In part one of our three-part series on Anxiety and OCD, Dr. Jon Abramowitz helps us understand why intrusive thoughts are normal, how OCD turns them into a source of distress, and what keeps the cycle going. We explore uncertainty, reassurance-seeking, relationship dynamics, and the research-backed treatments that help people reclaim their lives from OCD.In this conversation, we unpack the surprising truth about intrusive thoughts, why reassurance often backfires, and how learning to tolerate uncertainty can be a powerful path toward recovery.
“There is no such thing as absolute certainty.” – Dr. Jon Abramowitz
02:40 Understanding anxiety and its disorders
05:46 Distinguishing normal anxiety from OCD
08:21 The nature of obsessional thoughts
14:09 The cycle of OCD and compulsions
16:53 The role of exposure and response prevention
19:44 Understanding scrupulosity in OCD
25:25 Treatment approaches for OCD
33:34 Managing distress in OCD therapy
36:55 Understanding control and uncertainty in OCD
40:41 Distinguishing OCD from Obsessive-Compulsive Personality Disorder
50:02 Supporting loved ones with OCD
Jonathan (Jon) Abramowitz, Ph.D., is Professor and Director of Clinical Training in the Department of Psychology and Neuroscience at the University of North Carolina at Chapel Hill. His research and clinical work focuses on obsessive-compulsive disorder (OCD) and anxiety disorders, including fears and phobias, health anxiety, and panic attacks. He has authored over 350 scientific publications and 20 books, which have been translated into several languages. He served as President of the Association for Behavioral and Cognitive Therapies and as Editor or Associate Editor of several academic journals. Dr. Abramowitz has received wide recognition for his scholarly work and contributions.
Dr. Abramowitz website – Resources and information
OCD resources for clinicians and consumers
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