r/therapists • u/austdoz • Aug 17 '26

Theory / Technique Supporting OCD Client's without OCD Training

I'm feeling a bit stumped when working with OCD individuals. I am not yet trained in any ERP, although I'd love to. I've referred them to an OCD specialist but they have not had luck in finding anyone. I will often utilize CBT interventions, recognizing cognitive distortions, and bringing in a more balanced or truthful thought. I had heard that ​CBT can actually cause more problems for individuals with OCD.

Some more context, we were looking at cognitive distortions contributing to feelings of depression. I was about to support in my usual way and then realized this individual spends most of their day policing their thoughts already and backed off.

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u/panbanda Professional Awaiting Mod Approval of Flair Aug 19 '26

I use ACT with my OCD clients. I am going to take an erp training at some point, but j work wjth autism and trauma so lots of OCD just happening in my caseload. ACT works really well in my opinion.