68. Is an Eating Disorder Actually OCD? Dee Franklin on Redefining Treatment

May 14, 2025

In this episode Zack welcomes Dee Franklin, a licensed mental health counselor, to explore the striking overlap between eating disorders (ED) and obsessive-compulsive disorder (OCD). Drawing from her decades of clinical experience and a widely-discussed article she co-authored, Dr. Franklin shares how many eating disorder behaviors—like ritualized eating patterns, perfectionism, and sensory avoidance—mirror the core functional mechanisms of OCD. Together, she and Zach dive into the controversial but increasingly accepted view that ED and OCD may not be as separate as traditionally thought, and how treatment models that embrace this overlap can lead to more effective, sustainable outcomes.

 

The conversation weaves personal insights, clinical strategies, and a deep respect for interdisciplinary work—especially between occupational therapy and psychology. Dee also introduces listeners to ARFID (Avoidant/Restrictive Food Intake Disorder), highlighting the role of interoceptive exposure and graduated sensory challenges in treatment. With warmth and intellectual rigor, this episode challenges listeners—whether clinicians, parents, or those in recovery—to reconsider how we define and treat disordered eating through a functional, process-based lens. It’s a compelling call to rethink the categories and embrace treatments that meet patients where they are, both physically and emotionally.

 

Zack’s Anxiety Hack: Zack shares a quote from Marcus Aurelius that can help you fear less!

 

Fear Less is sponsored by Mountain Valley Treatment Center.