Field Notes
Honest writing about the things we do not talk about enough, from a therapist who would rather be direct than polished.
Clinical
What Emetophobia Actually Looks Like
It is not a fear of throwing up. That is the surface-level version. What emetophobia actually looks like is a life organized entirely around avoiding one possibility.
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Education
What ERP Therapy Is Really Like
The internet will tell you ERP is about facing your fears. That is technically true and completely useless as a description. Here is what it actually looks like in practice.
Personal
Why I Only Treat OCD and Anxiety
People ask me this all the time. Why not expand? Why not take on more? Because specializing is not a limitation. It is the whole point.
Clinical
The Reassurance Problem
Your friend means well when they say "you are fine." Your partner means well when they check for you. But reassurance is the thing keeping the cycle alive.