Obsessively Compulsively Guilty: Complex Trauma And OCD

Dec 8, 2025
40 mins

Episode Description

Summary


In this conversation, Grace Bithell delves into the intricate relationship between PTSD and OCD, exploring their comorbidity, treatment challenges, and the importance of understanding how trauma influences OCD symptoms. She emphasizes the need for a dual approach in therapy, addressing both conditions simultaneously while navigating the complexities of treatment modalities. The discussion highlights the significance of finding the right therapist and the hope for healing through changing one's narrative and perspective on life.


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Takeaways


OCD and PTSD often coexist, with a 25% comorbidity rate.

Treatment for OCD and PTSD can contradict each other.

Trauma can exacerbate OCD symptoms and vice versa.

Finding safety is crucial in trauma treatment, while tolerating discomfort is key in OCD treatment.

Nightmares can be a symptom of both PTSD and OCD.

Therapists need to be trained in both areas for effective treatment.

The narrative of feeling wrong can hinder recovery.

Clients should be open to trying different therapeutic approaches.

Healing is possible, and clients can feel differently in life.

Therapy is both an art and a science, requiring flexibility.



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