s what the Spirit sounds like.” So he used verses 1 Corinthians 13:4-8, Galatians 5:22-23, that’s, like, fruit of the Spirit passage, and then James 3:17 to present examples of, like, “Here’s what the Spirit sounds like. He’s loving, He’s kind, He’s full of joy and peace and patience, and He’s reasonable and full of mercy and good fruit.”

So you look at all that, and you can get this picture of, like, “Okay, this is what God sounds like.” And then you look at OCD, and it’s, like, a completely different story. It’s urgent rather than patient. It’s condemning rather than gracious. It’s confusing rather than bringing clarity. So there is a really stark difference between just the mess and the chaos that OCD creates versus when I feel like it’s God convicting me of something, it’s always this gentle nudge that’s very clear, like, “Hey, this might actually be a good way to move in this direction.”

Whereas OCD is like, “What if I need to do it this way?” So I think of in John 10 when Jesus talks about His sheep knowing His voice, I think that is part of our challenge as Christians with OCD is to learn what does His voice sound like versus what do all these other voices, including this really loud voice of OCD, sound like.

And it’s gonna take a lot of mindfulness and patience and practice on our part to learn that difference, but I think that He equips us and helps us get there.

Carrie: Yeah. You mentioned mindfulness. There are some mindfulness, like, integrations into the course, and we’ve kinda added a little bit more in there too.

How was that helpful for you in that process, or did you find it helpful, some of those exercises of just really, like, being still and paying attention to what’s going on right now?

Rachael: Yeah, I think different mindfulness practices have been helpful for me at different times. I think just, like, in general, cultivating this awareness of what’s going on in my head, and sometimes I might be a little too focused on it.

Like, every thought I’m like, “Oh, I’m thinking this. Oh, I’m thinking this.” But just in whatever way helps a person get there, just being aware of– I’ve heard it said, like, “Paying attention to what you’re paying attention to.” What are the thoughts that are coming through your head? And yeah, whether it’s some kind of contemplative prayer practice where you’re sitting there focusing on a word or an image that brings you back to God, and then just noticing when those other thoughts pop up and kind of letting them go to the side.

A lot of times I’ll picture, like, a river in my mind, and I’ll see this thought kind of pop up. Sometimes it’s like this weird, like, cloud kinda shape in my mind. For some reason, when I let my thoughts go away, it always goes to the right. I don’t know why, but I just imagine the thought just kind of floating away to the right, and I imagine that God’s hands are there at the end of the river, like, waiting to catch the thought, kind of giving it over to Him.

That’s been helpful.

Carrie: But it separates I’m having a thought versus I am this thought, which is really huge for OCD too, because people make all kinds of meanings. “Oh, I had this thought and therefore it’s me, and it must mean, like, something bad about me because I had this intrusion. I must really want to do this awful thing that I had an intrusive thought about,” versus what you’re talking about, kind of a, we call it thought diffusion.

Carrie: It’s like just noticing and, like, allowing the thought to kinda go by in whatever. There’s different imagery that people can use for that, like thoughts on a cloud, that type of thing, thoughts on the river. So, you’re letting it go by, and then it, it just creates a little healthy separation I think, which is very helpful.

Carrie: I find that when people have been dealing with OCD for a long time and they’re really getting sucked into that OCD bubble very easily and very quickly, the mindfulness helps them be able to slow down to notice that process so that it doesn’t happen so fast. I also wanted to rewind a little bit and touch on your support systems.

I think that’s great, and I think that we all need people in our life to tell us, like, “Don’t listen to your brain right now.” Like, I think my husband definitely has done that for me in the past. Like, “You’re not thinking clearly. Like, okay? So maybe go to sleep, go take a bubble bath, relax, do something different, because maybe you’ll see this with a different set of eyes later, different clarity.”

I think that we all need that. And so I love how essentially you kinda trained your support system, right, of how to respond to you.

Rachael: Yeah, I think with OCD and, like, really any mental health condition or really anything you’re going through, people don’t always know what you need, or sometimes they have that natural instinct and they know exactly what you need.

Rachael: But most people cannot read minds. And especially if you struggle with reassurance-seeking as a form of a compulsion, you can tell people in your life, like, “Hey, if you notice me coming to you with a bunch of questions that I’ve already asked before, and it seems like I’m just trying to get reassurance, please tell me, ‘Hey, let’s not give into this compulsion.

Like, we can talk about this maybe when your brain is out of this state. But because I love you, I’m not gonna answer this question right now. I’m gonna let you sit in this uncertainty.'” But yeah, kind of guiding people in how to best support you, and then hopefully too, you can learn how to best support them as well, and you can just be that for each other.

Carrie: Yeah. That’s great. So tell us about your email inbox analogy, like when it comes to sorting through your thoughts.

Rachael: So yeah, this is something that I had kind of thought about it, and then during our pre-interview, it really, like, solidified itself. So it’s kind of this idea, so if you picture your brain as this email inbox, there’s thoughts, messages coming in all day, and your job is to effectively sort through them.

Rachael: The first step is building this awareness of what does OCD sound like, what does God sound like? Sometimes you’re not always sure, but it’s a good place to start as you start to build that awareness and almost, like, building this filter that is gonna take any thought that sounds like it could be OCD and put a little flag on it of, like, all right, this sounds like it might be OCD.

Rachael: So step two is figuring out, okay, what do I do with it now? ‘Cause I don’t want it to just sit here in my inbox all day, or, like, it’s just gonna keep sending me the same message over and over. When this new message comes in, it gets flagged with, “This might be OCD.” So I can ask myself then, okay, do I have sense data to support this?

Rachael: Is this a thought that’s grounded in reality, what they call an everyday doubt? So an example would be, like, I’m sitting in my apartment, I smell smoke, and I think, “What if something in the oven is on fire?” That is a thought and a doubt that can be easily resolved by walking over to my oven, opening it- Looking inside, is there food burning?

Rachael: No. Okay, doubt is resolved. But sometimes, if the doubt is something completely different, like, “Oh my gosh, what if my boyfriend isn’t the one for me? Like, how do I know if he’s the right person?” That is not a thought that can be resolved in a matter of checking one time and resolving it. That would be more of an obsessional thought.

Rachael: So if you find out that this thought is based in the imagination rather than on reality, then it goes into either the spam folder or you put a label on it that’s, “Not right now,” or, “I’ll deal with this later.” If it’s OCD and it’s just completely irrelevant to the moment and it’s not anything that you need to resolve at any point, it’s just straight to spam.

Rachael: You just think of it, if you have your little mental river or your sky full of clouds, you just watch that float away. Every time it comes up, you just practice it over and over again. But if it is something, like for example, something I’ve obsessed about a lot is theological ideas or, like, controversial beliefs, that kind of thing, and even if it’s irrelevant in the moment, like say I’m at work and I suddenly think about some controversial topic, it’s not relevant to what I’m doing at that moment, but it is something that maybe I do wanna look at and get a better understanding of.

Rachael: So that’s where I would apply that, “All right, not right now,” tag. It forces my brain to take a pause, to not instantly Google something and get that reassurance. And making yourself wait can be really painful, so that’s another way my support system has come in handy. Like, there was a stretch of time where I just kept wanting to Google things while I was at work, so text my friends and be like, “Hey, this is my accountability text.

Rachael: I’m not gonna Google anything until I get home. Just sending that there.” And then having that extra level of accountability was helpful. When your brain does return to a clear-headed state, you can kind of revisit it and be like, “All right, is this a topic that I want to do a little bit of research on?” Or maybe now I’m like, “Eh, that’s not really important.

Rachael: I’ll just let it go.” And just know, like, if you do end up doing research, setting some kind of time boundary or something like that is helpful, or just being aware if you do start to kind of dip into obsessive territory again, like, just backing up a little bit. But it is important, I think, to, like in the topic of theological issues, like, I don’t know, I could just be like, “Oh yeah, that’s OCD.

Rachael: I’m not gonna worry about it,” and then I never look it up, so I, I have no idea what the different perspectives are or something. I don’t wanna live in ignorance. But I also don’t wanna give into that compulsive research thing, ’cause that’s not healthy and not beneficial for me or anybody.

Carrie: What do some of these things in Revelation mean?

Carrie: Like, that’s what you’re talking about. Like, I would hate to say it’s not important that because it’s in the Bible, like, there’s a reason that it’s there. It’s not that it’s not important. Is it earth-shattering and gonna affect us today? No. Should we probably look at, try to examine the scriptures and examine some different beliefs about what it means?

Carrie: Will we be able to absolutely prove it with 100% certainty? No. Like, those are really challenging areas, what you’re talking about. But I like what you said about the time limit and noticing, like, when it’s becoming obsessional, because I think you could start researching something that’s valid that you wanna have more information about, but then OCD says, “No, you have to resolve this with, like, 100% certainty.”

Carrie: And you have to say, like, “No, there are, like, people that are way smarter than me that have, have, like, theology degrees, and they don’t agree on what this scripture passage means.” And so I am gonna have to wrestle with that and say, “Hey, here’s where I land today,” and move forward or to say, “You know what? I just don’t know, and that’s okay.

Carrie: I don’t know.”

Rachael: Yeah. I was actually talking with somebody yesterday about my OCD, and I described it as a blessing and a curse, but usually a curse of having OCD And they ask me, like, “How is it a blessing?” I feel like having OCD has really challenged me to trust God in those gray areas, in those uncertainties.

Rachael: Like, the passages in scripture that I’m like, “I can’t understand this in this life, in this finite human body. I can’t make my brain understand this.” And we’re not meant to understand everything. Having OCD has forced me to be like, “Okay, I can’t know everything. I can look into things if I want to, but some things I just have to be like, ‘I don’t know.

Rachael: I just have to trust you on this, God.'” And so getting more comfortable with that uncertainty has been a big part of my story, and I think helped me develop more of a reliance on God for the things that I don’t know.

Carrie: We wanted to talk a little bit about the flare-ups that you’ve had since learning the ICBT skills, kind of like how you work through that.

Carrie: Is stress involved? You said there’s some newness or different things. And tell us a little bit about how that’s shown up and how you’ve kind of dealt with that.

Rachael: Yeah, I think flare-ups can happen for a number of reasons. I’ve noticed sometimes it’s just, like, one intrusive thought that I start to consider as, “Oh, what if that is actually God talking?”

And once I consider, like, maybe it’s relevant, it just, like, opens the floodgates for me. So many things I’ve obsessed about in the past suddenly, “Oh, my gosh, what if that, and what if that?” Sometimes it’s just like, okay, there’s that little chink in the armor that it wiggles its way through. But sometimes I think our circumstances can also cause OCD to flare up, or at least have, present the ground on which the weed of OCD can grow more easily.

I think figuring out what that is for you, a lot of times, I think it can be stress. Or for me, like I mentioned, if I have a big decision to make, if there’s a big change happening. With decisions, sometimes I can get really obsessive about, “How do I know I’m making the right choice in God’s eyes? What if He’s telling me to do this?

What if He’s telling me to do that?” Also, situations where there are just a lot of natural uncertainties, like if you’re dating somebody new, you don’t know how it’s gonna work out. There’s a lot of things you don’t know about them, and those aren’t things you can’t know right away, so that’s just the perfect framework for OCD to kinda latch on and be like, “All right, let’s try to figure all of this out without having any information.”

So I think just recognizing, like, when you’re in a season that could cause flare-ups can help you kind of prepare and give yourself a bit of extra grace. And even today, as I was thinking about this podcast, like, I was on my lunch walk. Sometimes with things like this, I’m like, “Okay, I need to make sure my brain is in a perfectly clear state when I’m doing this podcast or when I’m talking to this person or whatever, because I don’t want OCD to interrupt it.”

Rachael: So I knew I’d probably, little obsessions were gonna come in, and they did. And each time I was like, “Okay, yeah, I kinda figured I would obsess about that, but we’re just gonna push it aside.” Kind of being aware, being prepared, not being scared of like, “Oh, my gosh, when is the next obsession gonna come at me?”

Just being okay with being human and being like, “Yeah, God, I’m not perfect. I’m gonna go through these flare-ups.” Like, it’s not gonna be this perfect experience of like, I don’t know, I have fewer and fewer obsessions every day until one day I have none. It’s gonna be like this really bumpy journey most likely.

Carrie: Yeah, and for females too, sometimes hormones can be involved certain times of the month or pregnancy or postpartum, perimenopause. I mean, we just go through so many things as women with our hormones. And so just to kind of, like you said, have grace and self-compassion at times for yourself. There may be times where I’m just like a snotty mess and somebody’s like, “Why are you crying?”

I’m just like, “Just hit me at the wrong time of the month.” If I wanna go there with that person, it’s like I probably wouldn’t react this way at a different time, but right now it’s like really the most depressing thing for whatever reason.

Rachael: Yeah. That’s a really great point. And yeah, something that I think has helped me get through flare-ups a little quicker is just recognizing they’re gonna happen.

I don’t have to beat myself up. Last year, like I used to really just, the self-condemnation was so intense. Like, “Ugh, how could I be here again?” Like, “I should know better.” Instead, I find my brain nowadays being more like, “Okay, we’re here again. God has got me through it before. He’s gonna get me through it again.

God, I need your help again, please.” But not having this picture of God as like… I mean, it’s hard and it goes back to like- How do you view God, and how do you think He views you? Because if you’re viewing God as this very harsh figure, then of course, if you’re struggling again, you’re gonna see Him as like, “Oh, I can’t believe you’re here again.”

But if He’s this loving, compassionate father that is sovereignly, He knows everything we’re gonna go through, He has orchestrated our entire lives, why would He look at me when I’m struggling and be like, “Shame on you”? Like, no, He’s like… Well, I mean, I don’t know what He’s actually thinking, but now lean more towards the way of He wants to help me.

He is looking at me with love. He wants to give me. There’s that verse in Isaiah, I think 41, when he’s talking to the Israelites at this point, I think, but he’s like, “I will strengthen you. I will help you. I will uphold you with my righteous right hand.” I’d like to think that He wants to do the same for us.

He wants to strengthen us and help us. He wants us to rely on Him and depend on Him. He is on our side. He’s for us, and if God is for us, then who can be against us? So just understanding that God’s not our enemy.

Carrie: Yeah. We have the Holy Spirit intercedes for us. We don’t even know how to pray, basically, is what the Bible says.

And when we– when we’re a mess, and we don’t know how to pray, the Holy Spirit intercedes for us. He just kind of translates the mess for what we really need in that moment. And I think just, like you said, God being a loving Father and being for our good and wanting to see us be in a place of where we can go to Him with things, where you’re not scared of God to go to Him for things.

Carrie: Just kinda like I wouldn’t want my kid to be scared to, like, ask me for something or be scared that they’re gonna mess up so that… Or scared all the time of, like, punishment, those types of things. Is there anything else that you wanna share before we wrap up and talk about your Substack?

Rachael: I just kind of wanted to end by saying, like, how grateful I am for this podcast and just the OCD Christian community in general.

I feel like, yeah, Substack has allowed me to connect with a lot of people on there and just empathize, and this podcast has introduced me to a lot of great resources, like the course Being One, and different books. Especially, like, during those times where OCD has been more intense, it just feels like this blanket of comfort to be able to sit down and listen to somebody else talking about their OCD and be like, “Okay, they get my brain.

I’m not alone in this, and there is hope.” What I hope that this episode can be for people, like, I don’t know who all God is gonna lead it to, but I’m just grateful for all the people who have gone before me and shared their story and offered encouragement and hope and done the hard work. I appreciate all the effort that you put into bringing this podcast to life, and just thankful for the people who have inspired me to share as well.

Carrie: Yeah. Well, I’m so thankful that you’re here and that other people have gone before you and been brave and shared their story. And hopefully, your episode will allow somebody else to breathe a sigh of relief and maybe inspire someone else to share their story. You just never know what’s gonna happen. So God is good and has been very faithful in the process.

Check out Rachael on Substack. We’re gonna put a link in the show notes. It’s called Stories for the One. Is that right?

Rachael: I think if you go to substack.com/rachaelannwrites, and that’s Rachael with the extra A, Ann with an E on the end. That will allow you to go from there and either sign up for the, the email alerts for my publication Stories for the One, or if you have a Substack, you can follow me on there, too.

Carrie: Awesome. Yeah. We’ll put the link in there for people to click on it. It just would be nice for them to hear the personal experience when you write about your OCD stuff on there, too, so that’s great.

Rachael: And I also … There’s a certain post I did called The Ultimate Resource Guide for Christians with OCD, and that took, I think there were seven or eight other people from Substack, so either people who have OCD or there was one guy who’s, like, a therapist who specialized in OCD, so a bunch of people.

And it’s just basically a compiled list of resources and links to things that people have either found helpful or they recommend. There’s, like, links to the ICBT course and this podcast, but there’s links to lots of other places. So I would love to point people to that, to be like, “Hey, it might feel…” Like, when I first got involved in this world and was, like, looking for resources, it felt like I couldn’t find stuff.

But there’s actually a lot of stuff out there. It’s just sometimes hard to find. So that was a way of trying to kinda compile things and be like, “Here. Go explore.”

Carrie: Okay. Thank you so much. I hope that Rachel’s story really helped you understand how recovery is a messy process, and there are gonna be ups and downs.

Carrie: It won’t be perfect, but it’s important to stick with it and keep using the skills that you’ve learned. If you wanna find out more about Empowered Mind Christian ICBT for OCD, you can go to keribach.com/training. I’m so thankful that this resource has been able to help people all over the country, and really all over the world.

Carrie: If you’re in Tennessee, I would love to get a more intimate therapy group started here for Christians who are practicing ICBT skills. So if that’s you, please reach out through the website keribach.com/contact.

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.

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

226. Found ICBT after ERP Wasn’t Effective: A Personal Story with Dr. O. Alan Noble

Carrie sits down with author and professor Dr. O. Alan Noble to share his deeply personal journey through years of OCD treatment, intense suffering, and ultimately finding hope through ICBT.

Episode Highlights:

  • Why traditional talk therapy and reassurance can unintentionally keep OCD cycles going
  • How ERP may help some people while still leaving others feeling stuck and exhausted
  • The key differences between ERP and ICBT in treating OCD
  • How ICBT helps people recognize the difference between reasonable doubts and obsessive doubts
  • How faith, community, and hope can sustain people during seasons of deep despair
  • What real recovery from OCD can look like, even when intrusive thoughts still occur

Episode Summary: 

What Happens When ERP for OCD Stops Working?

I never expected to sit across from someone who had done everything right and still felt stuck. Dr. O. Alan Noble is a professor, author of four books, and a contributor to outlets like The Atlantic and Christianity Today. But behind all of that, he spent years battling severe OCD, doing ERP faithfully, and still watching the relief disappear every time. If you have ever wondered whether ERP is truly enough for everyone with OCD, his story will change how you think about treatment.

Can You Spend Six Years in OCD Therapy and Still Not Get Better?

This is something I hear more than I wish I did. A caring therapist. Reassurance given session after session. A client who left feeling okay until the doubts rushed back in before he even got home. Six years of that same cycle. There is something in this pattern that every person with OCD and everyone who loves someone with OCD needs to hear.

What Is ICBT and Why Did It Work When ERP Did Not?

When his ERP therapist finally admitted “this isn’t working,” it cracked open a door. Inference-Based CBT introduced ideas that ERP had never touched, including that not all doubts are created equal and that the content of OCD thoughts actually matters. What Dr. Noble discovered on the other side of that door is something you need to hear him describe himself.

What Does ICBT for OCD Actually Look Like in Real Life?

Dr. Noble still gets intrusive thoughts today. What changed is what happens next. Using tools from ICBT like the bridging exercise, he described working through an intrusive thought that very morning in about three minutes before moving on with his day. Three minutes versus hours of rumination. That shift is what his wife calls miraculous, and after hearing his full story I completely understand why.

How Do You Stay Hopeful During OCD Recovery When Nothing Seems to Work?

There were days Dr. Noble sat on the edge of a bed in tears, convinced nothing would ever change. What kept him going was not a clinical strategy. It was something much deeper. The people, the scriptures, and the perspective that carried him through his darkest moments are all part of this conversation, and honestly this section moved me the most.

Can Christian Faith and OCD Treatment Actually Work Together?

Dr. Noble’s journey started with a biblical counselor who offered scriptures to meditate on. For most people that feels like a lifeline. In his case it became more fuel for rumination. This tension between Christian faith and OCD treatment is one of the most misunderstood areas in mental health, and Dr. Noble speaks into it with honesty that only comes from living through it.

If you have been searching for hope around OCD recovery, wondering whether faith and evidence-based treatment can coexist, or just looking for proof that things can get better, this episode is for you.

Connect with Dr. O. Alan Noble here:  

x.com/TheAlanNoble

www.instagram.com/oalannoble/ 

//substack.com/@oalannoble

To Live Well: Practical Wisdom for Moving Through Chaotic Times

Transcript

Welcome, OCD warriors, to the Christian Faith and OCD podcast, where we are all about reducing shame and stigma of struggling with OCD as a Christian, sharing hopeful stories, and replacing uncertainty with faith as you develop practical tools for greater peace.

I’m Carrie Bock, Christ follower, wife, mom, and licensed professional counselor in Tennessee. I pray you are blessed by today’s episode. If you have been around the podcast a little while, last summer we did a personal story series, which was really great. And always whenever we have personal stories of Christians who have struggled with OCD, we always get really good feedback.

It helps reduce a lot of stigma, and people feel encouraged to keep going and feel like there’s hope for them when they hear someone else’s story. So I’m excited to bring that back to you this summer. And today on the podcast we have Dr. O. Alan Noble. He’s the associate professor of English at Oklahoma Baptist University, a fellow at the Keller Center for Cultural Apologetics, and author of four books, including his latest, To Live Well: Practical Wisdom for Moving Through Chaotic Times, On Getting Out of Bed: The Burden and Gift of Living- That was a really challenging book for me.

I’ll just throw that out there. Definitely prompted a lot of thoughts and took me back to definitely some times where I felt depressed and didn’t wanna get out of bed. That was rough. You Are Not Your Own: Belonging to God in an Inhuman World, is that also the name of your Substack?

Dr. Alan: Yeah, You Are Not Your Own Substack is the name of it.

Carrie: If you have not read Dr. Noble’s Substack, we’ll put a link in the show notes. You need to get over there and read the posts. They’re good. He’s had also a variety of articles published in different places, The Atlantic, Gospel Coalition, First Things, and Christianity. And you’re also married with three children.

Dr. Alan: That’s correct.

Carrie: We decided kind of talking ahead of time to really focus your interview on your treatment and kind of your shift from talk therapy and ERP, eventually over to iCBT, and that was how I got connected with you, actually, was one of our podcast listeners has a Substack, and she had, I think, linked one of your articles or talked about your book on getting out of bed.

That was how I found out about you, which is a really great connection. So if anybody has any guest suggestions out there, please always share them with us. We enjoy hearing those as well. Tell us a little bit about your journey of what it was like for you trying to find the right treatment for OCD.

Dr. Alan: I started with biblical counselor. That was my first move, was with a biblical counselor, and that was not helpful. This person really tried. He was a very sweet man. He really had a heart for God, and he was very kind and gave me a lot of scriptures to think about. But the scriptures just gave me more to ruminate about, trying to make a decision about what I was ruminating about and trying to figure things out, right?

That’s one of my ruminations, one of my fixations, is trying to figure things out. Those scriptures just gave me more fodder to figure things out. He did tell me one thing, the last thing we said to each other that was helpful and was true, which was that I needed to understand God’s grace for me better and the meaning of the cross.

And I’ve found through my therapy that that piece of truth was true. Even though he couldn’t help me with ERP or iCBT, he did understand that I do struggle with understanding God’s grace. So I went from that. I came from a church background where seeing therapists was not what was done. That’s why that was my first step, and then I went off to grad school, and my next step was after talking to a pastor, I decided I’m gonna take this big leap and I’m gonna see an actual therapist, a quote unquote secular therapist who is actually a Christian, but they studied in secular school, so it didn’t count.

And a secular psychiatrist, and this was a big step, and I prayed about it and I talked to a pastor, and he’s like, “Yes, you should do this.” And so I felt like, okay, I’ve got this blessing. I’m gonna do this. And the psychiatrist was helpful with the medication side, but the therapist, we did some light ERP and didn’t really help too much.

I moved to Oklahoma, was in a small town, and the only therapist I could get was somebody who did talk therapy. And at the time, because I’d only done some light ERP when I was in Texas, I really didn’t know that ERP was the quote unquote gold standard. I didn’t know what I was missing out on, and I just thought therapy was therapy.

And the therapist I got in Oklahoma said, “Yes, I treat OCD. I’ve treated OCD before.” So these were the magic words I was looking for, right? I didn’t know any better. I was expecting– That’s what I was looking for, somebody who says, “I’ve treated this before.” And I went to her for about six years, and she gave me reassurance for about six years.

I would come to her with various fears I had. My doubts have to do with fears about having harmed people and being negligent, and she would be like, “No, you haven’t been negligent. You’re okay.” And I would walk away feeling fine until I started my car and then The doubts would come back, ’cause that’s how OCD works, and I would say, “What if she doesn’t know?

What if she doesn’t understand? What if? What if? What if?” So I kept going back to her because it was almost addictive really. Wow.

Carrie: Did she ever, like, say, “Hey, you’re coming back with some of the same things, and we’ve already talked through this”? Did it create any kind of red flags for her, like my- No … the client isn’t getting better?

That’s really concerning, kinda scary. Uh, however, I will say that your pathway is very familiar to me, that I’ve heard this from a lot of- Yeah … different people that I’ve talked through the podcast or who have sought help from me. It’s like, “Well, I went to this person that was a Christian, and they really understood my faith, but then they didn’t understand the OCD piece or didn’t know- Yeah

how to help me.” Unfortunately, there are therapists out there saying, “Oh, yeah, like, I work with OCD no problem,” but then you get in there, and they’re not providing evidence-based care, which is problematic.

Dr. Alan: Yeah, and again, very kind person, very caring, concerned about me, but was not equipped with the tools to address what needed to be addressed with me.

And then I got connected with somebody who actually treated OCD with ERP. I started actually listening to some podcasts, I think, and that’s what sorta tipped me off. And I saw this person who treated OCD in Oklahoma City, which is 45 minutes away from where I lived at the time, so it was a sacrifice. But I said– I reached out to him and asked, “Maybe you can help me.”

And I explained my symptoms, and he said, “Yeah, you have OCD, and there’s this thing called ERP, and that’s what you need.” I was like, “Okay, let’s try this.” And so I tried that with him, and then I tried it with another therapist, and I tried some intensive ERP. I tried it for at least two years of just intense ERP.

And you introduced me as Dr. Noble, and I do have a PhD. I’m a good student. I would imagine. I’m good at doing my homework. I have four books. I’m good at doing my homework. So when you give me an assignment, I’m doing my homework. And so I did my ERP homework. And I really wanted to beat this because it was severe on the scale.

It was not light OCD. It was taking up long hours of my life and really disrupting my family life. I was serious about beating this because I needed to get my life back. And so here I was practicing the ERP for two years, just doing the exposure scripts. I was listening to exposure scripts. I was doing different exposures that I was assigned, doing everything that I needed.

I would see some relief. I would see some improvement, but then it would just come back again.

Carrie: So it was, like, a little bit of relief, but it seemed to be temporary or short-lived. That

Dr. Alan: was exactly- Yeah … the problem. If my OCD was at an eight out of ten, it would come down to, like, five. And stay there for a little while after practicing ERP just vigorously, and then it would just go back up to an eight again.

It wouldn’t come down. I was applying the tools. I was doing what I was supposed to. Really, applying the tools was my life. Wow, yeah. This was what I was doing.

Carrie: So then it was like recovery was taking all of your time, it seemed like. Did you almost feel– I think sometimes people can get obsessed about their recovery.

Did you feel that way? Like, “I’ve gotta do this, and I’ve gotta do it exactly as prescribed,” and all the things. I

Dr. Alan: didn’t feel obsessive about it, but I did feel obsessed about it. So it wasn’t like a compulsion, but I was obsessed about it in a non-compulsive way. I was like, “This is what I have to do. I’ve gotta beat this.”

It was in the back of my head almost all day. I was either doing a compulsion by ruminating in my mind, ’cause that was my main compulsion, was rumination, or I was practicing ERP or thinking about practicing ERP all day. So it was like my life was OCD. That was it. And it was just so draining, and also so boring.

It’s like, I don’t want OCD to be my life. My life is so much bigger and richer than this. I thought it was, and now it was just this.

Carrie: When you were going through that level of intense suffering with the OCD, how did you remain hopeful to keep going? Yeah. Because I think a lot of people just say, “ERP is the gold standard.

It didn’t work for me. I’m just giving up. I’m tapping out right here.” And there are some people that just say, “Well, I’m just OCD. You gotta live with me. Like, this is all there is to it.” Like, how did you keep pushing or keep going?

Dr. Alan: That’s an excellent question because there were times when despair was tapping at my door when I thought that exact question.

I thought, “Okay, this is the gold standard. This is what I’ve been told. I’ve heard all the podcasts I’ve done. I’ve read all the books. They’ve said this is it. This is how you get better, and I’m practicing this religiously, and I’m not getting better. I’m not seeing these results.” Maybe this is as good as it gets.

Maybe I’m not gonna see any more improvement over this, and I just have to come to peace with this. And a couple of things gave me hope. One is in Romans 8:28, Paul tells us that God works together all things for our good. So just believing that God is somehow working my good through this suffering, and I didn’t know how.

I didn’t know the particulars of what that good looked like. I didn’t know how he was redeeming that good, but I knew that he was working my good through that suffering and just resting in that. Also having a group of friends and family who are cheering me on and telling me, “Don’t give up. Keep going Keep fighting, keep pressing on, keep striving for wellness.

Because God desires our good, because we are given stewardship over our body, which includes our mind- Yeah … it is honoring to God for us to desire recovery. We’re not gonna get perfect bodies and minds until the resurrection, but it’s good for us in this life to fight for, to strive for, to work towards healing.

So I was committed to that, and I would look at my kids, I would look at my wife, and I would say, “I have a duty to do this. I don’t get to roll over and give up.” The other thing is that even though these therapists, these ERP therapists, they were great therapists. They were just wonderful therapists. They weren’t seeing the results that they wanted to see in me, but they were great therapists who were using all the tools that they had, and they didn’t give up on me.

They said, “What is it gonna take to see you get better?” It was the last therapist I was working with who actually introduced me to iCBT- Okay … who said, “Allen, this isn’t working” What we’re doing isn’t giving you the relief and the progress that we need to see, that we want you to see. Why don’t we try something different?

And if I can’t provide that for you, maybe somebody else can, because I don’t want you to give up. I know that you can improve. And hearing that meant a lot because, like I said, I wanted to give up. I did wanna roll over. Maybe I’m still gonna have some intrusive thoughts, but it doesn’t have to take up hours and hours and hours and hours of my day.

That’s what I needed to hear.

Carrie: Therapeutically, I’ll just say from the therapist side, that’s a really hard conversation to look at somebody and say, “I believe in you and I believe in your health, and I am in the way of that now.” Like, “I have-” Yeah “… literally given you every tool I have in the box, and I want you to succeed, and that means that you have to kind of fly on away from me.”

Because sometimes people can take that personally of like, “Oh, you’re giving up on me?” It’s like, “No, that’s not what I’m saying. I’m saying you need a different toolbox than what I have-” Yeah “… right now. And for your best interest, it’s not good for us to keep on clients for long periods of time that are not making progress.”

That’s not ethical.

Dr. Alan: Yeah. It was a hard transition, and starting iCBT was hard too, but it was what I needed, and that’s what made the difference for me. I still clung onto that hope. I needed that hope, that belief. What I’ve come to realize myself is that desire for recovery, in my opinion, is the most important key to recovery.

It was at least the most important key to my own recovery because all throughout this journey that I just described, the ups and downs, if I gave up desiring to recover at any point, it would’ve stopped. I had to have this drive to recover. I had to have this belief that it’s my responsibility before God and before my family and before my friends, before my church, and before myself.

Like, I owed it to all those individuals and myself to get well, as well as I could get. I had to have a hunger for that. I had to advocate for myself. I had to keep looking for therapists, the right therapist, the right medication, and that took a drive.

Carrie: Yeah. I think the beautiful thing about living in Christian community is there are days where we don’t have it for ourselves, but somebody else can have it for us.

Yeah. And in your book, on getting out of bed, you talked about this guy that you just kept calling him- Yeah … all the time and felt bad, “Sorry, I’m calling you all the time to help me through these dark places,” and he’s like, “That’s what I’m here for.” And we need that inside ourselves, that drive to get better, but we also need other people to hold us up on the days that we just don’t have it.

Dr. Alan: Yes, absolutely. There were definitely many, many days where my desire was not there, and it was other people carrying me. Three or four friends, plus my wife and my children in their own way, and who I would contact when I was in despair or tempted to despair, and they would give me the hope, comfort me with the comfort of Christ when I didn’t have that comfort, as Paul talks about Corinthians, I believe.

Just give me that comfort when I felt like I didn’t have it, and they would share that with me, not to reassure me, but just give me that comfort so that I could move forward.

Carrie: Was there a particular concept in ICBT that stood out for you or that you found particularly helpful?

Dr. Alan: Just the basic premise that there are reasonable doubts and obsessive doubts.

Just that basic premise itself is really powerful for me, I think. So there are a couple things. That one’s really powerful for me, that I can look at my doubts and say Based on my senses, is this a reasonable doubt? Do I have sense information based on, including my common sense, to evaluate this as a reasonable doubt?

Is this relevant to the here and now? And that kind of rocked my world and flipped it upside down and made it seem like, well, okay, this makes a lot more sense, as opposed to just seeing things in terms of, well, just not even thinking in those terms at all. That really helped me, I think especially because I’m somebody who thinks a lot, and so just having that ability to use my mind without getting stuck in the weeds of the content- Yes

was really powerful. Another really important concept is the feared possible self. Just that idea that this is coming from somewhere, that these thoughts aren’t random. That’s another thing that ERP always felt like it was lacking that didn’t make sense to me from ERP, is that the content is totally irrelevant.

Well, is the content totally irrelevant? Because it seems like it has a pattern. It seems like it all stems from somewhere. So like for me, like it all centers around being a negligent self. Well, that tells me something, and that probably points to something, and that probably matters. So why aren’t we talking about that?

That seems worth poking at, and why aren’t we poking at that? And so ICBT does a good job of addressing that, of bringing that elephant into the room. I really appreciated that.

Carrie: Yeah. And I like that spiritually in the context of the- Yeah … real self. If we’re saying the content doesn’t matter at all, then the content is connected to things that you value.

So it’s like, well, so you’re saying my values aren’t important- Right … versus recognizing like, okay, this is a lie, a false self, and then this is who I really am. What are your thoughts about this spiritually, just in terms of like sense data evidence? ‘Cause we have a lot of people that wrestle with things like sin.

Yeah. Did I sin versus not?

Dr. Alan: That’s a great question. I think we can trust our senses. I think that God has given us senses to use as reasonable tools as best we can to make sense out of the world, and I think that our senses can be fallible. I think there are two things to think about. One is that it’s reasonable for us to trust our senses unless we get evidence otherwise, and that’s what ICBT teaches, right?

If you get data that says that the video you watched was AI, then you change your information, right? Mm-hmm. But otherwise, you trust your senses. But for the person with OCD, the analogy I always like to use is they come up to the street corner and instead of crossing the street, looking once, checking for cars, I know for me, I wanna check like a million times before they cross the street, over and over and over again, instead of trusting their senses, right?

Right. Normal person trusts their senses. They look once, they trust their senses, and then they cross the street if there’s no cars coming. It’s reasonable. God has given us good senses. It’s reasonable for us to trust our senses. And the other thing we can do is, and James talks about God giving us wisdom, and I think that we can pray for wisdom and clarity and trust that God gives us those things, and trust that our senses are good, and let it go at that, and not doubt our senses.

I don’t mean that compulsively. I’m not saying compulsively pray for wisdom, but just in general, pray that God gives you wisdom and trust that He does that, and then move forward in confidence, resolute.

Carrie: How have you wrestled at all, like, with the concept of healing and desire for healing and recognizing, like, okay, God allowed this intense suffering as a part of my story?

Dr. Alan: Yeah, that’s hard. There have been a couple of things that I’ve thought about. What’s hard about this, it’s not just my suffering, but it’s affected other people, right? Sure. That’s the reality, is it’s affected my family, it’s affected my friends. It has ripple effects. Even if you’re living alone, it’s gonna affect your coworkers, your neighbors.

Suffering always ripples. That’s what makes it so difficult, is that you can’t say, “Well, my suffering taught me this lesson, and so it’s been redeemed.” You also have to acknowledge that other people were hurt by it. But I’ll say a few things. I’ll say, one, Paul teaches as a truth, in Romans chapter five, I believe, “Through suffering, I’ve been taught perseverance, I’ve been taught endurance.”

And he says, “Endurance builds character, and character builds hope.” And that’s been true for me. When I look back at what I have been through, this just hit me a couple of days ago. I was just walking along or driving or something was happening, and I just thought, “Allen, do you remember how much despair you were in?”

Just sitting on the edge of a bed crying, just hopeless, just the OCD, just absolute control, feeling like you were the worst monster in the world. You made it through that. Isn’t that amazing what God has taken you through? I didn’t mention this, but thanks to iCBT, through the last year and a half or so, my wife calls it miraculous, the change that has happened because of iCBT compared to ERP.

“It’s just been miraculous,” she says, and I agree with her, and I thank God for it. Yeah. But just seeing that change, part of what I’m looking back at is I’m looking back the change that’s happened in me, the hope that I have, knowing that God can do miraculous things, that He can take me through hard times and bring me through them, and I’m not the same person Another thing that’s happened is that I have been able to help a lot of other people through my own suffering, and Paul again talks about this when he talks about comforting others with the comfort of Christ.

It doesn’t mean that my suffering isn’t serious. It doesn’t mean that my suffering didn’t happen. It doesn’t mean that other people didn’t suffer because of me. But it does mean that that suffering has meaning, that it does something. I have been able to walk with other people who have OCD and tell them that they have hope, that they can get help, that they can do something, that they have agency in their lives, that they can advocate for themselves and get the proper therapy, whether it’s ERP or iCBT, whatever it is, get the proper help.

I can pray for them. I can encourage them. I can teach them not to get reassurance. I can do these things because I have been there, and I can love them. The gratitude I’ve received from that is just so powerful. And then finally, again, I just go back to Romans 8:28. Somehow, God is working my good through this suffering, and He’s working the good of my family through their suffering that they experienced through my suffering and my friends and anyone else who was affected by this.

I don’t know how God is weaving that But I know that God is good. I know that He loves us. I know that He’s just, and I know that He’s caring for us, and I know that He’s almighty, and I know that He’s a good God, and I know that He’s gonna work these things out. I have hope that somehow He’s working these things for the good.

And somebody could look at that and say, “Well, it’s just wishful thinking,” but I would say, “No, I’ve seen Him work miracles.” Yeah. I, I have hope.

Carrie: I think that one of the biggest lies that people believe when they’re in the midst of suffering is it’s always gonna be this way.

Dr. Alan: Yeah. It’s

Carrie: always gonna be this bad.

I’m never gonna be able to get out of this. And that’s the lie, and we know that God can use anything and to change and transform people. And I’m glad that you got over that hurdle of getting into, quote, “secular therapy from a Christian person.” Yeah. And you went on that journey and eventually found the right help.

And the idea behind having podcasts like this and people finding your writings is to get people in good treatment faster so that they don’t have to- Yeah … go through that long journey where everything is just- Getting more and more difficult, and think that this is very hopeful for our audience. Yeah. I think sometimes people think the goal is, like, to never have another intrusive thought again.

Mm. And so we just wanna debunk that as well. Yeah. When you think about recovery- Mm … what does it look like for you today?

Dr. Alan: Yes. I mean, even for today, I still have intrusive thoughts. I still have things that come up, and I use my tools, and I apply them. So today, intrusive thought hit me, and I used the bridging tool that it, ICBT teaches, and visualized myself on a bridge, and made a choice not to go into the bubble, and moved on with my day.

For today, it took me about three minutes to make that choice. Now, later on today, I might not make that choice. I might slip up and make the choice to go in the bubble, and that might happen. But overall, my recovery looks like making that choice less and less and making the choice to move towards my family and what I believe is the life that God has given me, has called me to over and over again.

As I said, overall, this change has been miraculous. There have been bad days. There have been bad weeks. Sure. There have been bad months. That is a reality, and a reality that I work on with my therapist still. But the overall trajectory has been so much better that it is still amazing. Thank you for bringing that up.

Yeah, that’s a really important point. It’s not that I don’t get intrusive thoughts. It’s that they don’t run my mind anymore. I have tools that I can use to choose what I’m going to do next, and most of the time now, I can choose to move toward my life.

Carrie: Awesome. I know a lot of people have told me that they found the bridge exercise very empowering.

It’s like, “Oh, I feel like, hey, there’s a pause here.” If I can find that pause, right? And you don’t always find it, but the more that you become aware of how you get there, the more you find it, and then I feel really empowered to know, “Hey, I found the pause. I have a choice right now.” Yep. Yep. I can either go right or I can go left, and I know what the consequences are gonna be depending on what I choose.

Awesome. Tell us a little bit before we go about your latest book that just came out.

Dr. Alan: Yes. It is called To Live Well, and it is a book about the seven virtues, prudence, justice, temperance, fortitude, faith, hope, and love. It’s about how to live well in a chaotic time. I think we live in very chaotic times. I don’t think that’s too debatable.

It feels very confusing to live in the modern world. It feels like everybody’s values are up in the air. It feels like the definition of love and of justice and of what is true is constantly being contested, and that makes it hard to move, hard to act, and very easy to get stuck. And so this is a book about how to move, how to live well, how to act in the modern world, the contemporary world.

And so I move through these classic virtues Grounding them in the Gospels, because it’s a biblical book, and grounding them in Jesus and His actions in the Gospels, and work through what it looks like to be a virtuous person for God. Not to earn God’s favor, because we already have that, but because God loves us, we wanna act virtuously and understand what it looks like to live virtuously in, uh, chaotic times.

Carrie: Yeah. It’s a crazy world out there. There’s a lot that gets thrown at us, and things are changing all the time, so any help for how we can live out Jesus in this environment I think is helpful, for sure. Yeah. Thanks. Thank you for sharing today. I’m really thankful for Dr. Noble for sharing his story, because I think there are many other people out there with this story that feel like they’re doing all the right things that they’re supposed to be doing and just aren’t getting better.

It’s important for people to know that there is hope out there, and to not give up, to keep going. I think for a long time in my own life, I was like, “Yeah, God has a plan for all this craziness,” but I really doubted whether or not it was a good one. And looking back, I can now see, like, God’s goodness in the course of my life, and I’m so thankful for that.

If you’re in the midst of just a really dark place with your OCD, I want to remind you that God hasn’t given up on you, and just encourage you not to give up on Him, to keep leaning in even when things are hard and they don’t make sense. I am currently working my way through to live well, and it’s been a slow go for me because I keep having to stop and think about things.

Definitely challenging in a good way, for sure. I hope that you guys will come back next week and join us as I interview a pastor about his OCD journey. 

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. 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.

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

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

Episode Highlights:

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

Episode Summary:

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

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

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

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

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

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