Showing posts with label OCD. Show all posts
Showing posts with label OCD. Show all posts

Friday, July 7, 2017

Unhelpful Strategies for my OCD Relaxation Exercises


When I was in graduate school, and had a blast of anxiety that the numbness in my hand was Guillain Barre Syndrome, and went to see a psychologist at the Health Center, she gave me a cassette tape of guided progressive muscle relaxation. Tense each muscle group and then let it go. Later, I had a therapist that wanted me to imagine a relaxing enjoyable scene and invoke it when I felt anxious. This didn't offer me much relief though.

I do believe that the body and mind are intricately intertwined, and I know that I carry a lot of tightness in my muscles, and am hypervigilant about uncomfortable sensations, which seem to speed me into obsessive thoughts at quite a clip. But undoing the tension in my body doesn't undo the thoughts in my mind. I could get into a deeply relaxed state, and then a thought would pop up, and ruin it, and I'd try to wrestle the thought down, and keep checking whether I still had the thought, was it still bothering me? Was it still there?

I also tried weekly massage sessions for a couple years. My mind would run around like a twitchy squirrel while the massage therapist worked on my knotted muscles. I'd leave reeking of lavender and criticizing myself for not enjoying the massage enough, that I was defective for being unable to relax.

Thursday, June 29, 2017

Recovery Inc and Dr Lows Wisdom for OCD Sufferers


A few years ago I came across the writings of Dr. Abraham Low, a psychiatrist who is a early forerunner of Cognitive Behavioral Therapy. He created a self-help program called Recovery Inc., in 1937, to help mental patients reclaim peace of mind and their lives. I subscribed to Dr. Low's Wisdom, which mails a daily quote from one of his books. Sometimes he sounds very odd to my ears with his emphasis on complete trust in the physician, but he eloquently describes much of my experience with OCD, and advocates a form of Exposure and Response Prevention Therapy in his slogan "Doing the things you hate and fear to do."

I found an interesting blogger, Not A Saint--Just an Average Person, who describes his process of working through his anxieties and fears using Recovery, Inc.'s tools of identifying the thinking that leads to aggravation of symptoms.

I have not been to a Recovery, Inc. support group, but I know some people who have had a positive experience attending meetings. If there isn't an OCD support group in your area, consider looking into a RI group.

Thursday, March 16, 2017

OCD A to Z L is for Lost Time


Hour Glass

Lost time is one of my OCD themes. I had a realization this week that the thoughts about wasting time, doing the wrong thing with my time, or losing time, are not going to magically disappear. I've been waiting for them to go away, and leave me alone. Everyone has thoughts about whether they are making good use of their time, and uncertainties about this. Mine have been interlinked with perfectionism, and fear of making any kind of mistake, and mental rituals of analyzing the best thing to do at any given moment with my time, not to mention avoiding doing anything at all, in case I choose the wrong thing.

The fact is that I have lost a lot of time due to the OCD. I've struggled with the thought that it's intolerable to have lost time, and I will be able to survive that grief, and I've endeavored to make the thought and the grief go away by analysis, which rebounds into even more focus on what I am trying to escape. It's the classic, "Don't think of a white bear"--what's the first thing that happens? You remind yourself of what not to think of, and there you are thinking about a white bear.

I've lost time doing my rituals. I've lost time while avoiding things I fear. I'm realizing that there are phone calls that would be useful to make as I work on my art business, and I lose time because I am afraid of phone calls, of saying the wrong thing, not knowing in advance how the call will go, and I'll freeze while avoiding the call, and get nothing done at all.

What are the ways in which you've lost time due to OCD?

Friday, January 27, 2017

Participate in an Online Survey about Childhood Experiences and OCD


Graduate Student Jenna Feldman is working on another research project at Yeshiva University.  She asked me to post the link to her survey about childhood experiences and OCD, and invite you to participate.


Online Survey about Childhood Experiences and OCD

If you are an adult (age >18) and suffer from the symptoms of OCD you are invited to complete an online survey about your symptoms as well as certain childhood experiences that some people have. This study is being conducted by the Ferkauf Graduate School of Psychology at Yeshiva University. If you consent to participate in this study you will complete a series of anonymous questionnaires that ask you questions about your childhood experiences and emotions. The survey should take approximately 45 minutes to complete. If you elect to participate you will have the option to be entered into a raffle for one of four $50 gift cards. To learn more about the study please follow the link below:

https://yeshiva.co1.qualtrics.com/SE/?SID=SV_bJHeDO4h3NzZzyR

Saturday, November 12, 2016

VH1s OCD Project Reactions from Someone with OCD Part 2


VH1's OCD Project premiere with Dr. David Tolin was hard for me to watch. Not because of the shoe licking, but because Exposure and Response Prevention Therapy(ERP) is portrayed as something to be inflicted on people with OCD in a boot camp manner, with a dose of "all or nothing" thinking thrown in--ie. either fight your OCD or get out. If my therapist demanded I do exposures "for my own good" I would flee.

Leonard often says that if clients don't agree to the goal of learning to live with uncertainty, they are not going to want to do any exposures, and his job is work in partnership with clients to understand the nature of OCD and of the need to accept uncertainty. OCD isn't happy with 99.9% assurance that my health symptoms aren't dangerous. It wants 100% certainty, and this can make my life hellish. This is not to say that Leonard isn't frank. He'll tell me that I could worry about one symptom and then have a completely hidden disease kill me, but if a therapist feels their job is to push their clients off a cliff into dramatic exposures, this is inappropriate.

ERP is about starting with what you can and *will* do. What is the first step you can take to fight the OCD? I was often paralyzed with making perfect decisions. I started with a small exposure of choosing something by flipping a coin, at least once a day. Should I wear a green shirt or a blue one? Flip a coin. This created a wave of anxiety in me, but not so much that I was unwilling to do the exposure. Then I moved on to choosing something that didn't feel "perfect." If you find yourself thinking your therapist is crazy for suggesting certain exposures, you need to talk about it--and that in itself is an exposure, if you fear even verbalizing what you are really afraid of. If my therapist yelled at me, or goaded me into an exposure, I wouldn't get the benefit of treatment, because I don't respond well to this style. People with OCD have a range of temperaments, just like all humans.

The irony is that all things considered, if the participants in the OCD Project aren't scared off, and stay in therapy, and do the exposures and don't secretly do rituals to "undo" them, they will be better off than if they went to a traditional therapist who wants to talk about the reasons for the content of their fears. Arine's story is particularly poignant, with her fear of harming someone while driving, after her father and grandfather were killed in horrific car crashes, but making the link between this event in her life history and the manifestation of her OCD is not enough in and of itself to help her break free of the anxiety. There are many ways in which each of us can cause harm to our fellow beings, but to consistently eliminate all risk is both impossible and the attempt erodes our ability to do good in the world.

Monday, September 12, 2016

Email and the OCD Fear of Saying the Wrong Thing


I must be getting old...


Email was like a miracle. I went to graduate school in 1993, and one of the perks was an email address. Since making phone calls filled me with dread, email was like getting released from jail, or pardoned. I loved its asynchronous nature whereby I could send a message and the other person would read it without my having to witness it, or respond to it in real time, and vice versa, when I received an email I could spend as much time as I needed to get my response right.

Of course, my OCD loved email, because I could delay actions that caused me great anxiety, like spontaneous speaking, but slowly I began to realize that email had its own set of anxieties. Email didn't erase my compulsion to making sure I didn't say the wrong thing, and most likely strengthened my fear of making a mistake. Writing email consumed a lot of time, because the using the "Send" command began to feel full of trepidation. Once I sent my email, I couldn't take it back. Pieces of messages would pop into my head, as I retraced all the nuances. I dreaded this reconstructive process, because it aggravated all my fears of saying something wrong, every time I listened to my own message in my head.

Responding to email was exhausting. The written word has a permanent quality, an inflexibility, especially in email where there isn't tone of voice(I certainly didn't know anything about "smileys") or facial expression, and I interpreted emails as if they were a holy text. What does this mean? What should I say in response? Will this correspondent think ill of me? But I chose email to communicate 90% of the time(7% consisted of real paper mail, which in a pre-computer era, involved lots of rewriting, and discarding whole pages if I made a mistake in expression, and the other 3% was on the phone under duress).

I chose email even when I started to realize that in some cases I would save a lot of agonizing by calling the person, but even though I could see that the email would turn into a convoluted dance of "Did I say the write thing? Have they gotten it yet? Why aren't they responding? I really need to know the answer to this question. Am I going to have to call, and then they will think I'm weird for emailing and then calling?" I started fearing opening my email, because of anticipating negative responses to my messages, and the longer I left a message unopened, the worse the anxiety became, until I assumed that it must be dangerous to open my emails, or why would I be so scared?

One of the exposures I did in OCD therapy was opening messages right away, especially ones that I was afraid of. I gritted my teeth the whole time, but I'd seen how my anxiety escalated the longer I waited. I also practiced writing "inadequate" responses--short, quick, unrehearsed. Which, actually is what email is--somewhere between formal letters and phone calls. I'm never going to be a person who enjoys talking on the phone(unlike my friend J. who enjoys phone calls so much that even if calling was less efficient than looking up info on a website, would still call, just to talk to people), and like Miss Manners I do agree that the phone ringing is not a "command" to pick it up--I can decide when to take calls--but I need to keep an eye on the OCD which will find a million ways to avoid saying the "wrong thing" as if we can definitively ensure that, as much as we might want to.

Related Posts:
Telephone Phobia: Fear of Making Phone Calls
Ritualizing in my Head: Retracing
Verbatims