Therapy in a Nutshell

10 Quick Questions about OCD with Nathan Peterson

Mar 7, 2025
Nathan Peterson, a licensed clinician and OCD specialist, dives into the intricacies of OCD. He breaks down how OCD brains function differently, clarifies the distinction between intrusive and unwanted thoughts, and shares the importance of exposure and response prevention (ERP) as a leading treatment. Peterson also discusses how compulsions feed the disorder and how family members can support loved ones. He highlights various OCD subtypes while providing valuable resources for further help. Tune in for insights that could change the way you understand OCD!
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INSIGHT

Brain Filter Lets Thoughts Loop

  • OCD brains let more problem-solving information through a weaker internal 'filter' that keeps thoughts cycling.
  • Genetics and life events shape when OCD emerges by targeting changing personal values.
ANECDOTE

Water Park Intrusive Thought Example

  • Nathan described being at a water park and having a rapid thought about throwing his child off a ledge.
  • He used it to show how non-OCD brains let intrusive thoughts pass without assigning dangerous meaning.
ADVICE

Test If It's True OCD

  • Ask yourself if you can step away and still feel okay to distinguish preference from OCD.
  • Try reducing the ritual (e.g., two vacuums instead of 50) and notice distress to test if it's OCD.
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