I’ve learned in my MANY years of dealing with ocd and Tourette’s tics and the many way in they manifest is that caffeine is a HUGE culprit on how strong the urges are. Ocd is all about the urge. When the urge to ruminate or complete a ritual or whatever it is one does is really strong, that is when it seems almost impossible to resist. Caffeine makes that urge a lot stronger. Same with nicotine.. quite caffeine and you’ll more than likely experience less powerful urges therefore they are easier to resist and control and it makes practicing CBT a LOT easier. Diet plays a huge role as well I’ve discovered. Anyway, just thought I’d throw that out there

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.

These treatments are not designed for OCD sufferers because they treat OCD like a logic disorder when OCD is very far from that. Hence why, many patients do not recover with these treatments. ⭐️ Talk therapy involves doing a lot of compulsions like rumination, reassurance-seeking, trying to figure out your thoughts, Etc. ⭐️ Similarly, standard ICBT also involves compulsions such as arguing with your thoughts. For example, if you have POCD, your therapist might say “you know you’re not p*do so just ignore the thoughts.” This is reassurance and can turn into another compulsion called thought-blocking. ‼️A reputable therapist here (Tracie Ibrahim) has told us in a support group that ICBT isn’t even evidence-based (even though people claim that it is) ⭐️ Beware of Instagram “coaches” who want your money and say they specialize in a very specific subtype of OCD (ex. relationship OCD). A good ERP therapist would know that all OCD subtypes are treated the same way so the subtype shouldn’t matter. An ERP therapist should be knowledgeable in all of them because all OCD is just OCD. One of the only things that may differ is the type of exposures you have to do. ⭐️ Also, I suggest you do not use drugs & alcohol as a crutch. You will struggle with your OCD without those, which can possibly lead to addictions. Those substances can even increase your OCD symptoms. ❤️ What I do recommend for OCD recovery: ERP therapy, behavioral activation, ACT, mindfulness, self-compassion, OCD community support, healthy distractions, bonding time with family and friends, and healthy lifestyle habits. These habits include healthy eating (try to stay away from processed foods), going out on nature walks, consistent sleep, and consistent exercise. Let me know in the comments below if you have any extra tips for what’s been helping you through your OCD journey👇

OCD master post Do's and don'ts of ocd: Don't : Try to ignore (avoidance) Try to make sense of it (Ruminate) Act on it (compulsion) Argue with it (basically Ruminating) Distract yourself in spite of it (avoidance) All of the above will make ocd worse and does not work. Do: Acknowledge it Accept uncertainty Redirect your attention once acknowledged to something else Have healthy distractions available (try to use different ones every now and then to avoid creating a compulsion) Exaggerate the thought until its ridiculous, borderline unrealistic and funny. Respond with "maybe, maybe not", " sure", "cool", "thanks, you do you, I'm gonna do my thing, feel free to stay though" The above responses can train your mind to not deem them as threats and over time will trigger the fight or flight response less and less. You'll most likely make mistakes here and there but as long as you stay vigilant and don't get complacent, this should help. Ironic process theory and our internal alarm system: https://youtu.be/xoSlOnUuw-U?feature=shared Ironic process theory is to do with attachment and the idea of non-existence. The more we try to not think about something that already exists as a thought the more it'll prove it exists and demands your attention. With attachment, people tend to ignore or argue against in spite of the thought. If you do this you are doing it because of the thought, therefore giving it more life. Thirdly your brain will start to set an internal alarm via thoughts and hormones or even bodily reactions every time you are stressed, just to see if you're not stressed about that trigger even if it's not what triggered you in the moment. To combat this, you'll need to find a way to deal with the thoughts directly and let them be and get through it via Erp, or being able to accept the thought as a thought and redirecting your attention without attachment (despite or regardless of the thoughts) Erp done effectively: When you do Erp in therapy sessions, it's done in a controlled way and on your own terms. A lot of people make the mistake of only doing it in therapy with only ocd related themes. Truth is, you can do it with any level of discomfort and it's good to practice whenever you can as long as you're mindful of other people. When you're doing it out of therapy and on your own terms, you challenge a potential trigger and then welcome the feeling that follows. I find welcoming or accepting the feelings existence helps a lot. I would welcome the fear and all the horrible feelings until I'm crying and trembling and on the edge of a panic attack, the feeling always fades and trains your brain not to deem it as a threat anymore. No more ocd firedrills. Why practice is valuable. Imagine you have a boxing match with an opponent coming up, and that opponent is tough. They train every day, and you don't train at all. Who do you think will win when the day of the fight comes around? The opponent of course. So train yourself so you stand a fighting chance or risk getting your butt kicked every time OCD enters the ring. Hormones and circadian ryhtm: So the circadian rhythm is your internal body clock. Your hormones learn patterns and release at certain times of day. Usually based on the amount of sunlight exposure you get. Cortisol the stress hormone is the one to wake us up and if you do not find a way to deal with those hormones first thing, your ocd alarm will go off and bring up scenarios or thoughts to fill in the gap as to why your body is stressed. ERP, Exercise, breathing meditations, cold plunges are great for the morning to eliminate excess cortisol. Sunlight helps too, roughly 30 minute exposures is enough to help keep your circadian rhythm healthy. Melatonin kicks in when it starts to get dark or you've went through your hormone reserves for the day. The more you go through in a healthy way, the better you'll sleep. Rough neuro science explanation : https://youtu.be/BJshegpcFv8?feature=shared So your brain will use one of 2 pathways to process external stimuli. The direct pathway, being the shortest route to process in case of a threat or perceived threat. This pathway is dominant in those who have ocd. The there's the indirect pathway which takes longer but is related to rationalising thoughts. This pathway is used less by people with ocd. This pathway requires sufficient seratonin levels in order to be used and that's why SSRIs are popular medications for people with ocd. Food and drink consumption: So I tested myself based on lots of personal research around what we put in our body and how it effects ocd. Sugar, fructose and glucose levels spike quite quickly depending on your source. It can lead your body being stressed and releasing the corresponding hormones to notify you are stressed, then your brain will try fill in the gap whether you're aware of this or not. Whole fruits tend to be the best source as they contain fibre, acting as a slow release of energy rather than flooding your system. Caffeine has the same effect without question, and also screws up your circadian rhythm if not taken at sensible times. Trans fats, saturated fats and processed foods are also bad. These may not effect your brain as quickly as sugar or caffeine but stress your body over a slower and longer period. All of the above are not just inflammatories for your muscles and organs, they are neuro inflammatories, making it much harder for your brain to use the indirect pathway for rationalising your thoughts, therefore supporting the direct neuropathway and your usual OCD patterns. The foods I started to eat are heavy in anti inflammatories to help my brain function better, anti oxidants to help lower the stress in my body, and food that support seratonin production to promote the use of the indirect neural pathway. The list below is vegan friendly, but you can look into this to suit your preferred needs ●Tryptophan - leafy greens, sunflower seeds, water cress, soy beans, pumpkin seeds, mushrooms, brocoli, peas ●vit b6 - nutritional yeast, muesli, avacado, pistachio nuts, butternut squash, banana, quinoa, brown spaghetti, chestnuts, hazelnuts, oranges, tahini, potatoes, chickpeas, kidney beans, peanuts ●higher b12 complex - yeast extract, Soya milk, almond milk, tofu, tempeh, seaweed, beetroot ●Vit D - portobello mushrooms, shitake mushrooms, orange juice, soya yoghurt ●zinc - beans, cashew nuts, Lentils, chia seeds, linseed, hemp seeds, wholemeal bread, blackberries, pomegranate juice, spinach, strawberries, pecan nuts, Brazil nuts, oatmeal ●Complex carbs - quinoa, brown rice, peas, corn, sweet potatoes, barley, lentils, nuts, legumes ●Thiamine / Vit b1 - beans, peas, legumes, nuts, brown rice ●Monounsaturated fats - extra virgin olive oil, other oils, nuts and avacados ●Vit c - guava, peppers, kiwi, mango, papaya, strawberries, brocoli ●Polyphenols - berries, dark chocolate, cocoa powder, nuts, flax seeds, olives, green tea, artichoke, red grapes, spinach ●Antioxidant - Brocoli, spinach, carrots, potatoes, artichoke, cabbage, beetroot, kale, spices ●Anti inflammatories - olive oil, avacado, walnuts, tomatoes, dark chocolate, leafy greens, brocoli, ginger, turmeric, berries, grapes, chia seeds, pepper, garlic, spirulina ●Raisins, red wine, grapes Mindfulness and being in the moment: So our brains do not know the difference between a real threat and a perceived threat and will react the same regardless of how we can rationalise it. A lot of us are stuck in the past or the future and mindfulness promotes being present. The past and future are both illusions of the mind. They are not happening now but our ocd brains react as if they are real. Anything that is not happening now isn't real. So practicing anything that will pull you closer to the present moment will help to ground you in reality. Everything that doesnt exist in the present is infinite and we cannot be certain of any of it, all we can be certain of is the here and now. Core values, self judgement and breaking the cycle : A lot of us are stuck in cycles, going around and around. These cycles are due to a lot of our core values and the thoughts/ past actions not lining up with the. These can be caused by trauma and/ or conditioning. Usually we can't let go because something clashed with the way in which we judge things, but the problem doesn't actually lie in our focus, but the values in which we judge them. The problem isn't what we weigh, but the scale itself. This is where it can get tricky, especially if what we think feels justified. It's not that your judging the scenario, actions or thoughts incorrectly, it's that your values are a bit on the extreme side. For example, I had harm ocd for 2 years and it was telling me to hurt everyone and everything in every way possible. This theme came about because I had a random intrusive thought once that clashed with my extreme values on morals having been raised by a reformed ex gangster and animal rights activist. The fault was caused by the conditioning I received. So when you go into therapy, please try to understand your conditioning and challenge them through Erp and some self compassion because it's not your fault. Where the fault lies does not matter, because that doesn't change what you need to do. You have to heal yourself regardless of it all.