Real and urgent
A fire in your kitchen.
Act now.
The Wider Life Model™
The Wider Life Model™ is the framework I use to organize treatment. The idea is simple. OCD shrinks your life, and treatment widens it again, so obsessions lose their grip and there's more room for what you love.
It's a framework, not a new therapy. It draws on evidence-based approaches like ERP, I-CBT, ACT, DBT skills and mindfulness, and it gives us a shared language for the work. I built it around OCD first, and I adapt it for health anxiety, panic and phobias.
At the centre
OCD narrows everything: your attention, your mind, your body, your time, even your sense of who you are. The wide state is the opposite. It's a felt sense that life is okay enough right now. You feel safe enough, you trust that you can handle what comes, and you're present in your life instead of stuck in your head.
“Things are okay enough, and so am I. Whatever comes up, I can deal with it when it's time.”
In everyday words, it's feeling content, settled and able to breathe. Normal, reasonable worry can still be there.
The world feels safe enough. You're not on guard.
You trust your senses, judgment and resilience, and you remember who you are at your core.
You're out of your head and in your life.
These three feed each other. Feeling safe lets you be present, being present lets you use your senses, and your senses are the evidence that good enough certainty relies on.
| Area | Narrow | Wide |
|---|---|---|
| Attention | Locked onto the threat or doubt | Open to what's around you |
| Mind | Up in your head, overthinking | Present, using your senses |
| Body | On guard, dysregulated | Settled, able to breathe |
| Urgency | Everything feels like it must be solved now | Problems can wait their turn, and many aren't problems at all |
| Self | Doubting who you are | Remembering your values and history |
| Time | Hours lost to rituals and rumination | Time and energy free for living |
| Life | Shrinking through avoidance | Room for people, plans, travel and meaning |
Good enough certainty
People with OCD and related anxieties can spend hours trying to reach guaranteed safety and certainty. Neither exists. Very little in life is certain.
Good enough certainty is how most people live. It means reading your actual situation with your senses and common sense, then acting on what's in front of you instead of on “what if.” It also means noticing real danger when it's there.
The bridge. It looks sturdy, people are crossing it, it was built a few years ago, and there are no warnings. That's good enough. If there were a warning sign, not crossing would be good judgment, not OCD.
A fire in your kitchen.
Act now.
A bill to pay. A conversation to have.
Deal with it in its own time, without dropping everything.
Germs on your phone. An intrusive thought. A normal body sensation.
Recognize there's nothing to fix.
OCD's trick is taking something from the third group and making it feel like the first. Real urgency comes from evidence in front of you, and one action settles it. False urgency comes from a possibility, and no action ever settles it, which is why checking leads to more checking. It's not a problem until it's a problem.
Self-trust
Self-trust has two sides. The first is trusting your toolbox: your senses, judgment, common sense and coping skills. “I could get lice. It's unlikely. And if I did, I know what to do.”
The second is remembering who you are. Most people with OCD live careful, values-driven lives. That's exactly why obsessions feel so disturbing: the thoughts go against everything you value. OCD makes you forget your values, your character and your history, and therapy reconnects you with that evidence.
Access, not possession. You usually still have self-trust. What you lose is access to it when you're stressed or depleted, and the wide state helps you get that access back.
Your wide mind
Your wide mind is aware, secure and present. It uses your senses and common sense, and it remembers who you are, what you value and how you've actually behaved throughout your life. It's the voice of the wide state.
Naming the OCD
Give your OCD a name, like Bob or Karen, to create distance from it. The thoughts become Bob's, not yours: “Bob is loud today.” “I don't take orders from someone who has lied to me time and time again.”
In the moment, the question becomes: is this Bob talking, or my wide mind? Naming works by refusing to engage, not by arguing. We don't debate Bob. We stop negotiating.
How recovery moves
Each step needs the one before it. The questions below are the ones we come back to in session.
Stop avoiding, do the thing, and learn you can get through the discomfort.
“Can you do the thing and get through it?”
Check the threat against what you know about yourself, your senses and the context, so it shrinks to its real size.
“Is this threat as big as it feels? What do you know that argues against it?”
The obsession may still show up, but obeying it isn't worth what it costs you.
“Given how big it really is, is obeying it worth what it costs you?”
Why the order matters. “Not worth it” only lands once the threat is right-sized. And underneath all three steps, we check whether something in your situation is making the threat genuinely real right now. If so, that's a real problem to solve, not OCD to argue down.
The loop
The wide state and OCD feed each other in both directions, and you can enter the loop from either side. ERP and I-CBT work from the OCD side, freeing up capacity. Widening works from the other side, loosening the obsession's grip. Doing both at once is what makes the work integrative.
The downward loop
The upward loop
Many people notice their OCD gets quieter when they travel. There's less load, more connection, a slower pace and more ease. Then it often comes back with the usual stress at home. That's the loop at work.
Sleep, eating well, rest, and treating physical illness and pain.
Love, friends, reciprocal relationships and people who feel safe.
Hobbies, effort that leads to reward, and things you care about.
A job that isn't overwhelming, downtime, and a life with room in it.
The goal isn't a perfect score on all four. It's building a buffer, so the wide state is easier to reach and harder to knock over.
The WIDER pathway
WIDER is the “how” of the Wider Life Model™. It maps out how treatment usually unfolds, and it gives us a structure to come back to, whichever approaches we're using. The wide state and good enough certainty are the “why.”
“The goal is not a perfectly certain life. It's a life you can show up for, even when uncertainty comes along.”
Map out the cycle of fear, doubt and rituals, what keeps it going and where you're chasing guaranteed safety or certainty.
Reconnect with your core values and your history, and picture what a wider life looks like for you.
Face feared thoughts, sensations and situations step by step, practicing good enough certainty instead of checking, reassurance or rituals. With OCD, that includes naming it and listening to your wide mind.
Widen your life through your body, connection, meaning and a manageable load, in the places and moments where freedom matters most to you.
Protect your progress when life gets stressful, with steadying skills and support between sessions.
The steps overlap and repeat. Most people move back and forth as new themes come up, and that's part of the work, not a setback.
Beyond OCD
I built the model around OCD first. The same ideas carry into the other things I treat, adapted to what each one needs.
The full model: your wide mind and naming the OCD, good enough certainty, exposure and response prevention, and widening your life.
Health anxiety runs on doubt, checking and reassurance, so the model fits closely. We add one trusted doctor and scheduled check-ups instead of symptom-driven visits, and agree on when a symptom really needs attention.
CBT and interoceptive exposure do the core work: safely bringing on the sensations that feel dangerous until they stop setting off panic. The wide state helps you keep the gains and widen back into what panic took away.
Exposure does most of the work. The model supports it by right-sizing the threat with your senses and the facts, then widening back into what the phobia shrank. Emetophobia often behaves like OCD and can follow the OCD plan.
Request a free 20-minute consultation. If I'm not the right fit, I'll help you find someone who is.