- User type
- Therapist
- Date posted
- 5y
Hi OCDLatter-daySaint. I feel the longer appt times are helpful, especially in the beginning when you are learning the basics of ERP. I have to say, the homework is very important. Learning how to do the ERP at home is paramount to you staying successful. If a certain part of the homework is difficult or you keep finding yourself shying away from certain parts or even all of it, talk to your therapist about ways to navigate around these roadblocks. There is almost akaways a reason we put things off or shy away from certain things. I would work on increasing my awareness of any negative thoughts and triggers. Problem solve those away and then get right back to your ERP. Good luck!
Thank you Terrie! We talked a little bit about once and he hasn’t put too much pressure on me since I have adhd and depression and am really hard on myself. So it makes sense now...if I were doing things outside my appointments I’d be progressing a lot faster. Good to know. Thank you!
@OCDLatter-daySaint Your are welcome! I wish you lots of success. In my experience, My clients who know how to do ERP on their own, practice more and almost becomes a new habit. As soon as they get triggered, they recognize the obsessive thought pattern that follows and they go right to Exposure Response Prevention. Also, something to note that may be helpful - the trigger or thought pattern can change all of a sudden. You may start having a new theme of obsessive thoughts and that’s not unusual. Go back to your training, as long as you are recognizing the pattern you can go right into your ERP training and stop the toxic cycle! I know I make it sound easy and everyone here knows it’s not! But your consistency will make it much easier! Good luck to you, keep rolling along and you will be on this site telling your success stories. ?
Hi j420. I’m sorry you are struggling. It sounds quite severe. I have worked with many OCD clients that suffer from Harm thoughts - HOCD. The harm thoughts can be about you or others, either way it’s a difficult form of OCD. The ERP works the same way. You will be triggered to think the suicidal thoughts. It could be a physical trigger, it could be an emotion like loneliness. As soon as the thought enters your mind, don’t go to the compulsion of checking. Checking in with yourself, going online, seeking reassurance from family and friends. Instead, stay with the actual thought, question it - because it’s not a fact, it is a thought. Stay with the uncertainty, maybe I feel this way, maybe I won’t feel this way. Maybe I can feel better. Once the anxiety starts to lessen and you start to calm down, stay present. Do your grateful list. Turn your thoughts to a positive if that’s possible. Did you know that it is a proven fact, much research has be done to prove if you even try to do a grateful list, you increase endorphins and feel better for a second. Stuck with your thought, prevent the compulsion by doing your response prevention and stay present. I hope that is helpful to you today!
I've got a therapist but it's becoming so expensive!! I got let go from work mainly because I've been having such a hard time functioning with all this. That's why I'm asking for things to try on my own. My work I thought was pretty good but now because I got let go I really think they just didn't want the headache of me. It's hard to prove that
I hear that story often. It’s difficult to function daily like normal when your mind is so busy thinking these negative thoughts. I know therapy can be costly when your insurance doesn’t cover the sessions. I’m glad you are here and hopefully get something positive from others sharing similar stories. Thank you for your honesty and sharing your story!
Any updates on NOCD premium in other states?
We’ll be in 17 states by March 1st and many more soon after!
Can you do self monitoring without worksheets? What would you suggest? Thanks
Yes you can do self monitoring without the worksheets but I find it’s easy to forget and that the worksheet really helps to separate the trigger from the obsessive unwanted thoughts and from the following compulsion. Does that help?
Terrie123. I got a notification that you commented to me but when I try to open it to read it, it says the post is gone
Maybe it was me replying above or she replied to a different post?
Let me check it out when i get back to my office and I will get back to you. Thanks for letting me know.
?
I checked it out and I’m still not certain if it was someone else posting to that conversation or not. I will watch for this to happen again. Thanks for bringing it to our attention.
I’ve been working with my therapist for years. We recently started doing ERP and are having success now. But I read Steve’s thing about being over OCD in weeks and couldn’t believe it. Am I doing something wrong? I mean I have adhd and don’t ever do homework...so to really only focus on therapy during aooointments. Is that why others have progressed faster than me? Could it be my ocd is worse than these other people?
How come your therapist didn’t start doing erp till recently?
I'm LDS too
@ocdmaybe Sorry my reply didn’t go under your post
@OCDLatter-daySaint No worries!
Well we did some before. But I’m not sure why we didn’t do more. I’m quite the talker so I think I would come in and just talk a ton about what I was dealing with and what to do when it happened. So we did a lot of cognitive behavior therapy (CBT). We started doing ERP a bit but then my insurance wasn’t paying for my appointments so he is letting me work with him at his home (the hospital lets him do that with patients who’s insurance won’t cover it) at a cheaper rate. I told him I wanted to do more and he said we could get a lot more done with 2 hour appointments and we started doing ERP again and that’s when things have really picked up. But I wonder if it could be even better?
I'm so depressed. It scares me how bad I'm depressed but at times I feel I don't care anymore. Has anyone had suicidal themed OCD here?. I've been told and listened to the OCD stories podcast and they say it is a real form of OCD. How do you practise erp with this or loose the anxiety that comes with it.??? PLEASE
Suppose to say Stick with your thought! Good luck ?
Terrie. How would you suggest response prevention again? It's hard to understand because it feels so real. Depression.... Let me ask you this.... So except the uncertainty that I might do it or might not? Maybe hold a dangerous tool? What exactly do you mean about staying present?
The uncertainty of this feeling is very uncomfortable.
So Terrie are you saying part of the compulsion with this is asking friends, family for assurance that I'm ok or even just telling them I'm depressed. Please respond to this. Thanks
Hi j420. I would not suggest doing anything dangerous. Just trying to give examples of ERP to someone who is not a client is a challenge. That’s why it’s so important to do ERP with a professional. If you read some of the posts in the community, many users have commented about trying ERP on their own and it not working. I hope that you will be able to find a therapist that can work with you. To answer your other question about seeking reassurance. Having support people in your life is a blessing. We are so lucky to be able to talk to others when we are feeling sad, hopeless, frustrated. It’s a positive thing to be able to share your feelings with others. That’s different from a compulsion. Seeking reassurance, asking over and over and over the same theme of thought. Thats a compulsion. I hope that is helpful.
Thanks
I just completed a check in with my therapist today so naturally I reflected on my journey with OCD. Summer/Fall of 2023 feels like a swath of darkness. Bombarded with horrible intrusive thoughts, I thought my life was over. I did not see the light at the end of the tunnel. I hated myself. Life lost meaning for me and it felt as if every hope and dream was shattered. Needless to say my life was lost to me during a time when I should have been enjoying it the most. I was post grad with a good job lined up. But none of it mattered- my mind was as broken. Thank God, I had some small voice in me that urged me forward and to get help. So I did. I felt so scared and unsure. Was I doing the wrong thing going to therapy? I was not. It was the best decision I made for myself. Fast forward to nearly two years later, my life couldn’t be more different. I see and feel the light. I have so much love and gratitude for myself and for everyone who helped me along the journey. My therapist, my family, all the brave content creators who openly speak about their experiences, no matter how taboo. I won’t lie, it was a lot of work. And I had to learn to be uncomfortable and deal with frustrations. I had to learn to trust myself. I still deal with sticky and intrusive thoughts but my response and my daily life despite them can not be more different. So I am here to be proof to you that there is so much hope. If you don’t have the little voice in you urging you forward, than I will be just that. Go to therapy, get help, put in the work. It is so worth it. Every time there is a setback, and there will be many, push through. Feel free to ask questions! But no reassurance will be given.
Just wanted to give some hope to those who are having ocd spikes, spirals and worries. This past year I have regained my life back. I went from beginning to isolate myself, being convinced by my ocd that my hobbies are bad and that I should avoid things I enjoyed, and having constant panic attacks. With the work of IOP, psychiatry and nocd, I have made great strives towards my future. I now don’t avoid things and instead embrace my life and ANY possibility that may come. Don’t let the ocd bully you. Yes, I have intrusive thoughts still but I am able to go about my day instead of obsessing over them. You can find this too. I encourage anyone on the fence to please seek help if you are in a tough time, it can literally save your life.
I am FINALLY starting to (somewhat) recover from this last existential spiral, which admittedly, was probably the cruelest my OCD has ever been to me. Only thanks to you all. You were all able to provide me with kindness, understanding and support… without the kind of reassurance that feeds OCD, of course. When I downloaded this app, I was genuinely terrified. I was so scared that I was permanently doomed to the endless whirlpool that is the thoughts produced by my own brain and that life as I knew it was over, that I would never be happy again. For anyone who might be feeling that way right now, your OCD is LYING to you! Whatever you may be going through, it CAN get better. As hard as it may be right now, HAVE FAITH! Get up and do that thing you want to do in spite of the fear and discomfort. Take the fear with you like a whiny, unwilling toddler and do it anyway. Watch the movie, read the book, order that takeout you’ve been craving, bake the cake, wash the dishes… Please do it anyway! It will be hard at first, I won’t lie. But the OCD part of your brain, like a toxic partner, WANTS to win. It wants you to give up on those things that you love, all those things that make you happy so that there’s no space for anything but itself. Don’t let it win. The more you push yourself, the more you rewire your brain to realize that as much as it may feel like, the obsession doesn’t matter! Thanks to you all, even without therapy (YET - I’m starting that journey on Tuesday because there’s still a lot to unpack, and I know that OCD won’t just magically go away), I was able to get a basic understanding of ERP and learning to sit with discomfort and how to live life in spite of it, rather than letting it take over my very being. So for that, I thank this community. I think I would be in a very different place right now if it weren’t for the people I’ve met here who truly understood my experiences. I hope you have a wonderful day. Please don’t give up. You deserve to be happy, no matter what your brain is telling you ❤️
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