- 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
- 20w
Anyone have any tips on not making ERP a compulsion? I find myself sometimes wanting to do exposures in order to make myself feel better (feel my anxiety go down and feel relief). 😅
- Date posted
- 19w
Hi! It’s pretty difficult for me to get the courage to post this but I’m really struggling to figure out if what I’m experiencing is OCD or Anxiety or neither. I think I have the “pure O” type of OCD where most of my compulsions take the form of ruminating and trying to figure out something all in my head. When I hear this talked about in forums or online the intrusive thoughts don’t really match mine- I worry often about things that seem more “grounded” if that makes sense. A common one for me is my own identity- i will spend long amounts of time stuck in my head trying to figure out my feelings (often sadness or other real emotions I have and patterns I have) and why I feel that way and what in my life caused that and how it’s impacting other things in my life. I also think often about which parts of my personality are the real me and which aren’t. Sometimes this takes the form of strictly ruminating and sometimes I have fake conversations with people I know. It’s intense and I feel I have to figure it out but with no specific intrusive thought that says something like “you have to figure this out or all of your loved ones will die” but it’s very intense. I think also often of all of the decisions I need to make in the future and how they’re going to affect those I love and care about as well as how much I’ll regret them. I imagine all of the ways I think my actions will emotionally hurt others and how to make the least harmful decision, but to me this feels like a valid concern but go over and over and never come to a conclusion. I often just get scared and never make any move because I don’t see an option that doesn’t hurt someone somehow. But again I’m having a hard time identifying the intrusive thought behind it. But I also don’t choose to think about these things most of the time. This is almost all decisions but especially big life decisions. It’s such a struggle because they are things I eventually do have to make decisions about. There is so much more to it that would take too long to explain but in general a lot of my fears revolve around pleasing others/ understanding others emotions to ensure they’re okay, my own identity and personality, and work/school performance. Someone mentioned OCD to me because in my head it feels like I have to solve these things and will go over and over them but I seriously can’t figure out if it’s anxiety, OCD, or none of the above. It’s all very disruptive to my life. I am never not thinking or not trying to figure something out and I feel as if I have no control over it Anyone have any insight?
- Date posted
- 19w
I've got a smart watch that tracks my sleep. It gives data like heart rate, heart rate variability (HRV), respiratory rate, sleep cycles, restfullness, etc etc etc. Well, since the health OCD has gotten to its peak, I am noticing a false patterning coming from it. For context; I was sick 2 times in recent memory where sleeping heart rate and HRV became metrics that I could use to sort of track the illness. In the days leading up to it, I'd notice my heart rate going up and HRV going down (higher hrv is better.) Then when I was fully sick, my HRV would be up to 15ms less than normal. So now, when I look over my sleep data (because I like to look at data like that, it is interesting to me) and notice my HRV is lower than normal, it triggers intrusive thoughts of "am i getting sick again?" despite no other symptoms. Ruminating begins as I try to "figure out" the cause, despite knowing that stress can lower sleeping HRV. My question is; is it a compulsion to be looking at my sleep data? Should I avoid it altogether? Or is this exactly what ERP is; exposing myself to a triggering event and preventing the response? I look at the data either way and it is only alarming when I see something out of the ordinary. So, do I stop tracking my sleep, or is this a good small step for ERP?
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