WEBVTT - Thursday Therapy: The Other Side of OCD

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<v Speaker 1>The following podcast contains very sensitive information regarding intrusive thoughts,

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<v Speaker 1>sexual assault, and suicide. Listener discretion is advised.

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<v Speaker 2>Wind Down with Janet Kramer and I'm Heeart radio podcast.

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<v Speaker 1>This week's Thursday episode, We've got a Legra cast In's on.

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<v Speaker 1>So she's a licensed marriage and family therapist. She has

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<v Speaker 1>a master's degree in clinical psychology from Pepperdine. She is

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<v Speaker 1>the founder of the Center of OCD, Anxiety and Eating Disorders.

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<v Speaker 1>She sees clients out of her New York office as

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<v Speaker 1>well as via teletherapy. So she specializes in the treatment

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<v Speaker 1>of obsessive compulsive disorder, anxiety disorders, body focused repetitive behaviors,

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<v Speaker 1>and eating disorders. And she has a podcast called Books, Looks,

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<v Speaker 1>and Lobotomies. And she's currently writing a memoir. So let's

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<v Speaker 1>get her on.

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<v Speaker 3>Hello, HOI you did, I'm good? How are you?

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<v Speaker 1>I'm good. I'm Jana. This is my husband Alan Leice

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<v Speaker 1>to me to meet you too. Hello. Hello, So we're

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<v Speaker 1>excited to have you on to chat all things. I

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<v Speaker 1>kind of want to just take it back though to

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<v Speaker 1>the very beginning. When did you well, when did you

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<v Speaker 1>first realize that you were We're dealing with OCD.

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<v Speaker 4>So I was nineteen years old, and well, actually nineteen

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<v Speaker 4>was when I had my onset of symptoms that just

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<v Speaker 4>debilitated me. So it was like, in point two seconds

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<v Speaker 4>everything changed. It felt like a flip switched to my

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<v Speaker 4>mind and I started having repetitive intrusive thoughts.

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<v Speaker 3>All day long.

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<v Speaker 4>But I didn't actually get diagnosed for another fifteen months,

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<v Speaker 4>so I think I was twenty years old when that happened.

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<v Speaker 1>What was the thing that was like happening that You're like, oh,

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<v Speaker 1>this is this is OCD?

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<v Speaker 4>So I was having and I don't know how much

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<v Speaker 4>you know about OCD, but I was having repetitive, unwanted

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<v Speaker 4>sexual thoughts about kids and animals and family members, and

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<v Speaker 4>it was the last thing that I wanted to think about,

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<v Speaker 4>but it just kept popping into my mind all day long.

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<v Speaker 4>So at first I didn't associate that with OCD because

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<v Speaker 4>I thought OCD was a disorder of cleanliness and organization.

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<v Speaker 4>And when I finally googled after fifteen months, like why

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<v Speaker 4>am I having these terrifying thoughts? OCD came up on

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<v Speaker 4>the Internet and that kind of changed my whole life.

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<v Speaker 1>I had no idea personally, I thought it was something

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<v Speaker 1>where I heard the clean thing, but also it's like

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<v Speaker 1>you touch the same spot every single day or is

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<v Speaker 1>that part of OCD too.

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<v Speaker 2>Yeah, I think so. I always gauge things around professional sports,

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<v Speaker 2>and you hear coaches say all the time when they

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<v Speaker 2>misplace their cones and they have to walk back and

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<v Speaker 2>replace them and then walk back and replate, like, Oh,

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<v Speaker 2>it's just my OCD, But it's not. It's you don't

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<v Speaker 2>have OCD, you have an attention for detail. There is

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<v Speaker 2>a big, big difference. And I looked into it a

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<v Speaker 2>little bit yesterday and it's amazing how it affects people's life.

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<v Speaker 2>But at what point did it become dangerous for you

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<v Speaker 2>in your life?

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<v Speaker 4>So that's you know, it's a tough question because I

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<v Speaker 4>was what we call high functioning. I was working in

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<v Speaker 4>Los Angeles at the time as a publicist, and I

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<v Speaker 4>think being very high functioning masked a lot of my suffering.

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<v Speaker 4>But it got to a point where I was in

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<v Speaker 4>trigger warning I'm going to talk about suicide, where I

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<v Speaker 4>wanted to kill myself because I didn't want to live

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<v Speaker 4>with these thoughts anymore. And I had been getting in

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<v Speaker 4>a lot of car accidents because I couldn't focus, Like

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<v Speaker 4>I just kept having the scariest thoughts replay over and

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<v Speaker 4>over and over, and when I wanted to end my

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<v Speaker 4>life because of this, that is when I really thought

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<v Speaker 4>like I need to get some kind of help or

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<v Speaker 4>I will be dead.

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<v Speaker 2>I must be really tough. I mean, you know what

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<v Speaker 2>it's like in period in life where you don't your

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<v Speaker 2>decision making and trusting your own decision making is as vital.

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<v Speaker 2>And for that to be, I mean, how much does

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<v Speaker 2>it affect your decision making and your normal function on

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<v Speaker 2>a daily basis, because your decision making is everything and life.

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<v Speaker 4>Yeah, now I am at a place of recut, so

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<v Speaker 4>I would say I don't meet diagnostic criteria for OCD.

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<v Speaker 4>But when I was really sick, it took up every

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<v Speaker 4>single second of my day, Like there was not a

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<v Speaker 4>second that I wasn't having a scary thought or doing

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<v Speaker 4>a mental compulsion like ruminating about why I was having

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<v Speaker 4>these thoughts, And it became really hard to trust myself.

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<v Speaker 3>Like I knew, I knew I.

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<v Speaker 4>Was born to be a mom. That's just something that

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<v Speaker 4>I've always known about myself. I've always loved kids. I

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<v Speaker 4>worked with kids before the onset of my OCD, and

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<v Speaker 4>so when this happened and out of the blue, I

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<v Speaker 4>started having scary sexual thoughts about kids, it made me

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<v Speaker 4>doubt myself and the kind of person that I was.

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<v Speaker 4>And I think it's it's a scary experience for a

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<v Speaker 4>lot of people with OCD because you know who you are,

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<v Speaker 4>but you have these really odd thoughts in your brain

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<v Speaker 4>that are trying to tell you that you're something that.

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<v Speaker 3>You are not.

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<v Speaker 4>So it really attacked my whole identity and at a

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<v Speaker 4>time in my life where I think, nineteen twenty years old,

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<v Speaker 4>you're already kind of trying to find yourself, and that

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<v Speaker 4>really impaired a lot of different areas of my life.

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<v Speaker 1>I have two kind of questions around it. At the first,

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<v Speaker 1>So were you nervous to speak about the things that

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<v Speaker 1>you were dealing with because I could sense some or

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<v Speaker 1>I could imagine people hear that and they're like, oh,

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<v Speaker 1>stay away from my kids, or something like a thousand Yeah.

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<v Speaker 3>Oh, I was terrified.

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<v Speaker 4>I didn't even want to google it because I didn't

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<v Speaker 4>want like, I didn't want to google why am I

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<v Speaker 4>having these scary thoughts about kids? Because I didn't want

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<v Speaker 4>the Internet to say you're a pedophile because I knew

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<v Speaker 4>that I wasn't.

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<v Speaker 3>I was not getting enjoyment out of these thoughts.

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<v Speaker 4>OCD is very egodystonic, Like I knew that this wasn't me,

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<v Speaker 4>and then I was really afraid to tell a doctor

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<v Speaker 4>because I didn't want them to tell me you must

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<v Speaker 4>be a pedophile, because I knew so deeply that I wasn't.

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<v Speaker 4>And that's a fear a lot of people with OCD have,

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<v Speaker 4>whether it's postpartum obsessions about one's baby harm obsessions, like

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<v Speaker 4>they worry that they're going to go see a therapist

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<v Speaker 4>who doesn't understand OCD and then says you're a killer,

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<v Speaker 4>or you're going to drown your baby, or you're a pedophile,

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<v Speaker 4>and that's actually the last thing that the person is.

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<v Speaker 1>So now that you've gotten, you know through through the

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<v Speaker 1>work of all this, like what was the do you

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<v Speaker 1>know why it comes up? And then how was the

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<v Speaker 1>like the healing to get through it?

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<v Speaker 4>I really wish I had that answer, And I'm writing

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<v Speaker 4>a memoir right now, and like that is the question

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<v Speaker 4>that I probably won't ever have an answer to. We

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<v Speaker 4>don't know what causes OCD right now. It's often people

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<v Speaker 4>think it's a mix of genetics, biology, environment, So if

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<v Speaker 4>you have trauma growing up, that might contribute to it.

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<v Speaker 4>And I was anorexic at the time, so I think

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<v Speaker 4>that me being anarexic struggling with an eating disorder and

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<v Speaker 4>not eating enough probably contributed to my brain not functioning

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<v Speaker 4>as well as it should have. But I don't think

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<v Speaker 4>I'll ever know what caused this, and that is kind

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<v Speaker 4>of scary if I think about it, because I guess

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<v Speaker 4>I never know if I'm going to have that like

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<v Speaker 4>relapse of symptoms again in that way.

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<v Speaker 1>So how did you get through it?

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<v Speaker 5>Then?

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<v Speaker 1>What were the If someone else is listening to this,

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<v Speaker 1>they're like, oh my gosh, same and I've been to

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<v Speaker 1>or ified to admit it. So thank you, you know,

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<v Speaker 1>for sharing for those that can, because you're going to

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<v Speaker 1>be helping people obviously through sharing everything you share. So

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<v Speaker 1>what was the first thing you did and how what

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<v Speaker 1>were the steps following?

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<v Speaker 4>So I saw a therapist who understood OCD, which was

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<v Speaker 4>really helpful. And there's a specific evidence based treatment for OCD.

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<v Speaker 4>It's not like general talk therapy that you might do.

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<v Speaker 4>It's cognitive behavioral therapy with an emphasis on exposure and

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<v Speaker 4>response prevention. So I started seeing a therapist who understood OCD,

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<v Speaker 4>and then I also started taking medication, which I'm not

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<v Speaker 4>saying that other people have to, but that was also

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<v Speaker 4>a really big tool in my healing journey, like quieted

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<v Speaker 4>the thoughts down, I didn't feel as anxious, and it

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<v Speaker 4>enabled me to do the therapy work.

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<v Speaker 1>I'm just curious what medicine.

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<v Speaker 3>I'm on, Prozac, prozach okay, yes, yes.

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<v Speaker 1>Just curious if I had anything, because I used to

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<v Speaker 1>take lexapro. So I was just wondering, like which ones

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<v Speaker 1>stimulate certain different SSRIs or whatever.

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<v Speaker 3>It depends on the person.

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<v Speaker 4>Which is another shitty Like I had to go through

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<v Speaker 4>four medications and three different doctors to find a doctor

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<v Speaker 4>and a med that actually worked for me, And that

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<v Speaker 4>can be really scary for people who want that fix quickly,

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<v Speaker 4>to feel like a guinea pig.

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<v Speaker 2>Yeah, it just it just amazes me because there's a

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<v Speaker 2>perception of what an outside perception of what OCD is like,

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<v Speaker 2>to give an example, like, and it's a poor perspective really,

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<v Speaker 2>Like to give an example, I used to play soccer

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<v Speaker 2>and there was a period where I was walking the

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<v Speaker 2>team out and I was a captain, right and I was,

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<v Speaker 2>I had so many superstitions, so been interesting to see

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<v Speaker 2>what the links are between superstitions and OCD. Because there's

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<v Speaker 2>one time we were just walking the team out. I

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<v Speaker 2>was going in the field and like, my shoes are

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<v Speaker 2>facing the wrong way in the locker room, and I

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<v Speaker 2>left my teammates and walked back like eighty yards so

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<v Speaker 2>that I could put my shoes back the right way,

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<v Speaker 2>just so that I thought, because I thought that would

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<v Speaker 2>ruin my performance. So it'd be amazing. I'd be amazed

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<v Speaker 2>to see the links between what people think are superstitions

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<v Speaker 2>and think are OCD when it's not. It's just a

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<v Speaker 2>it's just a stupid superstition based on which is essentially

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<v Speaker 2>what it is, based on what you think how it's

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<v Speaker 2>going to affect your day and affect your performance. And

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<v Speaker 2>when I read I didn't take a deep dive, but

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<v Speaker 2>I read about OCD, and I'm like, wow, it's so

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<v Speaker 2>far from what you think it is it really is

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<v Speaker 2>and what and what the public perceivers is o c D.

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<v Speaker 2>And it actually really amazed me, Like even like I

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<v Speaker 2>seen I saw one of your posts yesterday. It was

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<v Speaker 2>about you having intrusive thoughts on a plane yes, related

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<v Speaker 2>to me because Janna is not a good flyer.

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<v Speaker 1>I'm like, and I'm constantly thinking, is it Does that

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<v Speaker 1>mean I'm OCD? Then? Because but I have like thoughts

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<v Speaker 1>all the time. I'm like about the plane going down,

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<v Speaker 1>and then what's going to happen? And then like am

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<v Speaker 1>I gonna have to do this? And I have like

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<v Speaker 1>thirty different steps of what I'm doing on the plane?

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<v Speaker 2>Yeah, so my question what are those intrusives? So if

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<v Speaker 2>you're in the exit role of a flight, yeah, what

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<v Speaker 2>goes through your head and makes it so dangerous for you?

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<v Speaker 4>So like now I can laugh about it because I'm

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<v Speaker 4>in a place of recovery. And by the way, like

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<v Speaker 4>anybody can have an intrusive thought, For the person with OCD,

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<v Speaker 4>it's repetitive, it tends to stick, and the person is

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<v Speaker 4>performing mental, mental, and or physical compulsions that take up

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<v Speaker 4>an hour of their day. So if you have a

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<v Speaker 4>random intrusive thought, that doesn't automatically mean that you have OCD.

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<v Speaker 4>For me, I was able to just say, like, that's

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<v Speaker 4>a ridiculous thought and get on with it. But ten

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<v Speaker 4>years ago that would have consumed my entire flight, Like

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<v Speaker 4>I probably would have wanted to get up and move

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<v Speaker 4>to a different row, because I would have been so

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<v Speaker 4>afraid that I could just snap and open up the

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<v Speaker 4>door midflight.

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<v Speaker 1>And then what so, okay, so you say that, and

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<v Speaker 1>then what are the other actions that you say go

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<v Speaker 1>along with it for the next hour.

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<v Speaker 4>So mental compulsions are big, and a lot of people

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<v Speaker 4>don't understand that. They think if someone has OCD, I'll

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<v Speaker 4>see them redoing something or sanitizing. For me, all of

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<v Speaker 4>my compulsions were mental. So they might sit there ruminating

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<v Speaker 4>about whether or not they actually want to open the door.

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<v Speaker 4>They might mentally review the past to see if there

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<v Speaker 4>are any instances that confirm that they could be a killer,

0:11:12.080 --> 0:11:16.600
<v Speaker 4>or they could reassure themselves internally. They could neutralize their

0:11:16.640 --> 0:11:19.600
<v Speaker 4>thoughts constantly repeating I'm not going to do that, I'm

0:11:19.640 --> 0:11:20.280
<v Speaker 4>not going to do that.

0:11:20.400 --> 0:11:22.640
<v Speaker 3>So a lot of mental compulsions for people.

0:11:35.240 --> 0:11:39.120
<v Speaker 1>I'm wondering now is like my anxiety actually OCD.

0:11:39.559 --> 0:11:44.600
<v Speaker 2>Well, there's a complete deference on how anxiety affects. You'll see,

0:11:44.840 --> 0:11:45.679
<v Speaker 2>like I was reading, but.

0:11:45.640 --> 0:11:49.439
<v Speaker 1>I obsess of things like mentally in my brain.

0:11:49.360 --> 0:11:53.440
<v Speaker 2>Anxiety is your perception of yourself.

0:11:53.800 --> 0:12:01.959
<v Speaker 1>That is fear too of like unknown.

0:11:59.080 --> 0:12:02.920
<v Speaker 4>Tell us the difference for sure between anxiety and OCD.

0:12:03.400 --> 0:12:06.080
<v Speaker 4>With OCD, there tends to be what we call obsessional

0:12:06.120 --> 0:12:10.000
<v Speaker 4>doubt or pathological doubt. So the person is doubting what

0:12:10.040 --> 0:12:12.360
<v Speaker 4>they know. Like I know that I'm not a pedophile,

0:12:12.360 --> 0:12:14.360
<v Speaker 4>but I keep having these thoughts about that. I know

0:12:14.480 --> 0:12:17.160
<v Speaker 4>that I'm not a killer, but these thoughts keep popping

0:12:17.200 --> 0:12:19.360
<v Speaker 4>into my mind. So there's a lot of doubt that

0:12:19.520 --> 0:12:23.240
<v Speaker 4>is not super rational. And there's also a lot of anxiety.

0:12:23.559 --> 0:12:28.040
<v Speaker 4>With generalized anxiety, someone might be experiencing an excessive amount

0:12:28.120 --> 0:12:32.280
<v Speaker 4>of anxiety about an everyday life experience like taking an exam,

0:12:32.880 --> 0:12:36.920
<v Speaker 4>getting onto an airplane, but it's not necessarily that irrational.

0:12:36.960 --> 0:12:38.400
<v Speaker 3>What if if that makes sense?

0:12:41.040 --> 0:12:44.280
<v Speaker 4>And what's tough is people with anxiety can perform mental compulsions.

0:12:44.520 --> 0:12:47.080
<v Speaker 4>You can ruminate all day long and have anxiety and

0:12:47.120 --> 0:12:47.800
<v Speaker 4>not OCD.

0:12:48.880 --> 0:12:49.720
<v Speaker 2>That's fascinating.

0:12:50.240 --> 0:12:53.120
<v Speaker 1>So then how what's then the difference with that? So, like,

0:12:53.440 --> 0:12:55.520
<v Speaker 1>let's say I ruminate all day like, oh my gosh,

0:12:55.559 --> 0:12:57.360
<v Speaker 1>I'm so because I have like this weird like medical

0:12:57.360 --> 0:12:58.800
<v Speaker 1>anxiety thing. I'm like, oh my god, I'm gonna go

0:12:58.800 --> 0:13:00.000
<v Speaker 1>to the hospital and I'm gonna be sick in this

0:13:00.080 --> 0:13:03.240
<v Speaker 1>That and the other all day ruminating about it, where

0:13:03.320 --> 0:13:04.480
<v Speaker 1>then would it make it OCD.

0:13:04.760 --> 0:13:07.680
<v Speaker 4>So a lot of the times it comes down to

0:13:07.880 --> 0:13:11.160
<v Speaker 4>the doubt. So like, for instance, what if I have cancer.

0:13:11.200 --> 0:13:14.280
<v Speaker 4>If that's someone's obsession and they have health OCD, there

0:13:14.400 --> 0:13:17.439
<v Speaker 4>isn't anything in the here and now that would substantiate

0:13:17.520 --> 0:13:18.120
<v Speaker 4>that doubt.

0:13:18.640 --> 0:13:19.520
<v Speaker 3>If it is.

0:13:19.480 --> 0:13:23.840
<v Speaker 4>More of anxiety about a health situation that's actually happening,

0:13:23.880 --> 0:13:26.600
<v Speaker 4>that would be a bit different, because with OCD, we

0:13:26.640 --> 0:13:29.240
<v Speaker 4>want to resolve the doubt to the best of our ability,

0:13:29.440 --> 0:13:31.840
<v Speaker 4>to get the person to understand you're not a pedophile,

0:13:31.960 --> 0:13:35.000
<v Speaker 4>you don't have cancer, you're not a killer. Whereas if

0:13:35.000 --> 0:13:38.880
<v Speaker 4>it's something future based with anxiety, like what if our

0:13:39.000 --> 0:13:42.400
<v Speaker 4>plane crashes, that's not really something that we can resolve.

0:13:42.440 --> 0:13:45.839
<v Speaker 4>There is some uncertainty to tolerate there. So they are

0:13:46.000 --> 0:13:46.760
<v Speaker 4>pretty similar.

0:13:47.360 --> 0:13:53.640
<v Speaker 5>Really, it can be resolved, yes, absolutely, oh yeah, Whereas

0:13:53.640 --> 0:13:56.960
<v Speaker 5>sometimes with anxiety, when it's future oriented, there just isn't

0:13:57.000 --> 0:13:57.600
<v Speaker 5>an answer.

0:13:58.160 --> 0:14:03.199
<v Speaker 1>Okay, that makes sense, So then I'm just anxious human?

0:14:04.640 --> 0:14:08.240
<v Speaker 1>What has been? Because how old? Can I ask? How

0:14:08.240 --> 0:14:08.600
<v Speaker 1>old are you?

0:14:09.040 --> 0:14:09.720
<v Speaker 3>I'm twenty nine?

0:14:10.120 --> 0:14:12.240
<v Speaker 1>Okay, oh you love that, twenty nine?

0:14:12.280 --> 0:14:14.160
<v Speaker 3>Do I look old? Scared?

0:14:14.640 --> 0:14:14.760
<v Speaker 5>No?

0:14:14.760 --> 0:14:17.120
<v Speaker 1>No, no, because you're still young, you know what I mean,

0:14:17.240 --> 0:14:20.080
<v Speaker 1>Like it's I feel like I'm but thank you the

0:14:20.200 --> 0:14:25.680
<v Speaker 1>same trust. So you've been essentially quote living with this

0:14:25.880 --> 0:14:29.560
<v Speaker 1>for you know, as you know, ten ten years. What

0:14:29.720 --> 0:14:33.080
<v Speaker 1>has been the biggest besides therapy in the medicine, like,

0:14:33.240 --> 0:14:36.160
<v Speaker 1>the biggest tool for you that has helped you on this.

0:14:36.200 --> 0:14:41.960
<v Speaker 4>Path acceptance and acceptance of the thoughts that I'm having.

0:14:42.080 --> 0:14:45.640
<v Speaker 3>Not that the thoughts are true. I think that that word.

0:14:45.440 --> 0:14:47.720
<v Speaker 4>Scares people with OCD, but I really had to get

0:14:47.760 --> 0:14:50.040
<v Speaker 4>to a place of this is my brain. It will

0:14:50.040 --> 0:14:52.400
<v Speaker 4>think the wildest thoughts possible, and I just have to

0:14:52.480 --> 0:14:55.080
<v Speaker 4>let those exist because the more that I fight with them,

0:14:55.480 --> 0:14:59.240
<v Speaker 4>the more I experience those thoughts. So acceptance, I would say,

0:14:59.280 --> 0:15:01.360
<v Speaker 4>is the number one tool out of anything that I've

0:15:01.360 --> 0:15:04.240
<v Speaker 4>done that changed my recovery journey.

0:15:03.920 --> 0:15:06.440
<v Speaker 1>For me well, and with you being very open to

0:15:06.560 --> 0:15:11.080
<v Speaker 1>on your podcast, I make up that it's probably difficult

0:15:11.120 --> 0:15:13.520
<v Speaker 1>to having people that come to you and like say

0:15:13.520 --> 0:15:17.240
<v Speaker 1>things that might be again hurtful, but also you're speaking

0:15:17.280 --> 0:15:20.360
<v Speaker 1>your truth too. So in that we've obviously helped a

0:15:20.400 --> 0:15:23.320
<v Speaker 1>lot of people. What's the biggest thing that you've heard

0:15:23.320 --> 0:15:25.240
<v Speaker 1>from people that reach out to you.

0:15:25.800 --> 0:15:28.880
<v Speaker 4>I get messages almost every day that I've saved someone's life,

0:15:28.920 --> 0:15:33.560
<v Speaker 4>which really I I mean I sometimes they can't even

0:15:33.560 --> 0:15:36.520
<v Speaker 4>comprehend it, but it's usually that like, I've never heard

0:15:36.520 --> 0:15:39.680
<v Speaker 4>someone openly talk about this. I didn't know that what

0:15:39.720 --> 0:15:43.120
<v Speaker 4>I was experiencing was OCD because of all the misconceptions.

0:15:43.520 --> 0:15:45.160
<v Speaker 3>So probably those two things.

0:15:45.520 --> 0:15:48.280
<v Speaker 4>And I think having someone like I never know how

0:15:48.320 --> 0:15:50.360
<v Speaker 4>to talk about this, but when you when you think

0:15:50.400 --> 0:15:53.200
<v Speaker 4>about someone having scary sexual thoughts about kids, you probably

0:15:53.200 --> 0:15:54.960
<v Speaker 4>think about like the eighty five year old grandpa in

0:15:55.000 --> 0:15:57.600
<v Speaker 4>the basement. But when it's someone like me, who's like,

0:15:58.000 --> 0:15:59.600
<v Speaker 4>you know, was a twenty five year old, twenty one

0:15:59.680 --> 0:16:02.600
<v Speaker 4>year old whatever experiencing it, I think it makes people

0:16:02.680 --> 0:16:04.840
<v Speaker 4>feel better like this can happen to anyone. You know,

0:16:04.920 --> 0:16:08.080
<v Speaker 4>You're not like a creepy, gross, weird person. It's just

0:16:08.120 --> 0:16:09.480
<v Speaker 4>a mental health condition.

0:16:12.120 --> 0:16:15.240
<v Speaker 1>For the anorexia. Do you mind if we touch on

0:16:15.240 --> 0:16:15.800
<v Speaker 1>that for a second.

0:16:15.840 --> 0:16:15.960
<v Speaker 2>Oh?

0:16:15.960 --> 0:16:16.480
<v Speaker 3>Absolutely?

0:16:16.560 --> 0:16:16.960
<v Speaker 4>Yeah.

0:16:17.480 --> 0:16:20.240
<v Speaker 1>Was that just a way of controlling? Was that a

0:16:20.280 --> 0:16:23.360
<v Speaker 1>part of the OCD you think was having that control?

0:16:23.600 --> 0:16:26.640
<v Speaker 1>Was it was it inexia or bolimia?

0:16:26.880 --> 0:16:27.680
<v Speaker 3>It was anarexia.

0:16:27.720 --> 0:16:31.040
<v Speaker 1>It's arexias? So did you not eat because of a

0:16:31.080 --> 0:16:34.000
<v Speaker 1>message you heard or was it control or what was it?

0:16:34.600 --> 0:16:36.680
<v Speaker 4>That's another thing I don't think I'll ever have the

0:16:36.800 --> 0:16:38.040
<v Speaker 4>complete answer to.

0:16:38.360 --> 0:16:40.680
<v Speaker 3>But it was me.

0:16:40.840 --> 0:16:42.760
<v Speaker 4>It started with me wanting to lose weight, and that's

0:16:42.800 --> 0:16:44.920
<v Speaker 4>something that I had been told my entire life, that

0:16:44.960 --> 0:16:47.520
<v Speaker 4>I should lose weight, and so I started a diet

0:16:47.520 --> 0:16:49.920
<v Speaker 4>my freshman year of college, and then a couple of

0:16:49.960 --> 0:16:51.880
<v Speaker 4>months later. The only way I can describe it is

0:16:51.880 --> 0:16:54.840
<v Speaker 4>like I just fell into an eating disorder and I

0:16:54.880 --> 0:16:58.280
<v Speaker 4>couldn't think about anything else other than food and body,

0:16:58.760 --> 0:17:01.560
<v Speaker 4>and it was it felt similar to OCD because there

0:17:01.560 --> 0:17:04.960
<v Speaker 4>were obsessions and there were convulsions, but it was to.

0:17:04.880 --> 0:17:07.280
<v Speaker 3>Me a lot easier than the OCD that came.

0:17:07.160 --> 0:17:09.960
<v Speaker 1>Next, Right, And like you said, like I feel like

0:17:10.560 --> 0:17:13.040
<v Speaker 1>or I'm sure there was nutrients possibly missing in the.

0:17:13.000 --> 0:17:15.119
<v Speaker 3>Brain, right, Oh for sure.

0:17:15.080 --> 0:17:17.760
<v Speaker 1>Yeah that might have triggered certain things.

0:17:19.080 --> 0:17:22.520
<v Speaker 4>Yeah, not eating can really impair a person's cognitive functioning,

0:17:23.119 --> 0:17:25.920
<v Speaker 4>and so I work with OCD and eating disorders. Those

0:17:25.920 --> 0:17:27.879
<v Speaker 4>are two of my specialties. And if someone comes in

0:17:27.920 --> 0:17:30.880
<v Speaker 4>and they're really malnourished, that is like the first thing

0:17:30.920 --> 0:17:33.120
<v Speaker 4>that we have to address, because it's hard to do

0:17:33.200 --> 0:17:37.160
<v Speaker 4>that cognitive treatment work if your brain is just not functioning.

0:17:38.240 --> 0:17:42.240
<v Speaker 1>It's interesting because my daughter's in she's in third grade,

0:17:42.320 --> 0:17:46.080
<v Speaker 1>and she has I don't know where she's heard it

0:17:46.080 --> 0:17:48.440
<v Speaker 1>because we don't say fat or skinny in this house.

0:17:48.480 --> 0:17:52.440
<v Speaker 1>We always just say like healthy, and you know, we

0:17:52.480 --> 0:17:55.560
<v Speaker 1>work out a lot. But I've never been like, oh

0:17:55.600 --> 0:17:58.600
<v Speaker 1>I'm fat or anything about skinny. And so she the

0:17:58.680 --> 0:18:01.840
<v Speaker 1>other day she was like, Mommy, am I fat? Or

0:18:01.840 --> 0:18:04.760
<v Speaker 1>am I skinny? And I'm just like, I was like, honey,

0:18:04.840 --> 0:18:07.199
<v Speaker 1>you are healthy, you are beautiful. But I'm like, am

0:18:07.240 --> 0:18:08.760
<v Speaker 1>I even saying the right words. I'm like, I don't

0:18:08.800 --> 0:18:10.480
<v Speaker 1>know because I'm like, obviously I wouldn't say like, yeah,

0:18:10.480 --> 0:18:13.000
<v Speaker 1>you're skinny. I mean, she's she's a slender girl. But

0:18:13.040 --> 0:18:15.560
<v Speaker 1>I'm like, I you know, it's like all of a sudden,

0:18:15.600 --> 0:18:18.359
<v Speaker 1>third grade is opening the door to all these bigger

0:18:18.359 --> 0:18:20.280
<v Speaker 1>conversations which something happened their day. I have to talk

0:18:20.320 --> 0:18:23.600
<v Speaker 1>to you about allan. But we know she heard something

0:18:23.640 --> 0:18:25.480
<v Speaker 1>at school, and so there's things I'm like, oh my gosh,

0:18:25.560 --> 0:18:27.679
<v Speaker 1>It's like I remember what it was like for me,

0:18:28.400 --> 0:18:31.560
<v Speaker 1>you know, being a kid and then going into middle

0:18:31.560 --> 0:18:34.840
<v Speaker 1>school and just having the comparing your bodies to other girls,

0:18:34.880 --> 0:18:37.119
<v Speaker 1>and even it's worse now because it's social media. So

0:18:37.160 --> 0:18:40.119
<v Speaker 1>it's just like and then I've been looking at her

0:18:40.200 --> 0:18:42.359
<v Speaker 1>lunch box too and being like, honey, and I noticed

0:18:42.359 --> 0:18:44.560
<v Speaker 1>that she didn't eat all of her food and she

0:18:44.600 --> 0:18:46.000
<v Speaker 1>had like a lot left, and so I kind of

0:18:46.000 --> 0:18:47.720
<v Speaker 1>looked at her and then I'm like should I even

0:18:47.720 --> 0:18:49.399
<v Speaker 1>be questioning her on this right now? But also like

0:18:49.480 --> 0:18:51.920
<v Speaker 1>she barely touched her lunch, so and it was after

0:18:51.960 --> 0:18:53.800
<v Speaker 1>the skinny conversation, so I was like, hey, baby, I

0:18:53.840 --> 0:18:56.159
<v Speaker 1>was like, I noticed you didn't eat your lunch, like

0:18:56.280 --> 0:18:57.840
<v Speaker 1>is every were you okay? She's like, oh, I just

0:18:57.880 --> 0:18:59.719
<v Speaker 1>had a lot of the nuts, and I was like okay.

0:19:00.200 --> 0:19:01.600
<v Speaker 1>But then it like cocked in my head, is like,

0:19:01.640 --> 0:19:03.560
<v Speaker 1>oh my gosh, is she like thinking about not eating

0:19:03.600 --> 0:19:05.359
<v Speaker 1>because she wants to be skinny? And so then I

0:19:05.440 --> 0:19:06.520
<v Speaker 1>just like spiraled on that.

0:19:06.640 --> 0:19:12.520
<v Speaker 4>But any advice, So, I think when kids come to

0:19:12.600 --> 0:19:14.120
<v Speaker 4>us and they say, am I skinny?

0:19:14.240 --> 0:19:14.800
<v Speaker 3>Am I fat?

0:19:14.880 --> 0:19:18.880
<v Speaker 4>What's really important is to look at those words as

0:19:18.880 --> 0:19:20.960
<v Speaker 4>descriptors and to try to help them see that. So

0:19:21.000 --> 0:19:23.560
<v Speaker 4>there's nothing wrong with being fat. If a person is fat,

0:19:23.600 --> 0:19:25.640
<v Speaker 4>there's nothing bad about that. Some people have more fat

0:19:25.680 --> 0:19:28.200
<v Speaker 4>on their bodies. Some people have less fat on their bodies,

0:19:28.240 --> 0:19:30.840
<v Speaker 4>So talking about those words in that way instead of

0:19:30.880 --> 0:19:33.919
<v Speaker 4>saying like you are skinny, which obviously you didn't do.

0:19:34.359 --> 0:19:36.600
<v Speaker 4>And even the word healthy can be super loaded. I

0:19:36.600 --> 0:19:39.040
<v Speaker 4>think a lot of the times people think that being

0:19:39.119 --> 0:19:41.720
<v Speaker 4>thin means being healthy, but you can also be fat

0:19:41.760 --> 0:19:42.480
<v Speaker 4>and be healthy.

0:19:42.720 --> 0:19:44.680
<v Speaker 3>You can be thin and you can be unhealthy.

0:19:45.280 --> 0:19:48.280
<v Speaker 4>So I think helping your kids see that no matter what, like,

0:19:48.320 --> 0:19:51.080
<v Speaker 4>these are descriptors and they're not good or bad, they

0:19:51.200 --> 0:19:53.320
<v Speaker 4>just are. Some people have long hair, some people have

0:19:53.359 --> 0:19:56.000
<v Speaker 4>short hair, some people have round bellies, some people have

0:19:56.080 --> 0:19:58.000
<v Speaker 4>flat bellies, and all of that.

0:19:58.080 --> 0:20:01.000
<v Speaker 1>Is okay, yeah, that way a better conversation.

0:20:01.400 --> 0:20:05.360
<v Speaker 4>But it sounds like she's really internalized something from school.

0:20:06.000 --> 0:20:09.400
<v Speaker 4>So I think having that conversation might be helpful.

0:20:09.960 --> 0:20:11.560
<v Speaker 1>Okay, thank you, I appreciate that.

0:20:24.040 --> 0:20:26.480
<v Speaker 2>I talked to me about groin. I started to watch

0:20:26.480 --> 0:20:34.240
<v Speaker 2>a yesterday.

0:20:36.119 --> 0:20:36.879
<v Speaker 3>I'm obsessed.

0:20:36.920 --> 0:20:39.520
<v Speaker 1>Okay, an Scottish accent too.

0:20:39.840 --> 0:20:42.119
<v Speaker 4>Anyway, So, oh my god, I just went to Scotland

0:20:42.200 --> 0:20:44.200
<v Speaker 4>last week for the first time and it was amazing.

0:20:44.880 --> 0:20:48.560
<v Speaker 1>So wait, catch all of us up that had no idea,

0:20:48.560 --> 0:20:49.360
<v Speaker 1>I mean, the listeners.

0:20:49.400 --> 0:20:51.920
<v Speaker 2>Please all did you enjoy scott Scotland.

0:20:52.320 --> 0:20:54.080
<v Speaker 4>Oh my gosh, I want to move there, but I

0:20:54.119 --> 0:20:57.080
<v Speaker 4>have an American stafford charitary so pitbull, and I don't

0:20:57.080 --> 0:20:58.000
<v Speaker 4>think that she'll be allowed.

0:20:59.240 --> 0:21:01.399
<v Speaker 2>That would be your own reason for not moving.

0:21:01.600 --> 0:21:02.960
<v Speaker 3>Yeah, because they'll take her away.

0:21:04.080 --> 0:21:06.600
<v Speaker 2>Mmm? Is it a pit bull?

0:21:08.280 --> 0:21:10.720
<v Speaker 3>I mean technically, but aren't all bull terriers?

0:21:10.760 --> 0:21:10.960
<v Speaker 2>You know?

0:21:11.920 --> 0:21:14.240
<v Speaker 1>Can you go back to the gruns?

0:21:14.600 --> 0:21:16.560
<v Speaker 2>It's called groin ahead.

0:21:17.119 --> 0:21:19.600
<v Speaker 3>This is the funniest I have ever been asked this.

0:21:22.680 --> 0:21:25.480
<v Speaker 2>Listen. I might be smiling and laughing, but I get

0:21:25.520 --> 0:21:28.000
<v Speaker 2>that it might be. It's obviously a.

0:21:28.800 --> 0:21:29.040
<v Speaker 3>Sure.

0:21:29.320 --> 0:21:31.639
<v Speaker 2>So I started to watch. I started to watch a

0:21:31.720 --> 0:21:33.560
<v Speaker 2>video with you and one of it, I think it

0:21:33.640 --> 0:21:36.639
<v Speaker 2>was maybe someone you'd on your podcast or a show,

0:21:37.000 --> 0:21:39.080
<v Speaker 2>and you and you guys started to talk about groino

0:21:39.200 --> 0:21:41.320
<v Speaker 2>and then my flight took off and I couldn't I

0:21:41.320 --> 0:21:44.760
<v Speaker 2>couldn't hear the rest of it, so I stayed intrigued.

0:21:44.840 --> 0:21:47.439
<v Speaker 2>So I thought, I need to ask you what and

0:21:47.560 --> 0:21:49.199
<v Speaker 2>elaborate on what it actually is.

0:21:49.560 --> 0:21:52.040
<v Speaker 3>Okay, this is a life saving question, It really is.

0:21:52.280 --> 0:21:55.760
<v Speaker 4>So basically, this can happen for anyone, not even just

0:21:55.800 --> 0:21:59.760
<v Speaker 4>people with ocd Our bodies don't always respond to what

0:21:59.760 --> 0:22:03.199
<v Speaker 4>we're actually aroused by So what tends to happen for

0:22:03.240 --> 0:22:06.480
<v Speaker 4>people with sexual intrusive thoughts is they feel something in

0:22:06.520 --> 0:22:09.760
<v Speaker 4>their gronal area because they're having a sexual thought that

0:22:09.880 --> 0:22:14.000
<v Speaker 4>is not automatically indicative of desire. So there's something called

0:22:14.080 --> 0:22:17.639
<v Speaker 4>arousal non concordance where you're having a physical response but

0:22:17.680 --> 0:22:20.240
<v Speaker 4>it's not at all concordant with what you like up here,

0:22:20.720 --> 0:22:22.800
<v Speaker 4>and so people with OCD talk about it as like

0:22:22.840 --> 0:22:25.439
<v Speaker 4>a gronal response. I'm having a coronal response to this

0:22:25.600 --> 0:22:30.560
<v Speaker 4>thought that is so disgusting to me. And Emily Nagowski,

0:22:30.560 --> 0:22:32.080
<v Speaker 4>I'm not sure if you've heard of her, she wrote,

0:22:32.119 --> 0:22:35.240
<v Speaker 4>Come as you Are. She's a fabulous sex educator. She

0:22:35.680 --> 0:22:38.520
<v Speaker 4>gave an example her husband in high school was thinking

0:22:38.600 --> 0:22:40.000
<v Speaker 4>about a donut and then got an.

0:22:39.880 --> 0:22:42.160
<v Speaker 1>Erection thinking about a donut.

0:22:42.560 --> 0:22:45.440
<v Speaker 4>Yes, he didn't want to put the donut, but when

0:22:45.440 --> 0:22:48.200
<v Speaker 4>you're thinking about like a whole and you're fifteen years old,

0:22:48.240 --> 0:22:52.439
<v Speaker 4>like your brain registers that as sexual somehow, and so

0:22:52.720 --> 0:22:56.440
<v Speaker 4>he had an erection thinking about that, and that's kind

0:22:56.480 --> 0:22:57.159
<v Speaker 4>of what that is.

0:22:57.200 --> 0:22:59.280
<v Speaker 3>Like you could have a sexual thought about your mother

0:22:59.600 --> 0:23:00.880
<v Speaker 3>and it disgust you.

0:23:00.960 --> 0:23:05.359
<v Speaker 4>But because it's sexual in nature, your body responds, or

0:23:05.480 --> 0:23:06.920
<v Speaker 4>I also want to give a trigger warning.

0:23:06.920 --> 0:23:08.320
<v Speaker 3>I'm going to talk about sexual assault.

0:23:08.680 --> 0:23:12.919
<v Speaker 4>People who are raped sometimes orgasm, not because they're enjoying

0:23:12.960 --> 0:23:16.360
<v Speaker 4>it whatsoever, but because their body is responding to something sexual.

0:23:17.240 --> 0:23:20.920
<v Speaker 4>So a grinal response is you are having some kind

0:23:20.920 --> 0:23:23.440
<v Speaker 4>of response and you think it's evidence that your obsession

0:23:23.480 --> 0:23:24.560
<v Speaker 4>is true and it is not.

0:23:25.080 --> 0:23:27.480
<v Speaker 2>So is that what happened to gym from American pie?

0:23:28.520 --> 0:23:31.200
<v Speaker 3>I haven't seen that, you know, an American pile. I

0:23:31.280 --> 0:23:33.720
<v Speaker 3>was just twenty nine.

0:23:34.320 --> 0:23:38.159
<v Speaker 1>Penis and a pie. An apple pie just goes what

0:23:38.240 --> 0:23:38.640
<v Speaker 1>a pull?

0:23:41.280 --> 0:23:41.600
<v Speaker 5>Wow?

0:23:42.200 --> 0:23:42.920
<v Speaker 1>More questions?

0:23:43.800 --> 0:23:46.040
<v Speaker 4>Yeah, these are great questions from you.

0:23:46.200 --> 0:23:48.800
<v Speaker 2>Yeah, I just really need I needed to clear it

0:23:48.840 --> 0:23:52.560
<v Speaker 2>up what it actually was. It was intriguing, but it's

0:23:52.560 --> 0:23:54.280
<v Speaker 2>one of those questions where I didn't know whether it

0:23:54.320 --> 0:23:57.359
<v Speaker 2>was going to be because it kind of seems funny,

0:23:57.400 --> 0:24:00.760
<v Speaker 2>but it's not as serious clearly, So then don't how

0:24:00.840 --> 0:24:04.280
<v Speaker 2>you approach it? So I'd just be okay, growing tell

0:24:04.320 --> 0:24:04.680
<v Speaker 2>me more.

0:24:04.960 --> 0:24:07.760
<v Speaker 4>I'm glad you asked, because that is something that keeps

0:24:07.800 --> 0:24:11.159
<v Speaker 4>people stuck in like I might be this bad person

0:24:11.280 --> 0:24:14.000
<v Speaker 4>when it's like no, you're just having a bodily response

0:24:14.040 --> 0:24:16.760
<v Speaker 4>to something, just like we can feel anxious about something

0:24:17.119 --> 0:24:20.280
<v Speaker 4>that isn't actually real. Same with our bodies, we can

0:24:20.320 --> 0:24:23.439
<v Speaker 4>feel like a bodily sexual response to something that we

0:24:23.520 --> 0:24:24.360
<v Speaker 4>do not desire.

0:24:24.960 --> 0:24:25.240
<v Speaker 2>Crazy.

0:24:25.680 --> 0:24:29.159
<v Speaker 1>You're great. Yeah, I appreciate you coming on and so

0:24:29.200 --> 0:24:31.359
<v Speaker 1>you got your when when's your memoir coming out.

0:24:31.920 --> 0:24:34.720
<v Speaker 4>Spring of twenty twenty six, So I'm still writing, I'm

0:24:34.760 --> 0:24:35.400
<v Speaker 4>on deadline.

0:24:35.920 --> 0:24:36.640
<v Speaker 1>That's amazing.

0:24:37.119 --> 0:24:37.679
<v Speaker 3>Thank well you.

0:24:37.960 --> 0:24:40.800
<v Speaker 1>I appreciate you being authentic. I appreciate you sharing your story.

0:24:40.840 --> 0:24:43.840
<v Speaker 1>You were helping people and that is the win at

0:24:43.880 --> 0:24:46.639
<v Speaker 1>the end of the day, and everyone else, you know,

0:24:46.760 --> 0:24:48.920
<v Speaker 1>can just look the other way if they don't want

0:24:48.920 --> 0:24:50.080
<v Speaker 1>to listen, is what I always say.

0:24:50.200 --> 0:24:53.399
<v Speaker 2>So yeah, I love that. I think you're educating people

0:24:53.440 --> 0:24:55.439
<v Speaker 2>on something that they think they know about it, but

0:24:55.480 --> 0:24:57.040
<v Speaker 2>the one of a clue what it?

0:24:57.320 --> 0:24:59.840
<v Speaker 1>I literally just not OCD was just cleaning obsessively. Yes,

0:25:00.040 --> 0:25:03.520
<v Speaker 1>so this is very enlightening. And everyone listened to books,

0:25:03.560 --> 0:25:06.840
<v Speaker 1>Looks and the Bottom. Yes, podcast new episodes every Wednesday.

0:25:06.960 --> 0:25:09.239
<v Speaker 1>Thank you so much, girl. I really appreciate you.

0:25:09.880 --> 0:25:10.639
<v Speaker 3>So nice to meet you.

0:25:11.440 --> 0:25:11.920
<v Speaker 1>Bye.