487 9 Things I Tell My Patients in Their First Session of OCD Treatment
Your Anxiety Toolkit - Practical Skills for Anxiety, Panic & Depression
Kimberley Quinlan, LMFT | Anxiety & OCD Specialist
4.9 • 882 Ratings
🗓️ 27 May 2026
⏱️ 19 minutes
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Summary
In this episode, I'm sharing the nine core things I teach every OCD client in their very first therapy session to help them better understand recovery, build confidence in ERP, and begin responding differently to intrusive thoughts.
Transcript
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| 0:00.0 | There are nine specific things I tell my OCD clients in the very first session, and these are not fluffy things. |
| 0:11.7 | These are specific concepts that will continue to be the backbone of OCD treatment. |
| 0:18.8 | So today I'm going to take you through the actual step-by-step |
| 0:21.9 | process that I take my clients through on their very first session. I'm going to teach you the |
| 0:26.1 | specific nine things so you can get to work, whether you're with a therapist on your own or whether |
| 0:31.7 | you're one of my students taking your OCD toolkit and you're doing this step-by-step through |
| 0:36.1 | the program we have at CBT school. |
| 0:38.3 | My goal here is to make you confident, to make you get really clear on the mindset shifts |
| 0:43.3 | you're going to need to make and so you can get going and feel like you're ready to move |
| 0:47.7 | forward. So get your notepad out, get your pens, get a cup of tea and let's do this together. |
| 0:55.9 | First thing I'm going to tell my OCD client is that you are so freaking brave for doing this |
| 1:02.7 | treatment. Learning you have OCD and signing up for therapy is the coolest, bravest, most |
| 1:09.0 | courageous thing you could do. I just want to celebrate you for being |
| 1:14.1 | here today and being ready to go. Now you might feel ready. You might feel a little like, oh my gosh, |
| 1:20.3 | and a little bit scared, that's okay. But it's just so brave that you raised your hand and you said, |
| 1:25.1 | hey, I want to change some things. I want to have a different |
| 1:28.7 | response to my intrusive thoughts. I want to overcome this condition that's taking and taking and |
| 1:33.6 | taking from my life. So let's take a moment to really just celebrate the fact that you are here. |
| 1:40.4 | Even if you're listening to this today and you're not even quite sure you're ready to get |
| 1:44.8 | going, I still think it's so brave that you're willing to inquire and take this first step. So thank you |
| 1:50.9 | for being here. I know how valuable your time is. Okay, the second thing I'm going to tell you is that |
| 1:56.3 | the research backs OCD treatment. This treatment works. We have a lot of research, |
... |
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