- User type
- Therapist
- Date posted
- 5y
I find separating triggers and thoughts easy enough, but separating obsessions from compulsions more difficult, especially when your compulsions are things like mental rumination.
Thank you for your input. It is much appreciated! I agree that the obsessive thought tends to run right into the compulsion. It’s hard to slow down enough to catch these things isn’t it!
For me at least, sometimes when you have mental compulsions, it almost feels like there is an “automatic transition” from obsession to compulsion. What I do is this, when that happens: 1) I first identify that I just did a mental compulsion (mental compulsions is when I purposely try to push my thoughts out of my head by reassuring myself, reviewing past events, etc) 2) then after I identify the mental compulsion, I accept the thought saying “maybe this (insert thought) is true, I’ll accept the uncertainty”. This gives me an opportunity to practice response prevention in the moment.
@NOCD Advocate - Stephen Smith By practicing response prevention after I did the compulsion, I look at this as a “retry”
I like the “retry”! Thank you for breaking that down too. That’s very helpful!
My compulsions are physical (i.e. touching the stove to ensure it's off). I already know hours in advance that I will start becoming anxious at a specific time of the day and will start doing compulsions. Once I start a compulsion, it is very difficult for me to stop because I know I'm letting my emotions overtake my logical thinking. I have to stop and think outloud, "What is it going to take for me to get this!" Then I panic and go back to doing the compulsion.
I've been through scary moments in the past and was able to get through it, so I'm asking myself why can't I get over this dumb fear !? The fear now is "being okay" with not doing any compulsions rather than the feared "worst case scenario" (stove causing a fire) because I already know the latter is highly unlikely.
I find my compulsions sometimes hard to identify too like maybe sometimes I don’t know if it is an obsession or a compulsion I don’t know if I am obsessing about a past event or if it is a compulsion to prove a point (that I am a terrible personn, a narcissist,...)
It makes a lot of sense. And sorry for the late reply. Thank you all for your posts, it’s super helpful for others to know they are not alone in these situations. I hear so often, how difficult it is to separate the trigger from the obsessive thought and to separate the compulsion from the obsessive thought. That’s why I call it a toxic cycle! It feeds itself. The self monitoring worksheet is very helpful. It breaks it down and possibly will help you to think differently about each part. I like to recommend that you listen to your body - when it starts to become uncomfortable, just that small flutter of worry, that is the obsessive thought. Sometimes it’s easier to think of the unwanted thought. The thought you are thinking that you don’t want to think but do not seem to have control over. Catch the thought and you can back track to the trigger. See a trained ERP therapist and they can help you do this. Once you have separated the trigger from the unwanted thought, image, urge it is much easier to see the behavior you are doing to distract, suppress, neutralize or make that though go away! Let me know what you think and thanks again for being here.
Hi bluegrass, I couldn’t pull that up but I can assure you there are lots of examples of the worksheet online, try therapistaid. You can find all kinds of workbooks etc. However, these tools are much more successful when you work with a professional that has been trained to do ERP. I shared a post about being a therapist for 20yrs. I’ve worked with many OCD clients using CBT and since joining NOCD I have been extensively trained to use ERP. My clients are more successful and obtained positive benefits - moments of peace from their obsessive thoughts came much quicker using ERP. I hope that is helpful!
I’m new to the app and wanting to know who else experiences this form of ocd. Some background I was a therapist for over 10 years now I am out of the clinical space. So I have background knowledge of ocd but never knew much about relationship ocd. I realized over the last several years with my now fiancé, that I have a hard time just letting go in general, whether that’s an argument or statement or feeling. I want to be able to just accept things at face value and move on (and talk later if my partner is ready as needed). But when conflict arises I can’t disengage till there is a clear resolution. It’s causing serious strife as he can feel trapped and it escalates the argument. I am reading more and this sounds like relationship OCD. Anyone else experience this? Curious on what others have done to work on this for themselves. I do have a therapist but we are not doing work in this area yet as I am realizing this is an actual concern.
Hi everyone! My name is Tara, I’m a therapist here at NOCD. Before becoming a therapist, I worked various jobs in arts, textiles, prop styling, I worked in restaurants... I basically did what I could do with an undergrad in art living in Brooklyn, with a secret hope that I might someday pursue a career in mental health. Fun fact, I held onto that hope for 10 whole years before I decided to take a risk and apply to grad school! I wanted to become a therapist because I just knew that this was a field where my mind could work at its best and do the most good. Anyone else here with ADHD may understand. I simply cannot retain long term focus on something if I don’t absolutely love it, and I absolutely love this work. Having a job where my sole purpose is to connect with others and help them tap into their inner strength is an actual dream come true. I specifically love working with Exposure and Response Prevention and treating OCD, since the whole point of ERP is to show you you’re braver than you think you are. And it works so, so well. If you have a fear, and you think you “can’t” approach it, know that you most likely can. It might take some time to prove that to yourself, but with time and a steady dose of discomfort, you’ll get there. I’m sure that “discomfort” part didn’t sound appealing but let me ask you this - does OCD make you feel uncomfortable? Why not put some of that discomfort to work, in your favor? If you’re struggling with OCD, or you think you might be, know that you probably already have what it takes to thrive in ERP. You’re here. You recognized that you were struggling, you decided to find help, you downloaded the app, and you started reading through posts. I’m sure somewhere along the line, you felt at least a little uncomfortable, and you decided to take the next step anyway. That’s ERP in a nutshell :) Please ask me anything about OCD, your current symptoms or ERP. I’ll be responding over the next 2 days to questions.
Hi there, I’m new to NOCD and just want to say that I’ve been depressed and feel as though this opportunity could potentially connect me to people who struggle with similar issues. We’re not certain I have ocd, but I do exhibit symptoms that do seem to fall under ocd’s general category. So I’d like to ask whoever reads this: what are some good ways to engage with this community that might benefit me the most? I’ve been seeing that people struggle with many different intrusive thoughts and some of them (for example dating related or jealousy) I’ve definitely experienced. Is there a way for me to possibly filter based on subtype, and for that matter also how can I best stay safe on this platform? I see there are trigger warnings but do people sometimes post triggering content without them? How about if I receive rude or abusive comments, things like that. I do struggle with many different intrusive thoughts and so may run into darker threads if I filter for those subtypes. Also, I tagged the subtypes that seem to apply to me the most here. Thank you!
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