I think I need more resources

Hi everyone, I’m 21 and I was diagnosed with OCD at 16. I had a great therapist who was trained to treat OCD and we made a lot of progress, but I moved out of state for college and had to find someone new. I’ve been seeing someone else who is trained to treat OCD too for about a year now and they’ve been super helpful, but I feel like I’m caught in a cycle. I did some ERP and it has helped, but I think I need to focus on it more than I ever have. I’ve only ever gone to therapy once a week at most, and I considered that a lot. But I have been struggling a LOT the past few months, and have only really been addressing new stressors that have triggered my OCD, rather than doing actual exposure work. I’ve also been in the process of finding an effective medication, and the past few months have felt like a vicious cycle of weaning off of a med and trying a new one, the weaning period making my OCD horrible, my OCD cooling down, a few weeks of being as anxious as usual (upsetting things usually being a 6 or 7 and obsessing in small chunks for up to an hour a day), then chatting with my psychiatrist about a new med, rinse and repeat. I feel like I’ve kind of boomeranged in progress, and I wonder if I’d benefit from more intensive (2+ sessions a week) treatment with ERP to address the obsessions that have been making me miserable. For anyone who’s recovered from severe OCD or has gotten a good grip on it, what resources did you use? Did you do intensive therapy (lots of erp multiple times a week) or was once a week enough for you? Did you see an expert from NOCD or something else? How did medication come into play? I feel like I’ve plateaued, and I want to put the hard work in to get to a place where I have power over my ocd and can live a more care free life!

Anarch_Stirner

Date posted: 45w

I see a therapist once a week. You can also try contacting Patrick McGrath. I think nocd has good, affordable resources. There's also Jonathan Grayson's Center in LA and Nate Peterson also sees clients. Usually, if you can't afford the therapist, they'll advise someone cheaper. Steven Phillipson works in Manhattan, Fred Penzel on Long Island. Look them up too.

moe5

Date posted: 45w

At some point ocd can turn to be the topic. Try living with the uncertainty that you will never know how you are doing in recovery. Google "the complete client handout for acceptance and committing therapy" The search will return a PDF booklet with handouts of sheets to work with. An example of the worksheet is like 1. Defusing I'm noticing that I have the thought that ____________... 2. Expansion I'm allowing my self to tolerate the discomfort and leave with the possibility that maybe yes maybe no. 3. Acceptance I'm accepting the situation at its current state . 4. Realistic goal. I understanding I want to to do so and so but am going to make a realistic small goal . And most important give your self credit for every step of the way. As I'm typing this on my phone I'm shivering from anxiety that I make break my screen. I know it's OCD and slowly tolerating it. When I first seemed treatment my YBOC was score was over 25. At some point I got it down to the score of 5. Than I was tapered of medication and before I knew it my y oc score was 29. More than original assessment. As I'm recovering I learned that it can get hi and can get low. Eventually it will settle in . OCD is a very treatable condition and I'm living proof of it. I

galina

Date posted: 22w

New here and want to connect

I’m new to treatment and only realized I have OCD a few months ago. I went through a tough and abusive marriage and ended up getting divorced. I had my first panic attack several years ago and ended up needing to go on Lexapro. This helped me significantly and allowed me to leave my partner. Several years later and I decided to stop Lexapro because I thought I was good to go. I’m in a very healthy relationship, have a great job, friends/family, go to the gym and have a wonderful life. It’s been about a year off the meds and I’ve had some panic, but I’ve been able to manage it. For some reason, the last three weeks has been really difficult for me. I have different spirals and different thought processes: what if I’m schizophrenic? What if I have a deeper mental disorder? What if I hurt someone? What if I need to leave my partner? What if I end up becoming so depressed that I end up hurting myself? My brain just goes from one what if to the next and once I conquer one, the next one pops up with even more intensity. I started taking NAC and inositol and I’m taking saffron during the day because I really don’t wanna go on back on medication but sometimes my thoughts scare me and I’m convinced that I’m not gonna get better and I know that’s just the OCD loop, but I’m wondering if this resonates with anyone else!

Medicine2021_

Date posted: 19w

Suicidal OCD and harm OCD

I’ve recently been struggling a lot with OCD. I have had OCD for a long time I just didn’t realize it until more recently. About seven months ago I developed panic attacks one day randomly at work. I thought I was having a heart attack and went to the hospital where they told me it was just a panic attack and I assumed I would snap out and be better within a few days. However it didn’t. Here’s where it gets scary, I was staying at my then boyfriends house while dealing with blurry vision, anxiety attacks everyday, and more (unsure of what was going on). But at some point I saw my bfs (pew pew 🔫) on his table and it sent me into an anxiety attack after sudden thoughts that I was going to hurt myself with it. I begged him to put it away when I’m not looking so I didn’t know where he put it. He did. These thoughts lasted for about four days but began to go away. (I thought that was it and I would be back to normal). Unfortunately though I ended up moving back in with my family when we couldn’t get my panic attacks under control in time for me to get back to work and pay bills. However, coming home brought up a lot of trauma from when I was kid. My anxiety got worse but I didn’t have those thoughts again. About two and half months ago though, I got sick and went to the hospital where they gave me steroid pills and a steroid shot but sent me into some kind of psychiatric event. Ever since then though, I have been suffering from harm OCD, I have had moments of intense anger that I usually have to completely walk away and go on my own because of how intense they are, and it feels like it’s getting worse. Today I felt fine until about and hour and half ago where I started to dwell on the fact that my suicidal thought was influenced by my OCD and at the moment my OCD is at the worst it’s been. This caused me to get suddenly really depressed and I started crying thinking about how I can’t handle this. I then saw a post talking about how suicide rates are high for people with this form of OCD and it made me question if I am mentally strong enough to pull through this. I fear that at times I’m getting worse. I have good days but I have a lot of bad days. Unfortunately this sent me into such a bad panic attack I went over to my nanas crying about how I can’t deal with this. I took a 0.25 mg Xanax which helped calm down the panic attack portion of it but my brain is still uncomfortably active. I guess I just need hope. I’m so saddened by this. It’s like my life took a total 360 in 10 months and got even worse since the steroid shot. Idk what to do about it. I can’t stop the spiral. I talk to two different therapist weekly and start more next week, making it 5 times a week. I feel no improvements…

relapse101

Date posted: 10w

Relapse POCD

Hi all. Unfortunately I have relapsed with what I believe is POCD/ REOCD again. Im 33 going on 34 (m) and from the ages of around 23 to 26/27 had terrible OCD / shame and guilt from a mistake made in early teenage years ( Im going to say 11/12 ). It was truly the greatest struggle to make it through those years. From ages 27/28 to ~ 6 weeks ago my OCD was I would say 99% under control with the help of 150mg sertraline which was fantastic and allowed me to live as normally as I could have hoped for. A real event from almost 10 years ago randomly popped up in my mind , and the past 6 weeks have been truly awful with very little headspace for rational thought and certainly no good mood. A few panic attacks thrown in and an inability to hold my job down makes this seem like an impossible challenge to overcome. My mind is telling me its only a matter of time before police show to my door and Ill be socially berated. Ive become a bit paranoid and really do not feel worthy/ able for living a happy life going forward. Previously, on the earlier theme I had confessed to a parent not knowing it would be damaging in the long run and to be honest I dont know what helped to recover. Maybe I could have recovered sooner had I known it was definently OCD I was dealing with and effective treatment options. In the end I think I adopted a " so what" and "it is what it is" attitude after so much internal anguish which helped. With this theme, once again my mind tells me its not OCD and I am just feeling huge amounts of guilt for past actions which may never leave me. I do feel Im looking at this event in a very black and white manner however my mind wont allow anything else. Ive had days where I could function while being able to tell myself " if the worst case scenario happens, it happens " but Ive also had days where my mind tells me I wont survive another week of this guilt, let alone deal with the real life cosequences. I have no experience of ERP but I do intend to look into it. What makes me think it may be worthwhile is that last week while at work I came across an event on social media where someone went to jail for something "similar" ( my mind tells me my actions were worse ) and I just sat with the fear and anxiety which was awful in the moment - however I got some moments of positivy and become almost "carefree" that evening as the bad feelings came and went without giving in to compulsions ( main ones are googling and mental review/ re reading texts ) Of course they came back a day later . I guess Im just showing my face here so to speak, and letting you all know that there are others in the same fight, and that youre not alone. I appreciate all input. J Ps if anyone has had previous success on increasing sertraline from 150mg upward please let me know. I do feel I need a higher dose/ something more effective for this episode as I am not getting much relief from my thoughts. I have heard from some sertraline is more useful at higher doses ( 300/400 mg ) for OCD??? Any thoughts? Thank you

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