Dr Steven Poskar: Medications for OCD (#510)

The OCD Stories

Stuart

Bdd, Health & Fitness, Recovery, Hocd, Cocd, Rocd, Bodydysmorphicdisorder, Ocd, Anxiety, Obsessivecompulsivedisorder, Mental Health, Help, Mentalhealth, Depression, Advice

4.8 • 873 Ratings

🗓️ 2 November 2025

⏱️ 54 minutes

🔗️ Recording | iTunes | RSS

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Summary

In episode 510 I chat with Dr Steven Poskar. Steven is a psychiatrist and clinical director of OCD NYC. He is also a member of the Scientific and Clinical Advisory Board of the International OCD Foundation.

We discuss his therapy journey, myths and misconceptions around OCD medication, SSRIs for OCD, choosing an SSRI based on their side effect profiles, weaning off medication, augmenting medication for OCD with anti psychotics, glutamate medications for OCD, benzodiazepines, psychedelic drug trials for OCD, cannabis, some reasons why medication doesn't work, supplements, and much more. Hope it helps.

Show notes: https://theocdstories.com/episode/steven-510

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Transcript

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0:00.0	You're listening to The OCD Stories podcast, hosted by me, Stuart Ralph.
0:05.5	The OCD Stories is a podcast dedicated to raising awareness and understanding around obsessive,
0:11.1	compulsive symptoms. I do this for interviewing inspired therapists, psychologists, and people
0:16.8	who have experienced OCD. Welcome to the OCD Stories.
0:25.1	And welcome to episode 510 of the OCD Stories podcast. And in this one, I got on Dr. Stephen Posker. Stephen is a psychiatrist and clinical director
0:32.7	of OCD, NYC. He's also a member of the Scientific and Clinical Advisory Board of the International
0:39.6	OCD Foundation. So in this, I got him on to talk about OCD medication. It's been a long,
0:46.1	long time since I lasted an episode on medications for OCD. And I feel this episode doesn't
0:51.7	disappoint. Stephen really knows his stuff and did a great job at articulating this information.
0:58.3	So in it, we talk about his therapy journey, myths and misconceptions around OCD medication,
1:05.1	SSRIs for OCD, choosing an SSRI based on their side effect profiles,
1:11.6	weaning off of medication,
1:13.8	augmenting OCD medication with antipsychotics,
1:17.9	glutamate medications for OCD,
1:21.0	benzodiazepines, psychedelic drug trials for OCD,
1:25.0	cannabis, supplements and much, much more. Medication is such a detailed topic,
1:32.6	so there's tons of stuff I've missed in this or didn't ask Stephen, but I feel we did cover
1:39.2	a lot of ground, so hopefully there's a lot in here that helps you guys and clarifies some things up.
1:44.6	And thanks to our podcast partners, NoCD.
1:47.6	If OCD is interfering with your life, NoCD can help.
1:51.5	They're licensed therapists, specialise in exposure and response prevention therapy,
1:56.2	the most proven therapy for OCD.
	...

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