- Date posted
- 5y
- Date posted
- 5y
I see where you're getting confused. Let's try to straighten it out :) the obsession is the initial scary thought. It is spontaneous and elicits distress. The thinking about it, googling, and ruminating are compulsions. Those are behaviors that you respond to the obsessions with. As you've now noticed, any relief you used to get from them has vanished. Exposure and Response Prevention has two parts. Exposure is when we intentionally trigger an obsession. Response Prevention is when we choose not to do compulsions. Response Prevention is the more important part. This impact ERP has is to cause distress at first, but that distress isn't the goal. Think of ERP like lifting weights to build muscle. Lifting weights causes muscle a he's and soreness, but that's not the point of it. You wouldn't intentionally injure your muscles to cause that pain. I'd reframe the goal of ERP practice to be "I can have uncomfortable thoughts and all the feelings that come with them and still function effectively"
- Date posted
- 5y
Thank you for taking your time to answer this, it means a lot. And that makes a lot of sense! I do always have the initial panic from the thought but I'm getting pretty good at letting it go and not reacting to it. ? I learned all of this through talk therapy though and a mixture of acceptance and response (I think that's what it's called) and CBT. I'm really nervous about ERP because I'm scared I'll mess up the progress I've made and what really threw me for a loop was my couselor asking if I stopped the thinking so I didn't feel the distress. Well yes, but also I stop it because it's an compulsionand does me no good. So I'm worried now that stopping the compulsion is a compulsion in itself. But I don't really think that's true. I'm nervous though that I may be told to not stop the thinking and let myself ruminate and get more panicky. It's amazing how when I focus on the body and just the sensations, my distress may be intense but it's completely manageable and I can handle it. It's when I'm making it worse by being in my head that is really excruciating.
- Date posted
- 5y
I do the "remember when I was a kid thing" a lot and always try to find evidence that matches my schema. Brains are silly sometimes. ? I also do scenarios like the one you mentioned but it's normally over the course of 20 minutes and is a product of catastrophizcatastrophizing. But hey, that might be a great idea. Yeah, maybe this is horrible. Maybe my husband will leave me. I'll be all alone and sad for the rest of my life. And then fight the urge to keep thinking about it or telling someone.
- Date posted
- 5y
It takes a lot of practice to master, but trust me it’s worth it. And Katie is exactly right, it’s kinda like weight lifting. Think of OCD has a heavy 100 pound weight you carry with you around daily, the more you train though. Eventually that 100 pound weight will feel like it’s 5 pounds, it’s still there mind you but it’s only an annoyance.
- Date posted
- 5y
Can't wait to give it all I got!
- Date posted
- 5y
There's a difference between repeating the thought that scared you until it gets boring and ruminating
- Date posted
- 5y
Well dang it, I don't know the difference.
- Date posted
- 5y
@christinejg94 Ruminating adds to the fear. It's trying to find evidence for or against it. Planning ways to avoid it, waffling over whether it's real, hypothesizing what it means about you and your past and future. Checking for what sensations it brings on. If I remember correctly from our other conversation, your fear is of being a pedophile. I'm going to pull examples of the fear and of ruminating from that thread. Give me a minute
- Date posted
- 5y
@NOCD Advocate - Katie Scrap that, I can't find the post I'm looking for. I think I'm getting conversations confused. My bad. I'll just create examples. Here is an example of a fear you could repeat over and over as imaginal exposure. "I'm using a huge sharp knife to chop a watermelon. suddenly, the urge to chip off my hand overwhelms me. WHAM!!!! I just did it. My arm is on fire. It's the worst pain if my life. There's my hand lying dead and bloody on the cutting board. I wrap up my stump and call 911. Just as the paramedics arrive, I pass out from the agony. When I wake up, I'm in a hospital bed. My remaining arm is in restraints. They must think I'm going to harm myself again. I live out the rest of my days in a psychiatric hospital, needing help with basic tasks because big my missing hand. My life is over." Ruminating on the fear if cutting off your hand would sound like "arghh!!! I hate that thought. I'd never do that... Would I? Remember that time as a kid at camp when I burned myself on a snore, maybe that was intentional and I've just tricked myself into believing it was an accident. How can I know for sure? I'd better think some more. I had that dream about my arms falling off, maybe that's a sign. But I hate gory movies... How could I want to chop my hand off if blood disgusts me. That's good, I probably won't do it. NO I WONT do it!.... But maybe I should hide the knives just in case. My therapist says this is OCD. She's really knowledgeable, but I still have a niggling doubt. Better start googling to see if people have similar symptoms. How horrible would it be if I did ERP and then actually DID cut my hand off. Has anyone's OCD fear actually come true? Let's ask people.... I'm going to imagine it again to see if I was really scared. OH GOD!!! MY HEART DIDN'T RACE THIS TIME! that must mean it doesn't scare me. I'm gonna do it, I just know it! But I don't want to! I'll let my husband do all the cooking from now on. And do some more googling to see if the fear comes true...."
- Date posted
- 5y
@NOCD Advocate - Katie This is a very good example! Thanks
- Date posted
- 5y
Ah, yeah, what I do is definitely ruminating. I look for evidence for a lot of stuff like that. Pedophilia isn't my major fear, I don't feed that one a lot so it normally leaves me alone, lol. The majority of my distress comes from past actions. I have a memory, feel an intense amounamount of guilt or shame or fear and then analyze it a million ways to figure out how bad it is and then fight the urge to confess it to someone so they know.
- Date posted
- 5y
Thanks for being understanding of my mix up
- Date posted
- 5y
@NOCD Advocate - Katie There's so many themes on here, it's no problem. Even if you used an example of that I'm sure I could gain knowledge from it.
- Date posted
- 5y
It's like a big "f you" to the anxiety when you imagine the worst case scenario up front.
- Date posted
- 5y
Exactly. And then let it get boring. Like a radio song you've heard a thousand times
- Date posted
- 5y
I'll try that. I like the SOS feature on here and normally I just sit with the thought or say, "it's just a thought." But for the really bad ones I have just sat with the worst case scenario. I'll try that more often.
- Date posted
- 5y
Thanks for all your input today, it's been really insightful.
Related posts
- Date posted
- 22w
I'm thinking of trying some ERP on my own while I wait for treatment, but I'm having some trouble knowing what is a compulsion and what would be good exposure. For example, I have huge fears of being a narcissist and/or a generally bad person. So whenever I watch a movie or read something that has an evil character in it I automatically compare myself to that character and stress over if I'm like that person. A couple of things I do when this happens is Google other people's experiences, seek reassurance, rumination, etc. Sometimes I'll also google different symptoms of narcissism, freak out over things that I relate to, then get relief over things I don't. So my confusion is, would researching people who have narcissism be an exposure, or a compulsion since it's something I sometimes do during a spiral? Or, would the exposure be watching movies/living life hearing these stories, and refraining from the spiral of rumination and no Googling at all?
- Date posted
- 20w
So I think what's been so specifically tough for me (idk if this is what others go through with the real event stuff) is that ... Well I basically have this mental system... - Something has been dealt with -- which means it's "ok" it's "acceptable" assessment of ___. Rumination to "problem solve" with the intrusive thought. - CONSTANT inquiries to Challenge that previous assessment conclusion i.e. "no that hasn't actually been deal with, you didn't think about ____ or this other angle or this other new thing related to it" etc. Idk how tf you fix that with ERP? Idk up from down at this point Is the "system" OCD? Should people not try to problem solve (even though it's actually rumination)? Should I not engage with the "challenges?" HOW TF does Peace of Mind actually happen when the answers seem to be "you must be delusional" or "you must leave (significant) things un-dealt with / open ended" Like, what's that actual solution here? Hopefully this made sense. Thanks
- Date posted
- 17w
There’s this one situation that I haven’t stopped thinking about from last night . So basically, I was reading 'The power of Now' which is a book that I love so much and really got me into spirituality. It’s been so helpful for my OCD and rumination but it’s also been pretty triggering for it as of late, so I’ve taken a long break from consistently reading it. The excerpt I read was about abundance and how its not about being bountiful, necessarily in material things but realizing and being grateful for the things that exist in your life now and in doing so, you will open yourself up to more good things. I understood it but I re-read it a lot because I didn't feel confident enough to explain it to someone else. but otherwise I LOVED IT. It made me feel so at peace, I agreed with it, and it gave me hope to start focusing on the good things in my life rather than the bad. So when I went to bed I rehearsed myself explaining it to someone on a podcast and then all these questions started flooding in like “why should I only focus on the good and aren't we supposed to accept the good and bad? Aren’t those the values of Buddha and spirituality” “Ya, we're supposed to accept the good and the bad but why?- so we can feel more good??? And isn't the point of OCD to not label things as good and bad? and why should I focus on the good- so I can feel good? why should I feel good? because I'm worthy of it? why am I worthy of it? because I'm a good person and do good things? well I’ve also done bad things so why shouldn't I consider that. I just don’t understand why I should feel good without it being selfish. And then this went on for like 2 or 3 hours. Like holy shit. I over explain these ideas and concepts that I resonate with to the point where they don't even make sense to me anymore. It becomes very existensial very quick. And I’m not suicidal but these questions make me feel hopeless in society for some reason?? And myself. Like if everything contradicts everything then what’s the point to life? If nothing can be understood or explained in a senseful way, then how do people move forward and make decisions, like AT ALL? There’s never a right or perfect answer and I feel like with any decision I make in regards, I’m doing a compulsion either way. If I don’t answer them, then I’m avoiding it and if I do then I’m checking and seeking reassurance. I’m sorry if this was way too long and over-explained I just need some advice or to know if anyone can relate in any way. Also, I’m sorry if some of those back-to-back questions were triggering.
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