For the first time ever, there are international guidelines for how OCD should be treated — and in this episode, we break them down.

Fresh from the Orchard OCD International Conference, Jess and Laura unpack what these landmark guidelines actually say: which treatments are recommended, in what order, and what this means for people with OCD and the clinicians supporting them. From ERP and medication through to TMS and DBS, the guidelines bring global consensus to questions that have long been answered differently depending on where you live or who you see.

Before they get there, they cover what the conference revealed about OCD neuroscience — brain imaging showing OCD as a network problem, gene mapping progress, biomarkers, and what the research says about how psychological treatments work on a neurological level.

There's also a section on OCD in childhood, apps and neuroimaging, and Body Focused Repetitive Behaviours.

This is Part 1 of a series covering the conference — and it's a good one to start with.

As always: Brain Spam, Weekly Wins, and a look at what's coming next.

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

Caveat

Before we get started, a quick disclaimer. This episode is intended for educational and informational purposes only. We discuss a range of medical and therapeutic interventions used in OCD treatment, including medication and neuromodulation approaches such as TMS, DBS and tDCS. However, we are not medical doctors or prescribing professionals, and nothing in this episode should be taken as medical advice or a recommendation to pursue any particular treatment.

We also mention some commercially available products and technologies. These references are provided for information only and should not be interpreted as an endorsement or recommendation to purchase or use them.

If you are considering any medical treatment, medication, or intervention discussed in this episode, please consult a suitably qualified healthcare professional who can advise you based on your individual circumstances.

Timestamps:

00:34 Extra disclaimer

02:26 Catch up

02:48 Introduction to the episode

04:00 Brain Spam

08:33 Who are Orchard OCD?

13:25 Takeaways about OCD treatment choice

16:00 OCD treatment and costs

18:34 OCD in childhood and brain changes

20:00 Apps and neuroimaging

20:49 OCD as a brain network problem

22:26 Exposure Response Prevention (ERP) and cognitive therapy work

24:00 Metacognitive Training

24:40 Biomarkers and precision psychiatry

25:30 Body Focused Repetitive Behaviours

27:39 The International Guidelines for OCD Treatment

46:30 How the guidelines can help people with OCD

49:25 How we plan to use the guidelines

52:40 What next?

54:06 Possible next episode themes

56:01 Weekly Wins

58:00 Goodbyes

Links:

Orchard OCD: https://www.orchardocd.org/

Orchard OCD Registry: https://orchardocdregistry.org/

CANMAT/ICOCS International Guidelines for OCD: https://icocs.org/2025-canmat-icocs-international-guidelines-for-the-management-of-patients-with-ocd/

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.

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 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.

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

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.