Episode 141: FLASHBACK — OCD: I-CBT and Neurodivergent Approaches to OCD [featuring Brittany Goff]

Episode 141: FLASHBACK — OCD: I-CBT and Neurodivergent Approaches to OCD [featuring Brittany Goff]

From Divergent Conversations by Megan Anna Neff & Patrick Casale

January 16, 2026 · 57 min · Season 5 · Episode 141

About this episode

The episode discusses the intersections of OCD, autism, and ADHD, focusing on neurodivergent approaches to treatment.

Neurodivergent individuals often find mental health topics like OCD, autism, and ADHD intertwined in ways that can complicate their personal narratives and self-identity. In this flashback episode, Patrick Casale and Dr. Megan Anna Neff, two AuDHD mental health professionals, discuss with Brittany Goff, an LCSW, the Clinical Director at Zen Psychological Center, and an instructor at the Cognitive Behavioral Institute, about the critical intersections of OCD, autism, and ADHD, their impact on well-being, and the use of I-CBT in the treatment of OCD for neurodivergent individuals. Top 3 reasons to listen to the entire episode: Understand how sensory discrepancies can lead to the development of obsessive stories, particularly for autistic individuals, and how inference-based cognitive-behavioral therapy (I-CBT) offers a tailored approach to counteract these doubts. Discover the unique challenges and strategies for neurodivergent individuals, including those with undiagnosed autism or ADHD, in managing OCD symptoms and building self-trust through a neuro-affirmative lens. Learn about the intersection of personal experiences, vulnerable self-themes, and logical reasoning with OCD, and…

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