unlikely tips!

Oh my god, where do I start? Trauma related OCD is the worst crap I've ever experienced in my life, hands down. It develops in some people after a traumatic experience. You can have both trauma related OCD and PTSD together or develop it after PTSD. Mine was like a transitionary phase and developed it after PTSD. I had every symptom of PTSD prior to this from witnessing a traumatic event which I will not go into detail about. But I will tell you how I went from PTSD to OCD and what I've experienced with all of this as some guy in their late 20s.  So, right after the traumatic event I developed poor concentration, reoccuring nightmares, fear, insomnia, restlessness, irritation, reoccurring thoughts about the event, forgetfulness and a faulty fight or flight response triggered by the thoughts. The freaking insomnia killed me for a year straight. Imagine going to sleep at 3 am and getting up at 7 am with a faulty fight or flight response kicking in right away for that whole entire day now. It felt like my body was boiling and radiating with the hottest energy you can imagine from my legs all the way up to my head. And I also felt weak, drunk and terribly lightheaded every single day. Rinse and repeat all of that for 1 year straight. Thank god that's over now. It was a damn nightmare of nightmares.  Most of those PTSD symptoms eventually disappeared but not all of them. I just found the will and mental strength in myself to let most of that PTSD crap go. But you know what happened pretty damn soon after that? It was all eventually replaced with trauma related OCD. It's like the PTSD evolved and didn't want me getting away so easily. For me, it's a mix of handwashing OCD and really bad somatic or sensorimotor OCD but that's not all. I also have distorted senses, bad forgetfulness, terrible concentration abilities, tension headaches and irritation every single day.  Here are some examples of what I go through; I'll turn the lights off, but my brain imagines the lights are on still. I'll stand there trying to process that the lights are off while fighting the distorted sense perception from my brain. So, I keep 'checking' to make sure the lights are indeed off. Not a good situation to be in. I have pretty much every somatic OCD symptom of breathing, swallowing, blinking, eye movements and most bodily functions. My brain's like telling me if you don't do it the 'right way' then I have to keep doing it until I feel like I did it the 'right way.' It's a 'feeling' issue, a really bad one I should say. All of this crap causes my fight or flight response to kick in, gives me some loss of sleep, irritation and mental agony. Also, if I 'feel' like I forgot to do something even though deep down I already know I did said thing, I feel compelled to do it again until that feeling subsides. It's like this, "I know I just did that but my brain wants me to feel like I didn't do it. Therefore, let's do it again." The handwashing is bad too. But I normally do it to 'feel good' about something in my head. Hence, the obsessive handwashing. The dfference between this OCD stuff and PTSD is that PTSD has you focused solely on the traumatic event while this OCD has me focused on many, many different compulsions which is much worse. One thing vs many compulsions? The latter is by far worse, trust me. Focusing on the compulsions screws up my ability to focus and think about what I'm doing at hand. If I ignore them, just imagine a tension headache with a really irritated hot spot forming in your head somewhere and coming in hard and fast. Now, I've successfully ignored many urges but... new ones just keep coming and forming. It's a constant battle. Every freaking day is a terrible battle with this stuff. If I slip up and let something become a compulsion and get out of hand, I fight it like fighting to the death and it then takes a while for me to climb back up out the hole I fell into. Once I'm out of the hole, the incessant battle of resisting continues. ​Here's some more weird things I do for example; basically, if I'm desperate to keep a compulsion away, I have to do other unrelated things a certain way or else I get the urge to go right back to doing said compulsion. And sometimes weird sensations, strain or pain I might feel while doing something throughout the day will alone trigger me to do an earlier compulsion. I also have to get a good night sleep after a battle with a compulsion. If I don't, that compulsion comes right back and I have to fight it the next day. It's a vicious cycle. I know, it's very screwed up. You don't have to tell me. I sometimes repeat myself over and over again out loud to make my brain "click" with what I'm saying. Now, this one started with the PTSD and I'm not sure if it's a cognitive and concentration issue or an OCD issue but it did actually get better over time thankfully. I hated that anyway. ​This is a glimpse of what I go through on a daily basis. And yeah, I do ERT all the time and it's not like a magic wand you can wave in the air and then everything's gone and back to normal. In my experience, it has worked for some things but other things, not so much. I've taken saffron, NAC, valerian root, passion flower, other supplements and other stuff to see if it would all help in some way. Saffron is touted as an SSRI equivalent but it did nothing for my OCD surprisingly except make me tired. I took it for a couple months and just hated the tired and drowsy feeling I got from it. The thing that actually worked somewhat for me is NAC. I took it for several months straight at a high dose and it actually altered my OCD behavior a little bit. I did 2600 MG of it everyday for several months. I stopped after a while because it really got my libido going. Yeah, won't go into that part. ​Anyway, I felt like I should share my story. As someone who's had the unfortunate pleasure of experiencing both PTSD and trauma related OCD, people truly do underestimate the terrible suffering that OCD can inflict on its victims. I don't believe an SSRI or any cognitive supplement will "fix" your OCD but I believe one can be liberated from it if they do resist the compulsions long enough to where their brain sort of very slowly recalibrates itself to be less OCD about things in the future. But it will take a lot of mental strength, will power and most of all, time. Distracting yourself and focusing on what makes you happy is very beneficial too and is honestly what helped me the most out of anything. Everyone's OCD is unique to themselves. What works for me might not work for you. What you are experiencing may not necessarily be the same as what I'm experiencing. For example, some people have terrible harm OCD where they are afraid of acting out on their thoughts. I cannot relate to that. But if any of you can relate to some degree with what I have, feel free to share. I'll give you some tips that I learned from my experience with all of this that helped me. But just remember, what works for me might not necessarily work for you. - Try to adopt an 'I don't care mentality' for your ocd rituals: Try to treat it as something that you refuse to have define you as a person and as if it's just nonsense that means nothing in the end. - Stop it in the initial stages: If you feel a compulsion coming on, I've found that ignoring it right then and there works the best. Even if you act on the compulsion once when it just starts, you have enough time to stop it right then and there still by ignoring it. My brain thinks that the compulsion was therefore not a compulsion and moves on to find sonething else to focus in on. Just rinse and repeat at that point then. - Distract yourself immediately: This is probably one of the best things I ever did to get control of my OCD. If your brain starts up right then and there about something OCD related, just immediately focus on something you like to do. - My 'leave it behind' method: Move away from the area where the compulsions are occurring and go to a different room. It helped me sort of refresh my mind and brain by going to a different area and I found that a lot of my compulsions no longer 'follow me' to that different room. I can then later return to the same room where it started and be fine again. - Go work out: Another great thing to boost your mental health and possibly rid your mind of OCD is working out whether that be hiking, the gym, jogging or simply taking a walk. It's really great for overall mental well being. It helped me a lot. I never was one to give up. I've been through hell for a while now. My conscience use to be stuck in this blackest of blackness, sort of like nothingness. But eventually it started becoming more clear and I was able to start seeing through and beyond this blackness. It's like pulling a large black curtain away which was obstructing your field of vision completely and seeing something on the other side. That's where I'm at right now. I see something but it's faint. I'm just glad that it's something though. I'm thankful for that. Peace.

(Sorry for the long post!) So one of the OCD things that most affects me at times, and that I have not really found other people dealing with (in literature or in my work as a therapist working with people with OCD), is one that often relates to potential dating and people I am interested in. Typically, as a gay male, I meet people on chat apps or dating sites, so the first interactions are virtual. What I find often happens is that I sort of build an image of the person, and then if anything goes against that, I start to get anxious and the OCD kicks in. An example may work best. I started talking to a guy that I find incredibly attractive, and who seems to find me attractive as well, and when we became friends on instagram, I saw that he has done some amateur modeling for a friend who does pictures in various states of undress. There are a few in underwear, and a few with no clothes (no genitals are shown), and this started off the thoughts of "oh no, he must just want sex" or "I bet he is super promiscuous if he has pictures like these." This leads to me investigating the other photos on the site, and the guy who does the images to try and figure it out, what kind of work it is, etc. I even found a way to work it into a conversation with the guy, like "wow I don't think I could do that. You're braver than me," and he said he did it because the photographer is a husband of a coworker and expressed interest in doing the pictures, and he loves his body so didn't mind doing it, and they are really good friends now. OCD then gets triggered "he loves his body? That must mean he really IS promiscuous. What if he and the men also have threesomes?" This leads to intrusive thoughts of me having to picture this happening,or him having sex with other people, over and over until it "feels right." I'll recheck his dating profiles in which has said that he is "not into fast sex," and then think about and picture scenarios about how that could just mean he wants to talk to someone once before having sex. The OCD also affects conversations--if he doesn't get back to me quickly on WhatsApp, I scour the texts to see if I messed something up (ocd responsibility--it's always my fault). I texted him yesterday, and he hasn't looked at the messages (he has read receipts on WhatsApp), but I check and see that he has liked a post by someone on instagram or has posted a story, so I think "clearly he sees that I've messaged and is purposely ignoring it, because he hates me and wants nothing to do with me. That's it, I'm never going to hear from him again." We were supposed to hang out last week, but he asked to reschedule because he wasn't feeling well, so my OCD then said "he was at an event the night before, he probably met someone and is still at their house." He did text the next day to ask what my schedule was, and then said "perfect. I work in Lisbon until next Thursday" (I'm currently living in Porto, in Portugal, where he also lives), so he seems to be interested in hanging out, but then I think "he probably saw something that I did online or someone we both know in common somehow told him something and now he's done with me. Or maybe he met someone he's more interested in, and will just ignore me now." This type of experience has happened with several guys I've been interested in, and it has actually led to me pushing too hard and making them uncomfortable as I seek certainty, so I'm trying to be aware of that and not engage in that kind of behavior. I also realize that there are like a billion different OCD things in this post, and I'm writing another post as well related to how moral scrupulosity has been controlling my beliefs about sex, etc., something my new therapist identified after one session. Anyway, I just wanted to see if anyone has experienced anything along these lines, because when it happens it takes over and it is painful and I just want to rip it out of my head. Additionally, I never quite know how to manage exposure to this type of thing--there is the logical one of not checking social media, and not texting or re-reading texts, but it's also hard because I will actually force myself at times to think about him having sex with people, and then that makes me feel overwhelmed with anxiety, but I also can't suppress the thoughts, as that doesn't work, and am thus trying to do more of an ACT/acceptance approach. Unfortunately my therapist is out of town this week, so we can't work on anything surrounding this until next week. Thanks for taking the time to read this, and I apologize that it is so long, but it is just really sucks right now.

I few years ago, I did self-harm a few times, and then I got super into spirituality, and about a year ago, I remembered I did self-harm and ever since haven't been able to shake the guilt off... Constantly, every day, my mind would make me feel guilty about it and think about it all day. It's like my brain knew the thought that I could/ have cut myself scared me, so it kept bringing it up. My family had no idea I had ever done this, so my OCD told me I was a liar for not telling them about every day. I was afraid that they wouldn't love me anymore and send me to a mental hospital if I told them. About 2-3 months ago, I had gotten so fed up with having these thoughts every day and confessed to my mom what I had done, and her reaction was great. And I thought I'd never have thoughts about when I did self-harm again because I finally confessed. I was wrong. Even with people telling me that it's okay, I did that, I can't shake the guilt I had around this event, and even more so the fear/guilt around my own thoughts... My therapist and I talk about how the problem isn't the thoughts but what the OCD does to them. I try to create positive neural pathways, but that just makes me more stressed about it. There are things I'm supposed to tell myself when I feel negative, but I think I get that confused and tell myself those things every time I have thoughts about what I did. Which is feeding into a mental compulsion (replacing every "bad" thought with a "good" one. What works for me is (if I can) do nothing and have the thoughts... It's been hard to get better because I have had no idea what's been happening to me and felt like for the last year I was going crazy... I always thought OCD was cleaning stuff and physical compulsions . Everything that happened to me happened in my head. On the worst days when my OCD is really bad, every single time I was conscious and aware, I was thinking about the fact that I did self-harm. I would lie in bed all day trying to figure out my thoughts because I thought if I watched TV, I would be avoiding important things. I thought I had to figure out all my thoughts. I would ruminate, replay, and second-guess all. day. long. It was hard to recognize it was OCD because I thought I had done something seriously bad and wrong, and that I must deserve these thoughts. I think the trick is that you feel like you must have positive thoughts, and the most distressing thing wasn't necessarily the fact that I did self-harm, but the fact that I couldn't stop thinking about it. I find the best thing you can do is just have all your thoughts in your head and try not to separate them from good and bad, if you can. It's nice to have people who understand!!!! More to come, about the journey. My favorite thing to say when I'm stuck is "that sly devil... OCD. Silly OCD is getting to me right now, but it won't last forever. That sneaky guy tricked me again" Love you!!!