@moriahfurman In OCD the method to stop doing compulsive behaviour is Exposure and Response Prevention therapy (ERP). This is part of Cognitive Behaviour Therapy, CBT. This means that you expose yourself to scary things and then don’t do your safety behaviours. For example: someone can be afraid of germs so they wash their hands too much and too often. In therapy they’d have to touch everything around them and not wash their hands. (That is preventing the response to the distress) This takes practise as it’s scary to do. But actions are very powerful for our brain. Once it learns that you will do what you *want* to do, and not the safety behaviours, it will start to send you less distressing thoughts. (Since you’re not going to do anything with them anyway)
In your case, I’d try to find other behaviours that are comforting but also good for you. Sounds like you’ll run into exposures automatically whenever you feel the need to pull your hair. And then choosing to do the new habit and not pull your hair is your repsonse prevention. Not pulling your hair probably feels *very* frustrating, but that’s normal. And actually you want that feeling to be pretty strong, too. That is the most powerful learning experience for your brain. It’s trying to keep you “safe” and “feeling well” in an unhelpful way so it needs to learn that we want to do other behaviours instead.
Some ideas for other behaviours:
- Make a nice cup of tea
- Sit under a blankie with a favourite book or series. Bonus points for candles or relaxing music.
- Breathing and relaxing exercises. The internet is full of them. I find that I often breath too shallow and I especially don’t breathe out fully. Letting all the air out and dropping your shoulders is very relaxing sometimes.
- Warm shower (I’m always cold). This is where it’s good to practise staying present and give our body peaceful touch instead of the hair pulling. Pay attention to the water on your skin and buy a good smelling and soft shower gel that feels nice. Try and create me-moments like this.
- And my personal favourite: plushies!! I have a big, soft shark plushie that’s perfect to hug whenever I’m stressed.
Ways to distract yourself if the urge for hair pulling feels too strong to ignore:
- Name everything around you that’s green (or another colour)
- Count back in your head from 100 to 0 in steps of 7 (or any number)
- Name 5 things you can see right now, 5 things you can hear, 5 things you can smell, 5 things you can feel etc.
These are all things to bring you in the present and that need a lot of brain power to help keep your mind off of other things like distressing thoughts and hair pulling.
The hair pulling probably gives you a hit of dopamine in your brain while the other, new behaviours will not give you the same, strong reaction in your brain, so it will really take some time for you to successfully quit the hair pulling since the urge is so strong. Practising often and in different kinds of situations will help you a lot. Bad days and “relapses” are part of the deal too, so expect them to happen so they don’t shock you. Keep a little tracker on how many times you’ve managed to not pull your hair and celebrate your progress every day, even if it’s just 1x.
Beating yourself up about it is not going to work. Your brain is trying to keep you from harm; so things like these might be bad for you but it’s really no use to punish yourself for them or see them as “bad” or “sinful” or whatever. If you could easily quit them you’d have done it already. This might be extra hard to keep in mind whenever other people tell you to stop or call it “nasty” or “bad” or whatever. (Since you live with your parents you might be dealing with that, too) It would be helpful if your parent supported you in your efforts to exchange the behaviours for other behaviours, by encouraging and praising you and reminding you of your progress. I hope your relationship with them is good enough for them to help you with this. Something to discuss with them, maybe.
Sorry to hear you don’t feel like you’ve got a good match with your therapist. I don’t know in which country you live, but you probably have a right to ask for another therapist. It’s what I would do. I know that’s very hard, but if you feel like the therapy is stagnating because of this then I’d try it. If this person is professional they’ll not take it personally and they would want you to have the best care, too. I’d talk to your parents about it.
Hang in there. Your age and puberty and stuff are making it extra hard right now, too. Puberty was the worst for me, esp 13-16. It does get much better, especially when you eventually go out on your own and you can make all your own decisions. That’s also the time that you further develop your identity and find out how you want to live your own way. In high school that’s often very hard to do I’ve found. So don’t feel like you have to have everything figured out, yet. You’re 15, there’s PLENTY of time for all that. :)
Sorry for the text wall, lol. I tend to ramble. 😂
Take care! ❤️