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Being Well with Forrest Hanson and Dr. Rick Hanson

OCD and Anxiety Disorders with Kimberley Quinlan

Being Well with Forrest Hanson and Dr. Rick Hanson

Being Well

Health & Fitness, Education, Self-improvement, Mental Health

4.82.4K Ratings

🗓️ 2 June 2025

⏱️ 63 minutes

🧾️ Download transcript

Summary

Forrest is joined by therapist Kimberley Quinlan to explore one of the most misunderstood anxiety disorders: obsessive-compulsive disorder (OCD). Drawing from her clinical and personal experience, Kimberley breaks down what OCD is, how it differs from general anxiety, and the ways it’s often mischaracterized. They discuss the core features of obsessions and compulsions, and how these can manifest across a wide range of themes, including harm, contamination, morality, and relationships. Kimberley explains how Exposure and Response Prevention (ERP) works, what makes an exposure “good,” and how to build tolerance for distress rather than trying to eliminate it. They also touch on self-compassion, the role of medication, and the stigmas that can keep people from getting help. About our Guest: Kimberley Quinlan is a licensed marriage and family therapist, author, host of the popular Your Anxiety Toolkit podcast, and the founder of CBTschool.com. Key Topics: 0:00: Introduction 1:19: Kimberley’s personal experience with OCD 3:36: What is OCD? Obsessions vs. compulsions 8:18: The relationship between trauma (PTSD) and OCD in Kimberley’s experience 11:12: ERP and approaches to treatment 17:14: Differences between clinical ERP and informal exposure practices 24:30: Imaginal exposures for fears that can’t be physically enacted 28:52: Resourcing for exposure 30:26: What if exposure goes poorly?  34:38: Role of self-compassion in OCD treatment 37:02: Considering medication: benefits, stigma, and SSRIs 42:52: Unhooking from intrusive thoughts: ACT, mindfulness, DBT 53:59: “How can I make this my bravest day?” 57:45: Recap Support the Podcast: We're now on Patreon! If you'd like to support the podcast, follow this link. Sponsors Head to acornsearly.com/beingwell or download the Acorns Early app to help your kids grow their money skills today.  Get Notion Mail for free right now at notion.com/beingwell, and try the inbox that thinks like you For a limited time, get Headspace FREE for 60 days. Go to Headspace.com/BEINGWELL60. Sign up for a one-dollar-per-month trial period at shopify.com/beingwell.  Go to ZOE.com and find out what ZOE Membership could do for you. Use code WELL10 to get 10% off membership. Learn more about your ad choices. Visit megaphone.fm/adchoices

Transcript

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0:00.0

Hello and welcome to being well. I'm Forrest Hanson. If you're new to the podcast,

0:11.1

thanks for joining us today, and if you've listened before, welcome back. Today we're going to be

0:15.1

talking about working with anxiety, and particularly a pretty common form that significant anxiety takes

0:20.6

obsessive- compulsive disorder.

0:22.7

To help me do that, I'm joined by an expert on generalized anxiety and OCD therapist Kimberly

0:27.5

Quinlan. So Kimberly, thanks for joining me today. How are you doing? Oh, thank you for having me.

0:31.8

I'm so happy to be here. I am really happy to have you. We had a whole adventure with scheduling.

0:36.5

I reschedule you multiple times. You were just a gem throughout the whole process. So a little bit more about Kimberly. She's the host of Your Anxiety Toolkit. It's a fantastic podcast that has, I think, over 400 episodes. She's also got a YouTube channel by the same name. It's really, really good stuff. I was very happy when I first bumped into it. How long have you been a therapist for, Kimberly?

0:56.0

Oh, over, let's see, about 12 years now.

1:00.0

So part of why I wanted to talk with you is that you're bringing this great blend of personal experience and professional experience.

1:07.0

You've been open about your own experiences with generalized anxiety and eating disorders

1:12.1

and you've spent years helping other people work with them. And then you were diagnosed fairly

1:16.9

recently with OCD. So what was it like to be diagnosed with something that you are incredibly

1:21.2

knowledgeable about as a clinician? I have to admit it was not my favorite day, only because, you know, it's such a whirlwind

1:32.8

of a time. And it was mostly bizarre because this is a condition that I had been treating and

1:39.2

public that I did not have. A lot of people always ask, do you have OCD? And I would always say, no, I have

1:44.8

generalized anxiety. And I always had had some OCD-like traits. But then about maybe a year

1:53.4

and a half ago, I got hit with a massive wave of PTSD, actually. And the OCD immediately followed afterwards.

2:02.5

And so at the beginning, I really couldn't, even as a clinician, knowing the condition,

2:09.9

knowing the symptoms, I actually didn't even catch it myself until one of my best friends,

2:15.6

who is an OCD therapist as well, of course, we stick together,

2:20.2

basically said, like, hon, I think, I think we need to like get you assessed. And so that was a,

...

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