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OCD sure loves convincing people that they've lost all their progress because their symptoms have worsened. But let me tell you, that's just not true. Flare ups can happen with ocd. They can happen with any condition, frankly. Right, but why might they happen? Well, stress, life changes. I mean, believe me, OCD loves a change. Loves the stress, loves fatigue, loves anything that might be different than the norm. Right? And since OCD is chronic, it's going to look for all these things and use them all as excuses. But here's the other thing, right? Treatment makes OCD highly manageable. And you can get the right treatment here at nocd. These spikes don't erase progress. Right. It's common to need extra support from time to time. There's absolutely nothing wrong with that. So there's some common reasons why they happen. Maybe there's a transition, maybe you're moving, maybe there's a pregnancy, maybe maybe there's a change in school, something like that. No matter what these stressors are, OCD will say, oh, there's change that's bad. Let's think of all the worst things that could possibly happen. And then it starts running those through your head. And then, of course, what are you going to do? Compulsions to try to deal with those. Then we maybe turn this into evidence. See, I'm getting worse. Treatment failed. It's not helping. Why is all of this happening? I thought I got help for this and it doesn't seem to be helping. I don't want you looking for compulsive behaviors and doing all sorts of safety behaviors as a way to try to get yourself through life. I want you to learn how to walk away from those things. Right. If safety behaviors were helpful, we teach them to everybody. If compulsions were helpful, I'd go up to people who were stressing and saying, hey, have you thought about a compulsion? I think it could be really helpful. That's not what we do. Instead, we help people push through this on their own without doing what OCD wants them to do. And we want them to be able to know when to ask for help so that if there are stressors or things that are coming up, why not do some prophylactic work to start practicing for these things so that when that does come into your life, you've already practiced it and it's not a big deal. ERP skills are like muscles. They strengthen with use. Right? You don't need to start from zero. We can help you pick up where you left off. So that's one of the reasons why we love even maintenance therapy sessions. Here at nocd, there's people that I even see every couple of months for even half an hour just as a check in to make sure they're still using all of the skills that they've learned over the course of time when we did really more intensive therapy years and years ago. And it just makes sure that OCD isn't going to get a foothold back into their life. If you want help with this, reach out. We're happy to assist with that. Right. And we don't see this as a failure on your part. We see this as a success of you recognizing that some more help is necessary. And I'm going to bet that anyone else in your life, if they recognize that you would applaud them for doing it. Don't change the rules for yourself versus how you look at it for everybody else. We know that ERP can be challenging, but living with untreated OCD is really challenging. Right? And we can help you learn to live with short term discomfort so you get that long term freedom that you want. Our therapists help you to respond to flare ups with personalized treatment. We can help you refresh the skills that you've learned in therapy and we can help you get back on track. If you're looking for that, reach out to us at NOCD. NOCD.com we're there. And our therapy and teams and our care teams are ready to chat with you to get you started. We hope to hear from you soon.
Episode: An OCD Flare-Up Doesn't Mean You're Not Getting Better
Host: Dr. Patrick McGrath, Chief Clinical Officer at NOCD
Date: July 26, 2026
In this episode, Dr. Patrick McGrath addresses a common concern among those struggling with OCD: the fear that experiencing a flare-up of symptoms means all their progress has been lost. He reassures listeners that these flare-ups are a normal part of managing a chronic condition like OCD and offers practical advice for navigating setbacks, building resilience, and when to seek extra support. The tone is compassionate, encouraging, and candid.
Memorable quote:
“OCD sure loves convincing people that they've lost all their progress because their symptoms have worsened. But let me tell you, that's just not true.”
— Dr. Patrick McGrath [00:00]
Quote:
“OCD loves a change. Loves the stress, loves fatigue, loves anything that might be different than the norm.”
— Dr. Patrick McGrath [00:18]
Notable quote:
“If safety behaviors were helpful, we teach them to everybody. If compulsions were helpful, I'd go up to people who were stressing and saying, ‘Hey, have you thought about a compulsion? I think it could be really helpful.’ That's not what we do.”
— Dr. Patrick McGrath [02:30]
Quote:
“ERP skills are like muscles. They strengthen with use. Right? You don't need to start from zero. We can help you pick up where you left off.”
— Dr. Patrick McGrath [03:35]
Notable moment:
“We don't see this as a failure on your part. We see this as a success of you recognizing that some more help is necessary.”
— Dr. Patrick McGrath [04:25]
“Don't change the rules for yourself versus how you look at it for everybody else.”
— Dr. Patrick McGrath [04:45]
Closing encouragement:
“We can help you learn to live with short term discomfort so you get that long term freedom that you want.”
— Dr. Patrick McGrath [05:30]
This episode offers reassurance, practical advice, and emphasizes the importance of ongoing support and self-compassion for anyone navigating the ups and downs of OCD management.