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Understanding Intrusive Thoughts and Compulsions in Adolescents Release on June 25th
New book release

marcuslewton
Feb 223 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 19, 20252 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 17, 20253 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 16, 20251 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 15, 20253 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 4, 20255 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 21, 20255 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 21, 20252 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 10, 20252 min read


Stop Focusing on the Compulsion
Stop cataloguing rituals. Start listening for what breaks if they don’t happen. Treat the structure, not just the symptom.

marcuslewton
Apr 8, 20252 min read


How to Tell If Your Child Is Symbolising or Just Repeating
Is your child expressing something—or just repeating it? Learn how to tell if a ritual is symbolising, or if it’s stuck in survival mode.

marcuslewton
Apr 8, 20252 min read


Understanding Symbolic Breakdown in Adolescent Obsessionality
When a young person stops symbolising, rituals remain—but meaning drains out. Symbolic collapse is quiet, but devastating. (Lecture 2).

marcuslewton
Apr 8, 20255 min read


Why Is My Child Doing This?
Sometimes a ritual isn’t just a habit — it’s a child’s way of saying, “I’m sorry,” or “I love you,” when words feel impossible.

marcuslewton
Apr 5, 20252 min read


How Can I Help If I’m Not Supposed to Reassure?
Reassurance feels kind—but can keep OCD stuck. Learn how to support your child without feeding the fear, and what to say…

marcuslewton
Apr 4, 20252 min read


It’s Not Who They Are: Making Sense of Taboo Thoughts in Adolescents
Taboo thoughts in teens aren’t signs of danger. They reflect inner conflict during adolescence—when new impulses outpace understanding.

marcuslewton
Mar 30, 20252 min read


“ How Can They Be Fine One Minute and Lost the Next?”
When your child swings from calm to crisis, it’s not your failure. It’s the shape of the struggle. Here’s how to understand it.

marcuslewton
Mar 29, 20252 min read


“Not Every Child Can ‘Just Do ERP’": A Conversation About Intrusive Thoughts, Support, and What Needs to Change”
ERP isn't for everyone. This conversation explores readiness, deeper work, and what it means to never give up on a young person.

marcuslewton
Mar 29, 20255 min read


“What Should I Say?” When Reassurance Doesn’t Work
When reassurance doesn’t work, it’s not because you’re doing it wrong. Sometimes, it’s not about answers—it’s about staying close.

marcuslewton
Mar 29, 20251 min read


The House with a Locked Door: A Parent’s First Glimpse into OCD
A parent’s first glimpse of OCD isn’t always a diagnosis—it’s the sense that their child is there, but behind a door they can’t yet open.

marcuslewton
Mar 29, 20252 min read


“Why Can’t They Just Stop?” Understanding the Hidden Logic Behind Intrusive Thoughts
Intrusive thoughts aren’t nonsense—they’re protection. This post helps parents understand the hidden logic behind loops, rituals, and fear.

marcuslewton
Mar 29, 20252 min read
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