- Date posted
- 3y
- Date posted
- 3y
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- User type
- OCD Conqueror
- Date posted
- 25w
I recently posted about my experience with Existential OCD (https://app.treatmyocd.com/community/posts/2184668), and one of the most common questions I got was how to deal with DPDR (depersonalization and derealization), as it often goes hand-in-hand with existential obsessions. I wanted to create this post to summarize my thoughts and understanding of DPDR, so I have something to point people towards. For context, I'm not a trained mental health professional, doctor, or neuroscientist. I'm just someone who has been through the gambit with OCD, and has learned about the mind through conversations with several therapists, reading books, and watching videos. I also regularly consult with a few Buddhist teachers, and have been practicing meditation for several years. Please keep all of this in mind, and take everything I say with a grain of salt. First, some quick terminology: Depersonalization = a feeling of "detachment" from your own body, almost as if you're living life as an autonomous robot. Derealization = a feeling of "detachment" from the outside world, where people, places, and things feel distant or alien. They often go hand-in-hand, and mainly differ in terms of what feels "unreal" (yourself, or the outside world). It's easy to see how this can coincide with obsessive existential thoughts. After all, when things feel unreal, how can you help but think about the big questions of existence? So these feelings often make those with OCD extremely uncomfortable, and the desire to make it "go away" inevitably arises. But, just like with anxiety, most attempts to "get rid" of it generally make it worse. Even grounding exercises can become problematic if the goal of those exercises is to get rid of DPDR, just like any other compulsion. That's why my first piece of advice is always to acknowledge and accept the feeling. One way to get comfortable accepting any feeling is to understand where it comes from. As of today, the exact neurobiological workings of DPDR aren't fully understood, but one thing seems to be pretty clear: DPDR is the result of the brain momentarily shifting gears to protect itself from overwhelm. It's something that happens when you are stressed, and/or burnt out. It's the brain protecting itself from overstimulation, similar to a circuit breaker closing down parts of an electrical circuit to prevent overloading. It's important not to take this information as reassurance against the existential intrusive thoughts that arise during DPDR, rather simply as an explanation as to what is happening in the present moment. I'm a big proponent of using "maybe, maybe not" responses to intrusive thoughts. So in the case of DPDR, you may considering responding to the existential thoughts with: "Maybe that's true, maybe it isn't. Right now, this brain is overwhelmed, and it is protecting itself." (Side note: the use of "this brain" instead of "my brain" is a habit I've picked up from Buddhist philosophy. It's a way of practicing non-attachment to the self. If that doesn't work for you then feel free to phrase it in whatever way makes sense. I also recognize the beautiful irony of bringing up non-attachment in a post about DPDR 😂) Basically, you want to acknowledge the existential thoughts, acknowledge the feeling of DPDR, acknowledge that the DPDR is coming from a place of stress, and then refocus your attention to the present moment. The key is to not refocus your attention in hopes to GET RID of the thoughts or feelings, but to do it DESPITE those things. You need to teach yourself first-hand that none of those things are dangerous, and that you can continue to live life while scary thoughts exist in the mind, and while you feel uncomfortable things. The more you try to push the DPDR away, or logically dig yourself out of a hole, the more stressed you will become. And since DPDR is a stress response, this will only cause it to stick around longer. It's the same ironic cycle that fuels the intrusive thought / compulsion loop. Sometimes it can last for a few minutes, a few hours, days, weeks, or even months. While DPDR disorder exists, in many cases (especially with OCD), DPDR tends to persist because of our resistance to it. If you find that it just won't go away, try not to get discouraged. Instead, look for the resistance, and consider how you may be able to open up to the experience in a lighter way. If you find yourself resisting, gently remind yourself: "I don’t need to figure this out right now. I can let the brain do its thing and focus on living life." It can also help to recontextualize the DPDR. I like to think of it like a warm blanket or sweater, or the brain taking a nap. You wouldn't want to wake someone up from a nap, would you? Let 'em rest! I hope there is something helpful here for those struggling with this issue. Trust me, I've been there.
- Existential OCD
- Health Concern OCD
- Older adults with OCD
- "Pure" OCD
- Mid-life adults with OCD
- OCD newbies
- Young adults with OCD
- Date posted
- 25w
Hi Everyone! I hope whoever is reading this is having a good day so far :) So for years now I’ve had very bad intrusive thoughts about things that I have done or embarrassing things that I’ve said or have happened and it’s mortifying and debilitating on a daily basis. Specifically these thoughts are mainly things that have occurred from 2018-2020 and some are more simple just as a stupid joke I made or being way too loud on calls while my family was trying to sleep and others being way more complex such as past relationships and how I’ve hurt some of the people I care the most about and when I have acted on intrusive thoughts and these thoughts will appear with no triggers at all I’ll just wake up and already have something I did just nagging me. I don’t want to live like this anymore and I’ve tried working through it with self compassion but sometimes the things I said or did back then it’s very hard to forgive myself for and I’ll reminisce on it for hours on hours, gaslight myself into believing that’s not how it happened and try to change the memory itself, or just suppress it entirely. I know those habits aren’t healthy and truly I want to get better but I don’t know how to overcome some of these thoughts. I have talked to my fiancé about this a few times and even today we talked about it and he fully supports me and is helping me work through it. I might also contact my sister too, I don’t talk to her overly too much but ever since I was little she’s thought I’ve had ocd and was one of the people who made me consider that I might have it (I’m still undiagnosed but I’ll try to when I have the money and time) and I know she could maybe provide some insight. Another thing that is troublesome about the situation is my other family members specifically my mom aren’t the most helpful and can trigger thoughts. To put it in perspective on how her thought process is and some background info she is an ER nurse and has been for 30 years due to this she believes she knows mainly everything there is about mental health and she gets extremely upset when I don’t take her advice or set boundaries. She’ll force me to talk to her about my problems and when I don’t want to she’ll pin me in a corner where I’m forced to and last summer I had a really bad episode and was really overstimulated and I just finished taking a shower and due to the water on me, my hair being wet (my hair is naturally curly and it takes forever to dry and it’s very draining taking care of even with a keratin treatment) and all the intrusive thoughts I was having and she forced me to talk to her and I did open up for the first time about my thoughts and brought up how sometimes I have thoughts of hurting my animals and it makes me physically sick. Her response to this was threatening to call the cops on me saying it was a behavioral thing and I was doing it for attention. I have never hurt any of my animals but later that day my cat came into my room and a few minutes later she comes up just gives me the death stare and after a few seconds just asks me “are you going to go kill snickers?” In the most condescending tone and she’s always like this daily where she’ll force advice onto me or get upset and yell and then reinforce thoughts I’m having. I just want to know first how to stop the thoughts from so frequently and how to heal in an environmental where it keeps reopening wounds despite trying to place boundaries? I’m sorry this is really long I usually do go really in detail about things and it’s just how I’ve always been. If anyone has any questions feel free to ask and I’ll answer them to the best of my ability. I really appreciate the time you took to read this and thank you for your help! 🥰
- User type
- OCD Conqueror
- Date posted
- 20w
As a 20+ year OCD vet and OCD conqueror. I wanted to share some tips and tricks that help me. 1. A thought is not the same as a belief. You can think something, and not believe it in the slightest. 2. Thoughts DO NOT represent ANYTHING. They are not indicators to who we are as people, they are pop up ads for the brains computer. 3. We DO NOT control our thoughts! The average person has about 60,000 ( yes, 4 zeros) a day! NONE of which are controlled. 4. We DO have control over which of those 60k thoughts are important. i.e. thought A. I could murder my entire household- survey says? not important ( because yea, sure, you could, but you probably don't really want to) thought B. i need to do my laundy-survey says? important... unfortunately, i hate laundry. which brings me to number 5. 5. Emotional reasoning ( where you let your feelings impact your decisions) is a COGNITIVE DISTORTION. It is a flawed thought process and should NEVER be used. "wanting to do something" does not mean you SHOULD do it, same and sometimes NOT wanting to do something doesn't mean you shouldn't do it ( picked what is important) my brain might tell me i WANT to break up with my husband, ( unimportant) and it might also say i don't want to get up and go to work in the morning ( important). 6. YOU-ARE-IN-CONTROL. Not to be confused with HAVING control. We don't control our thoughts, we control which ones are important, we don't control our feelings or emotions, but we control how to react (or not react) to them. We don't control our OCD, but we can control how it affects our lives, and that can mean that is has all the power, or none. 7. If the action you want to do ( confess, get reassurance, check, analyze, avoid, re-do) are to gain relief from anxiety, IT IS A COMPULSION. DO NOT DO IT. Sit with the anxiety and train your brain to realize its not dangerous or important with ERP ( this takes time, but practice makes perfect) 8. Know your enemy. NOCD has a HUGE amount of articles and information on ALL subtypes of OCD and how to respond and how to treat them. OCD is MUCH easier to combat when you understand how it works. 9. BE PATIENT. BE KIND to yourself. Prioritize healthy habits, a healthy body is better equipped to handle OCD. Good sleep, whole foods, sunlight, social interaction, exercise ( walking especially). When the mind feels weak, make the body strong. 10. You are not alone. OCD is classified by the World Health Organization as one of the top 10 most distressing disorders. Reach out to people, seek medical help. Medication is not evil, it can be life-saving, TALK to people. Bonus Tips * if the question is " What If" its OCD. * Total certainty does not exist, be content with 99%* *"But this feels different, this feels like its not OCD, that its real*- emotional reasoning... its OCD. Hang in there. You got this. Im here for any advice, questions, or support. Today is a great day to have a GREAT DAY.
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