When Worry Isn’t Just Worry: Identifying OCD vs. GAD
Obsessive-complusive disorder (OCD) and generalized anxiety disorder (GAD) often overlap in presentation, especially in adolescents and young adults.
Clients may report persistent worry, rumination, intrusive thoughts, reassurance-seeking, and avoidance, making it challenging to determine what is driving the anxiety and which evidence-based interventions are most appropriate. In this training, clinicians will learn a practical framework for differentiating OCD from GAD, with special attention to the function of thoughts and behaviors. Participants will explore common diagnostic pitfalls, including subtle compulsions and mental rituals that can be mistaken for “typical worry.” The training will also review how diagnostic clarity informs treatment planning, including when to prioritize ERP, CBT for worry, or an integrated approach.
Target Audience
clinical professionals, psychologists, therapists, counselors, and social workers.
Learning Objectives
Identify key clinical markers that differentiate OCD from GAD, including the role of intrusive thoughts, obsessional doubt, and generalized worry. Recognize reassurance-seeking, rumination, checking, avoidance, and mental rituals as potential maintaining factors in OCD and GAD presentations. Apply a function-based assessment framework to improve diagnostic clarity when symptoms overlap. Develop treatment recommendations based on differential diagnosis, including when to use ERP, CBT strategies for worry, or a combined approach.
Sharon Batista, MD
Dina Nunziato, PhD, LCSW
Dina Nunziato, PhD, LCSW
Sharon Batista, MD
Dina Nunziato, PhD, LCSW
Available Credit
- 1.50 APA
- 1.50 ASWB
- 1.50 Attendance
- 1.50 NY Psychologists

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