Advanced Consultation:

A podcast that brings you behind the scenes of mental health consultation.

Hear how clinicians think through difficult questions and stay current with emerging evidence—so you can deepen your understanding alongside us.

Accommodation of Anxiety & OCD

The conversation delves into the impact of accommodation on anxiety and OCD, the role of reassurance seeking, and how behavioral parent training can be an important framework for families of young children. The speakers seek to highlight the ways that reducing accommodation can empower clients, as well as their family members and loved ones. Drs. Davis, Brownley, and LaFleur speak the importance of fostering client self-trust and autonomy and avoiding paternalistic approaches.

Takeaways

  • Accommodation has a significant impact on anxiety and OCD treatment outcomes.
  • There is important nuance to addressing accommodation.
  • Empowering self-trust and autonomy is essential in OCD and anxiety treatment.

Chapters

  • 00:00 Introduction and Topic Overview
  • 02:59 The Impact of Family Accommodation
  • 09:59 Reassurance Seeking and Accommodation
  • 18:49 Behavioral Parent Training and Co-Sleeping
  • 24:51 The Myth of Supportive Parenting
  • 26:35 Understanding Behavioral Function
  • 28:00 Challenges in Accommodation Reduction
  • 29:12 Empowering Parents and Loved Ones
  • 30:26 Behavioral Psychology and Clinical Terminology
  • 32:00 Understanding Extinction Burst
  • 33:15 Collaboration and Communication with Providers
  • 35:59 Medication, Accommodation, and Trust
  • 40:24 Empowering Self-Trust and Autonomy
  • 45:29 Mechanics and Holistic Care in Treatment
  • 49:09 Empowering Self-Trust and Autonomy
Episode play icon
Accommodation of Anxiety & OCD
Episode play icon
GLP-1 Medications and Mental Health

Rachel LaFleur, PhD
Host

Dr. LaFleur is a licensed psychologist in Maryland and D.C., with additional authorization to provide telehealth to most states via PSYPACT. She offers psychotherapy and consultation at Stony Run Psychology & Wellness.

Stephanie Deverich Davis, PhD
Co-Host

Dr. Deverich Davis is a licensed psychologist in California, offering psychotherapy and consultation via Dr. Davis Therapy. Additionally, she is a regular speaker at professional conferences.

Julie Brownley, MD, PhD
Co-Host

Dr. Brownley is a board-certified adult psychiatrist and a specialist in reproductive psychiatry. She leads Psychiatry for Women and serves as an educator for the psychiatry residency program at Johns Hopkins as well as for Postpartum Support International.