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logologologo

 

502-339-2442

 

CONTACT US

  • Home
  • About
    • About Us
    • Our Approach
  • Our Team
    • Expert Care Team
    • Testimonials
  • Services
  • Telehealth
  • Next Step Blog
  • Refill Request
  • Request Appt
    • Current Patients
    • New Patients
  • Contact Us
  • Home
  • About
    • About Us
    • Our Approach
  • Our Team
    • Expert Care Team
    • Testimonials
  • Services
  • Telehealth
  • Next Step Blog
  • Refill Request
  • Request Appt
    • Current Patients
    • New Patients
  • Contact Us
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How to Find a Good Christian Counselor or Psychologist in Louisville

by nextstep4adhdOctober 14, 2026 Child Psychology, Christian perspectives on Mental Health Psychiatry and Psychology, Mental Health, Mental Health Resources0 comments

Finding the right mental health professional can be difficult. Finding someone who also understands the role your Christian faith plays in your life can make the search feel even more complicated.

You may want a counselor who will respect your beliefs when discussing your marriage, family, work, grief, anxiety, depression, or other concerns. Or you may specifically want a psychologist who is comfortable incorporating Christian beliefs and values into therapy when they are important to you.

Fortunately, you do not have to choose between quality mental health care and a clinician who respects your faith.

If you are looking for a Christian counselor or psychologist in Louisville, here are some of the most important things to consider.

What Is Christian Counseling?

“Christian counseling” can mean different things to different people.

For some individuals, it means working with a mental health professional who personally shares their Christian faith. For others, it simply means finding a clinician who understands their beliefs and is willing to incorporate faith, prayer, Scripture, or Christian values into treatment when appropriate and desired by the client.

It is important to distinguish a clinician’s faith perspective from their professional qualifications.

Licensed psychologists and licensed professional counselors are regulated mental health professionals. In Kentucky, psychologists are licensed through the Kentucky Board of Examiners of Psychology, while professional counselors are licensed through the Kentucky Board of Licensed Professional Counselors.

When choosing a clinician, consider both pieces of the equation: Does this person have the professional training to help with my concerns, and do I feel comfortable discussing my faith with them?

1. Start With the Psychologist’s Credentials

Faith compatibility can be important, but credentials should still be one of the first things you consider.

Ask questions such as:

  • Is the clinician licensed to practice in Kentucky?
  • What degree and clinical training do they have?
  • How long have they been practicing?
  • What populations do they typically work with?
  • What types of mental health conditions do they regularly treat?

The American Psychological Association recommends verifying a psychologist’s credentials and asking about experience, areas of expertise, treatment methods, fees, and other practical considerations when choosing a clinician.

A Christian perspective can complement good mental health care, but it should not replace appropriate clinical education and experience.

2. Look for Experience With the Problem You’re Actually Facing

A clinician can be a wonderful fit spiritually and still not be the best clinician for your particular needs.

Consider why you are seeking counseling in the first place.

Are you struggling with:  

  • Anxiety?
  • Depression?
  • Bipolar disorder?
  • PTSD or trauma?
  • Relationship or marital stress?
  • Burnout?
  • Major life changes?
  • Self-doubt or low self-worth?
  • Stress related to work, family, or ministry?

Ask potential clinicians how much experience they have working with people facing concerns similar to yours.

For example, someone seeking therapy for bipolar disorder may need a clinician with a very different background than someone primarily looking for help with marital stress or workplace burnout.

Your faith matters. So does the clinician’s clinical expertise.

3. Ask How Faith Fits Into Therapy

You do not have to guess whether a clinician will be comfortable talking about your faith.

Ask.

You might say:

“My Christian faith is an important part of my life. Are you comfortable incorporating that into therapy when it is relevant?”

Their answer can tell you a great deal.

A good therapeutic relationship should allow you to talk openly about the beliefs, relationships, responsibilities, and experiences that shape your life.

That does not mean every therapy session needs to become a theological discussion. It simply means you should not feel that you need to hide an important part of yourself in order to receive care.

In fact, the American Psychological Association notes that people choosing a psychologist may want to ask about issues that are particularly important to them, including whether they want to work with someone who shares or understands their religious views.

4. Consider the Psychologist’s Treatment Approach

It is also worth asking how the counselor or psychologist approaches therapy. One commonly used approach is Cognitive Behavioral Therapy, or CBT. CBT helps people examine connections between their thoughts, emotions, and behaviors and learn practical ways to respond differently to difficult situations.

Depending on the clinician and the client’s preferences, an evidence-based treatment such as CBT can be used while still making room for a person’s Christian worldview.

Ask questions such as:

  • What type of therapy do you typically use?
  • Why do you think that approach would help me?
  • How might my faith fit into treatment?
  • What would our goals for therapy look like?

You want someone who can explain not only what they do, but why they believe it may help you.

5. Pay Attention to Whether You Feel Comfortable

Credentials and experience are essential, but therapy is also highly personal. You need to feel that you can talk honestly with your psychologist.

The American Psychological Association emphasizes the importance of a strong working relationship between a psychologist and client. You should feel comfortable enough to discuss difficult topics, ask questions, and express concerns.

After your first conversation or appointment, ask yourself:

  • Did I feel heard?
  • Did I feel respected?
  • Could I talk honestly about my beliefs?
  • Did the clinician seem to understand why my faith matters to me?
  • Did I feel comfortable discussing difficult subjects?
  • Did the clinician appear knowledgeable about the issues that brought me to therapy?

You do not necessarily need to feel completely comfortable during every moment of therapy—some conversations are naturally difficult. But you should feel respected and safe enough to have them.

6. Don’t Forget the Practical Questions

Even if you find an excellent Christian psychologist or counselor in Louisville, the practical details still need to work.

Before scheduling, ask about:

  • Appointment availability
  • In-person versus telehealth appointments
  • Fees
  • Insurance and payment policies
  • Whether the psychologist is accepting new clients

If a psychologist does not participate directly with your insurance plan, it can also be helpful to ask whether you may be able to submit documentation to your insurer for possible out-of-network reimbursement. Coverage varies considerably by insurance plan, so always check directly with your insurer. Learn more here.

Telehealth can also expand your options. Depending on licensing requirements and the services you need, you may be able to work with a Kentucky mental health professional without having to find someone immediately near your home.

Christian Counseling in Louisville: Finding the Right Fit

There is no single definition of the “perfect” Christian counselor or psychologist.

For one person, sharing the same faith tradition may be extremely important. Another person may simply want a clinician who respects Christianity and understands that faith affects the way they view marriage, family, purpose, suffering, forgiveness, and other parts of life.

A good place to start is by looking for three things:

  • Professional expertise. 
  • Personal comfort. 
  • Respect for your faith.

Finding all three can help you build a therapeutic relationship where you feel comfortable bringing your whole self into the room.

Looking for a Christian Psychologist in Louisville?

At Next Step, Dr. Dan Guy, Psy.D., is a licensed clinical psychologist with more than 29 years of experience providing mental health services in a variety of settings.

Dr. Guy earned his undergraduate degree from Kentucky Christian University, where he studied both Psychology and Bible, before earning a master’s degree in Clinical Psychology from Morehead State University and a Doctorate of Psychology from Spalding University in Louisville.

His experience includes working with adults and children in community mental health settings as well as inpatient, partial hospitalization, intensive outpatient, residential, and outpatient programs.

Dr. Guy uses Cognitive Behavioral Therapy interventions and works with individuals experiencing concerns such as depression, anxiety, mood swings, relationship difficulties, self-doubt, and issues related to self-worth.

For individuals who want their Christian faith to be understood and respected as part of the counseling process, Dr. Guy’s background may provide a particularly comfortable fit.

Take the Next Step

If you are looking for a psychologist in Louisville and would like to learn whether Dr. Guy may be a good fit for you, contact Next Step to speak with our team.

Call 502-907-5908 or request an appointment online.

Next Step
9720 Park Plaza Ave., Suite 102
Louisville, KY 40241

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Pastor Burnout Is Real: When Ministry Stress Starts Taking a Toll

by nextstep4adhdSeptember 15, 2026 Christian perspectives on Mental Health Psychiatry and Psychology0 comments

Pastors are often the people others turn to during their hardest moments.

A marriage is struggling. A family loses someone they love. A teenager is in crisis. Conflict erupts within the church. Someone needs prayer, advice, reassurance, or simply a person who will listen.

And pastors show up.

But who does the pastor talk to when the weight becomes too much?

Ministry can be deeply meaningful, but it can also bring a unique combination of emotional demands, leadership pressure, long hours, difficult conversations, public expectations, and responsibility for the well-being of others.

Over time, that stress can take a toll.

If you are a pastor, minister, or church leader who feels emotionally exhausted, discouraged, disconnected from your family, or simply unlike yourself lately, it may be worth paying attention to what your mind and body are telling you.

How Common Is Burnout Among Pastors?

Pastoral well-being has improved in some areas since the height of the pandemic, but ministry stress has not disappeared.

In 2026, Barna reported that 24% of U.S. senior Protestant pastors had seriously considered leaving full-time ministry within the previous year. The same research found that just over 60% of pastors said they frequently or sometimes feel emotionally or mentally exhausted.

There are encouraging signs, too. Pastors report greater confidence in their calling than they did during the pandemic years, and some measures of emotional strain have improved.

But feeling called to ministry and feeling healthy within ministry are not necessarily the same thing.

Barna’s 2026 research found that while confidence in calling has rebounded, the percentage of pastors who describe themselves as “very satisfied” with their vocation has fallen considerably over the past decade.

That matters.

You can still love your church.

You can still believe you are doing exactly what God called you to do.

And you can still be tired.

Why Is Pastoral Burnout Different From Ordinary Job Stress?

Every profession can be stressful, but ministry often blurs the lines between a person’s work, relationships, identity, and faith.

A pastor may not simply think, “Work is difficult right now.”

Instead, stress can become tangled with much bigger questions:

  • Am I failing my congregation?
  • Should I be able to handle this better?
  • If God called me here, why am I struggling so much?
  • What happens to everyone else if I need to step away?

Pastors may also face pressures that people outside ministry do not always see.

Those can include:

  • Being available during evenings and weekends
  • Responding to crises and emergencies
  • Carrying confidential information about other people’s lives
  • Managing conflict among staff, boards, volunteers, or congregants
  • Preparing sermons and services week after week
  • Navigating financial or attendance concerns
  • Supporting people through grief, illness, divorce, and trauma
  • Managing differing expectations from members of the congregation
  • Feeling pressure to model spiritual and emotional stability
  • Trying to protect time with a spouse and family

Church leaders can spend much of their lives caring for other people while having surprisingly few places where they can speak completely freely themselves.

That isolation can make stress even harder to manage.

What Does Pastor Burnout Look Like?

Burnout does not always look like someone suddenly announcing that they want to leave ministry. Often, it develops gradually.

You may notice that something simply feels different.

Emotional exhaustion

You may feel like you have very little left to give, even after resting.

Another meeting, phone call, counseling conversation, or Sunday service may feel overwhelming when it once felt manageable.

Irritability or impatience

Small problems may start feeling disproportionately frustrating.

You may find yourself becoming short with staff members, congregants, your spouse, or your children.

Feeling detached from people

Someone can enter ministry because they genuinely love serving others and eventually reach a point where interaction itself feels exhausting.

You may begin withdrawing emotionally or going through the motions.

Difficulty concentrating

Chronic stress can make it harder to focus, make decisions, prepare sermons, or complete administrative work.

Changes in sleep

You may struggle to fall asleep because your mind continues replaying problems from the day, or you may wake during the night thinking about responsibilities waiting for you.

Loss of enjoyment

Activities, relationships, or parts of ministry that once brought satisfaction may begin to feel flat.

Relationship strain

When ministry consumes emotional energy and time, marriages and family relationships can sometimes absorb the consequences.

A pastor may give patience, empathy, and attention to others throughout the day only to arrive home with very little energy remaining.

Burnout, Depression, and Anxiety Aren’t the Same Thing

The words burnout, stress, anxiety, and depression are sometimes used interchangeably, but they are not identical.

Burnout generally relates to chronic stress and exhaustion associated with demanding responsibilities.

Depression and anxiety are mental health conditions that can affect many areas of a person’s life.

However, the symptoms can overlap.

Persistent exhaustion, irritability, difficulty concentrating, changes in sleep, loss of interest, excessive worry, hopelessness, or withdrawal may warrant a conversation with a qualified mental health professional.

You do not need to determine exactly what label applies before reaching out for help.

That is part of what a mental health professional can help you sort through.

Why Pastors Sometimes Hesitate to Seek Counseling

For some ministry leaders, asking for help can be particularly difficult. You may be accustomed to being the counselor rather than the person seeking counseling. You may worry that someone will question your faith or leadership ability. You may fear that private struggles will somehow become public.

Or you may simply think:

Other people have bigger problems than I do.

But emotional distress does not have to reach a crisis point before it deserves attention.

Counseling can provide something pastors often have very little of: a confidential space where the conversation does not have to be about anyone else’s needs.

Can a Pastor Be Burned Out and Still Have a Strong Faith?

Yes.

Experiencing emotional exhaustion does not necessarily reflect the strength of someone’s faith, commitment, or calling.

Human beings have limits.

Even meaningful work can become overwhelming when demands repeatedly exceed the time, energy, rest, and support available to meet them.

Seeking help does not require separating your mental health from your faith, either.

For pastors who consider Christianity central to how they understand their lives and calling, finding a psychologist or counselor who is comfortable discussing faith may make therapy feel more natural.

Your spiritual life can be part of the conversation rather than something you need to leave outside the therapy room.

How Counseling Can Help Ministry Leaders

Therapy does not have to begin with the goal of leaving ministry.

For many pastors, the goal may be exactly the opposite: finding a healthier and more sustainable way to continue doing work they care deeply about.

Counseling may provide an opportunity to explore:

  • Chronic stress and emotional exhaustion
  • Anxiety or depression
  • Ministry-related conflict
  • Leadership pressure
  • Difficult boundaries
  • Marriage and relationship stress
  • Feelings of isolation
  • Perfectionism or unrealistic expectations
  • Changes in motivation
  • Questions about identity and calling
  • Major ministry transitions

A psychologist can also help you identify patterns in the way you respond to stress and develop practical strategies for handling difficult thoughts, emotions, relationships, and situations differently.

Sometimes the Pastor’s Marriage Feels the Stress, Too

Ministry rarely affects only the person whose name appears on the church website.

Spouses and families can experience the demands of ministry as well.

Evenings get interrupted. Weekends revolve around church responsibilities. Vacations may be difficult to protect. Criticism directed at a pastor can affect the entire family.

And when a ministry leader is emotionally depleted, maintaining connection at home can become harder.

That does not necessarily mean a marriage is failing.

It may mean that the family has been operating under sustained pressure for too long.

Recognizing the pattern early can provide an opportunity to address it before resentment and disconnection grow.

You Don’t Have to Wait Until You Want to Quit

One of the most important things ministry leaders can understand about burnout is that support does not need to be a last resort.

You don’t have to wait until you are ready to resign. You don’t have to wait for a major conflict. And you don’t have to wait until stress begins affecting every part of your life.

Sometimes the best time to talk to someone is when you first realize:

I don’t think I can keep operating like this indefinitely.

That recognition can be the beginning of a healthier way forward.

Counseling for Pastors and Ministry Leaders in Kentucky

Pastors often benefit from speaking with someone who understands that ministry is more than simply a job.

At Next Step, Dr. Dan Guy, Psy.D., is a licensed clinical psychologist with decades of experience working with concerns including depression, anxiety, mood disorders, relationship difficulties, stress, and self-worth.

He also brings personal familiarity with ministry life. As the son of a preacher and a longtime church leader and elder, Dr. Guy understands many of the responsibilities, expectations, relationships, and pressures that can accompany church leadership.

That background can be particularly valuable for pastors and ministry leaders who want to discuss both their mental health and their faith without having to explain why ministry is such an important part of the equation.

Dr. Guy works with adults and uses Cognitive Behavioral Therapy interventions to help people better understand patterns of thoughts, emotions, and behaviors and develop healthier ways of responding to life’s challenges.

Telehealth may also make counseling more accessible for pastors and ministry leaders throughout Kentucky, including those who would prefer to seek care outside their immediate church community.

A Healthier Ministry Can Start With a Conversation

Pastors spend an extraordinary amount of time carrying other people’s concerns.

You deserve somewhere to put yours down, too.

If ministry stress, burnout, anxiety, depression, relationship strain, or emotional exhaustion has begun affecting your life, consider talking with a mental health professional.

You do not have to decide whether you are burned out enough to deserve help.

You can simply start the conversation.

Looking for counseling for pastors or ministry leaders in Kentucky? Contact Next Step to learn more about working with Dr. Dan Guy.

Call 502-907-5908 or request an appointment online.

Next Step
9720 Park Plaza Ave., Suite 102
Louisville, KY 40241

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5 Myths That Keep Christians from Getting Help for Mental Health

by nextstep4adhdJune 2, 2025 Christian perspectives on Mental Health Psychiatry and Psychology, Mental Health, Mental Health Struggles in Children and Adolescents0 comments

By Brian Briscoe, M.D.

For many Christians, seeking help for mental health feels like walking a tightrope—trying to honor God, trust Scripture, and yet admit that something feels wrong deep inside. Sadly, far too many believers suffer silently because of well-meaning but misguided beliefs that block them from getting the help they need.

Here are five common myths that keep Christians from pursuing care—and the truth that can set us free.

Myth #1: “If I just had more faith, I wouldn’t be struggling.”

This is perhaps the most pervasive—and painful—myth. It equates emotional suffering with spiritual failure, as if anxiety, depression, or intrusive thoughts are signs that we are not “trusting God enough.”

But Scripture paints a different picture. Elijah, after witnessing God’s power on Mount Carmel, collapses under the weight of despair and asks God to take his life (1 Kings 19). David’s psalms are filled with cries of anguish, fear, and sorrow. Jesus Himself was “a man of sorrows” and “acquainted with grief” (Isaiah 53:3).

Faith is not the absence of suffering. Faith is the decision to cling to Christ in the midst of it.

Myth #2: “I should be able to handle this on my own.”

This quiet assumption often keeps believers isolated. Many Christians believe that if they were stronger, prayed more consistently, or simply pushed through, the distress would resolve on its own.

But Scripture doesn’t teach rugged individualism—it teaches interdependence. Paul reminds us that we are part of the body of Christ and are meant to “bear one another’s burdens” (Galatians 6:2). Seeking help—whether from pastors, mentors, medical professionals, or trusted counselors—is not a betrayal of faith. It’s an act of humility and wisdom.

God often provides healing through community and through others who are equipped to walk with us.

Myth #3: “Mental illness is just a result of unconfessed sin.”

There is no doubt that sin can affect our minds and relationships. But to assume that every case of mental illness is the result of moral failure is neither biblically sound nor clinically accurate.

Jesus rejected this kind of thinking when His disciples asked about the man born blind: “Who sinned, this man or his parents?” Jesus answered, “Neither… but that the works of God might be displayed in him” (John 9:2–3).

Mental health struggles can arise from a variety of influences—trauma, grief, spiritual stress, medical conditions, neurobiological vulnerabilities, or a complex mix of factors. The presence of suffering does not imply guilt. Sometimes, the most faithful thing a Christian can do is to humbly seek healing, even when the cause of suffering is unclear.

Myth #4: “Medication is a crutch—real Christians don’t need it.”

This myth often springs from a desire to rely on God alone. But we don’t take this approach with other medical issues. When someone has diabetes, we don’t shame them for taking insulin. When a child has asthma, we don’t ask them to throw away their inhaler and “just pray harder.”

Why, then, do we treat mental health differently?

Medication, when used appropriately and under the guidance of a physician, is not a sign of spiritual weakness. It is a tool—one that can help create the internal stability needed to engage meaningfully with therapy, community, and God’s Word.

Myth #5: “Getting help makes me a bad witness.”

Some fear that acknowledging anxiety, depression, or intrusive thoughts might “hurt their testimony.” But hiding pain behind a mask of perfection isn’t the witness Christ calls us to.

Paul boasted in his weakness so that “the power of Christ may rest upon me” (2 Corinthians 12:9). Our stories of struggle and redemption—the mess and the mercy—are exactly what the world needs to see. They point not to our strength, but to the sustaining grace of Christ.

A Better Way Forward

If you or someone you love is struggling, you are not alone—and you are not failing God. Mental health struggles are not a sign of spiritual collapse. They are a reminder that we live in a fallen world, and that healing often comes through both prayer and process, through both Scripture and support.

As Christians, we don’t have to choose between faith and mental health care. We can hold both. We can seek the help we need—while resting in the One who has already secured our ultimate healing.

About Dr. Briscoe

Brian-BriscoeDr. Brian Briscoe is a board-certified psychiatrist and the founder of Next Step 4 Mental Health, a private practice in Louisville, Kentucky.

He is passionate about integrating clinical excellence with a thoughtful, respectful approach to faith. Dr. Briscoe works with individuals across a wide range of concerns, including anxiety, OCD, and mood disorders, and has a special interest in helping Christians navigate mental health through a gospel-centered lens.

He previously served as Chair of the Psychiatry Section of the Christian Medical & Dental Associations.

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Understanding Intrusive Thoughts: Why They Occur and How They Take Root

by nextstep4adhdMay 9, 2025 Christian perspectives on Mental Health Psychiatry and Psychology, OCD0 comments
This blog is part of the Religious OCD Series.

Intrusive thoughts are unwanted, distressing ideas or images that seem to come out of nowhere. While everyone experiences them, those with Religious OCD often struggle to let them go, fearing they mean something about their faith or morality.

Have you ever had a shocking or disturbing thought pop into your head seemingly at random? Maybe an offensive thought about God, an irrational fear that you’ve committed a terrible sin, or an image that feels completely out of character for you? Most people experience occasional intrusive thoughts, but for those with Religious OCD, these thoughts can become overwhelming and deeply distressing.

Instead of dismissing them as random mental noise, a person with Religious OCD may believe these thoughts are spiritually significant or revealing of their true nature. This misunderstanding can lead to anxiety, endless rumination, and compulsive behaviors aimed at proving or disproving the thought’s meaning.

What Are Intrusive Thoughts?

Intrusive thoughts are involuntary and unwanted thoughts, images, or urges that enter a person’s mind unexpectedly. They are often distressing because they seem to contradict a person’s values or beliefs.

Some common examples of intrusive thoughts in Religious OCD include:

  • Blasphemous thoughts about God or Jesus
  • Fear of having committed the unforgivable sin
  • Doubts about one’s salvation that feel impossible to resolve
  • Unwanted thoughts of saying or doing something sinful
  • Obsessing that one could or will do something sinful
  • Visions of inappropriate or irreverent actions in a sacred space

It’s important to understand that intrusive thoughts do not reflect a person’s true desires or character. They are simply a byproduct of how the brain processes information and handles uncertainty.

Why Do Intrusive Thoughts Occur?

The human brain is designed to generate thoughts constantly, many of which are irrelevant or nonsensical. However, the brain of a person with OCD tends to attach undue significance to certain thoughts, interpreting them as threats that require immediate attention.

A few key reasons why intrusive thoughts take root in Religious OCD:

  • Hyper-Responsibility – The belief that one must control or eliminate all sinful thoughts to be right with God.
  • Thought-Action Fusion – The mistaken belief that having a thought is morally equivalent to acting on it.
  • Intolerance of Uncertainty – The need for absolute certainty in one’s salvation or spiritual standing.
  • Attempts to Suppress Thoughts – The harder one tries to push intrusive thoughts away, the more persistent they become.

Understanding these mechanisms can help individuals begin to challenge their reactions to intrusive thoughts and reduce their power.

What Does the Bible Say About Intrusive Thoughts?

Scripture acknowledges that believers will face distressing thoughts and temptations but reassures us that these do not define our faith. Consider Paul’s words in Romans 7:19:

“For I do not do the good I want, but the evil I do not want is what I keep on doing.”

Even faithful Christians experience struggles in their thoughts, yet God’s grace remains sufficient.

Additionally, 2 Corinthians 10:5 encourages believers to “take every thought captive to obey Christ.” This does not mean obsessively monitoring or controlling every thought but rather recognizing that intrusive thoughts are not sinful in themselves—they are simply thoughts. While human nature is fallen and imperfect, it is our response to these thoughts that matters spiritually. Through God’s grace, believers can learn to approach unwanted thoughts with wisdom and reliance on His truth.

How to Respond to Intrusive Thoughts

Instead of engaging in compulsions like excessive praying, reassurance-seeking, or avoidance, a healthier response to intrusive thoughts includes:

  • Recognizing Them as Intrusive – Acknowledge that these thoughts are unwanted and do not define you.
  • Allowing Them to Exist – Instead of pushing them away, observe them without reacting.
  • Refusing to Engage – Avoid analyzing or trying to prove or disprove the thought.
  • Trusting God’s Grace – Remind yourself that your faith is not dependent on perfect thought control.

What’s Next?

In the next article, we will explore the nature of compulsions in Religious OCD—why they form, how they reinforce the OCD cycle, and healthier ways to address them.

More on that next week…

For Kentucky Residents

If you live in Kentucky and are seeking support for religious OCD or scrupulosity, our team at Next Step 4 Mental Health in Louisville is here to help. We offer compassionate, evidence-based care—both in-person and through telehealth—for children, teens, and adults.

📍 nextstep.doctor

📞 502-339-2442

📧 contactus@nextstep.doctor

For Those Outside Kentucky

If you’re not a Kentucky resident, we encourage you to seek care from a licensed mental health provider in your area. Professional support can be a vital step toward healing and peace.

Note: This article is for educational purposes only and is not intended as medical advice. Please consult a licensed mental health provider for appropriate care.

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Understanding Religious OCD: What It Is and Why It Matters

by nextstep4adhdMay 1, 2025 Christian perspectives on Mental Health Psychiatry and Psychology, OCD, Religious OCD Series0 comments

This blog is part of the Religious OCD Series by Dr. Brian Briscoe. 

OCD tends to latch onto what a person holds most dear, turning their deepest values—such as faith—into sources of anxiety and distress.

Introduction

Imagine feeling an overwhelming fear that you’ve unknowingly committed a sin, even though you have done nothing wrong. Or obsessing that a past sin you have committed has not been forgiven, even though you have accepted Christ and know that in Him all sins are forgiven. You pray repeatedly, seeking reassurance from God, yet the fear does not go away. You confess the same sin over and over, but relief never lasts. Instead, doubt creeps back in, stronger than before. This is the reality for many individuals suffering from Religious OCD, also known as scrupulosity.

What Is OCD?

Obsessive-Compulsive Disorder (OCD) is a mental health condition characterized by intrusive, unwanted thoughts (obsessions) and repetitive behaviors or mental rituals (compulsions) performed to relieve distress. These compulsions offer temporary relief but ultimately reinforce the obsessive cycle, making the problem worse over time.

What Is Religious OCD (Scrupulosity)?

OCD obsessions and compulsions tend to center around the things that people care about the most. For some, OCD manifests as overwhelming fears about harm coming to their child. For others, it revolves around fears of contamination or illness. In many cases, OCD latches onto what a person holds most dear. Religious OCD occurs when these obsessive fears and compulsions creep into a person’s religious or spiritual life, distorting their faith experience and turning it into a source of distress rather than peace.

Religious OCD, or scrupulosity, is a subtype of OCD in which a person experiences excessive worry about religious or moral matters. Because faith is so central to a believer’s identity, OCD may distort genuine devotion into an exhausting cycle of fear, doubt, and compulsive reassurance-seeking. Common fears include:

  • Doubting one’s salvation
  • Fear of committing the unforgivable sin
  • Worrying that thoughts themselves are sinful
  • Repeatedly seeking reassurance from pastors or loved ones
  • Feeling compelled to engage in excessive prayer, confession, or ritualistic behaviors

While it is natural for Christians to care about living righteously, scrupulosity takes these concerns to an extreme, leading to distress and interfering with one’s ability to experience God’s love and grace.

A Story of Religious OCD in Action

Let’s take a look at a hypothetical case:

Sarah is a devoted Christian who deeply desires to follow God. Her faith is one of the most important aspects of her life, making it a prime target for OCD-related fears. She begins experiencing persistent thoughts that she might have unknowingly blasphemed the Holy Spirit. These thoughts terrify her. She starts praying compulsively, asking God for forgiveness hundreds of times a day. She seeks reassurance from her pastor, who tells her she hasn’t committed the unforgivable sin, but the doubt returns almost immediately. Instead of feeling peace, Sarah feels trapped in an exhausting cycle of fear and rituals.

Sarah’s story reflects the struggle of many believers with Religious OCD. Instead of drawing closer to God, their faith becomes a battleground of relentless doubt and anxiety. What she values most—her faith—has become a source of distress rather than comfort.

Why This Matters

Scripture reminds us that God’s love is steadfast, and our salvation is secured through faith in Christ:

“For by grace you have been saved through faith, and this is not your own doing; it is the gift of God, not a result of works, so that no one may boast.” (Ephesians 2:8-9)

Recognizing that salvation is based on God’s grace—not our ability to achieve certainty—can help free those trapped in the cycle of Religious OCD.

Many people suffering from scrupulosity believe their distress is a sign of spiritual failure. However, Religious OCD is not a lack of faith—it is a mental health condition. Recognizing this distinction is crucial for those who struggle and for pastors, family members, and church communities who seek to support them. Understanding that OCD preys on what is most important to an individual can help sufferers, and those who support them, approach this struggle with compassion and clarity.

What’s Next?

In the next article, we will dive deeper into the nature of intrusive thoughts, why they occur, and how they take root in the mind.

More on that next week…

For Kentucky Residents

If you live in Kentucky and are seeking support for religious OCD or scrupulosity, our team at Next Step 4 Mental Health in Louisville is here to help. We offer compassionate, evidence-based care—both in-person and through telehealth—for children, teens, and adults.

📍 nextstep.doctor

📞 502-339-2442

📧 contactus@nextstep.doctor

For Those Outside Kentucky

If you’re not a Kentucky resident, we encourage you to seek care from a licensed mental health provider in your area. Professional support can be a vital step toward healing and peace.

Note: This article is for educational purposes only and is not intended as medical advice. Please consult a licensed mental health provider for appropriate care.

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Introducing the Religious OCD Blog Series: A Message from Dr. Brian Briscoe

by nextstep4adhdApril 25, 2025 Christian perspectives on Mental Health Psychiatry and Psychology, OCD0 comments

This article is part of the Religious OCD Series.

As a practicing psychiatrist who holds my Christian faith dear to my heart, I have had the privilege of walking alongside patients through some of their most challenging mental health struggles. In addition to my clinical work, I have served as Chair of the Psychiatry Section of the Christian Medical and Dental Association (CMDA), where I have had the opportunity to collaborate with colleagues who share both clinical expertise and a heart for ministry.

Over many years of practice, and through numerous conversations with colleagues from CMDA, I have recognized a significant gap in both academic literature and church resources addressing Religious OCD, also known as scrupulosity. Despite being a deeply impactful condition, Religious OCD remains largely misunderstood and under-discussed. Individuals who struggle with this form of OCD — along with their families and church communities — often find themselves navigating these difficulties in isolation and confusion.

This blog series was created in the hope of helping to change that.

Why This Series?

The goal of this twelve-article series is to provide clear, accessible, and theologically sensitive educational material that can:
  • Support individuals who are personally struggling with Religious OCD — offering them hope, understanding, and practical tools.
  • Equip pastors and church leaders — helping them recognize and respond wisely to congregants facing these struggles.
  • Guide family members and loved ones — enabling them to support their spouses, children, or friends with compassion and understanding.
Disclaimer: Although I am a medical doctor, the content in these articles is not intended to diagnose or treat any medical or mental health condition. These reflections are offered for educational purposes only—to support individuals who are suffering, as well as their families and church communities, in understanding scrupulosity and religious OCD with clarity and compassion.
If you or someone you know may be struggling with OCD or a related condition, please seek care from a licensed mental health provider who can offer appropriate evaluation and support.

My Writing Process

Creating this series has been a careful and deliberate process. I began by developing a detailed outline, organizing the key issues that I believe need to be addressed. Then, I wrote down what I felt needed to be communicated based on my clinical experience and expertise, and fleshed out those ideas in rough form. To help craft the initial drafts of each article, I utilized a large language model (LLM), allowing this tool to assist in generating cohesive, structured drafts based on my outlines, content, and direction.

However, this was just the starting point. I approached each draft from the LLM as a sculptor approaches raw stone — carefully chiseling away, refining, and reshaping the material until I found a final product that struck the right balance between clinical accuracy, theological sensitivity, and readability for a lay audience.

Why Use Large Language Models?

The process of writing is time-intensive, involving multiple drafts, careful word selection, thoughtful phrasing, and attention to grammar. As a busy clinician, I simply don’t have the luxury of dedicating that level of time and focus to each article. Still, I remain committed to educating the public on topics that I believe matter deeply.

Large language models have become valuable tools that help transform complex thoughts into structured drafts, assisting with much of the technical refinement. That said, I approached using this technology with some caution. As a history major from a liberal arts college — and the son of an English teacher — I deeply value the craftsmanship of writing. While I miss the time to fully immerse myself in that process, I’ve found that LLMs can be a tremendous aid for busy clinicians, provided we carefully review, revise, and shape the final product to ensure accuracy and integrity.

A Final Word

I hope this blog series will serve as a resource for those who are suffering, for the pastors who shepherd them, and for the families who love and support them. My prayer is that it will help bring clarity, encouragement, and practical guidance where there has previously been silence or confusion.
Thank you for joining me on this journey.
— Dr. Brian Briscoe

Series Overview

This blog series is designed to be comprehensive and approachable, offering twelve articles that each address a different aspect of Religious OCD. The topics include:

  1. What Religious OCD Is and Why It Happens
  2. Understanding Intrusive Thoughts in a Christian Context
  3. Compulsions in Religious OCD and How They Reinforce Anxiety
  4. How Religious OCD Affects a Believer’s Walk with Christ
  5. Biological Treatments: Medication and Supplements
  6. TMS (Transcranial Magnetic Stimulation) as a Treatment Option
  7. Exposure and Response Prevention (ERP) Therapy and How It Can Be Adapted for Christians
  8. Supporting a Spouse Who Struggles with Religious OCD
  9. How Parents Can Recognize and Support a Child with Religious OCD
  10. Guidance for Pastors: Recognizing and Responding with Wisdom
  11. How Small Groups Can Support Members Struggling with Religious OCD
  12. Moving Forward in Hope: A Final Word

Each article has been crafted to offer clinical accuracy paired with compassionate, faith-sensitive guidance. My hope is that readers will find both clarity and encouragement, whether they are sufferers themselves, loved ones, or church leaders seeking to shepherd well.

For Kentucky Residents

If you live in Kentucky and are seeking support for religious OCD or scrupulosity, our team at Next Step 4 Mental Health in Louisville is here to help. We offer compassionate, evidence-based care—both in-person and through telehealth—for children, teens, and adults.

📍 nextstep.doctor

📞 502-339-2442

📧 contactus@nextstep.doctor

For Those Outside Kentucky

If you’re not a Kentucky resident, we encourage you to seek care from a licensed mental health provider in your area. Professional support can be a vital step toward healing and peace.

 

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Finding Calling at the Intersection of Faith and Psychiatry

by Brian Briscoe, M.D.June 5, 2016 Brian Briscoe Blog, Christian perspectives on Mental Health Psychiatry and Psychology, Mental Health0 comments

I encountered patients who were under tremendous mental distress who were crying out to God, asking Him where He was and why their conditions were not…

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What is Mental Health?

by Brian Briscoe, M.D.May 29, 2016 ADHD, ADHD in Adults, ADHD in Children and Adolescents, Anxiety, Bipolar Disorder in Adults, Christian perspectives on Mental Health Psychiatry and Psychology, Mental Health, PTSD0 comments

Mental health is the state of well-being in which people understand their own potential, are capable of dealing with life’s stresses and challenges,

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Grief and Care

by jamessantosMarch 6, 2016 Christian perspectives on Mental Health Psychiatry and Psychology, Mental Health0 comments

The intensity of our grief can be measured by how much we’ve loved. To the extent we have loved much, the pain and loss will be that great.

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