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Prof Lynne Drummond

Honorary Consultant Psychiatrist — OCD & BDD Specialist

South West London & St George's Mental Health NHS Trust

Prof Lynne Drummond is one of the UK's most experienced OCD specialists. She trained under Isaac Marks, a pioneer of exposure therapy and one of the founders of modern exposure-based care for OCD, and Stuart Montgomery, known for his work on medication for anxiety and depression. At a time when health anxiety was still considered a subset of OCD, these were the people shaping how compulsive disorders were understood.

She has been a Consultant Psychiatrist with South West London and St George's Mental Health NHS Trust since 1985, and for 35 years was lead clinician for the nationally commissioned service for severe, enduring OCD and related disorders. She set up and led it: the only 24-hour staffed dedicated NHS unit for OCD and body dysmorphic disorder (BDD) in the country.

She has published over 120 articles and chapters across CBT, OCD, hoarding, anxiety disorders, and exercise and mental health, and is the author of five best-selling books on CBT and OCD, most recently Everything You Need to Know About Hoarding — a Cambridge University Press best-seller in 2025.

Now an Honorary Consultant at her former Trust and a Visiting Professor at the University of Hertfordshire, she holds the qualifications MRCP and FRCPsych and concentrates on teaching, research, and working with public bodies to improve access to treatment. She has also worked extensively with the media — television, radio, podcasts, and the national press — to get accessible information about OCD and its treatment to a lay audience.

We spoke to Prof Drummond about the relationship between OCD and health anxiety — why intrusive thoughts about illness follow the same compulsive cycle, and what the evidence says about breaking it.

Watch the conversation

OCD Explained: Intrusive Thoughts, Compulsions & Health Anxiety

44:44

Key takeaways

  • Health anxiety and OCD share the same cycle. An intrusive thought raises anxiety, then a compulsion — checking, Googling, seeking reassurance — briefly reduces it. But that reduction acts like a reward, making the cycle stronger each time.
  • Why reassurance doesn't work for health anxiety. The relief is temporary and the doubt returns. This can lead to unnecessary investigations and patients being labelled as "nuisance patients" when they're actually suffering.
  • ERP (Exposure and Response Prevention) targets the compulsion. Face the anxiety-producing thought without performing the compulsion. One technique: record the fear in your own voice and play it on repeat until the anxiety drops — then carry on with your day while listening.
  • Health anxiety creates real physical symptoms. "Think about the pain in your right big toe" — and it appears. You're not imagining the symptom, but there's no medical reason for it. The more you focus on a body area, the more you feel something there.
  • You can't "snap out of" health anxiety. Nobody would wish OCD or health anxiety on themselves. Change is possible, but support needs to come at the right time — and if it doesn't work the first time, that doesn't mean it won't work later.

Books

  • Everything You Need to Know About OCD — Cambridge University Press, 2022View
  • Everything You Need to Know About Hoarding — Cambridge University Press, 2025View
  • Obsessive Compulsive Disorder — Cambridge University Press, 2018View
  • CBT for Adults: A Practical Guide for Clinicians — Royal College of Psychiatrists, 2014View
  • The Practice of Behavioural and Cognitive Psychotherapy — Cambridge University Press, 1991View

Research and papers

  • ORCID — full publication record (92 works)View
  • ResearchGate profileView
  • PubMed — indexed papersView

Concept book project

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Free UK support mentioned in this conversation

  • OCD Action — UK charity offering support, information, and advocacy for people affected by OCD.ocdaction.org.uk
  • OCD-UK — National charity run by and for people with OCD, with helpline and local support groups.ocduk.org
  • TOP UK — Triumph Over Phobia, offering self-help therapy groups for OCD, phobias, and related anxiety disorders.topuk.org
  • Mind — Mental health information, support, and advocacy. mind.org.uk
  • CALM — Campaign Against Living Miserably. Crisis support line open 5pm-midnight every day.thecalmzone.net

Learn more about the evidence-based approaches discussed in this conversation, or watch more conversations. If you're in crisis, see our crisis support resources.