Therapeutic Approach
I work with Obsessive-Compulsive Disorder (OCD) using Inference-Based Cognitive Behavioural Therapy (I-CBT), a scientifically validated and evidence-based treatment for OCD in adults, with emerging research in younger populations.
How I-CBT Understands OCD
In I-CBT, OCD is understood as being centred on a shift in reasoning from normal reasoning to obsessional reasoning, a state known as inferential confusion.
In normal reasoning, the mind infers (reaches a conclusion) based on evidence available in our present, observable reality, using what we can directly see, feel, hear, or otherwise sense. For example, concluding that the door is locked based on the sensory evidence of seeing and feeling yourself lock it.
In obsessional reasoning, the mind draws a conclusion based on an imagined “what if” scenario, which is treated as though it has evidential value, despite not being supported by the senses. For example, concluding that the door might not be locked based on the imagined possibility that you didn’t lock it properly, despite there being sensory evidence that you did.
This shift involves a distrust of the senses and an over-reliance on imagined possibilities. As a result, imagined possibilities are treated as though they are real and relevant in the present moment. This gives rise to obsessional doubt (“false doubt”).
I-CBT views this obsessional doubt as the central driving force in OCD.
How Change Happens in I-CBT
I-CBT differs from Exposure and Response Prevention (ERP) by targeting the reasoning processes that create and maintain obsessional doubt, rather than focusing primarily on the anxiety and compulsive behaviours that follow.
By identifying and dismantling this reasoning, the doubt loses its credibility and is no longer experienced as relevant.
When the doubt is no longer treated as relevant, the feared consequences and distress it gives rise to are no longer activated, and compulsions are no longer experienced as necessary.
My Training and Scope
I chose I-CBT as my primary therapy modality because it recognises each person’s individual experience while providing a clear framework for understanding and working with OCD. I am trained in Inference-Based Cognitive Behavioural Therapy and engage in ongoing, regular supervision with an I-CBT consultant to ensure my work remains aligned with best-practice standards.
Working Together
My role is to provide a steady, contained space that supports the safe and accurate application of the model, tailored to your specific OCD experience.
A typical course of therapy often spans 18 to 24 sessions, depending on individual needs, pace, and goals. Some people complete therapy within this timeframe, while others choose to continue with occasional or ongoing sessions. The length of therapy is always guided collaboratively and reviewed as we go.
I currently work with children (8+), adolescents, and adults with OCD. Sessions are available in person in Drysdale, VIC, and via telehealth across Australia.
When working with children and adolescents, the approach is adapted in a developmentally appropriate way.
Further Resources
If you would like to learn more about I-CBT and OCD, these official and trusted resources may be helpful: