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