Adavanced training in OCD. For those clinicians who need a fresh perspectove beyond CBT\ERP I am offering something for 2027. An additional lens for thinking about OCD. Practical. Hand-on training.

I stay mindful of a young person’s emotional world before naming thinking biases like Thought Action Fusion. Moving too fast risks missing the intensity of what they live with. I do not teach them developmental theory, but I might describe how fused their inner and outer world feels. This lets me validate their experience before shifting toward cognitive work.

It describes what works. But not when it becomes possible. In the clinic, ERP rarely fails because of effort. It fails when the thought is too close. For some, there is enough distance to approach it. For others, there isn’t. The issue is not motivation. It is whether there is space in the mind for the work to begin.

New OCD treatments appear every decade, but the core clinical patterns have been recognised for over a century.

New book release

Conversations with Child Psychotherapists

Some obsessions protect. Others protest. OCD isn’t always about fear—it’s sometimes the mind trying to break free.

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?

When neurodivergent children show OCD-like distress, services often step back. But not all repetition is the same.

Not all dark thoughts in adolescence are perverse. Some are collapse. Know the difference—and listen for structure, not content.

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.

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

MERP teaches us something Bion knew all along: we must think about thought—not just resist it—if we are to metabolise experience.

Repetitive thoughts aren’t always questions—they’re often cries. Listen beyond logic. It’s not about the answer. It’s about the feeling.

Reassurance won’t help if the fear can’t be digested. Sometimes, your presence—not your answer—is the real container.

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

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

Listening to psychic architecture means attuning to deep emotional structures beneath symptoms—containment, presence, warmth, care.

Can we treat OCD without understanding it? A fictional debate between two clinicians explores timing, structure, and symbolic readiness.

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.