OCD Recovery Podcast – Episode Summary

Podcast: OCD Recovery
Host: Ali Greymond
Episode: Two Parts Of An OCD Spike
Date: November 27, 2025

Episode Overview

In this concise episode, host Ali Greymond focuses on the nuanced structure of an OCD "spike"—a sudden increase in obsessive thoughts and anxiety. She delineates two distinct parts within these episodes and provides direct, actionable advice on how to manage both, drawing from her expertise and personal experience in overcoming OCD. The episode is tightly centered on practical self-help strategies, particularly emphasizing the importance of response prevention and not getting drawn into a cycle of rumination about the recovery process itself.

Key Discussion Points & Insights

1. Two Distinct Parts of an OCD Spike

• Ali explains that an OCD spike often unfolds in two parts:
  • Part One: The Original Theme
    • This is the initial intrusive thought, image, feeling, or sensation related to one's core OCD theme (e.g., harm OCD).
    • The recommended response is to disregard the thought and practice "response prevention," meaning you consciously avoid engaging with or analyzing the obsession.
    • Quote [00:09]:

      "So part number one is your original theme. So let's say you have harm OCD, so you got some sort of harm OCD thought, feeling, image, sensation that was automatic. You chose to disregard. So you did response prevention."

    • Insight: Not taking the "bait"—not engaging with or giving in to compulsions—prevents escalation.
  • Part Two: The Meta-OCD Trigger
    • After the initial thought is disregarded, OCD may present a secondary spike, targeting your recovery doubts. Typical thoughts include, "What if you just never recover?" or "What if you're stuck in this anxiety forever?"
    • Ali refers to this as "meta OCD"—obsession about the recovery process itself.
    • Quote [00:18]:

      “But then the second part, OCD comes back with, well, what if you just never recover? What if you're just going to be stuck in this anxiety forever? That's bait number two."

    • Insight: This secondary layer of anxiety is a common trap, luring sufferers back into rumination and reinforcing the OCD cycle.

2. A Unified Strategy for Both Parts

• Ali’s approach is to treat these two parts with the same tool—refuse both the original compulsion and the urge to ruminate about recovery.
• Quote [00:34]:

  "If you're experiencing it this way, treat it as a 1, 2. I'm refusing the first part, but I'm also refusing to ruminate about OCD, recovery itself and meta and all of that."

• Insight: Awareness of this "double bait" empowers individuals to cut off the OCD cycle at both levels.

3. Practical Recovery Advice

• The healthiest approach is to proceed with daily life, accepting the presence and discomfort of intrusive thoughts without letting them dictate your focus or actions.
• Quote [00:43]:

  “The healthiest thing you can do is continue to go on with your day. Yes, the thoughts are there. Yes, the thoughts are bothering you. Continue to go on with the day as much as possible.”

• Insight: Active living despite discomfort disrupts OCD’s hold and builds mental resilience.

Notable Quotes & Memorable Moments

• On identifying the "bait" of OCD spikes:
  Ali Greymond [00:18]:

  "That's bait number two. So that is also a trigger to get you back into rumination about recovery and what we call meta OCD."

• On self-management:
  Ali Greymond [00:43]:

  "Continue to go on with the day as much as possible."

Key Timestamps

• 00:00 – 00:15: Introduction of the two parts of an OCD spike (original theme and meta OCD)
• 00:16 – 00:34: Explanation of how the second part targets your recovery journey and attempts to trap you in rumination
• 00:35 – 00:48: Practical advice: treat both parts with equal refusal and keep living your day

Takeaways

• OCD spikes often present in two stages—original obsessions and a secondary wave of doubts about recovery (“meta OCD”).
• Using the same strategy of non-engagement (response prevention) for both layers is crucial.
• Moving forward with your routine, even while bothered by intrusive thoughts, is the healthiest and most effective response.

Note: For listeners seeking further support, Ali mentions that emergency sessions are available (details referenced in episode description but not discussed in-content).

This episode stands out for its direct, no-nonsense tone and actionable self-help insights, making it a valuable listen for anyone grappling with OCD or supporting someone on their recovery journey.