In this insightful episode, we explore the concept of parental accommodation — the well-intentioned ways family members and loved ones may unknowingly reinforce OCD behaviours. Drawing from the research of Professor Eli Liebowitz (Yale) and real-world clinical experience, the hosts unpack how accommodation develops, why it’s so hard to stop, and how families can begin to make meaningful change.

From checking, reassuring, or adapting routines “just to keep the peace,” to facing meltdowns, fear, or guilt when setting limits — this conversation goes deep into what it means to hold boundaries with compassion. You’ll hear about ERP therapy, the SPACE model, and practical ways clinicians and parents can work together to reduce accommodation and empower recovery.

💬 Key themes:

• What “parental accommodation” means and how it maintains OCD

• Why well-meaning reassurance can make symptoms stronger

• The difference between anxiety disorders and OCD

• Supporting children, teens, and adults through distress safely

• Helping parents tolerate their own emotions and model resilience

• How reducing accommodation can rebuild connection and trust in families

• Managing clinician fears around self-harm threats and safety planning

🔖 Chapters

00:00 Introducing the topic: Parental Accommodation and OCD

02:00 What it means to accommodate and why we do it

05:00 How everyday reassurance turns into OCD reinforcement

08:00 Fear, meltdowns, and why it’s hard for families to stop accommodating

11:00 Emotions, modelling, and learning to tolerate discomfort

14:00 The SPACE model and clinician guidance

17:00 Working with parental fear and client safety

21:00 Reducing accommodation step-by-step

25:00 Supporting families when clients resist change

26:40 Why it works — even if the client isn’t in therapy

#OCD #ERP #ParentalAccommodation #MentalHealthPodcast #TherapyTalk #FamilyTherapy #SPACEModel #OCDRecovery #ClinicianSupport #ParentingAndMentalHealth #EmotionalRegulation

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The perinatal period is one of the most vulnerable—and transformative—times in a parent’s life. In this episode, we explore the challenges of perinatal mental health, with a particular focus on OCD and how intrusive thoughts can impact new parents during this stage.

Our speakers discuss the role of psychoeducation, the importance of therapeutic trust, and how clinicians can best support parents navigating overwhelming thoughts and fears. We also examine the value of bringing babies into therapy, collaborative care, and the crucial reminder that intrusive thoughts do not define someone’s ability to be a loving, capable parent.

💬 Key themes:

• Why the perinatal period heightens vulnerability
• The role of OCD and intrusive thoughts in early parenting
• Using psychoeducation to normalize and reduce shame
• Building rapport so clients feel safe to share difficult thoughts
• The potential benefits of including babies in therapy sessions
• Collaborative care and supporting parents holistically

🔖 Chapters

00:00 Introduction to Perinatal Mental Health and OCD

02:50 Understanding Vulnerability in the Perinatal Period

05:47 Therapeutic Approaches for Clinicians

08:47 The Importance of Psychoeducation

11:45 Building Rapport and Trust with Clients

14:50 Managing Intrusive Thoughts in Therapy

17:49 Collaborative Care and Support Systems

20:51 Incorporating Babies in Therapy Sessions

23:45 Creating a Supportive Environment for New Parents

#PerinatalMentalHealth #OCD #IntrusiveThoughts #NewParents #MaternalHealth #TherapyTalk #ParentingSupport #MentalHealthAwareness #Psychoeducation #ClinicianSupport

Hosted on Acast. See acast.com/privacy for more information.

This honest and reflective episode takes listeners inside the therapy room—where clinical learnings, vulnerability, and growth unfold in real time.

Ms Catherine McGrath (Clinical Team Lead and Senior Psychologist) sharea hard-earned lessons from working with OCD clients using ERP (Exposure and Response Prevention), and open up about the emotional toll, missed opportunities, and the courage it takes to keep learning.

From the power of self-compassion to the importance of holding space and involving parents in the therapeutic process, this conversation is a valuable reminder that clinicians don’t need to be perfect to be effective—they just need to keep showing up.

💬 You’ll hear about:

• The real struggles clinicians face in ERP therapy
• Why reflecting on mistakes leads to better outcomes
• How client emotions are best met with presence, not perfection
• The impact of including parents in treatment plans
• Why being kind to yourself is not optional—it's essential

🔖 Chapters

00:00 Introduction to Clinical Learnings

02:59 The Courage to Learn ERP

05:57 Missed Opportunities in Therapy

08:57 The Importance of Holding Space

11:47 Navigating Client Emotions

15:12 Involving Parents in Therapy

17:42 Reflecting on Hard Lessons

21:01 Self-Compassion in Clinical Practice

23:47 Summary and Closing Thoughts

#ClinicalPractice #TherapyTalk #MentalHealthMatters #OCDTherapy #ERP #SelfCompassion #TherapistReflections #ClientEmotions #InvolvingParents #TherapyPodcast #MentalHealthProfessionals

Hosted on Acast. See acast.com/privacy for more information.