When OCD Meets ADHD: Adapting Therapy, ACT, and ERP with Joshua Munn

When OCD Meets ADHD: Adapting Therapy, ACT, and ERP with Joshua Munn

This week Jess is joined by Joshua Munn, a therapist specialising in OCD and ADHD, for a conversation that's long overdue on this podcast. They get into how to tell OCD and ADHD apart (spoiler: it's not always straightforward), why adapting ERP for ADHD brains actually makes therapy better for everyone, and how ACT and compassion-focused approaches fit into the picture. Expect honest chat about rejection sensitivity, executive functioning, hyperfixation shame, and why the goal was never a neurotypical brain anyway. 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 Special guest Joshua Munn, OCD and ADHD specialist therapist  Website: www.therapywithjosh.co.uk [http://www.therapywithjosh.co.uk] Social media: @therapywith_josh on Instagram and @therapywithjosh on Tiktok Time stamps: 00:00 What to expect this episode  01:44 Introduction to Josh 02:50 Why Josh started working with OCD and ADHD 03:40 How to differentiate OCD and ADHD 05:50 Not aiming for a neurotypical brain 06:20 Rejection sensitivity and OCD 09:00 Imposter syndrome in ADHD and OCD 10:30 What executive functioning difficulties people may notice 12:40 ADHD adaptions for OCD therapy  17:00 What ACT therapy is and how it works with OCD and ADHD 22:00 Neurodivergence and parenting  25:33 Making ERP more ADHD friendly  27:30 Visualising characters for OCD 29:20 OCD leading to low mood in ADHD 31:00 ADHD and boredom 34:33 Neurodivergence and OCD Venn diagrams 36:56 Attention training and music  39:10 Hyperfixations and shame 39:35 Healthy guilt vs OCD guilt 42:52 Josh's favourite tips for OCD and ADHD 45:20 Session adaptions for people with ADHD 48:00 Being mindful of how much OCD content you consume  50:36 Considerations for medication  53:49 Question from the listeners  56:22 Exposure Lab 58:00 Goodbyes 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.

OCD in Children & Young People: A Guide for Parents, Families & the Young People Themselves

If you've found yourself Googling "does my child have OCD?" at 11pm, this episode is for you. This week, Laura takes the lead whilst her and Jess take a dive deep into OCD in children and young people — what it looks like, how it hides, and what actually helps. Whether you're a parent trying to make sense of what you're seeing, a young person wondering if what you're experiencing has a name, or a teacher noticing something feels off — this one's for you. They cover the signs parents and teachers often spot first (including one you really might not expect), the most common OCD themes in younger people, and how to have those early, important conversations without making things worse. There's also a genuinely hopeful message for young people who are in the thick of it right now. On the practical side: how to find a good therapist (and the questions to ask to make sure they actually know their stuff), what to expect from therapy sessions, how ERP works with younger clients, what to do if your young person refuses help, family accommodations, and co-regulation — because OCD is a whole-family thing. Plus: listener questions, the Exposure Lab, a brilliant book recommendation for the trickiest of situations, and Laura's reassurance game which is exactly as chaotic as it sounds. 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 Timestamps: 01:35 – Hello and Greg's Anatomy facts 04:13 – Introduction to OCD in children and young people 07:05 – Just Checking merch 07:47 – Brain Spam 🧠 12:44 – Signs a parent might notice in their young person 18:22 – Key OCD themes in children and young people 22:49 – What early signs can a teacher spot? 26:50 – Jess's message of hope 28:05 – Laura's tip for young people who think they have OCD 31:50 – How to talk to your child about OCD concerns 36:40 – Family accommodations 39:18 – Co-regulation and modelling for your young person 40:40 – What if your young person doesn't want help? 43:38 – An amazing book for parents in this situation 46:00 – Tips for finding the right therapist 47:00 – What to expect in therapy and what gets shared with parents 49:00 – How ERP works with young people 52:00 – What if someone isn't ready for ERP? 55:48 – OCD onset and how to access help 1:00:30 – Tips on what you can request 1:02:14 – Medication for OCD 1:02:44 – Advocating as a parent and key resources 1:04:45 – Questions to scope out a good therapist 1:06:30 – Listener questions 1:08:52 – Exposure Lab 1:12:40 – Weekly Wins 1:13:26 – Goodbyes 📚 Resources mentioned: Because We Are Bad – Lily Bailey Natasha Daniels' videos How Josh Defeated the Worry Villain- www.reimaginetherapy.co.uk Can I Tell You About OCD? – Amita Jassi OCD Tools to Help You Fight Back – CBT workbook for young people Break Free from Childhood Anxiety and OCD – Eli Lebowitz The SPACE Programme Laura's website: Counselling Service North London | Laura Mole Counselling | England [https://www.lauramolecounselling.com/]  OCD-UK: ocduk.org OCD Action: ocdaction.org.uk 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.

Perinatal OCD — The Intrusive Thoughts No One Warned You About

If you Googled something terrifying about your baby and ended up here, you're in the right place. This week Jess and Laura are talking about one of the most misunderstood and underdiagnosed presentations of OCD — perinatal OCD. Whether you're pregnant, postpartum, or supporting someone who is, this one's for you. We get into why OCD loves to latch onto the thing you love most, what's actually happening in your brain and body during the perinatal period, and why so many people suffer in silence. We talk about that fear directly, and what advocating for you actually looks like. From the most common perinatal presentations to what therapy actually looks like in this season of life — including why regulation comes before challenging OCD — this episode covers the full picture. We also talk maternity leave grief, secure attachment, parenting values, and we close with a note from someone who has been where you might be right now, and come out the other side. You are not a bad parent. Your thoughts are not your character. And you are not alone in this. 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 Time stamps 00:36 Shout out to followers 01:10 Things you might have Googled with perinatal OCD 02:26 Introductions and shout out to Josh Fletcher 09:48 Introduction to perinatal OCD 10:44 Brain Spam 13:30 Prioproceptive input 15:50 Matrescence and mental health 20:00 Increased responsibility and vulnerability to OCD 22:05 Hormone shifts and OCD 23:52 Why OCD latches to the baby 24:30 Traumatic births and what you expect to feel 26:50 Birth planning and expectations 29:40 Preparing for pregnancy with OCD 31:30 Perinatal mental health team involvement 23:45 Building a village 36:07 Main OCD presentations in OCD 38:30 How common these intrusive thoughts are 39:20 What makes it OCD 42:30 Why we need more awareness of this 44:00 What if they report things to social services? 46:00 How we can advocate for you 48:00 What risk do we check more? 49:33 Options for support 50:55 Therapy for perinatal OCD; how it looks 52:00 Regulation before challenging OCD 54:00 Grieving maternity leave ideas and living like you value 58:21 Secure attachments and OCD 1:01:50 Prioritising parenting values 1:04:03 Responsive self-care lists 1:04:40 A note from someone who is recovered from perinatal OCD 1:05:23 Questions from the listeners 1:08:25 Key takeaways for perinatal OCD 1:09:00 Helpful resources and support websites 1:10:24 Exposure Lab 1:12:48 Weekly Wins 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 and her perinatal page @jess_the_therapy_mum 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. Resources mentioned: Jess’ perinatal mental health Instagram: @jess_the_therapy_mum Birth Rights: Birthrights - your human rights during pregnancy and maternity care [https://birthrights.org.uk/]  OCDUK: OCD-UK | A national OCD charity, run by, and for people with lived experience of OCD [https://www.ocduk.org/]  IOCDF Perinatal OCD Resource Centre: Perinatal OCD Resource Center To Help People Find Relief [https://iocdf.org/perinatal-ocd/]  Maternal OCD UK: Welcome to Maternal OCD [https://maternalocd.org/]  Postpartum Support International: Postpartum Support International - PSI [https://postpartum.net/]  The Breastfeeding Network (medication guidance): Drugs in Breastmilk factsheets - The Breastfeeding Network [https://www.breastfeedingnetwork.org.uk/drugs-factsheets/]

OCD Questions from the Listeners: How to Get Diagnosed, OCD and ADHD, False Attraction & More

Got OCD questions? Same. This week Jess and Laura tackle the listener mailbag from Laura's Tiktok live— covering how to get tested for OCD, accessing treatment, the serotonin myth, the OCD-ADHD connection, contamination OCD, and false attraction. Laura shares an insight into her feelings around her own OCD journey. There's also a free children's resource on neurodivergence, a children's book on intrusive thoughts, and Jess' entirely predictable over-preparation for an OCD research conference. 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 Time stamps 00:00 Hello chat 01:29 Introductions  07:30 Children's book for intrusive thoughts 09:30 A free resource for children to understand neurodivergence  12:30 OCD research conference and Jess' over-preparation 14:33 Brain Spam 18:18 Laura's Tiktok live for questions 19:52 How do you get tested for OCD  24:44  How do I get help for OCD? 32:44 Is OCD just a lack of serotonin? 37:56 Can OCD and ADHD correlate? 46:40 I can't touch anything my family have touched because I know it will kill them- how do I stop that? 47:55 I feel like myself intrusive thoughts reflect real feelings, they feel so real 51:20 Can you explain false attraction and false urges? 54:35 Exposure Lab 1:01:00 Teaser for next week and goodbyes For the book mentioned in the episode today, you can find it at www.reimaginetherapy.co.uk 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.

A Deep Dive into POCD: The Shame, Fear, and Hope of Recovery

This week Jess and Laura tackle one of the most stigmatised “taboo” OCD subtypes around — POCD, - and because we don’t want to get shadow banned, we will refer to it as “PDF File” – but we are not using this term as avoidance, or to avoid triggering anyone - just so you know! It shows up most as intrusive, unwanted sexual thoughts, images, doubts, words about children.   This is the one that sends people spiralling in shame and silence instead of reaching out for help. They break down what it actually is (and crucially, what it isn't), why groinal responses happen, what recovery looks like, and why the fact that these thoughts horrify you matters more than you think. This is an episode that will not only help you to feel less alone, but it will highlight exactly how to ask for help, and where to get it. Plus, Jess finally gets Laura crying on the podcast. 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 Time stamps 01:39 Hellos and introductions 02:59 Brain Spam 07:00 Peadophilia vs POCD 10:45 A message for people supporting those with POCD 17:58 How can pOCD look? And a little note on incest thoughts 28:37 What is a groinal response and why does it happen? 35:10 Shame in POCD 41:54 Recommended help and resources  46:20 When POCD pairs up with other themes 49:10 What does recovery look like? 51:10 Statistics about types of thoughts 53:23 Final tips 55:40 Weekly Win 58:52 Exposure Lab 1:02:00 Goodbyes 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.