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Addressing Rumination: In Exposure Therapy and Beyond with Carly Yasinski, PhD and Jordan Cattie, PhD

Course Description

Rumination; repetitive, negative, and abstract thinking is a common process that cuts across many mental health conditions, including OCD, anxiety, depression, and PTSD. While often mistaken as helpful reflection or even exposure, rumination actually worsens symptoms, maintains avoidance, and interferes with therapeutic progress. This talk will provide clinicians with a framework for identifying and addressing rumination within exposure and response prevention (ERP) and other therapeutic contexts. Attendees will learn how to recognize rumination in session, understand its functions, and implement strategies to help clients disengage from unproductive mental loops while strengthening treatment outcomes.

This talk also includes a roleplay demonstration.

Learning Objectives

1. Explain the role of rumination as a transdiagnostic process that maintains distress across multiple disorders.

2. Recognize common functions of rumination in OCD and distinguish it from effective exposure practices.

3. Apply strategies to interrupt rumination and strengthen ERP outcomes in-session and through homework assignments.

CE Credits

None

Date & duration

62 minutes

Registration date

Recorded on 8/22/2025

Contributor

Carly Yasinski, PhD

Carly Yasinski, PhD is clinical psychologist and assistant professor of psychiatry and behavioral sciences at Emory University School of Medicine. She specializes in exposure and mindfulness-based cognitive behavioral approaches for depression, PTSD, and OCD. She treats patients and supervises trainees in the Adult Outpatient Clinic and the Adult OCD and Anxiety Intensive Program. She has recently collaborated with Dr. Jordan Cattie to create Emory’s Clinic for Anxiety Resilience, Education and Support (CARES) a stepped-care program that increases access to brief evidence-based care focused on transdiagnostic processes. She has published over 30 peer-reviewed articles on outcomes and processes of change in CBT and is a co-author of a forthcoming manual on Exposure-Based Cognitive Therapy for Depression with Guilford Press.

Presenter

Jordan Cattie, PhD

Jordan Cattie, PhD is a clinical psychologist and Associate Professor at Emory University Department of Psychiatry. She trained at the OCD Institute at McLean Hospital, where she developed her passion for treating OCD and addressing the provider gap in this area. Her professional activities are focused on increasing access to first-line behavioral treatments for OCD and related disorders through clinical, research, training, and advocacy activities.

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NOCD understands that providing appropriate care starts with education. The NOCD Academy intends to further your career so you can continue to provide the best possible care for those in need.