- Date posted
- 7y
- Date posted
- 7y
@marksmarksmarks ERP is a type of CBT therapy.
- Date posted
- 7y
Still appreciate your thoughts though.
- Date posted
- 7y
@marksmarksmarks This study used behavioral therapy (ERP) which is a type of CBT therapy. I posted this article in hopes it could help someone who is struggling with doing ERP by realizing the results of ERP are very real: actual changes to the brain. :)
- Date posted
- 7y
Thank you for the link. I personally have a better results with exposure therapy. CBT works with beliefs and it is all well. I noticed that the more I was focusing and searching for problematic cognitions the bigger the issue became, deeper the problem. Moreover, the period between plan and action becomes longer weakening my self-image. CBT seems to offer an easier way, but it may become a false illusion, there is no easy way for a change in behavior, so you need a gradual habituation. I am not a pro, only my expierience and thoughts. And I don’t know about OCD so much. I heard that CBT is also very successful in studies vs. exposure. Perhaps it is individual.. Some CBT have also the exposure involved. Positive self-talk should also help. Again, my feeling is that the shorter the way between intention and action, the better, even when it feels hard. By deepening the issue and reflecting about the problem we indirectly tell ourselves that we cannot manage the new behavior without new some new thoughts and feeling we may not have solved all the problems spending too many time on the reflection and damaging the self image belief to be able to immediately act on new behavior.
- Date posted
- 7y
(They are this comparison in studies cognitive therapy versus behavioristic. But like you say, exposure is often involved)Perhaps the combination is a good idea. Thank you for the advice!
- Date posted
- 7y
Thanks for posting this Pineapple. I find that research regarding the real hard evidence for doing ERP helps me stick to it. It’s definitely encouraging. I wonder though if it works the other way too - doing rituals for too long makes the pathways in the brain more engrained and the OCD harder to treat. Like, how long do you have to do exposures to see these benefits and does it depend on how long the OCD went untreated?
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- User type
- Therapist
- Date posted
- 23w
I was just thinking about how OCD tries to be tricky and switches themes on us!! The amount of times I have said to myself in the past, IF ONLY I HAD THE OLDER THEME I USE TO WORRY ABOUT BECAUSE THIS NEW ONE IS SO MUCH WORSE!!! Has anyone ever experienced this before? Once I started ERP therapy, I began to really start understanding what mental/physical compulsions I was doing to really keep my OCD alive! While I did this, I would also tap into my self-compassion bucket, even when it felt like it was dry at times, because it was SO easy to judge myself for because of the sheer presence of my thoughts. I would also have the most self-compassion for myself for those taboo intrusive thoughts that really felt so strong, ego-dystonic and real!!! My OCD would hop around from theme to theme and just when I thought I figured it out (compulsion) it would hop again and make me discouraged! I noticed for me that once I really understood my compulsions, it didn't matter when the theme switched as I could tackle it at its core. If I was able to stay steadfast and resist compulsions the best I could, I started to notice that my CONFIDENCE increased in the long run! I also noticed that some of the core fears were the same for different OCD subtypes. OCD treatment is hard BUT living with OCD is harder. I have experienced subtypes including Harm OCD, ROCD, Moral Scrupulosity, Sensorimotor, Contamination, Perfectionism/Just Right, Hit and Run, Magical Thinking, Real Event/False Memory. ERP therapy allowed me to really work on stopping these compulsions and switching from theme to theme. I was fed up with what OCD took from me and I needed to do something about it. I talked to an ERP therapist and it was one of the best decisions of my life. If you are struggling, keep pushing and get the help you deserve!! You got this!!!
- Date posted
- 18w
I realize this may not work for everyone, particularly those who are struggling with moral or existential forms of OCD, but as someone struggling with relationship OCD, here’s my proposition and what’s worked- 1. ERP and resisting compulsions involves intentionally exposing yourself to distress and not trying to do anything about it, but just sit with it. It is a fundamentally ascetic and meditative practice. 2. Resisting compulsions also means overcoming your bodily desire (because more than anything OCD is a nervous system response, not a rational one) for relief from distress, and instead aligning yourself with a higher principle that overcomes your temporal state. 3. OCD also operates similarly to addiction, and recovery outcomes for addicts are significantly improved through belief in a higher power. Higher power is actually one of the core elements of AA programs because it makes self discipline a lot easier. 4. ERP/CBD is effective, in part, because it already fits within the psychology of someone with OCD. What I mean by this is that it involves homework, specific procedures done at regular intervals, intense self discipline, and is overall pretty formulaic/ritualistic/somatic in nature. And we know that it works, and this method of addressing OCD tends to really excite and appeal to those who suffer with it. We act like the totality of OCD psychology is bad, but it also seems to be the key to reversing OCD, and may be a kind of superpower when properly utilized. 5. We have countless religious traditions that are thousands and thousands of years old which have developed techniques and rituals precisely for what OCD recovery needs- Getting out of a reactive state, getting into a state of gratitude and meditation, developing ascetic skills to overcome temptation (compulsions), being okay with uncertainty, creating a place of inner peace and compassion, having a system of accountability and reminders which keep you from slipping back into compulsive patterns, and doing all of this in community with people who experience the same struggle. So far, religion has been *the most* helpful thing I’ve done for my OCD. Here’s how this has played out in my own life: -Hesychastic prayer. This is an Eastern Orthodox tradition where you project the Jesus prayer, in repetition, channeling it not just from the mind or mouth but from the heart. It is deeply psychosomatic, with the goal of creating ego death and achieving a state of seeing God in all things. It creates a calm, warm feeling in my chest that feels identical to a psychedelic afterglow. It takes me out of my head and into my body, and the first time I tried it, with a prayer candle lit beside me, I experienced very rapid relief and was able to sleep for the first time without having any nightmares. I now do this consistently, along with other kinds of prayer and hymn recitation, and gratitude before meals, and it’s something I genuinely enjoy and look forward to. Since doing it, my compulsions have gone done by like 70%. Every time I feel myself slipping into compulsions, instead of doing them, I pause and pray. Prayer fills me with warmth, gratitude, and comfort. I feel connected to something greater than myself, my body becomes calm, my heart stops racing, and afterwards, I no longer feel compelled to perform my compulsions, because I know that it is harmful to myself and those around me, and that God is watching over me guiding me to act in a more thoughtful and wise way. This has single-handedly brought me more long term relief than any other OCD technique or treatment has. Not only has it relieved my OCD, but I have so much more energy, motivation, and self discipline in other areas of my life. It’s like I can feel my neurochemistry balance itself in real time. I’m eating healthier, my relationships are richer, I’m a better student, I feel more creatively inspired, and I have so much more self discipline to resist habits that are bad for me. I hope this may be helpful to anyone else who might be struggling. I’ve searched online and there’s really no information out there that I could find on religious ritual being an effective OCD treatment, but it’s been completely revolutionary in my life.
- Date posted
- 10w
Hey y’all just wanted to share some stuff I feel has been helping me a lot as of lately. I been thinking a lot about my mental wellness in relation to physical wellness as I tend to have chronic pain and wonder how much of my anxious panicked tension is a factor because I also have a weird hip issue that moslty comes from skateboarding when I was young. A big thing that always drew my attention is my mobility and movement that i feel like can be easily overlooked because i am a bit hypermobile. So I’ve always experimented with different ways of managing the dysfunction because there are good days of feeling a lot more physically capable and slight better range of motion/movement where im reminded that there is definitely pain/discomfort that can be alleviated. Now to also bring up that I’ve been recovering from severe OCD for the last about 2 years(undiagnosed since a child) and facing a lot of things no doubt since than, tons of improvement after being able to identify the cause(want to point out I’m self diagnosed still, I try to implement the gold standard of ERP myself as much as I can along with other therapy practices but obviously understand that professional help ultimately is the best thing I can do, no health insurance/poor). Still in recovery no doubt but yea i really can say I’ve been doing a lot better with my OCD. So now going back to the chronic pain I also want to mention the way I’ve noticed my breathing that also feels as though it can be shallow in relation to the previous mentioned dysfunction that leads for me to have chronic pain. So now getting to the things that have helped me, one is understanding the role the psoas plays into your physical sort of biomechanics and then the way it is connected to our emotional responses, as it is known as the fight flight or freeze muscle. The way we can hold so much stress in our body can really wreak havoc, and the more I learn and understand myself and OCD the more it’s like I unpack to to the extent how much it’s completely taken over so much of me. I just started to notice this year how hypervigilant I am, and having Pure O I sort of end up feelin as though even in my own mind I am hypervigilant just scared of the intrusive thoughts/doubts worries and even when they aren’t present just on edge ready to fight back against it at any given moment. It makes so much sense why I ended up with insane amount of tension in my left psoas muscle and then that causing me to also build tension in surrounding areas of that muscle. Finding some chronic pain relief thru identifying where the heavy tension is around the psoas area and massaging it, hitting the trigger points to release the muscle has had so much relief and it really is also just giving me a sense of mental well being that truly is just great. I’ve always struggled with meditation but I’m also realizing how hard it can be when muscles are constantly in fight/flight/freeze mode. Mindful breathing along with the massage/trigger point relief is the first time I actually felt the air I was breathing pass through my body in a way that just made sense. Like as if some parts of my body haven’t had air pass in ages, and really feeling in tune with my senses and the room I was in. My body really is just used to being fearful, and I’ve tried to find ways of relieving the tension but with time and just kind of listening to my body, trying to learn about different ways of rehabilitating these types of chronic pain, mindfulness, mindful breathing, along with the different therapeutic tools for ocd I actually am starting to really let go of things and not have my body in constant fear/panic mode because speaking for most people whose OCD has gotten so severe, there really is a sort of trauma from having to deal with how bad it can get which your body keeps track of. Still continuing this journey recovering, and I hope y’all are also continuing !!
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