Just Checking podcast

Sensorimotor OCD Treatment: ERP, Metacognitive Therapy & Self-Compassion with Andy and Ferne from the Anxious Academy

22/09/2026
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Sensorimotor OCD; where you get stuck noticing your breathing, blinking, thinking, or other automatic bodily processes. It can feel relentless and impossible to switch off. 

In this episode of Just Checking, we're joined by Andy and Ferne from the Anxious Academy to explore what sensorimotor OCD is, why it can feel like the "worst" OCD theme, and how to treat it.

We cover common sensorimotor compulsions, when reassurance becomes a compulsion, and why loss of certainty and control drives the cycle. Andy and Ferne share their lived experience, and we look at why response prevention often matters more than exposure with this theme. We also discuss compassion work, dropping perfectionism, metacognitive therapy for OCD, exposures for metacognitive beliefs, and experiments for mental compulsions.

We also cover green and red flags in OCD programmes, neurodivergent considerations, what recovery really looks like, the biggest recovery roadblocks, and a common mistake therapists make with this presentation.

If you're living with OCD, supporting someone who is, or you're a therapist wanting to understand this theme better, this one's for you.


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

Featuring Andrew Mellish and Ferne Manniex from Anxious Academy 

Anxious Academy Website: https://theanxiousacademy.co.uk/ 


Time Stamps:

00:00 Anxious Academy introduction

02:45 Introduction to the episode

05:40 Brain Spam

11:10 What is sensorimotor OCD?

17:00 Losing a sense of certainty and control

18:05 Common sensorimotor compulsions 

21:00 When validation and assurance changes to reassurance 

23:45 Why Ferne struggled with sensorimotor themes

24:35 How sensorimotor OCD impacted Andy

25:25 Is this the 'worst' OCD theme?

28:05 Focusing more on response prevention than exposure 

29:00 Compassion work 

34:35 Dropping the perfectionism

36:20 Metacognitive therapy for OCD

39:30 Metacognitive awareness

40:25 Exposures for metacognitive beliefs 

43:40 Experiments for mental compulsions

44:35 Metacognitive Training 

45:55 Red flags in OCD programmes

47:40 OCD compulsions involving OCD research

48:35 Summary of what OCD therapy green flags are

49:50 Neurodivergent considerations

58:20 What does recovery look like?

1:01:25 Biggest recovery roadblocks 

1:05:30 Jess Donald Trump toddler analogy 

1:06:45 Common therapist mistake with this

1:12:26 Weekly Win

1:18:58 Exposure Lab

1:24:21 Goodbyes

Resources:

Andy's recommended Youtube attention videos: https://youtube.com/playlist?list=PLx0h9GH33gV0ItzP_nOuJPVIXLzh3vDBo&si=YWLWilOUbGtx4VZX

Anxious Academy social media: @theanxiousacademy


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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