In the realm of mental health treatment, evidence-based approaches are the guiding lights that lead individuals toward recovery. The journey to understanding and effectively treating obsessive-compulsive disorder (OCD) has witnessed a fascinating evolution, marked by various therapeutic approaches that delve deep into the intricacies of the human mind.

In today’s episode of The OCD Whisperer Podcast, we are thrilled to be joined by Dr. Jon Abramowitz, a leading figure in the field of OCD research, with numerous published books and research articles to his name. He is a Professor of Psychology and Neuroscience, Research Professor of Psychiatry, and Director of the Anxiety and Stress Disorders Clinic at the University of North Carolina at Chapel Hill. He also runs a small practice specializing in the psychological treatment of OCD.

During our conversation, we talked about evidence-based treatments for OCD. We discuss the effectiveness of exposure response prevention (ERP), acceptance commitment therapy (ACT), and inference-based cognitive-behavioral therapy (ICBT). Dr. Abramowitz emphasizes that all three treatments have been proven effective, but the effectiveness varies for each approach. He also highlights the importance of a therapist and client believing in the treatment. Our conversation also covers the importance of not avoiding fears and triggers and the need for more independent research on these treatments.

In This Episode

[01:55] Defining evidence-based treatment
[05:01] The importance of therapist belief and client belief
[07:27] Inference-based CBT and its differences
[08:46] The cognitive component of ICBT for OCD
[11:58] ACT's approach to values and exposure
[16:45] Exposure therapy in ACT and ICBT
[18:42] Alternative approaches to exposure
[24:07] Empowering clients through exposure
[24:36] The importance of engaging with fears
[25:44] Recovery doesn't mean a life without triggers
[26:35] Anxiety and distress management
[33:26] The rise of ACT in OCD treatment
[36:21] The importance of independent replications in ICBT and ACT research

Notable Quotes

[03:21] "My viewpoint is that there shouldn't be a versus. We're all trying to make life better for folks who have OCD, give them treatments that they need to reduce their obsessions and their compulsions." - Jon
[06:11] "To have long-lasting improvement from an irrational fear as we see in OCD, the person has to face that fear. They have to engage with it and they have to learn. I can manage this." - Jon
[19:08] "A person with OCD, they're not going to overcome their problem if they're not able to engage with their feared stimuli and learn something from that, that they can do it and that the situation is not as dangerous as they think."- Jon
[37:57] "If we could find a treatment that works for everyone, I think we'd have a lot of people converting and giving up whatever they've been doing before." - Jon

Our Guest

Dr. Jon Abramowitz, PhD, ABPP, holds positions as Professor of Psychology and Neuroscience, Research Professor of Psychiatry, and Director of the Anxiety and Stress Disorders Clinic at the University of North Carolina at Chapel Hill. Renowned for his expertise in anxiety disorders, he has authored over 250 publications, including articles, book chapters, and books. Dr. Abramowitz is the Editor of the Journal of Obsessive–Compulsive and Related Disorders and contributes to various editorial boards. As a former president of the Association for Behavioral and Cognitive Therapies, he plays a pivotal role in advancing the field. Recognized with prestigious awards, his influential works cater to both the general public and mental health professionals, addressing topics from overcoming OCD to stress management.

Resources & Links

Kristina Orlova, LMFT

Dr. Jon Abramowitz

**Disclaimer**

Please note, while our host is a licensed marriage and family therapist specializing in OCD and anxiety disorders in the state of California, this podcast is for educational purposes only and should not be considered a substitute for therapy.

Stay tuned for bi-weekly episodes filled with valuable insights and tips for managing OCD and anxiety. And remember, keep going in the meantime. See you in the next episode!

European Security and the Russo-Ukrainian War