223. How Mindfulness is Helpful for ICBT
Written by Carrie Bock on . Posted in OCD, Podcast Episode.
In this episode, Carrie shares how mindfulness and Inference-Based Cognitive Behavioral Therapy (ICBT) can come together in a powerful way to support your OCD recovery journey.
Episode Highlights:
The difference between mindfulness and meditation, and why it matters
How mindfulness helps you create space from intrusive thoughts
Why building distress tolerance is key for OCD recovery
What ICBT is and how it reveals what’s really happening behind OCD
How faith, Scripture, and staying present support your healing journey
Episode Summary:
How Can Mindfulness Actually Help Me Break Free from OCD Thought Loops?
I used to think mindfulness was just about calming down, but I’ve seen it become something much deeper. It creates space between you and the intrusive thoughts that feel so real. And in that space, something begins to shift. Instead of reacting, you start noticing. That small change can open the door to a different kind of peace, especially in the middle of OCD struggles.
Why Do I Keep Getting Stuck in Worst-Case Scenarios Even When I Know They Aren’t True?
Your mind can take one moment and turn it into a future disaster that feels completely real. But what if the issue isn’t the thought itself, but how we respond to it? I’ve seen how OCD pulls us out of the present and into imagined fear. When we gently return to what’s actually happening right now, things begin to loosen, even if just a little.
What Happens When I Stop Fighting My Thoughts and Just Sit with Them?
This is where it gets uncomfortable, but also where growth begins. Instead of pushing thoughts away, mindfulness invites you to stay present with them. To notice without judgment. And over time, you may begin to see that thoughts don’t hold as much power as they once did. That shift can feel quiet, but it’s meaningful.
How Do Mindfulness and ICBT Work Together to Rewire My Thinking?
When mindfulness and ICBT come together, something powerful happens. ICBT helps you understand the story your mind is telling, while mindfulness helps you slow down enough to see it. Without awareness, it’s easy to stay stuck. But once you begin to notice the patterns, you’re no longer completely led by them.
Why Does OCD Feel So Real in My Body Even When I Know It Doesn’t Make Sense?
OCD doesn’t just live in your thoughts. It shows up in your body, your emotions, and that sense of urgency. It feels real because your body believes it is. Mindfulness helps you stay present with those sensations without reacting right away. And over time, that builds trust that you can handle what you feel.
How Can My Faith Support My Healing Instead of Adding Pressure?
Faith was never meant to increase fear. When we come back to stillness, daily dependence, and God’s presence, it aligns beautifully with mindfulness. God meets us in the present moment, not in imagined fears. And learning to sit with Him there can bring a deeper, steadier kind of peace.
If this stirred something in you, there’s more waiting for you in the full episode. Listen now.
Transcript
Today we are talking about the connection between mindfulness and ICBT, and I think that they can have a really great marriage together. But I will talk to you a little bit about why I think that. On this episode 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. Now we’ve talked so much about mindfulness on the podcast. You could go back and search some of the previous episodes.
However, I wanna give you the brief rundown of mindfulness, the very brief rundown of ICBT and why I believe these two interventions can go really well together and how mindfulness can support your ICBT journey. If that’s a journey that you are on now, mindfulness is different than meditation. A lot of times people will use those interchangeably.
Meditation you have a specific goal that you’re trying to work on, and there is such a thing as Christian meditation. You can focus on scriptures, et cetera. However, what we’re doing with mindfulness is really just developing this awareness of the present moment, what’s going on in it, not just to build awareness of what we’re experiencing in this moment and what’s happening around us, but also this acceptance for what’s actually here versus trying to avoid it as what we normally do.
Right? Like. Pull away from things that are uncomfortable to us and lean towards things that feel good, that are comfortable, that we want to engage with. Mindfulness allows you to create some space between you and your thought process. For example, this can be very helpful in terms of dealing with OCD, recognizing like, Hey, I’m having an intrusive thought right now.
This is something I’m latching onto as part of my identity that I’m bringing in and making meaning out of it. Mindfulness increases what we call distress tolerance. That’s your ability to handle difficult situations. It’s interesting, I learned so much from working with clients and. I had someone ask me recently, a long time person that I’d been working with, and we made the move to kind of go down this mindfulness path and lean in a little bit more than we had previously.
And he says to me, so let’s say I’ve become really good at this, then what? Like, what’s the end game here? I’m just gonna run around being this person that just lives in the moment. Like, isn’t that nice? And I said, Hmm, that’s a great question that you asked me. I had to think about it for just a moment.
And then I said, you know, when something difficult happens, when a stressful life situation hits, you are gonna be able to pause and you’re gonna be able to see what’s actually going on in that moment that you need to address and deal with, versus going into all of these hypotheticals about worst case scenarios about what.
Could actually happen. For example, you get a difficult test result back from the doctor. Maybe it’s something that you don’t like, right? Maybe you get some blood work back and it’s like, Hey, you’re in pre-diabetes. You really gotta change your lifestyle habits. You gotta change your eating habits. Nobody wants that letter, right?
There’s different ways that people could deal with something like this, right? They completely just try to avoid it and ignore it. Okay. I’m gonna bury that letter under some paperwork. I’m gonna roll it through the shredder. I’m gonna pretend my doctor didn’t say that I’m gonna live in this happy place of denial.
And then of course, where does that lead you? That lead you to continue to be in a state of unhealth? And people do this with OCD, like, ah, nah, it’s, it’s probably not OCD, it’s probably, I’m just a little weird. Even though it’s causing all these problems in your relationships and in your life. Oh no, it’s not a problem.
Everything’s good. Live in that denial and not actually deal with what’s going on or the complete. Opposite extreme. On the other end of the extreme of that is, oh no, so and so relative died from complications of diabetes and now I’m gonna be just like them and I’m just on this path and it’s my destiny and fate.
I’m about to die. I mean, just going through all of these worst case scenarios that they could imagine. Could go down a road of, Hey, I’ve gotta fix everything and completely overhaul everything that I’m doing. Getting like super obsessed about your health, and that lasts for about a week and then you just are in the corner of a closet somewhere eating Oreos.
Overwhelmed with life. And these are all things that I’ve seen as ways of people dealing with stress information, right? But what mindfulness allows you to do is it allows you to sit with that test result and say, okay, this is rough right now. Like at a very face value. This is not what I wanted to hear.
Maybe I have some shame coming up from past choices. Maybe I do feel anxious about what the future holds. Okay. Let me just take a minute to take stock of my actual experience that I’m having with this information right now as I’m taking it in. And then once you can sit with that and say, okay, well here we are.
I can’t go back and change the past. There is no point in me freaking out about the future because this is what practicing really being present is like it was actually going on today. It doesn’t mean you never plan for anything, and it doesn’t mean that you never evaluate based on past experience. And that’s a misnomer that a lot of people have about mindfulness.
They think well. It’s just impractical to live in the moment all the time. Carrie, I have to plan for things. Okay, totally fine. I have plans too. Not a problem. I have plans for personal life goals. I have plans for my business. Mindfulness doesn’t say don’t make plans. Certainly when we found out about Steve’s diagnosis, it was like, Hey, let’s get in a one story house that’s gonna be the best bet for us a long-term moving forward.
Find someplace where we can plant down and settle into and not have to worry about like weird split level stair stuff. Nothing wrong with planning. However, oftentimes what happens is if we spend a lot of time in the future with many people dealing with OCD do right thinking all these horrible things are going to happen to me, or I am secretly this horrible person and nobody’s found out about it yet, but somehow at some point there’s gonna be some like tipping point, snapping point, whatever you wanna call it, and everyone’s gonna know that I’m this horrible, awful person that hurts other people, which is of course.
Not the reality of what’s going on, but if you can recognize that those are futuristic thoughts that OCD is taking you down and you bring yourself back to, hmm, what’s actually happening in the present, that that can be really helpful. What’s actually going on in the here and now, and you’re not borrowing this past regret.
And that’s where really limiting. The emotional distress level, because we’re only having to deal with the emotions of what’s actually happening in the present moment and knowing that we can sit with reality. It’s not gonna kill us. It’s not always gonna feel good. Mindfulness, I think sometimes people are like, oh, I can’t relax.
I can’t calm down, I can’t settle. I can’t do these things. I’m no good at that kind of stuff. First of all, you’re not good at anything you haven’t practiced. I can promise you that unless you just have natural skills and abilities. However, even people with natural skills and abilities go out and practice what they’re good at so that they can become better at it.
We all need to practice things. That is a lie that we would like to believe is that we should just automatically be good at things and not have to ever work for it. That’s not life. Sorry. You can develop these skill sets, which by the way, society doesn’t teach you because society has us all sorts of distracted in a thousand different directions.
Multitasking to the hilt. People even multitask when they relaxed. Now, I don’t know if you notice that it used to be you just sat down and had dinner, but now people sit down, have dinner in front of the TV while they’re like phones going off, and then they’re trying to answer the text from Aunt Susie.
Oh no, I forgot. Like I have this reminder popping up on my phone about my kid has a school project tomorrow that I didn’t buy. The Elmer’s group. I mean, just constant distractions and all over the place with our minds. So if we practice slowing down, turning some of that off, just sitting and eating, that is a great mindfulness practice.
Just sit and eat. Don’t turn on a podcast. Don’t turn on the news station. Don’t get all distracted by their things. Especially if this would benefit your health sometimes. Right? Because when we’re all sorts of distracted, we end up maybe eating more or not really paying attention to when we’re actually full.
So just noticing what is it like to sit with this food? What is it like to smell it, taste it, chew it. It’s the texture like, and really enjoying that moment and sinking into it versus being super distracted. That’s just one way to practice. You don’t have to do that all the time. Certainly, there’s plenty of times that I eat and do other things.
But the point is, if we’re always eating and doing other things, we never have this ability to slow down and see what’s actually going on with us internally, physically, mentally, emotionally, in mindfulness, you can really look at noticing things without becoming absorbed by them, because with OCD, there’s this tendency to just.
Automatically get absorbed in a thought or automatically get absorbed in an emotion or automatically get absorbed in a particular story that your brain is telling you that may or may not be true. So when you create this like space of just being curious and kind of noticing what’s going on, instead of immediately judging, this is something that Christians are really good at, unfortunately, right?
We’re immediately good at going bad thought, stop, shut it down, captivate, kick it to the curb. Whereas what we’re trying to do with OCD is saying, this is an intrusive thought. I know that it’s coming from somewhere. I don’t need to latch into it. I don’t need to say this means I’m a horrible person because I had this intrusive thought.
It just means it’s an intrusive thought and I can learn how to deal with these differently. I can learn to disengage from them and let them pass by. I don’t have to latch onto every thought that comes into my mind. I don’t have to assume it’s from me, the devil in OCD. I could just say, okay, that’s not a thought that I’m not gonna hop on that train today.
I’m gonna let it move by. One thing I’m seeing more and more that I wanna talk about is that oftentimes people with OCD don’t have the skills to deal with day-to-day stressors. So if we go to try to take off this layer of OCD and we still don’t know how to deal with the stress of relationships, someone’s upset at us, someone might be thinking about us sideways, and I’m concerned with that.
Dealing with the stress of parenting or being in a marriage or a boss that may not like you. Like these are all just things that happen on a day-to-day basis. Grief and loss. If we don’t know how to deal with these things, then that’s going to create problems and it’s going to create a tendency for you to go back and grab onto that OCD because it’s familiar.
So if I don’t have healthy relationship skills, or if I don’t have a healthy way to cope with things that are outside of my control, it’s very easy to go into a rumination cycle about. Okay, how do I get that person to like me, and maybe if I do this differently with the boss, then that could do that. Or maybe then I’m going into obsessions about the boss and creating this whole type of story that’s not real.
All of these things I have seen happen, and I don’t think that this gets talked about enough in terms of OCD recovery either because it’s just complicated, for lack of a better way to say it. These are not. Cut and dry, one size fits all type of situations that I’m seeing. I mean, I don’t know what other people are seeing.
I can’t speak to that, but since I’ve gotten into the OCD world, I have realized how complicated treatment can be. And so cookie cutter approaches are just not going to work for people. You’ve gotta look at, do you have the stress management skills, the distress tolerance skills to be able to handle day-to-day life?
And then that’s one set of skills that mindfulness can certainly help with. And then do you have the OCD set of skills to be able to deal with the obsessions and compulsions as they arise? Now those of course can work together in terms of mindfulness. I think mindfulness can help you with both sides of that because mindfulness can help you reduce the distress of what you’re experiencing in the present by being able to kind of just take it a little bit more at face value.
And it can also help you deal with some of the shame maybe that you’re experiencing related to OCD. It can help you become more aware of the things how OCD shows up. So this is a huge piece of why I believe that mindfulness and ICBT can work together. If you don’t know what ICBT is stands for inference based cognitive behavioral therapy.
And what that does is it really just kind of pulls the curtain back. Of what’s actually going on in OCD, how you get into these obsessional reasoning processes, how the obsessional reasoning process is different from the everyday reasoning process. A lot of this information is mapped out in massive detail in resolving OCD volumes one and two.
Designed to be a little bit more comprehensive than the original ICBT treatment manual, which was skinny, in my opinion, for a treatment manual. The best analogy I have for what ICBT does is that it’s a little bit like the Wizard of Oz. If you have ever seen that movie, they go in and it’s like this big green guy like, oh, oh, I am the great and powerful oz.
And it looks super scary and there’s all these lights and slow coming up. And really when you pull back the curtain, like there’s this little guy in there running the show, and OCD is like that. It causes you to be super scared. It’s really loud. It’s obnoxious. But once you understand how it operates and you can pull back that curtain, you’re like really ocd.
Like, oh, okay. Like I don’t need to worry about that. You’re just making a big deal out of nothing. This is a bunch of smoke and lights and what’s actually happening in the here and out. Doesn’t call for all of that. Alert, like threat detection and going off. We don’t need to engage with you like we’re just a little guy back here.
That’s what OCD does. But if you’re not aware or tuned into what they call sense data, then that’s gonna be really hard to utilize some of that in the ICBT recovery process. If you don’t know how OCD shows up for you, like there’s this concept called carrier thoughts that really gets you, like suck you into the imagination.
Resolving OCD Volume two talks about. So you really have to be able to slow down your thought process enough to identify some of those carrier thoughts that are getting you over into this Imagine worst case scenario. It’s horrible. It’s definitely gonna happen, versus it’s a possibility like many things are possible in life.
And ident being able to identify some of the thoughts and evidences behind your obsessional doubt that you have. If you practice mindfulness and if you’re able to create like in a metacognitive way, examine your thought process, it’s gonna be much easier for you to implement these ICBT skills because a lot of times people just really don’t have that awareness.
Of what justifications even they’re using for their OCD. They’ll say things like, I don’t know. It just could happen and it’s really scary and I have to give into it. So being able to slow down to settle and say, okay. I’ve been thinking this way for a long time. How did I get here to this point? What’s behind all of this?
What’s behind that curtain? That’s why I believe that these two things can go together really well because it allows you to also deal with the emotions in the body, sensations that come up with OCD, which are legitimate. OCD causes things to feel true that aren’t true, or to feel real. That aren’t real.
This is addressed as phantom sensations. Once again, if you’re initially, you’re going to be like, oh no, it’s a great and powerful as, oh no, it’s really scary. But as you go through this process, it may still be scary at times. Like, oh, that obsession is still scary. But I understand why the fear is there. I understand why the urgency is there.
Now I have greater awareness of how to disengage and trust that those feelings and those body sensations are gonna dissipate. As I disengage, like from this obsessional reasoning process, and how can I get back to what is actually going on in the here and now? So there’s internal sense of data, like your emotions, your body sensations, your true desires, your intentions, like your heart process, and also external senses like, are my hands actually clean?
Can I look at my hands and see? Okay, there’s no dirt on them. I know I just washed them. I use soap. I did a typical hand washing routine, but OCD says, oh no, but your hands are so sticky, or there may be germs on them that you can’t see. So then you feel like unclean in some way, shape, form, and you go back and wash your hands versus saying, you know what?
They may not feel clean. I know, like looking at them, smelling them, et cetera. They are clean. I can move forward with the rest of my day-to-day life. I think the Christian integration of all of this is that God has given us sense data. God can reveal to us what the true desires of our hearts are. God knows our heart better than anyone else does.
Also, there’s lots of things in the scripture that talk about be still and know that I am God. There’s a verse that says in James, life is but a vapor. And many of you are saying, Hey, next week or next month, I’m going to do this or that. But no one really knows how long we have, and that’s where yes, planning for the future is not bad.
But we also are somewhat instructed to live day by day to ask God for our daily bread. That there is a time and season and a purpose for everything under heaven. So learning to be with God, to be present is a practice that many of us, unfortunately, are not learning in Christian churches unless you’re coming from a very contemplative type of faith.
We’re all about head knowledge sometimes, and we’ve amassed large amount of head knowledge, but it never gets down to our heart and never sinks in to practice. Once again, these are things that you have to practice. Just sit with God sometime and see what that is like for you. Is that thought super uncomfortable?
What is it like to be in this moment and know that God is here with me? Maybe something that feels positive for you and it may not, depending on your background and your beliefs about God or things that you have been taught. Things maybe that OCD has convinced you of about God. I want you to know that we have this program called Empowered Mind, and it hardly ever goes on sale, but it is going on sale for Memorial Day.
Hop on our email list, carrie bach.com to subscribe to the newsletter and you can find out more about that. This is a Christian integration of. ICBT, and I have thrown a lot of mindfulness skills in there as well. We have a mindfulness practice for each of the 12 weeks. I’ve also included workbook pages that we’ve created of other ways to practice mindfulness in your day-to-day life.
That workbook is gonna be out as a standalone product as well for the first time, and I’m so excited about that because I have applied these principles specifically in terms of the real self and who God has created you to be. And how you can kind of look at some of these materials through a Christian lens.
The workbook itself is not designed to be comprehensive. It’s designed to be taken with the course, but it may help you if you are already seeing an ICBT therapist or if you are an ICBT therapist that’s working with a lot of Christians. Wanting to incorporate biblical materials with your clients.
Thanks so much for hanging out with me today. I hope that you will join us next week for another episode on Christian Faith and ocd. Until next time, may you be comforted by God’s great love for you. Christian Faith in OCD is a production of by the Well Counseling. This podcast is for informational purposes only, and should not be a substitute for seeking mental health treatment in your area.




