What is Scrupulosity? Author Kari Ferguson Goes Behind The Scenes of "The OCD Mormon."

Kari Ferguson is the author of "The OCD Mormon" and "For and In Behalf Of" and creator of the blog, "Of Faith and Great Anxiety." She is a current member of the Church of Jesus Christ of Latter-day Saints and has served as Primary and Relief Society President.  Kari runs the bookstore Oh Hello Again (ohhelloagain.com) in Seattle. She received her MA in Communication, Culture and Society from Goldsmiths College, University of London, and her BS from Brigham Young University. Kari lives in Seattle, WA with her husband, two children, two bunnies, and a giant puppy.

Kari's book https://amzn.to/30N5iF6,

Vice Article https://www.vice.com/en/article/k7qjzm/obsessive-compulsive-disorder-dirt-cleanliness-how-i-have-sex,

Website https://www.faithandanxiety.com/

Full Transcript:

0:00:00.3 Speaker 1: Welcome to Improving Intimacy, a podcast to help single and married Latter-day Saints strengthen their family connections and marriages. Daniel A. Burgess is the host of Improving Intimacy. Daniel's a marriage and family therapist, father, husband, and author. Here's Daniel on this episode of Improving Intimacy.

[music]

0:00:28.6 Daniel A. Burgess: Welcome to another episode of Improving Intimacy. Today I'm excited to have a special guest with us, Kari Ferguson, who is the author of OCD Mormon. Oh, did I get the title right? The OCD Mormon. I'm curious, have you even been interested or wanting to change the title now with the whole name change? Or have you felt like, "No, I'm gonna accept this."? I'm curious about that title. What has been your thoughts?

0:00:57.7 Kari Ferguson: We published it and then... 'Cause that's what my blog was called before, and then they had the whole, "Don't call yourselves Mormons," and... I don't know. We were just like, "Oh, whatever," I guess. That was who I was known as, is that at that point I thought it was just... I don't know. [chuckle]

0:01:14.7 DB: In the...

0:01:15.6 KF: Yeah, it's good for my scrupulosity as well, in a weird way.

0:01:18.7 DB: That's what I was wondering.

0:01:19.6 KF: Yeah, because of... Yeah, I have to keep it that. I'm bucking against what the church tells me to do.

[chuckle]

0:01:28.1 DB: Yeah, this is your form of exposure therapy.

0:01:31.5 KF: Exactly.

0:01:32.2 DB: Okay, I gotta accept it.

0:01:34.0 KF: I can't change it, yeah. It's out there.

0:01:35.6 DB: Well, I'm excited. I've been thinking about this a lot, and you and I were talking offline just a minute ago about why didn't I find you until now? In fact, when did you publish the book? How long ago?

0:01:47.1 KF: It came out in September of 2017.

0:01:50.6 DB: Okay, so not too long ago.

0:01:52.6 KF: Yeah, it's about three, four years ago now, yeah.

0:01:55.4 DB: A friend of mine who... So for my audience who doesn't know, I actually deal with a large amount of anxiety, something I've actually been coming to terms with it, or rather discovering more over the most recent years here, and have been reaching out to some friends and family.

0:02:13.1 DB: I have made a good friend with someone and we were talking about this this morning about, "Let's write our story about this," and he's like, "Yeah, this is so triggering for us." And I don't know if I can, I've got myself into a good place. I'm curious, so let's start off there. We'll get into some of the meat here and I have some quotes from your book that I really, really valued. I wanna start off that way, what motivated you to write this book, especially as somebody who struggles with anxiety and putting your story out there.

0:02:47.5 KF: For sure.

0:02:50.2 DB: What made you decide to do that?

0:02:51.8 KF: Yeah, well, I've always been a writer, so that's how I emotionally process things, I guess. So just for me, that was the logical step I would say. But I went through, like I wrote in the book, I went through a really intense OCD breakdown, we'll say, without knowing what it was, and then I finally got help with the help of my husband and therapy and medication.

0:03:17.6 KF: And I made a friend at church who also has obsessive-compulsive disorder, and so we had been talking about it, and I just, I thought, "There are a lot of people in our religion who have anxiety, who have these problems, but we don't know what to call it. We don't know what it is, we don't even know that it's a mental illness really." And I thought, "I'm gonna start a blog just about that, about having this issue as a Latter-day Saint, and maybe I could help some people."

0:03:55.6 KF: Because for me, if I had known 10 years before, it would've been a lot easier if I had realized fully what it meant and how I could get help, it would have changed my whole married life and my mission and everything. So I thought, "I can use my skill that I have, my writing, in order to help other people."

0:04:14.2 KF: So I started the blog, I think it was in... I don't know, 2016, summer. And so I just did that and it got sort of popular, not huge or anything, not viral, but enough that I was like, "I could write a book about this." And so I started just in general, "Mental illness in Latter-day Saints."

0:04:39.1 KF: And then on Twitter, I had this friend who's an LDS author named Mette Harrison, and so she kinda was my mentor and helped me really form the book, and she's like, "No, you need to go into your story personally. Don't be general, don't talk about... That's too much, that's too broad, all mental illnesses in LDS faith." So she really was like, "No, focus in. This is what you're known for. Write about having OCD and your story."

0:05:09.7 KF: So I did, and yeah, Cedar Fort said, "Yeah, this is great." The person who read my submission had a sister I think with scrupulosity, and so she was like, "Yes, we need this in the church and in the discourse."

0:05:26.3 DB: Well, I wanna explore more, 'cause you made it sound so easy to get this written here, and I am confident even though I don't know your story in getting the book published, I'm assuming it wasn't that simple or easy. But let's define this for the audience here. We've said a couple of times this word "scrupulosity" and "OCD." Explain, what is OCD and what is scrupulosity? How are they the same and how are they different?

0:05:54.9 KF: Okay. OCD, obviously Obsessive-Compulsive Disorder, so by nature you have these thoughts that keep coming, and then it leads you to do things in order to make yourself feel better. So for instance, you have a thought like, "My hands are dirty," and so you say, "Okay, well, I have to wash my hands," but then your brain says, "Oh, well, you didn't wash them well enough." And so then you have to keep washing your hands or you touch something and then, "Oh, your hands are dirty. You have to wash your hands again."

0:06:26.0 KF: So it's this kind of call and response where your brain is saying, "Oh, something's wrong, something's wrong," and then you physically... There's even mental OCD as well where they do mental compulsions, so it doesn't have to be a physical compulsion. But anything that you do to try and relieve these thoughts that you're having, if it's enough that it's causing you disturbance to your life, to your day, to your life, then it becomes OCD, where it's a disorder and you need... You should get treatment or help.

0:07:00.3 DB: It interferes with your life.

0:07:01.0 KF: Yeah, if it interferes with your life, exactly. And then scrupulosity specifically is a type of OCD. And that's something I didn't really know at first, was that there were different types of OCD. 'Cause people just throw around OCD so flippantly. Like, "Oh, I like to have books organized, I'm so OCD." But it's not an adjective. It's a disorder and it's serious.

0:07:23.3 KF: See, I didn't realise there were so many different types until I went to therapy, and people were telling all their different stories, and I was like, "Oh my gosh, all these things are OCD that I've had." [chuckle] But scrupulosity is religious OCD basically. And so it has to do with maybe worthiness or things like, "Oh, I'm not good enough" or, "Oh, I'm not worthy to go in the temple" or, "Oh, I shouldn't have said that thing." Anything that relates to our religious upbringing and our thoughts there.

0:07:53.8 DB: But wait a second, you just described empathy, right? I said something wrong, I may have hurt somebody's feelings.

0:08:04.2 KF: Yeah.

0:08:04.6 DB: What's the difference between empathy and...

0:08:09.0 KF: And repentance.

0:08:09.5 DB: And reasonableness, and repentance. So what's the difference? Help the listener know.

0:08:15.2 KF: Yeah, that's something my therapist and I talked about, and he was not... He's not LDS. But he said, "It's so hard with scrupulosity and people who deal with that, because a lot of times for them, it's like the therapist versus God." And who is gonna win that? Obviously, God is gonna win that. Right?

0:08:31.9 DB: Yes.

0:08:32.1 KF: For a religious person, you're gonna say, "No, this is like the Spirit telling me I'm doing something wrong and I need to repent." So it can be really difficult to say, "Okay, where is this line between this is a mental illness and it's telling me I'm doing everything wrong, and I actually am doing something wrong and I need to repent and change." So it's really difficult.

0:08:57.8 KF: For me, my OCD really started with scrupulosity back in college. And yeah, I just thought it was I'm having a "come to Jesus" moment and I'm realizing all these horrible things I'm doing wrong. And so I really, I beat myself up and I... So many issues. I couldn't be alone really, 'cause I was worried and my brain would just keep going and I would say, "I have to fast on this random Thursday because I need help," and nothing was helping.

0:09:27.3 KF: I would take a nap and I remember one time I had sleep paralysis, which I never had before, where you can't, your body can't move. "Is it something? This is not normal." And so, I don't know, I think I realized that then, that something wasn't normal, but I didn't actually get help until 10 years later. I did go on medication then.

0:09:48.3 DB: Wow.

0:09:48.4 KF: But yeah, I didn't really understand what it was, or the other things that it could cause. So it is really difficult. I think if you're... If you know, Mormons, we tend to know... Or LDS, sorry. We tend to know what is right and wrong. Right? And if you're really pushing yourself past the normal right and wrong...

0:10:11.0 KF: If you're worried about every single thing, and it's so bad to the point where you feel like you can't be alone, or that's all you think about, or you're so worried that God hates you. Or whatever, these are kind of warning signs that, you probably have a problem.

0:10:27.3 DB: Big time.

0:10:27.7 KF: And you should get help.

0:10:30.0 DB: Yes.

0:10:30.0 KF: Because it should not feel like that. God does not want you to feel like you're a terrible person all the time. That's not what Heavenly Father wants for us. So if you are feeling like that...

0:10:40.0 DB: That's an excellent...

0:10:41.2 KF: You'll be fine, yeah.

0:10:42.7 DB: Yeah, that's an excellent point, and I think it's... You're right, this is one of the most difficult things, mental health issues, to identify within our faith, because it's one of the few mental health struggles that we actually praise. So for example, we reinforce scrupulosity a lot in the church and we idolize people who have it.

0:11:11.1 DB: And we don't even know that they have it, or they may not even recognize they have it. Usually it's in the context of, "I study the Scripture for two hours a day. I pray for 30 minutes twice a day."

[chuckle]

0:11:22.6 KF: It's not healthy, really.

0:11:24.1 DB: No, it's not healthy, but yet it's the focus. When we see people like that, we admire them, we often say, "Wow, I wish I had that." Let me clarify, these are non-scholars, non-BYU professors, non-religious teachers. It's one thing to have a... Sorry.

0:11:44.1 KF: Yeah, exactly, exactly. And after realizing this, I read through the Book of Mormon, and I'm like, "Oh man, Jacob, I'm worried about Jacob." I feel like he probably had... He even says that he has, "My great anxiety of faith and great anxiety in my soul." I'm like, you feel bad for him, because they probably we're dealing with these things. Even Enos, praying all day and all night, like... I don't know. [chuckle] Maybe...

0:12:07.8 DB: I've even thought... I love that you bring that up because I've even thought about Nephi's prayer or his poem. It's, "O wretched man that I am." And I'm like, holy cow, this...

0:12:21.3 KF: Right? It's been around the whole time, we just didn't have the words to describe it. Even my therapist said, I think Martin Luther, they think had OCD, who began basically the whole Protestant Reformation. [chuckle] Which makes sense, he was very worried about everything. And so, I don't know. It's good and bad.

0:12:41.4 DB: It is.

0:12:42.6 KF: Yeah.

0:12:44.6 DB: It's a fine line, because clearly, there's nothing wrong with people who wanna study the Scriptures for two or three hours a day, and that's not, I'm not exaggerating.

0:12:55.0 KF: Yeah.

0:12:57.0 DB: But like going back to your earlier definition, it's when it interferes with your life. One of the measurements I use is if you place those concepts of perfection above your loved ones, and above your relationship with God, and you base your relationship with God off of those measurements, you may have scrupulosity.

0:13:23.7 KF: Yes, yes. No, I totally, I totally agree. And that's the point it gets to, and like I said, for me, I wish it had gotten... I realized that it was scrupulosity, and so the OCD didn't branch out into other areas of my life. Because it did. 'Cause OCD, if you get used to it in one way, it will try and get you in another way eventually.

0:13:46.5 DB: Yes.

0:13:47.2 KF: Yeah, I don't know. It's a tricky thing.

0:13:50.2 DB: Personally, I don't know if I would define myself having elements of scrupulosity, but as someone who does battle with anxiety and ADHD, my personality type is very different from what those we tend to admire in the church, somebody who, going back to that example of routine Scripture study. Now, I used to force myself and judge my worthiness based off of my ability to perform like somebody else, let's use the word neurotypical person.

0:14:29.6 DB: When I came to grips that my form of study and prayer takes on a very different look than somebody who's neurotypical, it was a breath of fresh air. And to be okay with that, the way I study, the way I pray, I felt closer to God immediately when I put off this... It gets me upset now, when I get people who bear their testimony, who says, "If you study the Scriptures the first thing you do when you wake up in the morning, you will be closer... " I go, "Nope, that's number one way to upset me and draw me further away from God."

[chuckle]

0:15:07.6 KF: Yes, everyone, it's so, that's so true. We all worship in different ways, and that I think that's meant to be, but we, for some reason in the church we're taught, "This is the way you do it." And so, yeah, for me it was like with the scrupulosity it was like, I felt so much duty, like my relationship with the church was really just like, "I have to do these things because this is what I've committed to do. And this is how you get to heaven."

0:15:33.8 KF: And so it was very like, this is my duty that I have to do this, if that makes sense? It wasn't so much out of love. I have testimony, but it wasn't like I'm doing this because I love the Savior, necessarily. The first and foremost was like, "Okay, this is what I have to do because this is what God expects me to do. And this is what I've covenanted with Him to do. And my family, I have an eternal family, they're relying on me to stay true," and all of these things.

0:16:00.3 KF: It was like all this pressure that you have to keep doing it in a certain way. But it's really unhealthy, and you get to a point where you're just like, "I can't, I can't anymore," and you have to realise maybe you don't have to accept every single calling, or maybe you don't have to be the perfect ministering sister or brother. Because I'm an introvert and it's hard for me to do certain things, but other things I can do really well.

0:16:30.5 KF: Even listening to general conference, I don't get much out of it, but reading it, I can. Where my husband is basically the opposite 'cause he has ADHD. So yeah, everyone is different, and it's fine. That's, we're made this way, it's not a sin to have mental illnesses or developmental...

0:16:47.4 DB: Differences.

0:16:48.2 KF: Differences of any kind. Yeah.

0:16:51.1 DB: So I'm gonna read off of page seven in your book. What was... It touched me to just... I struggle to put words into what I experience on this. Again, I may have some degree of scrupulosity, as I looked more and more inward, I don't think I fit the classic definition definitely, but again, it may be more of my anxiety and ADHD, just the differences in approach, but I loved what you said here on page seven.

0:17:22.4 DB: It says, "I spent evenings alone wanting to burst into tears but not feeling like it would do any good. I questioned why God would let me end up here alone. I wondered why I felt guilty and why I worried about every single thing. I was at a loss for what to do with myself. Uncertainty ate away at my sanity, and I thought I was going to have a nervous breakdown at any second. Last year, I did, and it was a surprise because I have always coped."

0:18:01.3 DB: What I would have said well, with my anxiety, I think because ironically, my ADD allowed me to break free of rigidity, and I actually think I was blessed with ADHD, for that reason. I don't know if "blessed" is the right word, 'cause that's not fair to others, but it definitely allowed me to cope.

0:18:29.7 DB: I fortunately have a wife who is like, "Tell me, share with me," and I never felt like I could. It's like, "You really wanna know what's going on in here?" And as I shared, now she's like, Oh, this is what... " In fact, yesterday, Sunday, I was having a really bad day. And when we came home from church, we're going to church now, and I told her, I said, "I can't even be touched, I can't. This is, I'm feeling overwhelmed. I have to go isolate myself."

0:19:02.2 DB: And she goes, "Oh my goodness, I had no idea." This is how I've pretended for so long. Are you wanting me to share this with you? I have felt alone, even in the midst of the most beautiful support system, because I don't feel like people could relate to me. When I read that paragraph, it tells me you know exactly what that was like. Share with me. Well, I guess...

0:19:35.0 KF: Yeah, yeah, no...

0:19:37.8 DB: Let me formulate that question a little bit better here. You said earlier... Well, in general, you have so much insight right now about why you did things, and you wish you'd known this 10 years earlier.

0:19:53.7 KF: Yeah.

0:19:54.4 DB: But the truth of the matter, most people with scrupulosity will not receive that information.

0:20:00.3 KF: No.

0:20:00.6 DB: Do you feel... 'Cause as I look at this and I say, "If somebody told me 10, 15, 20 years ago, I would have said, 'What are you talking about?'"

0:20:09.4 KF: Right. Yeah, especially in college.

0:20:10.6 DB: Even with just anxiety.

0:20:12.0 KF: Yeah. Right.

0:20:12.9 DB: Do you feel like you would have listened to your... You, 10...

0:20:17.3 KF: No, no. Well, you know, it's interesting, when I was writing the book, I got out my old journals. I had journaled through college, basically. And so I was reading from this time period of when it went... When it went down, when it was really bad, like I wrote about there. And I was just reading like, "Oh my gosh."

0:20:38.1 KF: And then I read about how, I went back to BYU, I was doing an internship at the time in Seattle. And so I went back to BYU and went to the health center, so I was like, "I'm gonna... You know, I need to get help of some kind." My mum's a nurse, so she was like, "Just go to the health center and tell them." And I had written down in my journal, like, "I went to the health center and they told me I had obsessive compulsive disorder."

0:21:01.4 KF: And I was like, "What? I knew. They told me." So exactly, I was told, but it just like, it went over my head. They didn't really... They must not have explained or I wasn't ready to accept that that's what I had. I don't know, and that's how I got on medication, was that visit. But I literally, until I re-read it, that journal years later, I was like, "What? They told me. I didn't know." Literally, it didn't come to me. So that's your answer, they did tell me and I was like, "No, no, I'm not gonna listen."

0:21:37.0 DB: Yes...

0:21:37.4 KF: "I don't care." Yeah.

0:21:39.1 DB: So I guess, the next question is, this is what I... What I think is the most difficult aspect about this, is, one, being able to recognize that this is actually a problem.

0:21:49.4 KF: Right.

0:21:49.9 DB: We've reinforced this within our church culture to idolize admire and even encourage this type of behavior, thinking it's good.

0:22:00.6 KF: Yeah.

0:22:01.7 DB: I get a lot of pushback when I identify this, especially around sexuality.

0:22:06.3 KF: Yes.

0:22:07.1 DB: Which is what I deal with the majority of the time, is, "Are you telling me not to listen to the prophets? Are you telling me to not be perfect?" How would you recommend, knowing what you know now, to talk and to... I realize we can't convince people, but...

0:22:27.0 KF: Right.

0:22:27.8 DB: What are your thoughts? How would you go about helping people recognize this?

0:22:32.1 KF: Yeah, you know, it is so hard. When I was writing the book and publishing it, I was really Society president at the time as well.

0:22:41.9 DB: It's alright.

0:22:42.7 KF: So it was like also I had this overwhelming calling. And so I was able to talk with a lot of sisters and realize like "Oh, they have mental health problems." And the ones who did and knew, they felt more comfortable talking to me because I was so open about my mental health issues. And so it was actually a benefit having that openness.

0:23:07.5 KF: So I don't know, it's, I think those of us who do have mental health issues need to be more open at church about it and more vocal about it. Because then those people who do have it, but maybe don't realize it, can start saying, "Oh, I recognize that in myself." Or, "Oh yeah, I've done that." And then you get that seed planted.

0:23:30.7 KF: And it does take years sometimes for people to be diagnosed with anxiety or OCD. Anxiety is more when people are like, "Oh yeah, I have anxiety." I don't know, everybody seems like they're willing to admit that. But yeah, I don't know, so for me, it's like...

0:23:47.0 DB: It's an acceptable mental health issue.

0:23:48.7 KF: It's an acceptable. Exactly. Where scrupulosity it's like, "No, that's good you're like that." So I think also church leadership, which they've done a lot better recently, really begins to say like, "Okay, this is an issue that we have," stating it and coming out and being really just, yeah, really transparent about it.

0:24:08.8 DB: And, "It's okay, and this is... We don't wanna be like this. We wanna get help. It's not good to be obsessed about being worthy or perfect." I think as the more the higher-ups start to talk about it more, it will become something that people are like, "Oh, okay." You know, and Elder Holland gave a great talk a couple of years ago about that.

0:24:32.4 DB: He's great.

0:24:32.7 KF: They've done Ensign articles about these things as well. So they are working on it, I feel like. We did a conference called Anxiety Disorders in Mormonism, shortly after the book was published, and that was great. I think we had church leadership there from some department, I don't know. So you know, kind of probably checking up on us, seeing like, "Are they really teaching good things?" But also I hope it helped them to realize that this is an issue.

0:25:00.4 DB: Oh, wow.

0:25:00.5 KF: And it was sold out this conference at the Joseph Smith Memorial Building. This is something in the church that we need to talk about more. So yeah, I don't know.

0:25:09.3 DB: My goodness, yes. I think that's what's interesting here is... And I apologize, I think we're on a slight delay here, so I don't mean to be talking over you. You've published this book now three years ago, or four years ago, and this is the first time I'm hearing it.

0:25:30.5 KF: Right.

0:25:30.5 DB: And I'm a mental health professional. And to your point, I am surprised. I am absolutely baffled why you haven't been on... And this is not a criticism to my colleagues, but I am surprised that you haven't been on every mental health podcast in the LDS community. Being that this is such an important topic and it is related to anxiety, depression.

0:25:57.4 DB: Even if you don't have scrupulosity specifically, this is prevalent in the church. And so you're right, this needs to get out. And so if I could do my part. I agree with you. There's kind of a paradox, because as you said, and I 100% agree. The upper leadership need to be talking about it more. But that's also kind of fueling the problem. We're waiting for our leaders of authority to say, "This is what you need to do."

0:26:28.2 KF: It's true. And you know, there is this divide, I think, with a lot of church members. I did a book signing at a church book store in Washington after the book came out. I was sitting there and I have the books, and I heard someone walking by like, "Ugh, OCD Mormon." Like, "Oh, that doesn't matter. OCD doesn't matter" Yeah, I was like, "I'm right here." [chuckle]

0:26:53.1 KF: But it is one of the, specifically OCD is one that people don't really realise is a real mental health disorder. If that sounds... That sounds terrible, but it's true. Because we use this so flippantly, the "OCD" term. So I don't know. Yeah, it's really hard I think anxiety is an easier one, people will say, "Okay, yeah, you have anxiety."

0:27:14.4 KF: But all the mental illnesses is really are so co-morbid with each other where you can have one and the other. They kind of like to pair up and be friends, which is not fun. So yeah, I have OCD, but I also do have anxiety, generally. I've been having suicidal thoughts before because of all of these things. So they really, they all go hand in hand. And they can get so deep if you don't address them, and cause other problems and cause even like physical problems.

0:27:47.5 KF: One time, I thought I was having a heart attack after my breakdown in college. And so I had to go and do EKG testing. So I thought I was having heart attack.

0:27:57.8 DB: I've been there.

0:27:58.5 KF: Yeah, it's like if you're having these things, there's something wrong and let's get help, because it's available, and it's great. When I went to the BYU Health Center and they just gave me the medication. And there wasn't, as I remember, not really a discussion about other options. I think a lot of us do want just like, "Okay, give me the drugs, and I'll be fine." We don't wanna put in the work and put in the time.

0:28:25.8 KF: Because we're so busy too, in the church. We're so busy. We have all these callings, and we have our kids, and we have this, and the school, and all the jobs. And it's like, "When do I have time to go to a therapist? When am I gonna do that?" But it's so...

0:28:39.3 DB: We need an immediate solution.

0:28:41.4 KF: Yeah, we want the immediate solution. And the medication is great. It helps kind of take it down a notch, at least for me, and I don't know for you if you're on anything. But being in therapy just helps you understand why and what it really is, and how you can behaviourally take care of it and get better, and when it comes up in other areas, you recognize it more, than just taking a medication.

0:29:09.0 KF: It really, yeah, therapy is so important. And it's so hard to get, for some people. It's hard to find the right therapist. It's hard to get an appointment with a therapist. These are things that are also obstacles, that are huge, yeah.

0:29:22.3 DB: And one... And you addressed this in the book very well. I have so many questions. This is such an exciting topic for me, so let me organize my thoughts here. Because you brought up this and you talk about this in the book really well too. It's one thing to find a therapist and to find a therapist who really knows how to address this.

0:29:41.9 KF: Yes.

0:29:42.2 DB: But before... Before I ask that question, I wanna talk about the nuance around this. And one of the things that really prevents, I believe, prevents us from, at least in the church community, that... Recognizing we need help. Is, what we perceive is the spiritual... And I'm curious, 'cause I don't remember you talking about this in the book, or at least bringing it up, is what we perceive as the spiritual reward we get when we are following our scrupulosity.

0:30:15.8 DB: I often hear people will say, "Are you telling me this is a mental illness? When I read for two hours a day, I pray repetitiously. I feel closer to the Lord." That.

0:30:31.0 KF: Right. "You're telling me that's wrong?" Yeah.

0:30:34.2 DB: How do we... Is that something you experienced? And if you did, how did you address it?

0:30:40.9 KF: Yeah, it is something that is so hard. And I've been doing research for a different project about generational differences in worship. And so I was reading articles, and there's actually, they're doing experiments, and they actually use LDS people, which I thought was great for these experiments, about... Neuroscientists and neurologists are doing this, about how our brain reacts to religion. I read this article, it's called Your Brain on God. And this doctor...

0:31:13.3 DB: Great article out of University of Utah.

0:31:16.6 KF: Yeah, yeah, and just basically how our brain over, probably over the thousands of years since we came up with religion, our brains have become... Yeah, religion helps. It turns on different parts of our brain, like the responses for pleasure. Like cause and effect. We're like, "Oh yeah." So we pray and we feel better about it. And it's literally hard-wired into our brain to feel that way now with religious experiences. Especially for LDS people, apparently.

0:31:47.4 KF: So yeah, if you talk about God or something in the experiment, and you probably know as well as I do, but yeah, they were happier. And so it really is part of our brain. But it's just like a drug where you can get addicted to that in a way. And that sounds awful, right? Probably people will be like, "Oh, you can't say you're addicted to religion, it's not bad, it's good."

0:32:13.3 KF: But God also says moderation in all things, and for the average person, average LDS individual, I don't think He wants us praying two hours a day or reading two hours of Scriptures a day. There's so many... He wants us to be with our family and enjoying the Earth and being good examples out of our own home. So it's hard. It's really... [chuckle] I don't know if I answered any question. But it's hard, yeah.

0:32:39.4 DB: It is hard. You did. And actually, that research, I'm glad you brought it up because it's one that I've written about and we talked a lot about, you bring it up, it's like a drug. It actually shows something quite the opposite, and this is what I mean. We've been doing a lot of brain scans around people who are behaviorally addicted to pornography or these other things, forms of media.

0:33:08.5 DB: And they found that this brain response of studying the Scriptures and following the leaders or reading quotes from the prophets, lit up the brain in a similar way as those who look at porn. And so what we've been identifying, what some of the best researchers have been identifying, is there's something else going on that's beyond this chemical addiction.

0:33:32.4 DB: Which is not like a drug, actually. It's what we are creating in our belief system, what we're expecting to receive from it. And so, what we're identifying is we need to redefine how we experience those relationships. So I think you actually did answer the question, is I don't need to read three hours a day to have this feeling of closeness with the Lord. I can create this in a way that's pleasing to Him, in a way that's more appropriate for me.

0:34:09.3 KF: Right.

0:34:09.8 DB: Does that make sense?

0:34:10.8 KF: Yes, more is not always better, you know?

0:34:13.7 DB: Correct.

0:34:15.8 KF: Yeah, it's interesting, and I read this book, I'm trying to see if I have it here on myself. About George Albert Smith, with the prophet and how he, basically his... Youu know, he had mental illness, mental health problems, but they didn't really diagnose it 'cause he was back in the...

0:34:37.1 DB: I love this example.

0:34:38.6 KF: Yeah, and reading it, I was like, "Oh, he has anxiety obviously, and probably obsessive-compulsive disorder." And they tried to do ridiculous things to the poor man, like, "You have to live outside in the back cottage, "or all these just crazy things, "You have to take time off from being an apostle," and all of these things.

0:34:58.0 KF: And I just, it helped me feel better about my own problems 'cause I'm like, "Okay, even the prophet had this." And I think it allowed him to be more empathetic when he became prophet, he was prophet right after World War II. And so I think having those experiences and having the mental health problems that he did, I think it made him the prophet he needed to be for that time period, even though it was awful and he didn't have the correct treatment because they didn't have it then really.

0:35:29.5 KF: But to know like, "Okay, it can be a blessing in some ways," like you said. It could be awful too. And so it is awful, but it can help us learn empathy and learn different skills that the Lord can then use to help the Kingdom. I don't know.

0:35:49.0 DB: I believe it was George Albert Smith, 'cause as I was telling you offline, I've done such extensive research, sometimes stories cross, so I hope I'm remembering correctly, and I find it was a missed opportunity when we're studying him as a prophet, that they didn't include that in the material. And how he would actually isolate himself in California for months at a time, to escape it all and to recover. What a benefit that would be to here as a church community. I think... And I have no idea. I am...

[overlapping conversation]

0:36:22.1 KF: Needed to do that for his mental health. Yeah.

0:36:25.1 DB: Yes. And I don't wanna pretend I know what the leadership is thinking when they develop this material, but maybe my only guess is maybe they don't want us to have a negative light on George Albert Smith. But I don't know. I thought that would be... So when I teach that lesson that I sometimes get asked to teach, I make sure I include that. It's like, oh my goodness, isn't he more relatable now? Isn't it make you feel good?

0:36:53.8 KF: Yeah. I even think about Christ when He had to go and He would go up into the mountains and pray by Himself, I'm like, "Yeah, I relate to that needing to get away from all of the people and all the things going on around you, and just have the solitude." I'm like, "Yeah, I can relate to that." Or just being asleep in the boat and, "Go take care of it yourselves." [chuckle] Solve the problem on your own.

0:37:17.4 DB: Absolutely.

0:37:18.5 KF: I think it does, it humanizes everyone, these leaders. And just, you know, the thing is, it's sad, but like you said, there's such a negative perception of mental illness, not just in the church, but everywhere. And so end of therapy and things like that, and people think, "Well, I'm not being good enough, or I'm not praying enough if I'm depressed." If you're unhappy, you're just not being a good enough Latter-day Saints.

0:37:52.5 KF: And you hear that a lot, like, "You just have to pray it away, or fast more or pull up your bootstraps." And it's...

0:37:58.0 DB: Correct.

0:38:00.9 KF: That's not the right way to deal with this. I think it's hard to change that demographic of the church and of society, that thinks that like mental illness is a personal weaknesses. Because it's not. It's not a sin, it's not a weakness. It's a real thing, just like if you had cancer or if you had endometriosis or whatever. It's a real illness.

0:38:29.0 DB: But to your earlier point, I'm gonna come back to that other question, is when we do seek help... So let's step out of even the LDS community right now, let's talk about the medical community. So I'm putting the pieces together myself over the years and I had a nervous breakdown, oh, I don't remember the year now, it might have been around 2006 or 7, and I thought I was...

0:38:57.2 DB: So your story about heart attack hit home for me because I remember checking myself in, and thought I was dying. At that time, I was also 265 pounds, and so I thought I was prime heart attack whatever, and I checked myself in and they did all the tests and they're like, "You're fine."

0:39:19.6 DB: I said, "I am not fine." And they looked at me like I was crazy, like, "Get out of here." It felt like it was more just they were protecting themselves from liability to keep me there, and I was of course feeling a lot of shame like, "I don't understand. I am... " You can't even describe. People who have had a severe panic attack understand. And that's what it ended up being.

0:39:50.1 DB: But there was no... No one sat me down and said, "Look, what we believe is happening here and how we think we can help this... " I realise it was an emergency urgent care facility, but that also goes to the point. Our society, we're now in 2020, and even with me having a nervous breakdown last year in 2020, the help and the insight...

0:40:15.8 DB: And I'm a mental health therapist and I was struggling to identify what was happening, and it's always harder when it's happening to you, but to be able to identify it and to get the help, it's just like, "Here, take this Klonopin or whatever. Let's just calm you down and get you home."

0:40:33.6 DB: And then, as you talked about in the book, and this is where my next question is, is how? It's one thing to identify that you may have a problem and then another to find a therapist who really knows how to deal with this. And as a therapist, I struggle to find people who are adequately trained to refer people to. What was your process? And I know you brought it up a little bit in your book, but how did you find the right therapist for you?

0:41:06.8 KF: Yeah, luck, really. [chuckle] No, but...

0:41:10.3 DB: It's true.

0:41:11.2 KF: It's true, it's true. I was having this... At the time, it was contamination OCD, I got really bad. And my husband was like, "This is not normal. You need help." And I was like, "No, no, I'm fine, I can do... I am a strong person, I don't need help." And he was like, "No, you need help."

0:41:32.9 KF: So I was really blessed with a husband who was really supportive and had a family with mental illness, and so he could recognize this and not take "no" for an answer really. He was like, "No, you need help." So I was like... I was too involved or too emotionally upset to even call doctors.

0:41:55.6 KF: Which, a lot of people are at that point, when you're going through a breakdown, you can't. You're not like, "Okay, let me go research all the different doctors that I could go to." No, you're having a breakdown. So I was lucky, he started calling the doctors. It was to the point where he was even calling the in-care, yeah, people like, "Can she come in and stay there?" and they're like, "No, we're full," or, "Oh, no, we don't have any appointments for two months." And he's like, "This is not... We need something now."

0:42:23.1 KF: And so he called someone, a doctor in Seattle. We were living on an island in the Puget Sound at the time, near Seattle, but he called the doctor in Seattle and he's like, "My wife's having a really hard time with this," and he's like, "Well, we have a group session tonight that she could come to. And I have a cancellation the next day too for an appointment."

0:42:48.4 KF: So it was just totally random that he called this doctor that day at that time and the cancellation. So I was very lucky, I was very lucky. I went to the group and that's when I was like, "Oh yeah, this is what I have." And then, yeah, I went to him for the appointment and he told me, "Go to your GP, general doctor and get on medication for now, because it will help you in the meantime to calm down. And then we'll work on the therapy once you can... You're well enough that you can actually do the exposure therapy and do the things that you need to do."

0:43:32.3 KF: So I went to my other doctor, got on medication, then I went home for Christmas to my parent's house with our family. And I was suicidal, having suicidal thoughts because of everything.

0:43:46.1 DB: Yeah.

0:43:46.3 KF: So I was like, "I can't go back," to this island where we lived 'cause I was like, "It's dirty, and contamination." And so we flew home and drove to Portland and started looking at houses down there to move, because we were building a house on Vashon Island, but we were like, "We need something better in the meantime that's closer to therapy," because I didn't wanna take a ferry and then drive a half hour to go to the therapist every week. I was like, "That is a two-hour commute, it's too much."

0:44:18.3 KF: So we were lucky enough that we could do that, and we bought a house down near Portland. And so I came back to my therapist and I'm like, "We're moving," and he's like, "What? What are you doing?" I'm like, "No, we need to move, various reasons." And so he said, "Well, I have a friend down there, another therapist in Portland, and I will transfer you over there." And so I was like, "Oh, great." He's like, "He's me, but in Portland."

0:44:43.2 KF: So I was like, "Okay, that's fine, that's great." So I moved down there and I met with him, and he was great. He was like... We hit it off even better than I did with the one in Seattle. And I don't know, we just, I met with him every week at first and was able to make progress on the things that we're really bad. We started with the contamination, which is really the one that was awful for me.

0:45:05.6 KF: And then once that was kind of under control, then he looked and said, "Okay, now, what else? What else is the OCD touching?" And then we were able to go to the scrupulosity or the hitting around OCD, or whatever, there's all these different sub-types. But it was just a luck, and so I feel really lucky that I had that experience. It's been really hard to...

0:45:28.3 KF: Now, I didn't... I stopped going to see him once I was better, and I was like, "Oh, I'm doing so well with this whole behavioral therapy, I know what to do now, this is great." I'm like, "I'm gonna go off my medication, I'm not... I don't need to see my therapist very much, I know what I'm doing now." And I had a total breakdown while I was writing the book, total...

0:45:57.3 DB: Wow.

0:45:58.0 KF: Right back where I was basically. And I'm like, "What it's going on? I know what I'm supposed to do." Like you, you're a therapist, you're like, "I know the tools but I can't use them myself. What is going on?" And my friend that had to come and she checked me...

0:46:13.5 DB: Let me pause you for a second. Let me pause for a second, 'cause I think this is important to emphasize to those people who don't experience this, when they're trying to be loving and supportive, that there... One of the things I discovered, really quick, I understand all the concepts, techniques and tools with grounding with mindfulness, but when your brain gets into a place of ruminating, no amount of grounding, mindfulness, breathing techniques... Now, help.

0:46:47.6 DB: And I wanna say that with a caveat, I'm not saying that, "It's not gonna be helpful. Don't do it." You definitely do it. I'm not saying don't do it. But when you're loving network, your family, your support system is getting frustrating, saying, "Aren't you doing this?" Or, "You need to do this." I think it's important for them to remember, because it may help you and get you into a good place, it does help us, but it's not the solution, and it's probably not as effective as it may be for you. Is that your experience?

0:47:27.2 KF: Yeah, for me it was like, yeah, I knew what I should be doing, but I was like, "No." I think it was pride too. I don't wanna have to go back to the therapist and tell them I failed. I know what I should be doing, but I just I can't do it. My brain, it was just like, "No, no."

0:47:47.7 DB: So you couldn't even get there, your brain wouldn't even let you do it?

0:47:51.8 KF: Yeah. I had a friend, the friend who had OCD and that I mentioned earlier, and she was like, "I'm taking you to the hospital." Because I would tell her things about going on a walk, "I could just walk out into traffic right now, it wouldn't matter." She's like, "I'm taking it in to the hospital 'cause that is not normal thoughts to have."

0:48:12.8 KF: And so I went and they gave me some drugs. And then the next day I went to my doctor and got back on medication. No, it's hard, and I think it's... Even now, I'm not going to the therapist regularly, and I'm like, "Oh, I don't need to go to the therapist," but I should, I should. Not every week, but I should check in once a month or once every three months. The accountability is important.

0:48:44.1 KF: And that's what keeps me on track, I'm on medication again, still, and that's keeping me fine, but if something happened, something major, I would probably have another... I would probably go back to the same spot. It's really hard. It's a constant, it's a life-long...

0:49:03.2 DB: Understood.

0:49:04.1 KF: Yeah, and medication doesn't always work as well as it used to, and so you have to have these tools in your toolbox and recognize like, "Okay, I can't do this on my own."

0:49:17.2 DB: I wanna be respectful of your time. I have many thoughts and questions. Are you okay if we go beyond the hour?

0:49:22.9 KF: Yeah. It's fine.

0:49:24.6 DB: And what you don't really address in the book is how this affected your intimate relationship with your husband. And not just sexually, but connection in all of it. Are you comfortable in explaining that?

0:49:43.8 KF: For sure. I mean, I laugh because I remember these instances, and to me they were like, "Oh my gosh," like life and death. But now I'm like, "What was I doing?" But when I had the contamination OCD, he would take the laundry downstairs or something, let's say, and I always say, "You have to go wash your hands." He was like, "Why." 'Cause you touched a dirty laundry, and he was like, "I'm not gonna do that," and I'm like "then you're not gonna sleep in the bed tonight."

0:50:12.3 KF: And he's like, "What?" "No, you have to sleep on the couch unless you wash your hands." And he's like, "What are you talking about?" Things like that or even just touching, he would go by and pat me on the bum or something, and I'd be like, "What are you doing? Don't touch me, don't touch me there!" He was like "What? What's the problem?"

0:50:34.7 KF: These little things that are natural husband and wife things, I'm like, "Whoa!" I'm thinking, "This is wrong, this is... You're dirty, this is awful." And yeah, even sex, I was like, "Whoa, this is dirty. We can't." It was very like, we have to have it on a certain sheet, or have sex in a certain time, or what... I take off my garments, my underwear, I have to pull them and put them in a spot, put them on like a Kleenex 'cause they're dirty. And it really ruins the the moment.

0:51:09.3 KF: He used to be like, "Oh my gosh, what are you doing?" Or if you touch anything, you have to go wash your hands. Yeah, it really does affect your intimacy and your relationship with your spouse, because in your mind, you're like, "This is totally logical. And this is what I have to do to maintain my sanity." And to them, they're like, "What is going on? This is not okay."

0:51:34.7 KF: So yeah, it's really hard on spouses. And children too. I was like, "I'm not gonna color with my kids 'cause they touched the markers and maybe they didn't wash their hands after they went to the bathroom." So I'm not gonna color with them. Or I'm not gonna sit on the floor with them because the floor is dirty or... You know, just all of these things would factor into it. It changed my whole relationship with my whole family. Yeah.

0:52:00.1 DB: So with... Because my group is focused on intimacy specifically, what do you do now?

0:52:09.5 KF: Yeah.

0:52:11.2 DB: Do you feel like sex is now pleasurable for you, or? I guess I made an assumption. It sounds like sex was not a pleasurable experience before?

0:52:17.6 KF: No. No, it was kind of like a...

0:52:18.7 DB: Do you feel like it is now?

0:52:20.6 KF: You know, it's not totally better. I have tried to be better about it, but there's still... It becomes a habit when you do these things often enough. And so even without thinking about it, I'm like, "Okay, we're gonna move over to your side of the bed if we're gonna have sex, because I don't wanna get my side dirty." Like, still. [chuckle]

0:52:43.6 KF: And I try...

0:52:44.0 DB: I'm glad you can laugh about it.

0:52:45.6 KF: I try not to be obvious about it, but I'll scoot over or whatever. Or I'll be like... I'll look like where he puts the underwear when... [chuckle] Like, "Okay, is it in a good spot? Okay, we're good." Because we've talked about it. We were interviewed for Vice on this topic, OCD and Intimacy. So you can look that up.

0:53:10.7 DB: We'll include the link.

0:53:12.4 KF: It was really good, actually. He was in the conversation obviously. It was like couples therapy, just talking it out. And him saying, "Okay, this bothers me when you do this." And I was like, "Really?" So I think couples need to be able to open up to each other about that, about sex, and what are problems or issues that each person has, because it's really healthy actually.

0:53:37.8 KF: And I think we don't talk about it at church 'cause we're like, "That is a private thing. I'm Mormon and I can't do this and we can't talk about it. Or we can't use sex toys." Or whatever people think. Because we don't talk about it, we have all these assumptions of what we can and can't do, I think. Or should and shouldn't do. But really, is that even like a thing? I don't know.

0:54:02.1 KF: Like using sex toys, I was like, "I cannot. No, we don't do this." He's like, "No, it's fine." So these are things that we've had to work on and still work on, but talking about it and being open about it with some random stranger actually really helped us to come to terms and to be like, "Okay, you know, we need to be better at this. Or I need to be better at it and not let the OCD take over that." And be okay with having pleasure.

0:54:28.9 DB: Again?

0:54:30.6 KF: Yeah. With... You know, it's okay...

0:54:33.3 DB: Yes.

0:54:33.7 KF: If you feel good about this. Which for some reason I never did. Well, you know.

0:54:39.1 DB: You bring it up again.

0:54:40.6 KF: Yeah.

0:54:41.3 DB: Yeah, it's interesting because it's, again, the taboo and the somehow... Someone predefined we're not supposed to talk about certain things. Like my wife was just telling me she was at book club and they brought up Emily Nagoski, one of Emily Nagoski's books, which is great, about female pleasure. And one of the people says, "Let's do that for our book club." And she was excited, she says, "It's changed my relationship for the better."

0:55:09.3 DB: And the response... Again, I'm not criticizing anybody, I wasn't there, but the immediate, the automatic response was like, "No, gross, we don't talk about that thing." And it's like, oh, we're feeding the problem, we're feeding the problem. And we're not allowing ourselves to identify, "Well, I know I can have pleasure, but I'm not allowed to talk about it."

0:55:32.8 KF: Yeah.

0:55:33.1 DB: And if we don't talk about it, how do we learn about it? I mean, it's...

0:55:38.1 KF: How do we learn... How do we even know, yeah, what it is. What, yeah. No, exactly.

0:55:42.8 DB: Even like with sex toys, it's like, "Yes, absolutely." So has that been a helpful thing for you? Has incorporating tools, I like to call them sex tools. [chuckle] "Toys" makes it sound... Which, there's nothing with saying "toys".

0:56:00.1 KF: Yeah, no.

0:56:00.1 DB: But for therapeutic mind, it's like it's a tool, it's to help you. [chuckle]

0:56:02.5 KF: No, and it has. And just... My husband wasn't always active at church, and so I was not his first sexual partner, we'll say. And I was very worried about that at first. This is like, "I don't know anything about this, and I could be very bad and he would know." 'Cause I'm not the only person he's been with.

0:56:25.6 KF: So then I was also like, "Oh well, this is just because you weren't always active at church, so that's why it's okay to do... You think it's okay to do these things?" But no, it's fine. And yeah, the tools have been very helpful and... But it has taken me a while to be like okay with it, or to be okay with doing it myself...

0:56:47.5 DB: Yes.

0:56:49.0 KF: When he's... Things like that, having pleasure. Like, is it...

0:56:52.9 DB: Has that been helpful for you, allowing you to be in your own space and to...

0:56:58.0 KF: Yeah.

0:56:58.0 DB: Does that help manage your anxiety so that you don't feel like you're having to perform for anybody, just yourself?

0:57:04.1 KF: Yeah, yeah. You know, and I... Yeah, I always used to be like, "Okay, well," when he's done, then it's like, we're done. But now I'm like, "No, now it's my turn." And so we'll use the tool. And we'll use the tool, and it's...

0:57:16.6 DB: Toy is fine. [chuckle]

0:57:18.3 KF: You know, it really has helped to be like, "You know, this is... It's not just for him that this needs... This is for pleasure. I should also enjoy this." And it can be really stress-reducing as well for me, and not just a stressful occasion like, "Okay, I have to be good for him," and then he gets his pleasure, and then we're done. It's not just a one-way thing. We're not the tool, the women. We also deserve to have pleasure.

0:57:50.4 DB: Yes. Yes.

0:57:51.8 KF: That's something that took so long for me to realise. And also to even allow myself to get to that point of orgasm. My body was always just like, "No, no, no, no, no, no. I can't lose control," 'cause of my mental illness and my health. "I have to always be in control. I can't not know what's gonna happen." And so you had just to being able to let that go.

0:58:15.5 DB: The way you just phrased that there...

0:58:17.3 KF: Yeah.

0:58:17.9 DB: The way you just phrased that, "I can't let myself lose control." I have heard that from many, many women in counseling. That they feel like when they're on the verge of orgasm, they're losing control. I clearly can't identify as a woman in what you're experiencing. But that was a very triggering word or phrase for you.

0:58:41.5 DB: As I'm listening, I'm thinking, "Oh my goodness." And I wanna be careful, I don't wanna do a broad stroke of scrupulosity across everyone who may have experienced it that way. But that does sound like possibly a symptom of, "I'm losing control."

0:59:00.0 KF: Yeah.

0:59:00.1 DB: "What's gonna happen here?" What do you think?

0:59:02.5 KF: I think it is. I think... No, I think you're right. And I think, I don't know. Yeah, I was just like, "I can't... " It's very real even every time really. I'm like, "Okay." You have to make a decision like, "It's okay. It's okay to not be in control."

0:59:18.2 DB: Experience it.

0:59:18.5 KF: Experience it, yeah. And then you get past that, and you're like, "Oh, okay. This is what they're talking about." [chuckle] But if you don't get past that point, you never get past that point, and you don't realise what's on the other side of it. And so, yes, it's a huge thing, and it can be so good for women.

0:59:39.8 KF: I was reading a book about hormones for women. It's called the Hormone Cure, and it talks about that, too. That women need to have this time where they're just massaged there. It's really helpful actually for our mental health. I was like, "Oh, okay." And I was telling my husband, he's like, "I'll do that. That's great. Like I will help you with that whenever you want, we'll have our massage time."

1:00:09.9 KF: But just realizing it's not bad. I think so much in church we're taught like, "This is bad." Because just growing up, it's like, "It's bad, bad, bad, until you're married, and then it's great and fine. But we're not gonna talk about it, or what you do, or what it's supposed to feel like. At all."

1:00:21.7 DB: Exactly.

1:00:23.6 KF: It's not helping.

1:00:24.0 DB: A very good point.

1:00:24.9 KF: It's not helping to be like that. To have it be such a taboo, and then suddenly it's fine. Our brains can't really process that. It takes...

1:00:34.2 DB: That's... One of the hardest things for me to communicate with people who I'd only, I wouldn't diagnose as having scrupulosity. It's just a general, cultural belief is, "Once you get married, everything's okay. " No, it's not. The exception is not the rule. I'm not gonna throw a percentage out there, I have no idea. But I have yet to see that be the case where, "Yes, marriage is now, you get to... "

1:01:04.4 KF: Do it.

1:01:05.4 DB: "You understand your body, and you're experiencing the full benefits of it."

1:01:09.4 KF: No. No, not at all. Yeah, I'm like, "I don't know. I don't know what's down there." My husband's like, "What? What are you doing?" [chuckle]

1:01:18.4 DB: And you're not alone. We now have family discussions.

1:01:24.1 KF: Prudish.

1:01:24.7 DB: Yeah.

1:01:25.0 KF: Like, "I didn't know." Yeah.

1:01:28.6 DB: It's such a blessing, we have family discussion. Now I have three girls, and they're all married. And one of the most... Believe it or not, it's one of the most... What's the word I'm looking for? Not humble, but I'm proud. It feels so good when we're even at the dinner table, just us family, and we're talking about, in a very appropriate way but very open, about marital sex, and what it looks like, and how we can improve.

1:01:56.2 DB: We're not crossing boundaries or anything. Well, people might be listening who say, "You've already crossed a boundary." No, the fact that we can openly discuss, that is a good thing. That, "Oh, you know what, have you considered this? This may help." All of our bodies are different, and we go through phases.

1:02:12.7 DB: You talked about having an hysterectomy in your book. My wife has had a hysterectomy, that changes the body dramatically. What does sex look like after a hysterectomy? No one talks about that. And now, we do.

1:02:27.0 KF: We should, yeah. Because it's such an important part of our lives. And not in a gross way, but we think of it like, "Ooh." I know especially probably women who've grown up LDS, who are just like, "Ooh, you don't talk about that. That's not okay." Like you wife's book club like, "Ooh, no, we're not gonna do that." But...

1:02:48.7 DB: "I'll do it in private in my closet where no one sees me."

1:02:51.3 KF: Yeah, "I won't tell anyone."

1:02:52.4 DB: Maybe.

1:02:52.6 KF: Yeah, and I had a... My former sister-in-law, who's since divorced, but she was very open with these things. And so, after we got married, she's like, "Okay, what's gong on?" They let us use their hotel room right after we got married, before we went on our honeymoon. [chuckle]

1:03:09.4 KF: They're very...

1:03:10.3 DB: Cool.

1:03:10.8 KF: Very open. She's very open. So she's like, "Yeah, use the tools, this helps so much." And I was like, "What, we can? We're allowed to do that?" And she's like, "Yes." I'm like, "Okay." So just having people be open about it, really changed my view like, "Okay, other people are doing this, it's not just in the dark or sneaking around. You can't do this anymore."

1:03:32.4 DB: Absolutely. So I wanna be respectful of your time, and I have so many thoughts and questions. And maybe someday we'll have you back. I'm excited to hear the reception on this podcast. But the final question maybe I have for today is, this is a difficult experience, like we were talking at the beginning. How... First of all, how do recognize that this is an issue? And then, how can family best support us?

1:04:03.9 DB: What would you recommend that people can do? What is the best way to... I realise there's a broad experience here. One, being able to identify you have a problem. But let's take it from a place of... Well, you're welcome to go with it wherever you want, but I'm thinking specifically, how does a spouse help you now? How do they best support you?

1:04:28.8 KF: Yeah, that is, it's really difficult with OCD. First of all, they need to research it themselves and understand what's going on. If you're going to therapy, have them come with you to a session and talk to the therapist about, "Okay, what should I do in these situations?"

1:04:49.1 KF: Because we look to our spouses a lot of times for reassurance, which is a compulsion too. "Are my pants dirty? Can you look? Can you tell me if they're dirty or not?" And if they're like, "No, you're fine." "Okay I'm fine." For five minutes or something. And then you ask again, "Are you sure?" And as they provide that reassurance they're just really making the OCD worse. Even though we're like, "No, it feels better." It's really, it's not good.

1:05:16.2 DB: They're enabling it.

1:05:17.1 KF: It's enabling it, yeah. And they have to understand that that is... That is a bad thing to do. You think you're supporting your spouse, you're helping, you're helping them by saying, "No, you're okay, you're fine." But really that is, that is not what they should be doing, it seems counter-intuitive. I think if the spouse knows that also and doesn't say, "I'm not allowed to tell you." But, "What would your therapist say about that? What do you think... "

1:05:41.0 KF: We call him Dr. Bob, my therapist. "What would Dr. Bob say? Would he want me to tell you that?" I'm like, "Oh okay." "It's not that I don't love you, it's just this is for your own good." You have to stand up sometimes to the person who has OCD if you're the spouse. Which can be really difficult. But as long as they understand that that's what you're doing. [chuckle] You're not just being a jerk. That's important too.

1:06:08.2 DB: Do you have some sort of plan? Or did you... You both discuss possible solutions or approaches. You come up with it beforehand, so that doesn't feel so abrupt or whatever in the moment?

1:06:20.5 KF: Yeah.

1:06:20.8 DB: Okay.

1:06:21.3 KF: "Okay, I'm not gonna get you reassurance anymore." I'm like, "Okay. This is... It's your deal, you'll have to do this." And so yeah, just being really supportive. Supporting going to therapy. It can be hard. Especially if you have little kids. Who's gonna watch the kids? My husband was really supportive.

1:06:40.5 KF: Luckily he worked from home, so we were lucky. But he would sometimes... I was like, "Mum, come over and babysit." Or something when I had to go to therapy, because he knew it was important. Not demeaning your spouse for getting help, which I see sometimes. Husband's like, "Oh you don't need therapy."

1:06:56.6 DB: Oh absolutely.

1:06:58.2 KF: No support that. Support them getting the help that they need. Yeah, don't just say, "Oh stop. Just get better. Make yourself think what you're supposed to." You can't do that, you can't force yourself out of a mental illness. So I think just the support for spouses and parents. And knowledge. Like my mum, she read a book about how, supporting your loved one with OCD.

1:07:25.2 KF: What is his name? Hershfield has a great book about that, family members and OCD. If they read those books it's... I would see her reading that, and it's. "Oh that's so... " She's trying to help me. And it will help them. Don't make jokes about it. My dad would still send me stupid jokes like, "Oh, I'm so OCD." I'm like, "Dad." You know? [chuckle] So yeah, just be supportive and understanding what they're going through.

1:07:57.4 DB: I love it, thank you. Kari, this has been such a pleasure, and I wish I had discovered you when you first wrote it. This is...

1:08:06.0 KF: I know. I'm an introvert. I didn't publicise as well as I should have. [chuckle]

1:08:09.9 DB: Oh, that's quite alright. It's more I'm disappointed that our community... And maybe it's just me, maybe I wasn't aware. Maybe it was being talked about a lot and I just didn't pick up on it. But I wanna, I wanna the remind the audience, listeners, this is a real thing. Scrupulosity is a real thing.

1:08:27.9 DB: Scrupulosity is so hard to detect because it's not as apparent as traditional OCD, if I could call it that. You don't see somebody washing their hands 50 times a day. While Kari, that's also part of your mental health issues, is...

1:08:44.4 KF: Yeah, I was there. [chuckle]

1:08:45.6 DB: Contagion and whatnot. A lot of what I see is an absence of traditional OCD. It's spiritual OCD, which is scrupulosity, and it is a very real thing. I guess maybe in summary, if you're concerned or think, "Okay, do I have this?" Some things I have noticed, at least with people, clients that I've worked with, is when you feel like you have to go and routinely repent to get that good feeling again, that's a good indicator that you may be dealing with scrupulously.

1:09:20.4 DB: If you don't feel like you could have or build that relationship with the Lord and create those feelings on your own, that you need that mediator. That's not an absolute statement, definitely there's a role that leadership takes. But if you find, often I hear what people will say, "I think I need to go clear this again. Maybe I didn't tell them everything."

1:09:41.7 DB: Or, "I repented, but oh my goodness I need to go... " I see this with missionaries too, and it sometimes is created in the mission field where you're living this righteous... I wanna be careful with that word.

1:09:53.7 KF: Exactness.

1:09:55.6 DB: Exactness. I won't equate it to righteousness. We create this rigidity that gives this reward for living in the rigid life. Again, I'm emphasizing the rigidity isn't necessarily problem, it's how we're defining that relationship with the Lord and requiring that... That act to create it. I wish there was a better definition of it, but it is prevalent.

1:10:21.9 DB: And if you're concerned about it, pick up Kari's book, and study and research those topics. Her book is excellent. But even you mentioned in the book, a lot of what your, where your help came from is you personally doing the research and finding the right therapist eventually, was helpful. There is hope, there is help. And reach out, ask questions. Thank you so much, Kari.

1:10:52.8 KF: You're very welcome. Thanks for talking to me. [chuckle]

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