The Journal

OCD Virginia Lindahl OCD Virginia Lindahl

Why Is Uncertainty So Hard to Tolerate?

Do you feel like you need to know for sure before you can move on? Learn what intolerance of uncertainty is, why it plays such an important role in anxiety and OCD, and how treatment helps people stop chasing impossible certainty.

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OCD Virginia Lindahl OCD Virginia Lindahl

When AI Becomes Part of the OCD Cycle

AI can be a valuable source of information, but for people with OCD it can also become part of the obsession. Whether it takes the form of reassurance-seeking, compulsive research, rumination, or endless self-analysis, AI can unintentionally reinforce the very cycle people are trying to escape.

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What is CBT for Tinnitus?

CBT helps reduce this alarm response over time. Most people who successfully adapt to tinnitus don’t reach a point where they literally never hear it. Instead, the sound gradually becomes less important, less emotionally charged, and less likely to capture attention automatically. In many cases, people find that they can hear the sound when they listen for it, but it no longer dominates their attention or emotional life.

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SPACE treatment, parenting Virginia Lindahl SPACE treatment, parenting Virginia Lindahl

How Reassurance Can Reinforce Anxiety and OCD in Children

When a child is anxious, offering reassurance often feels like the most natural response in the world.

Parents want to comfort their child, reduce distress, and help things feel manageable again. In the moment, reassurance often works. A child may calm down temporarily after hearing things like:

  • “You’re going to be okay.”

  • “Nothing bad is going to happen.”

  • “I’m sure everything will work out.”

  • “Yes, I checked already.”

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The Role of Psychoeducational Testing in Understanding ADHD

ADHD is often associated primarily with distractibility or hyperactivity, but ADHD frequently affects a much broader set of executive functioning skills.

People with ADHD may struggle with:

  • task initiation

  • organization

  • time management

  • working memory

  • sustained effort

  • planning and prioritization

  • emotional regulation

  • maintaining consistency across settings

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evaluations A&A with TMP evaluations A&A with TMP

ADHD or Anxiety: How Can You Tell the Difference?

Many people wonder whether difficulties with focus, organization, restlessness, procrastination, or overwhelm are caused by ADHD, anxiety, or both.

The confusion is understandable because ADHD and anxiety can look surprisingly similar on the surface. Both can affect:

  • concentration

  • memory

  • task completion

  • sleep

  • emotional regulation

  • productivity

  • school or work performance

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