Just Checking podcast

Mental Contamination OCD Explained - Guilt, Shame & Why ERP Isn't Enough

20/10/2026
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Ever felt "dirty" after a memory, a thought, or being around a certain person, even though you haven't touched anything? That's mental contamination, and it's one of the most commonly missed presentations of contamination OCD.

In the third episode of our contamination OCD series (following physical and disgust-based contamination), Jess and Laura unpack what mental contamination is, how it can show up, and why it so often goes unrecognised - by sufferers and clinicians alike. 

We explore the subtypes, the link with trauma, the central role of guilt and shame, and how treatment differs from standard ERP, including how combining therapeutic approaches can help. 

We also look at the measurement scales used to assess mental contamination.

Plus: Laura shares some very embarrassing Brain Spam, a Listener Question, this week's Weekly Win, and a new Exposure Lab challenge.

Has mental contamination affected you? We'd love to hear your experience - get in touch.


Podcast by:

Laura Mole, Adv. Dip, MBACP OCD specialist therapist

and

Jessica Hayes, Msc PGDip, BABCP Accred OCD and perinatal specialist therapist

Edited by Christian Nickson


Time Stamps:

00:40 Episode overview

01:20 Hello and introduction

07:30 Mental contamination plan

08:25 We are winging it

10:50 Brain Spam

14:04 What is mental contamination

16:40 Subtypes of mental contamination

18:00 Trauma link with mental contamination

19:50 Mental contamination is often missed

20:30 How can mental contamination look?

25:35 How treatment differs from ERP

31:10 Mental contamination measurement scales

37:25 Guilt and shame

47:00 Combining types of therapy

48:40 Mental contamination subtypes described

55:00 Call out for experience-sharing

56:25 Listener Question

58:15 Weekly Win

59:29 Exposure Lab

1:01:10 Goodbyes

 

Get in Touch:

Got intrusive thoughts to share or questions for us:

Email us at [email protected]

Follow us on Instagram and Tiktok: @justcheckingpod

For our individual OCD pages, you can find Laura on Tiktok and Instagram as @ocdtherapylaura and Jess as @jess_helps_your_ocd


Please check out our privacy policy: https://docs.google.com/document/d/1YJZ4Sdh4OpxjRR9twGY6dOMH9n55Mq6qTqLBxOtN3Fw/edit?usp=sharing 


Content Warnings:

We do reference some thoughts that people may find distressing so please listen with caution if this is you, and take a break if you need to. 


Disclaimer:

This podcast provides educational content only and is not a substitute for professional mental health support, please contact a mental health professional for advice and support.


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