What I Wish I Knew Before Treating OCD

When Sonya Keith first started seeing clients with OCD, she thought she was prepared. She had training, experience, and the usual tools most clinicians rely on. But the longer she worked with OCD, the clearer it became that something was missing. The cases felt heavier. The reassurance traps were easier to fall into than she expected. And the confidence she thought she’d feel as a therapist didn’t always show up.

In this episode, Sonya talks about what shifted when she chose to work in a place where OCD isn’t treated as an afterthought. She reflects on what she wishes she had understood earlier about exposure and response prevention (ERP), supervision, and the subtle ways therapists can accidentally reinforce the very cycle they’re trying to break.

If you’re ready to deepen your ERP skills and work somewhere specialized OCD treatment is the focus — not an afterthought — explore joining the team at NOCD: https://learn.nocd.com/therapist_careers

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