- Date posted
- 15h
I’m getting increasingly frustrated with the availability of OCD care. First of all, I have an ERP therapist, and I really, really enjoy her as a person. However, I feel like the approach we’re actively working on in therapy is ineffective for me, and maybe even counterproductive. I struggle with taboo themes, and currently, most of our sessions consist of her writing a script or finding one in a book, reading it to me or having me read it, and then repeatedly rating my anxiety until it reaches a 1 on the SUDS scale. One of my biggest compulsions is internal checking. I constantly find myself asking, “Am I anxious? Am I distressed enough by that thought? Why aren’t I more distressed? A normal person would be way more uncomfortable than me. There must be something wrong with me,” and so on. The SUDS scale approach feels like it’s encouraging me to do exactly that. When I explained to my therapist that this approach wasn’t working for me and why, her response was, “We’ll just let those thoughts float by like a cloud.” LADY. If I could just do that, these thoughts wouldn’t have half the grip on me that they do. 😭 I feel like I haven’t learned a single actual tool to help me manage my OCD, redirect myself, use disengagement techniques, or recognize and stop performing compulsions. I’ve read tips and advice online, but I feel like I need more than that. When I try to apply those techniques myself, I get sucked right back into the cycle and end up performing compulsions without even realizing it. I need someone who can actually help me learn and practice these skills, not just tell me what I should be doing. On top of all this, I have state health insurance, and finding my current therapist in the first place was a TOTAL WAR. She has no reviews or ratings that I can find; the only information available is her brief educational description. She is literally THE ONLY provider in my area who specializes in OCD, and I feel insanely stuck. (And yes, I already checked the IOCDF directory. That’s how I found her to begin with.) I even called NOCD to see if they would be willing to enter into a single-case agreement with my insurance for out-of-network treatment if my insurance authorized it, and they said no. I’m pregnant, and I’m genuinely scared. I just want to learn how to manage my OCD before my baby comes so I can properly bond with my baby without being petrified to be alone with them. I know I don’t need to be 100% better before my baby arrives, but I desperately want to get to a place where I feel more equipped to handle my thoughts instead of constantly feeling consumed by them. I’m just so frustrated. How is someone supposed to get better when the treatment they have access to doesn’t feel effective, but finding alternative treatment is practically impossible? It genuinely feels like: “Hey! Here’s this absolutely debilitating mental health disorder. Have fun with that!! Oh, and when you finally decide you’re brave enough to get treatment for it, it’ll be nearly impossible to access! Good luck! MWAHAHAHAHA!” If anyone has advice, recommendations for OCD specialists who accept state insurance in Washington, helpful websites, resources, or even just some sympathy, I would genuinely appreciate it. I’m exhausted from trying to navigate all of this, and I just want help.