Episode 78

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Published on:

1st Nov 2024

Episode 78: OCD (Part 4): I-CBT and Neurodivergent Approaches to OCD [featuring Brittany Goff]

Neurodivergent individuals often find mental health topics like OCD, autism, and ADHD intertwined in ways that can complicate their personal narratives and self-identity.


In this episode, Patrick Casale and Dr. Neff, two AuDHD mental health professionals, and Brittany Goff discuss the intersections of OCD, autism, and ADHD and the use of I-CBT in the treatment of OCD for neurodivergent individuals.


Top 3 reasons to listen to the entire episode:

  1. Understand how sensory discrepancies can lead to the development of obsessive stories, particularly for autistic individuals, and how inference-based cognitive-behavioral therapy (I-CBT) offers a tailored approach to counteract these doubts.
  2. Discover the unique challenges and strategies for neurodivergent individuals, including those with undiagnosed autism or ADHD, in managing OCD symptoms and building self-trust through a neuro-affirmative lens.
  3. Learn about the intersection of personal experiences, vulnerable self-themes, and logical reasoning with OCD, and how neurodivergent traits such as hyperempathy and rejection sensitivity influence the creation of obsessive narratives.


Consider how your sensory experiences and neurodivergent traits affect your perception of reality and self-trust. I-CBT can offer tools and strategies to foster more certainty, understanding, and self-trust.


DISCLAIMER: I-CBT is currently only evidence-based for OCD.


About Brittany:


Brittany Goff is a Licensed Clinical Social Worker and the Clinical Director at Zen Psychological Center, a neuroaffirming OCD practice in Maryland. Additionally, she serves as an Instructor at the Cognitive Behavioral Institute, providing continuing education in Inference-based Cognitive Behavioral Therapy (I-CBT) for OCD. She authored the first-ever I-CBT workbook and was one of the first adopters of I-CBT in the United States. She is the first clinician to offer I-CBT training specifically tailored for individuals with Autism and ADHD, a neuroaffirming approach to treating OCD.

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Thanks to Our Sponsors: Resilient Mind Counseling & Learning Nook

✨Resilient Mind Counseling

Resilient Mind Counseling is a neurodivergent-affirming therapy and medication management practice operated all throughout North Carolina. We specialize in supporting neurodivergent individuals, especially Autistic ADHDers, as well as the LGBTQ and BIPOC communities. We take insurance, so please check our website for coverage for different services. For medication management, you need to be within a 60-mile driving distance to the office. Text or call 828-515-1246 or visit our website at resilientmindcounseling.com to get started.


✨Learning Nook

Explore the power of the neurodivergent community with the Neurodivergent Insights Learning Nook—a neurodiverse space that welcomes all neurotypes. Our community fosters personal growth with access to workbooks, eBooks, workshops, and more. We also host body double sessions, parent gatherings, and monthly live events. Clinicians can join our special tier for exclusive resources and networking. Limited to 20 new members monthly. Enroll at neurodivergentinsights.com/membership. Scholarships available.


✨Hurricane Relief for WNC communities

This money will go to nonprofits who are boots on the ground. It will go to struggling individuals who do not have enough money for gas to get out, or who do not have enough money to provide their basic needs right now. Donate to Patrick's GoFundMe to help provide urgent aid for WNC communities affected by Hurricane Helene. Visit: atppod.com/wnc

Mentioned in this episode:

Hurricane Relief for WNC communities

This money will go to nonprofits who are boots on the ground. It will go to struggling individuals who do not have enough money for gas to get out, or who do not have enough money to provide their basic needs right now. Donate to Patrick's GoFundMe to help provide urgent aid for WNC communities affected by Hurricane Helene. Visit: atppod.com/wnc

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About the Podcast

Divergent Conversations
Reflections of Two Neurodivergent Clinicians
Dr. Megan Neff and Patrick Casale are two Neurodivergent therapists in a neurotypical world. During this podcast, they’ll talk about their own personal experiences as Autistic-ADHDers. They will reflect on their lived experience as AuDHD mental health professionals, and entrepreneurs, as well as offer clinical guidance, and support. Episodes will be conversational in nature, and they’ll interview other ND Folx to amplify the voices of other neurodivergent advocates and individuals as they share their authentic stories. New episodes will come out weekly, on all major platforms. Megan told Patrick, ”I’ll bring the chaos, You organize it.” This perfectly sums up their working relationship and friendship. Reflections of two neurodivergent clinicians. Raw, Vulnerable, Affirmative As Hell. Follow on instagram.com/divergentconversations
Topics include Autism, ADHD, Sleep struggles, Chronic Illness, RSD, Alexithymia, Autistic burnout, Intersectionality, Neuroqueer, Creativity, OCD, Neurodivergence, Affirming Language, Small business ownership, Unpacking Internalized Ableism, and so much more.
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Legal Disclaimer: The content provided in this podcast is for informational purposes only and should not be considered medical advice. Always consult a qualified healthcare provider or medical professional for personalized advice regarding any medical condition or treatment.