TOCD, Why Exposures Work, How To Make Sexual OCD worse,To Distract or Not?

Hi everyone, so I’m off on parental leave, so I have this episode of questions I recorded weeks ago! Hopefully nothing catastrophic happened in the world in the meantime thereby making all my answers incredibly insensitive or overtly offensive. But, we all live in uncertainty. I have a good mix of questions for this episode! (5:07)The first questions is about TOCD (Transgender OCD), what it is, and what someone can do about it. (19:20) The next questions is about why exposures work with artificial situations and approximations of situations. (29:45) Next, I get a very direct question about whether masturbation helps OCD. (NSFW) (32:39) Lastly, I answer a confused listener about their therapists seeming advice to both attend to the thought and ignore the thought.