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S24-204 Obsessive–Compulsive Disorder: It’s Not What You Think

Total Credits: 3 including 3 Category I CE

200 Adults, Couples & Families
Sally Winston, PsyD
Course Levels:
3 Hours 15 Minutes
Target Audience:
Social Workers, LCPCs, and Psychologists



This three-hour course will present a comprehensive contemporary view of obsessive–compulsive disorder (OCD), the common myths and misunderstandings about diagnosis and therapy, and a general framework for planning and implementing treatment.  Topics will include classification of OCD subtypes (including fear, disgust, shame, and “not-just-right” obsessions), factors that maintain and exacerbate symptoms, the interface between GAD (generalized anxiety disorder) and OCD, and the subtle role of ruminative analysis and rational disputation as ongoing cognitive compulsions. Therapist co-compulsive behaviors will be described. A meta-cognitive model which integrating classic ERP with acceptance-based systems is focused on changing the patient's relationship with his own anxious experience. 


Sally Winston, PsyD Related Seminars and Products

Dr. Winston is founder and executive director of the Anxiety and Stress Disorders Institute of Maryland, which is an independent center located on the campus of Sheppard Pratt Hospital in Baltimore. She has been working in the field of anxiety disorders and OCD for four decades and was nationally recognized with the inaugural Jerilyn Ross Award of the Anxiety and Depression Association of America (ADAA) in 2011. She is co-author (with Dr   Martin Seif) of What Every Therapist Needs to Know about Anxiety Disorders, Overcoming Unwanted Intrusive Thoughts (which has been translated into nine languages), and Needing to Know for Sure. Their current book (in press) is Overcoming Anticipatory Anxiety. She has a blog called Living with a Sticky Mind at Her workshops present her evidence-informed integrative approach to anxiety disorders and OCD. She was recently honored by the Maryland Psychological Association with an award for outstanding contribution to the education and training of psychologists. She still maintains an active clinical practice.  


Dr. Winston was born and brought up in Montreal, Canada. She has three adult daughters who live in Canada, Australia, and the U.S. and two granddaughters. Her late husband Morton Winston was an acclaimed international human rights scholar and activist.

Bibliography & References


Needing to Know for Sure: A CBT-based Guide to Overcoming Compulsive Checking and Reassurance Seeking.  Martin Seif and Sally Winston, New Harbinger Press, 2019. 


OCD is not a Phobia: An alternative Conceptualization of OCD. Kieron O’Connor and Jean-Sebastien Audet, Clinical Neuropsychiatry (2019) 16, 1, 39-46. 


Living with a Sticky Mind, Ongoing blog, Sally Winston and Martin Seif. 


Greenberg, M.J. “Why rumination is a continuous loop”.


Clinical Handbook of Fear and Anxiety: Maintenance Processes and Treatment Mechanisms, edited by J.S. Abramowitz and S.M. Blakey. (2020) American Psychological Association , Washington DC. 


Evaluation of Inference-Based Cognitive Behavioral Therapy for Obsessive-Compulsive Disorder: A Multicenter Randomized Controlled Trial with Three Treatment Modalities.  Fred Aardema et al.  Psychotherapy and Psychosomatics, (2022) 91:348-359 . DOI: 10.1159/000524425. Website of Reid Wilson PhD 

Agenda & Learning Objectives


First Hour:          

  • Myths and General Principles of Treatment 

  • The Phenomenology and Process of OCD 


Second Hour:   

  • Withdrawing the Fuel that Maintains the Symptoms 

  • Treatment: Metacognition, Metaphors and Exposure 


Third Hour:        

  • Is GAD really OCD-lite? 

  • Co-Compulsing and other mistakes 

  • Recovery and Relapse Prevention 

  • Q and A 


Fifteen Minute Break TBD 



Upon the completion of this workshop, participants will be able to:

  • Recognize overt and subtle forms of OCD as they present in the clinical setting
  • Develop a framework that serves both as a psychoeducational model for patients and a basis for planning therapeutic interventions
  • Identify common misunderstandings that lead to therapists to co-compulsion or inadvertently undermining treatment progress.

Course Completion & CE Information

Category I Maryland BSWE Requirement

The Office of Continuing Professional Education at the University Of Maryland School Of Social Work is authorized by the Board of Social Work Examiners in Maryland to sponsor social work continuing education programs. This workshop qualifies for {3} Category I Continuing Education Units. The Office of Continuing Professional Education is also authorized by the Maryland Board of Psychologists and the Maryland Board of Professional Counselors to sponsor Category A continuing professional education.


ASWB Approved

Course completion requirements: To earn CE credit, social workers must log in at the scheduled time, attend the entire course, and complete the online course evaluation located in your account. After the online course evaluation is completed, you are then able to download your certificate. Partial Credit will not be given for participants who arrive late or leave early.


Unversity of Maryland School of Social Work, Office of Continuing Professional Education, provider #1611, is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved as ACE providers. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. UMSSW Office of CPE maintains responsibility for this course. ACE provider approval period: 02/11/2021 to 02/11/2024. Social workers participating in this course receive {3} continuing education credits.


Please refer to the tab "Live Interactive Webinar Policies & FAQs" for UMSSW Office of CPE policies regarding all live interactive webinar related matters.

Target Audience

Social Workers, LCPCs, and Psychologists

We welcome anyone interested in the topic!

Late Fees and Refunds

The base price is $70 and includes CE credit. A non-refundable late fee of $20 is added on 03/21/24

Cancellations** must be received 24 hours in advance prior to the workshop to receive a refund or an account credit.

Late fees cannot be refunded or applied to  account credit. 

**ALL cancellations will be subjected to a $35.00 administration fee.**

Live Interactive Webinar Platforms




The Office of Continuing Professional Education hosts Live Interactive Webinars through two platforms: Zoom and WebEx.

Both platforms offer high quality and user-friendly webinar platforms for our registrants.


System Requirements:

  • Operating Systems: Windows XP or higher; MacOS 9 or higher; Android 4.0 or higher.
  • Internet Browser: Google Chrome; Firefox 10.0 or higher.

Our system is not compatible with the Safari web browser.

  • Broadband Internet Connection: Cable, High-speed DSL and any other medium that is internet accessible.

**Please have your device charging at all times to ensure that your device does not lose power during the webinar.


Course Interaction Requirements:

To participate in Live Interactive Webinars, you MUST have a device that allows you to view the presentation on screen and hear the instructor at all times. We do not allow participants to call-in from their phones or mobile devices and solely listen to the presentation. Participation in Live Interactive Webinars is mandatory.

Webinar Policies & FAQs

Click The Link to View The Webinar Policies & FAQs



ADA Accommodations

If you are requesting ADA accommodations, please contact our office via email at least two weeks prior to the workshop date. Requests after that date may not be fulfilled.  

Our email address is