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Get to know OCD

What It's Like To Be A NOCD Therapist

Barbara Windeknecht and Alexi Pyles have both worked traditional therapy jobs so they know what the tradeoffs usually look like: commuting, shared offices, rigid schedules, and trying to squeeze the rest of life around the work. At NOCD, they’ve found something different: a fully remote setup where they can see members from home, build schedules that actually fit their lives, and still feel connected to a larger team of clinicians doing the same work. In this video, they walk you through what that day-to-day looks like and why this setup helps them show up better for the people they treat.


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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More episodes

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  • What Makes A Great OCD Therapist?

    41:00|
    What does it take to become a great OCD therapist? Our very own NOCD therapists, Barbara Windeknecht and Alexi Pyles, say it's not what you probably think (prior OCD experience). In fact, both came from very different clinical backgrounds with little OCD experience. What mattered more was a willingness to learn, ask questions, stay curious, and keep showing up for members even when the work felt challenging.In this episode, Barbara and Alexi discuss the traits they believe help therapists thrive in OCD treatment. They also share why exposure and response prevention therapy feels different from traditional therapy, and why some of the best therapists aren't the ones who know everything, but rather, they're the ones who never stop learning.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_careersFollow us on social media:https://www.instagram.com/treatmyocd/https://twitter.com/treatmyocdhttps://www.tiktok.com/@treatmyocd
  • How An OCD Diagnosis Changed Tell Williams' Life

    47:33|
    Tell Williams thought he was just a worrier. As a child, he believed things had to feel perfectly "even" or something bad would happen to the people he loved. Later came contamination fears, intrusive thoughts, health anxiety, and rituals that slowly began shaping more of his life than he realized. It wasn't until adulthood — after being diagnosed with ADHD, autism, and eventually OCD — that everything started to click.In this episode of the Get to Know OCD podcast, Tell shares the OCD signs he missed for years, and how finally getting a proper diagnosis changed how he understood himself. He also opens up about talking about his OCD openly to his millions of followers, and why he thinks it's important for others to better understand the disorder.At NOCD, we specialize in exposure and response prevention (ERP) therapy, the most effective treatment for OCD—a treatment that can help you live a fulfilling life. If you’re ready to take your first step, book a free 15-minute call with us at https://learn.nocd.com/YTFollow us on social media:https://www.instagram.com/treatmyocd/https://twitter.com/treatmyocdhttps://www.tiktok.com/@treatmyocd
  • Why OCD Treatment Can Feel Worse Before It Feels Better

    06:56|
    A lot of people start ERP expecting immediate relief, so when their anxiety spikes in the beginning, they assume the treatment is failing. But as Dr. Patrick McGrath explains, that discomfort is often a sign that the therapy is actually working. OCD gets used to compulsions, reassurance, avoidance, and safety behaviors keeping fear under control, so when those habits are removed, the disorder tends to “fight back” harder before it starts losing power. In this video, Dr. McGrath explains why this happens so often during recovery. At NOCD, we specialize in exposure and response prevention (ERP) therapy, the most effective treatment for OCD—a treatment that can help you live a fulfilling life. If you’re ready to take your first step, book a free 15-minute call with us at https://learn.nocd.com/YTFollow us on social media:https://www.instagram.com/treatmyocd/https://twitter.com/treatmyocdhttps://www.tiktok.com/@treatmyocd
  • How OCD Traps You in Endless Thinking

    05:18|
    Rumination can feel productive at first. It can feel like problem-solving, self-awareness, or “figuring things out.” But for people with OCD, there’s a point where thinking stops being helpful and turns into a trap. The same question gets replayed over and over, every answer creates another “what if,” and no amount of analyzing ever brings real relief. In this short video, Dr. Patrick McGrath breaks down how OCD turns thinking into a compulsion, why rumination feels so convincing in the moment, and the key difference between healthy problem-solving and mentally spiraling. At NOCD, we specialize in exposure and response prevention (ERP) therapy, the most effective treatment for OCD—a treatment that can help you live a fulfilling life. If you’re ready to take your first step, book a free 15-minute call with us at https://learn.nocd.com/YTFollow us on social media:https://www.instagram.com/treatmyocd/https://twitter.com/treatmyocdhttps://www.tiktok.com/@treatmyocd
  • Why OCD Can Feel Like You're “Losing Your Mind”

    09:36|
    One of the scariest OCD spirals can start with a simple thought: what if this isn’t OCD at all? For many people, OCD doesn’t just attack fears around harm or contamination — it can also latch onto the fear of “going crazy,” losing touch with reality, or developing something more serious like psychosis or schizophrenia. In this video, Dr. Patrick McGrath breaks down why OCD targets these fears so aggressively and why trying to prove to yourself that you’re okay only keeps the cycle alive. He also explains the key difference between OCD and psychotic disorders, and how therapy helps people stop treating every intrusive thought like an emergency that needs to be solved.At NOCD, we specialize in exposure and response prevention (ERP) therapy, the most effective treatment for OCD—a treatment that can help you live a fulfilling life. If you’re ready to take your first step, book a free 15-minute call with us at https://learn.nocd.com/YTFollow us on social media:https://www.instagram.com/treatmyocd/https://twitter.com/treatmyocdhttps://www.tiktok.com/@treatmyocd
  • Why ERP Therapy Works So Well For OCD

    37:33|
    ERP therapy is different from what most people imagine. Instead of just talking about fears, it helps people with OCD gradually face the thoughts, situations, and sensations they’ve been avoiding. In this video, NOCD therapists Barbara Windeknecht and Alexi Pyles explain what that looks like in real life — from contamination exposures and “just right” OCD to emetophobia, social anxiety, and phobias.They also share why their work is so rewarding: patients start re-doing things OCD once took away from them, like going back to work, school, relationships, and daily routines. The conversation also covers why virtual ERP can be just as effective as in-person treatment. 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_careersFollow us on social media:https://www.instagram.com/treatmyocd/https://twitter.com/treatmyocdhttps://www.tiktok.com/@treatmyocd
  • My OCD Made Me Believe I Was A Monster

    48:53|
    When Molly was a teenager, a single intrusive thought sent her into years of fear, panic, and silence. What started as one terrifying “what if?” quickly spiraled into constant doubts about who she was, what her thoughts meant, and whether she was secretly a horrible person. In this episode of the Get to Know OCD podcast, Molly opens up about living with pedophilia OCD — a taboo thought she hid for years and years because she genuinely believed it meant something terrible about her. She also shares what it was like spending her teenage years trapped in nonstop fear and mental checking, why the thoughts felt so painfully real, and how finally learning what OCD actually was changed the course of her life.At NOCD, we specialize in exposure and response prevention (ERP) therapy, the most effective treatment for OCD—a treatment that can help you live a fulfilling life. If you’re ready to take your first step, book a free 15-minute call with us at https://learn.nocd.com/YTFollow us on social media:https://www.instagram.com/treatmyocd/https://twitter.com/treatmyocdhttps://www.tiktok.com/@treatmyocd
  • OCD Convinces You Compulsions Prevent Harm... They Don't

    07:21|
    One of the hardest parts of OCD is that compulsions rarely feel irrational in the moment — they feel responsible. Checking the stove again, replaying a conversation, researching symptoms, repeating a ritual “just in case.” Over time, OCD convinces you that these behaviors are the reason nothing bad has happened yet, which makes stopping them feel reckless, selfish, or even dangerous. In this video, Dr. Patrick McGrath breaks down the false sense of responsibility at the center of OCD and why resisting them is ultimately the thing that gives you your freedom back.At NOCD, we specialize in exposure and response prevention (ERP) therapy, the most effective treatment for OCD—a treatment that can help you live a fulfilling life. If you’re ready to take your first step, book a free 15-minute call with us at https://learn.nocd.com/YTFollow us on social media:https://www.instagram.com/treatmyocd/https://twitter.com/treatmyocdhttps://www.tiktok.com/@treatmyocd