On Demand OCD & Anxiety Lecture Series: Sexual Obsessions in Obsessive-Compulsive Disorder

This presentation was re-reviewed on May 13, 2024, and broadcast live online on November 12, 2021, from 9:00 AM - 10:15 AM ET. 

The views and opinions expressed by this presenter in this lecture are their own, and do not represent the views of Sheppard Pratt.

Sexual obsessions in OCD are frequently misunderstood and misdiagnosed. Further, treating sexual obsessions in OCD differs from the treatment of other forms of OCD due to heightened feelings of shame surrounding symptoms and the covert nature of ritualizing behaviors. This presentation provides clinicians with essential tools needed to successfully diagnose and help clients suffering from unwanted, intrusive thoughts of a sexual nature. It provides guidance on measures to employ during assessment and a discussion of differential diagnoses. It describes how to provide treatment, using Exposure and Ritual Prevention (Ex/RP), along with additional techniques. Also included are examples of pedophile OCD (sometime called P-OCD) and sexual orientation OCD (called SO-OCD or H-OCD), along with examples of in vivo and imaginal exposures.

Target Audience

This activity is intended for physicians, nurses, psychologists, social workers, counselors, and other mental health professionals.

Learning Objectives

After this lecture, registrants will be able to:

  1. Identify most common forms of S-OCD.
  2. Differentiate S-OCD from a paraphilia or other sexual concern.
  3. Describe key treatment strategies for S-OCD.
Course summary
Available credit: 
  • 1.50 ACEP NBCC clock hours
  • 1.50 Category II credits for Social Workers
  • 1.50 Psychologists
  • 1.50 Participation
Course opens: 
Course expires: 

There is no commercial support for this activity.

About the speaker

Monnica T. Williams, PhD, is a board-certified licensed clinical psychologist and Associate Professor at the University of Ottawa, in the School of Psychology, where she is the Canada Research Chair in Mental Health Disparities. She is also the Clinical Director of the Behavioral Wellness Clinic in Connecticut, where she provides supervision and training to clinicians for empirically supported treatments. Prior to her move to Canada, Dr. Williams was on the faculty of the University of Pennsylvania Medical School (2007-2011), the University of Louisville in Psychological and Brain Sciences (2011-2016), where she served as the Director of the Center for Mental Health Disparities, and the University of Connecticut (2016-2019) where she had appointments in both Psychological Science and Psychiatry. Dr. Williams' research focuses on BIPOC mental health, culture, and psychopathology, and she has published over 100 scientific articles on these topics. Current projects include the assessment of race-based trauma, unacceptable thoughts in OCD, improving cultural competence in the delivery of mental health care services, and interventions to reduce racism. She also gives diversity trainings nationally for clinical psychology programs, scientific conferences, and community organizations. She is a member of the Association of Behavioral and Cognitive Therapies (ABCT), Chair of their Academic Training & Education Standards (ATES), and Associate Editor of the journal Behavior Therapy. She is a member of the Scientific Advisory Board of the International OCD Foundation and co-founded their Diversity Council.

Disclosure Statements

Sheppard Pratt holds the standard that its continuing medical education programs should be free of commercial bias and conflict of interest. In accord with Sheppard Pratt's Disclosure Policy, as well as standards of the Accreditation Council for Continuing Medical Education (ACCME) and the American Medical Association (AMA), all planners, reviewers, speakers and persons in control of content have been asked to disclose any relationship he /she has with any entity producing, marketing, selling, re-selling, or distributing health care goods or services consumed by, or used on, patients, during the past 24 months. All planners, reviewers and speakers have also been asked to disclose any payments accepted for this lecture from any entity besides Sheppard Pratt, and if there will be discussion of any products, services or off-label uses of product(s) during this presentation.

Monnica T. Williams, PhD, reports receiving book royalties from Oxford University Press during the past 12 months. She will not discuss any entity producing, marketing, selling, re-selling, or distributing health care goods or services consumed by, or used on, patients, in this presentation. All relationships have been mitigated through review. This presentation was initially planned and recorded prior to January 1, 2023; therefore, the financial disclosure statement from the speaker reflects only the preceding 12 months, as was the standard at the time. This enduring activity was last reviewed for content validity on May 13, 2024. All conflicts have been mitigated through review.

Event Planners/Reviewers Disclosures: The following event planners and/or reviewers are reported as having no financial interest, arrangement or affiliation with any entity producing, marketing, selling, re-selling, or distributing health care goods or services consumed by, or used on, patients, during the past 24 months: Jon Hershfield, MFT, Todd Peters, MD, Elizabeth Ryznar, MD, MSc, Louis J. Marino, Devi Bhuyan, PsyD, Faith Dickerson, PhD, Carrie Etheridge, LCSW-C, Tom Flis, LCPC, Stacey Garnett, RN, MSN, Stephanie M. Robinson, MSN, RN, PMH-BC, NPD-BC, NE-BC , Heather Billings, RN, Lisa Illum, MLIS, MEd, and Jennifer Tornabene.

Psychologist Statement: Sheppard Pratt is authorized by the State Board of Examiners of Psychologists as a sponsor of continuing education. Sheppard Pratt takes responsibility for the content, quality, and scientific integrity of this CE activity.  Sheppard Pratt designates this educational activity for a maximum of 1.5 contact hours for Psychologists.

Social Worker Statement: Sheppard Pratt is authorized by the Board of Social Work Examiners of Maryland to offer continuing education for Social Workers.  Sheppard Pratt takes responsibility for the content, quality, and scientific integrity of this CME activity. This activity is approved for 1.5 contact hours in Category II credits for Social Workers.

Counselor Statement:  Sheppard Pratt has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 5098.  Programs that do not qualify for NBCC credit are clearly identified.  Sheppard Pratt is solely responsible for all aspects of the program.  This activity is available for 1.5 NBCC clock hours.

Available Credit

  • 1.50 ACEP NBCC clock hours
  • 1.50 Category II credits for Social Workers
  • 1.50 Psychologists
  • 1.50 Participation
Please login or register to take this course.


OCD & Anxiety Lecture Series: Sexual Obsessions in Obsessive-Compulsive Disorder

Monnica Williams, PhD

Associate Professor, School of Psychology at the University of Ottawa

Canada Research Chair in Mental Health Disparities

Director, Laboratory for Culture and Mental Health Disparities

Clinical Director, Behavioral Wellness Clinic, LLC

Tolland, CT

Re-reviewed May 13, 2024.
Originally broadcast live November 12, 2021, from 9:00 am - 10:30 am ET
Enduring Activity Credit Expiration Date: May 19, 2026.

Activity Time: Ninety-minute recorded webinar lecture with a 15-minute evaluation process. Total Time: 1:45

Complete the Pretest and select NEXT in the bottom right corner of the screen. Use the NEXT button for best results.
The PowerPoint handout will be available for download.
After downloading the handout, select NEXT to begin and watch the one-hour video. 
You may need to select play for the video to begin.
After the video follow the prompts to complete the posttest, evaluation and attestation of credit. 
Once you have completed all the components of the Course Progress bar, the certificate will be immediately downloadable.

There is no commercial support for this activity.

Questions? Look at our FAQ’s at https://cme.sheppardpratt.org/content/faq or Email cme@sheppardpratt.org


Required Hardware/software

Optimal System Configuration

Flash Player: Adobe Flash Player 10.1+

Browser: Firefox 3+, Internet Explorer 8.0+, Safari 4.0+, or Google Chrome 7.0+

Operating System: Windows XP+ or Mac OS X 10.4+

Internet Connection: 1 Mbps or higher

Minimum Requirements

Windows PC: 500-MHz Pentium II; Windows XP or higher; 128 MB RAM; Video Card at least 64MB of video memory; Sound Card at least 16-bit; Macromedia Flash Player 10 or higher, audio playback with speakers for programs with video content; Firefox 1.1+, Internet Explorer 7.0+, Safari 1.0+, Google Chrome, or Opera

Macintosh: Mac OS X 10.3 or higher with latest updates installed; 1.83MHz Intel Core Duo or faster; RAM: 128MB or more; Video Card: at least 64MB of video memory; Sound Card: at least 16-bit

Hardware/Software Specifications

This internet-based CME activity is best experienced using Internet Explorer 8+, Mozilla Firefox 3+, Safari 4+. This Web site requires that JavaScript and session cookies be enabled. Certain activities may require additional software to view multimedia, presentation, or printable versions of the content. These activities will be marked as such and will provide links to the required software. That software may be: Adobe Flash, Adobe Acrobat, Microsoft PowerPoint, and Windows Media Player.