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Adolescent Geography
Conversations with Child Psychotherapists

marcuslewton
Oct 207 min read


Beyond Right or Wrong: Two Hidden Structures Beneath OCD
Some obsessions protect. Others protest. OCD isn’t always about fear—it’s sometimes the mind trying to break free.

marcuslewton
Jun 213 min read


The Illusion of Efficacy
Even after 8–10 years of ERP, most don’t recover. The data is clear. So why are we still treating OCD like a procedural problem?

marcuslewton
Jun 192 min read


When No One Claims the Case: OCD, Neurodiversity, and the Marginalised Child
When neurodivergent children show OCD-like distress, services often step back. But not all repetition is the same.

marcuslewton
Jun 173 min read


Perverse Thoughts in Adolescents: A Clinical Note on Intrusion
Not all dark thoughts in adolescence are perverse. Some are collapse. Know the difference—and listen for structure, not content.

marcuslewton
Jun 164 min read


Many in Government Think a Child’s Mind Is a Datapoint
To many in government, a child’s mind is a datapoint. But some suffering isn’t measurable—it’s symbolic, not yet sayable, still surviving.

marcuslewton
Jun 161 min read


“Why are her thoughts so dark?”
Why are my daughter’s intrusive thoughts so much darker than mine? A blog for the parent who quietly wonders—and wants to understand.

marcuslewton
Jun 152 min read


What Metacognitive Exposure and Response Prevention Is Teaching Us (That Bion Already Knew)
MERP teaches us something Bion knew all along: we must think about thought—not just resist it—if we are to metabolise experience.

marcuslewton
Jun 151 min read


Why Do They Keep Saying It?” – Repetitive Thoughts in Anxious Teens
Repetitive thoughts aren’t always questions—they’re often cries. Listen beyond logic. It’s not about the answer. It’s about the feeling.

marcuslewton
Jun 153 min read


“I Just Want Them to Be Okay” – When Reassurance Isn’t Enough
Reassurance won’t help if the fear can’t be digested. Sometimes, your presence—not your answer—is the real container.

marcuslewton
Jun 153 min read


Digital OCD: The Untheorised Ritual
Digital compulsions in teens aren’t just screen habits—they’re modern rituals of doubt, fear, and obsessive certainty-seeking. #OCD

marcuslewton
May 314 min read


Treating OCD
Why clinicians must rethink OCD: key insights for psychologists, therapists, and counsellors treating obsessive-compulsive distress in young

marcuslewton
May 313 min read


Listening to Psychic Architecture: A Reflective Practice
Listening to psychic architecture means attuning to deep emotional structures beneath symptoms—containment, presence, warmth, care.

marcuslewton
May 45 min read


“Do They Really Need to Understand It?”
Can we treat OCD without understanding it? A fictional debate between two clinicians explores timing, structure, and symbolic readiness.

marcuslewton
Apr 215 min read


My Child Won’t Talk About Their Thoughts. Should I Push?”
If your child won’t talk about their thoughts, don’t panic. Silence isn’t failure—it’s a signal. Here’s what to do instead.

marcuslewton
Apr 212 min read


When Your Child’s OCD Speaks in Code: Why Logic Isn’t Enough
When OCD rituals don’t respond to logic, it’s not defiance—it’s emotional code. Learn how to listen for what’s really being said.

marcuslewton
Apr 212 min read


The House, the Bunker, and the Panic Room
What if OCD isn’t one condition, but four psychic positions? A new way to understand rituals, retreat, and recovery in young people.

marcuslewton
Apr 183 min read


Why Intrusive Thoughts Get Worse at Night
Intrusive thoughts often strike hardest at night. Here’s why bedtime makes the mind vulnerable—and how to support your child through it.

marcuslewton
Apr 132 min read


Uninterpretable States: How to Stay With What Refuses to Mean
Not every silence needs decoding. Some states refuse meaning. This lecture teaches how to stay when the symbol won’t come.

marcuslewton
Apr 114 min read


Not Yet: When Interpretation Becomes Intrusion in Adolescent Therapy
Not every interpretation lands. Some come too soon. Learn how to recognise when a symbol isn’t ready—and why that matters in OCD work.

marcuslewton
Apr 102 min read
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