Skip to main content

Tag: OCD Personal Story

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

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

Episode Highlights:

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

Episode Summary:

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

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

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

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

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

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

Explore Related Episode:

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

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

Episode Highlights:

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

Episode Summary:

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

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

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

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

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

Related Links and Resources:

www.facebook.com/HeatherVignaliLPC

IG: @heathervignalilpc