Divergent Conversations

Episode 141: FLASHBACK — OCD: I-CBT and Neurodivergent Approaches to OCD [featuring Brittany Goff]

Jan 16, 2026
Brittany Goff, a licensed clinical social worker and Clinical Director at Zen Psychological Center, specializes in neuroaffirming OCD treatment. She discusses how sensory discrepancies can lead to obsessive narratives, especially in autistic individuals. Brittany explains the Inference-based Cognitive Behavioral Therapy (I-CBT) framework, designed to help neurodivergent individuals manage OCD symptoms. They explore the intersection of autism, ADHD, and OCD, highlighting the importance of understanding personal experiences and sensory perceptions for better self-trust and identity.
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ANECDOTE

Justice Special Interest Turned Against Her

  • Brittany described her justice-focused special interest turning into OCD stories doubting her morals.
  • She worried she might be a sociopath despite having excessive empathy.
INSIGHT

OCD As Constructed Obsessional Stories

  • OCD creates coherent "obsessional stories" built from a person's life, not random intrusions.
  • Inference-based CBT (I-CBT) treats those stories as reasoned inferences rather than meaningless thoughts.
INSIGHT

Rebuilding Self‑Trust Through Senses

  • I-CBT aims to rebuild certainty by training people to use sensory perception to test obsessive inferences.
  • It emphasizes gaining self-trust through perception instead of sitting with uncertainty alone.
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