OCD is often misunderstood and can manifest in many forms from a variety of experiences that create associations with a compulsion and an outcome.

In this episode, Patrick Casale and Dr. Megan Anna Neff, two AuDHD mental health professionals, are joined by Aiden Reis, a trans, Autistic therapist who specializes in OCD, anxiety, phobias, and panic. They discuss practical strategies for effectively managing OCD through Exposure and Response Prevention (ERP) therapy using a value-driven and neurodivergent-affirming approach.

Top 3 reasons to listen to the entire episode:

Learn practical strategies for rebuilding self-trust after anxiety-inducing experiences, drawing from Aiden Reis’s invaluable insights into Exposure and Response Prevention (ERP) therapy adapted for neurodivergent individuals.

Discover the importance of accommodating sensory needs in therapy without reinforcing anxiety, and understand how to effectively differentiate between sensory sensitivities and anxiety responses.

Gain a richer appreciation of how addressing "what if" scenarios and unhooking from distressing thoughts can lead to profound empowerment and emotional resilience, helping you live a good life despite potential challenges.


OCD can be challenging, but there are ways to manage it, and ERP, when done using a neurodivergent-affirming approach, can be an effective tool in managing OCD for neurodivergent individuals.

More about Aiden:

Aiden is a trans and autistic, private practice therapist based in Massachusetts. Working with Autistic and ADHDer clients, he is passionate about providing neurodivergent-affirming and LGBT-positive therapy. He specializes in OCD, anxiety, phobias, and panic. Aiden is a member of the International OCD Foundation.

Website: www.divergecounseling.com

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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