
Just Checking
Sensorimotor OCD Treatment: ERP, Metacognitive Therapy & Self-Compassion with Andy and Ferne from the Anxious Academy
Sensorimotor OCD; where you get stuck noticing your breathing, blinking, thinking, or other automatic bodily processes. It can feel relentless and impossible to switch off. In this episode of Just Checking, we're joined by Andy and Ferne from the Anxious Academy to explore what sensorimotor OCD is, why it can feel like the "worst" OCD theme, and how to treat it. We cover common sensorimotor compulsions, when reassurance becomes a compulsion, and why loss of certainty and control drives the cycle. Andy and Ferne share their lived experience, and we look at why response prevention often matters more than exposure with this theme. We also discuss compassion work, dropping perfectionism, metacognitive therapy for OCD, exposures for metacognitive beliefs, and experiments for mental compulsions. We also cover green and red flags in OCD programmes, neurodivergent considerations, what recovery really looks like, the biggest recovery roadblocks, and a common mistake therapists make with this presentation. If you're living with OCD, supporting someone who is, or you're a therapist wanting to understand this theme better, this one's for you. Podcast by: Laura Mole , Adv. Dip, MBACP OCD specialist therapist and Jessica Hayes , Msc PGDip, BABCP Accred OCD and perinatal specialist therapist Edited by Christian Nickson Featuring Andrew Mellish and Ferne Manniex from Anxious Academy Anxious Academy Website: https://theanxiousacademy.co.uk/ Time Stamps: 00:00 Anxious Academy introduction 02:45 Introduction to the episode 05:40 Brain Spam 11:10 What is sensorimotor OCD? 17:00 Losing a sense of certainty and control 18:05 Common sensorimotor compulsions 21:00 When validation and assurance changes to reassurance 23:45 Why Ferne struggled with sensorimotor themes 24:35 How sensorimotor OCD impacted Andy 25:25 Is this the 'worst' OCD theme? 28:05 Focusing more on response prevention than exposure 29:00 Compassion work 34:35 Dropping the perfectionism 36:20 Metacognitive therapy for OCD 39:30 Metacognitive awareness 40:25 Exposures for metacognitive beliefs 43:40 Experiments for mental compulsions 44:35 Metacognitive Training 45:55 Red flags in OCD programmes 47:40 OCD compulsions involving OCD research 48:35 Summary of what OCD therapy green flags are 49:50 Neurodivergent considerations 58:20 What does recovery look like? 1:01:25 Biggest recovery roadblocks 1:05:30 Jess Donald Trump toddler analogy 1:06:45 Common therapist mistake with this 1:12:26 Weekly Win 1:18:58 Exposure Lab 1:24:21 Goodbyes Resources: Andy's recommended Youtube attention videos: https://youtube.com/playlist?list=PLx0h9GH33gV0ItzP_nOuJPVIXLzh3vDBo&si=YWLWilOUbGtx4VZX Anxious Academy social media: @theanxiousacademy Get in Touch: Got intrusive thoughts to share or questions for us: Email us at ocdcollectiveuk@gmail.com Follow us on Instagram and Tiktok: @justcheckingpod For our individual OCD pages, you can find Laura on Tiktok and Instagram as @ocdtherapylaura and Jess as @jess_helps_your_ocd Please check out our privacy policy: https://docs.google.com/document/d/1YJZ4Sdh4OpxjRR9twGY6dOMH9n55Mq6qTqLBxOtN3Fw/edit?usp=sharing Content Warnings: We do reference some thoughts that people may find distressing so please listen with caution if this is you, and take a break if you need to. Disclaimer: This podcast provides educational content only and is not a substitute for professional mental health support, please contact a mental health professional for advice and support.

