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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


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


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


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


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 85 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 52 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 42 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 291 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 292 min read
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