Why do I need a title for a basic question?

@Invalid I just want to be functional again. I’ve always struggled with ADHD but the OCD part was well-managed for a few years. I used to have a good career and then was self-employed and had a good enough balance to live, then to exist. Things have gotten worse over the past few years, especially the last two years. I can’t handle my own life, let alone some major stressors, and very recently I’ve been left by my partner of almost ten years. I have felt like I’m a month away from homelessness for several months, and I’ve experienced excess and extreme guilt and shame for most of my life. I’ve been seeing counselors and doctors for my entire adult life and am now supposed to go out-of-state and out-of-pocket for the help I need, so at this point it’s really hard to see a way forward in life.

@oldin The feeling on the edge of homelessness with self employment is so relatable sometimes 😩 as for the relationship, I'm sorry to hear about that. What do you in your therapy sessions? What kind of therapy was it if you don't mind me asking?

@Wolfram I’m sorry for the late reply. Thanks for your response and kind words. I’m sorry that you find that relatable, too! I have *really* struggled with that lately, and as days tick by I have gotten less done with finding more work 😬. Regarding my therapy, I’ve never had insurance cover ERP like this app promotes. I have done a mixture of CBT and mostly talk therapy to be honest. Most of the other therapists I’ve met with have no training in OCD and I have ended up feeling worse, so I’ve mostly stuck with talking to my psych once a week or so for the past two years. As far as I know it’s unstructured, but she probably has specific ways she goes about responding to me.

@oldin Cbt can work for ocd as it did for me before but it didn't give me the understanding to be self sufficient when managing it. I hope youre starting to feel a little better and if not now, soon.

@Wolfram Thank you sincerely. I hope I do soon too. Been going through a whole lot the last 2 mo. I felt similarly with CBT, it helped with depression and some other things but not very much with OCD or avoidance. Did you end up doing another type of therapy that helped more?

@oldin Did cbt before but when life got stressful again it came back and didn't have the coping mechanisms I learned in ERP to get me back on my feet. I did only a few sessions of emdr regarding trauma and that was amazing. Then did 12 sessions of ERP for ocd and I hit remission or whatever they call it within 3 months (quicker than stats would indicate) without meds too. Once you know how to deal with it, run with it and know you will make mistakes, but mistakes are just learning curves

@Wolfram Thanks for sharing. I’m glad you found help with those. Do you mind if I ask, did your insurance cover those types of sessions?

@oldin I'm in the UK. Got covered by our health system the NHS. Didn't pay a thing

@Wolfram Ha, I could have guessed. My apologies for assuming you were in the US. I have state health coverage which isn’t too bad, but in my city (which is pretty big) there’s only one institution that focuses on OCD and they don’t take private or public insurance. The few therapists listed who are trained for EMDR or ERP don’t take public insurance either, of course, because with the lack of competition they can charge $200-300/hr and still fill their schedules.

Oh that's weird. Either way I'll do what I can