The Lindsay Clancy case has sparked intense conversations about postpartum mental health—and for many people with OCD, those conversations can be terrifying.

In this special Water Trough Chat, Nicole welcomes back OCD specialist Gina Abbondante, LCSW, who brings nearly 20 years of maternal mental health experience. Together, they explore perinatal OCD versus postpartum psychosis, intrusive thoughts, psychosis, hormonal influences, and why this case has created so much fear and confusion within the OCD community.

They also discuss the polarization surrounding the case and what happens when we try to force an incredibly complicated tragedy into black-and-white explanations.

Content Warning: Includes discussion of child death, filicide, suicide attempts, intrusive harm thoughts, psychosis, and severe perinatal mental illness.

In this Water Cooler Chat, Nicole is joined by her Seattle roomies and fellow OCD specialists Amanda Petrik-Gardner and Angela Henry to recap the 31st Annual IOCDF Conference.

The trio talks conference highlights, including expanded conversations around OCPD and PANS/PANDAS, the inaugural in-person I-CBT Special Interest Group meeting, evolving evidence-based treatment options, and why bringing clinicians, researchers, families, supporters, and people with lived experience together matters so much.

And because this is the OCD Family Podcast, there are plenty of roommate shenanigans along the way—including one very unexpected, exposure-filled barefoot walk through the streets of Seattle.

Come for the OCD education, stay for the dirty feet.

CONTENT WARNING: This episode discusses suicidal ideation, self-harm, suicide risk, and psychiatric hospitalization. Please listen with care. This podcast is educational and is NOT crisis management, therapy, or individualized treatment.

In this Water Cooler Chat, Nicole explores a question many people are afraid to ask: Will being honest with my therapist about suicidal thoughts automatically get me hospitalized?

Nicole breaks down why suicidal ideation isn’t one-size-fits-all, including passive versus active thoughts, intent, plan, access to means, protective factors, and acute versus chronic risk. She also explains why disclosure does not automatically mean hospitalization—and why not having a specific plan doesn’t automatically mean someone is safe or cannot be hospitalized. Risk assessment requires context, clinical judgment, and the whole clinical picture.

For the OCD community, Nicole also discusses the important distinction between unwanted intrusive thoughts about suicide or self-harm and suicidal desire or intent, while emphasizing that these experiences require individualized assessment by a qualified clinician.

If you or someone you love may act on thoughts of suicide, cannot stay safe, or is experiencing an immediate mental health crisis, please seek professional help now. In the U.S., call or text 988, go to the nearest emergency department, or contact emergency services for immediate help. Outside the U.S., contact your country’s emergency or crisis services.

In this Water Cooler Chat, Nicole breaks down what it actually means to receive a mental health diagnosis—and why it’s about much more than checking boxes or assigning a billing code.

Using the Lindsay Clancy case as a backdrop, Nicole explores the DSM, ICD, differential diagnosis, and her three-legged stool of diagnostic criteria, the overall clinical picture, and clinical judgment. She also discusses why diagnoses can evolve as new information emerges and why one symptom—or one code—can never tell the whole story.

The takeaway: The DSM and ICD give clinicians a shared language, but the person is always bigger than the diagnosis.

In this Water Cooler Chat, Nicole tackles one of the more judgmental questions that can emerge after a mental health tragedy: “Why didn’t the family do something?”

Using the broader conversation surrounding the Lindsay Clancy case, Nicole explores the important role families can play in mental health treatment—from noticing changes and communicating concerns to using Releases of Information (ROIs) and advocating for coordinated care. But loving someone doesn’t make you their therapist, psychiatrist, or risk assessor.

For the OCD Family community, there’s an especially meaningful takeaway: we can influence, advocate, support, and show up without having absolute control over another person or the outcome.

In this Water Cooler Chat, Nicole continues unpacking the broader mental health conversations surrounding the Lindsay Clancy case—this time examining psychiatric medications and the conclusions we draw from a medication list.

From her perspective as a licensed therapist, Nicole explores risk-benefit decisions, correlation versus causation, side effects, communication between providers, and the important role therapists and families can play in coordinated care. Most importantly, she challenges the temptation to use hindsight to turn a list of medications into an explanation for a complex clinical outcome.

The takeaway: A medication list is important data—but it isn’t a case formulation, and sometimes the most responsible answer is, “We don’t have enough information to know.”

This episode is educational and is not medical advice. Medication decisions should be made with a qualified prescribing professional.

The Lindsay Clancy trial has ignited intense conversation—and plenty of confusion—around maternal mental health and the meaning of “intrusive thoughts.” In this Water Cooler Chat, Nicole Morris, LMFT examines why clinical language matters, particularly when distinguishing postpartum OCD, postpartum depression, bipolar disorder, and postpartum psychosis. We’ll also unpack an especially important reminder for anyone frightened by their own mind: an intrusive thought is not the same as desire, intent, action, or psychosis.

Disclaimer: This episode is educational and is not intended to diagnose Lindsay Clancy or offer an opinion regarding criminal responsibility.

In the Season 4 Finale of the OCD Family Podcast, Nicole welcomes back leading OCPD expert, Dr. Anthony Pinto, to discuss his brand new, co-authored self-help book: The Obsessive-Compulsive Personality Disorder Workbook. Together, they explore burnout, shame, procrastination, rigidity, and the hidden emotional toll of OCPD—along with practical CBT tools that can help people build more flexibility, balance, and connection without losing themselves in the process.

They also answer listener questions about relationships, narcissism and more. Whether you live with OCPD, love someone who does, or are learning about it for the first time, this episode offers compassion, insight, and hope. So join the conversation, and celebrate the hope that awareness and evidence-based tools can bring!