- 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?
Related posts
- Date posted
- 24w
Common posts on here are "i had a thought" "why am i thinking this" "what if" and these are all OCDs way of making you doubt yourself while taking you round and round in never ending circles at the same time. Regardless of the theme you are facing, there is no "figuring out" or "making sense" of a thought, because it isn't a real situation - it's a passing word or image or scenario without any meaning attached. You can't control your thoughts and the more you "don't want to have them" the more they will appear. For instance, tell yourself not to think about "apples", it will be the first thing that comes to your mind, because that's just how our minds work. Once you categorise a thought as "bad", every time it comes into your mind, your anxiety level will go up and this makes the thought seem real. Because if it "Feels" this bad, surely it must mean something or must have happened - But none of this is true. All we have to do is naturally notice thoughts as they come up, and rather than try to assess or ruminate over the content, we can almost shrug them off. It's the only way to accept thoughts as simply thoughts and nothing more. Anxiety drives the intense feeling and the more attention you give to thoughts, the more power they have over you. No random thought can change your real intentions. OCD is never ever satisfied, so the only way forward is to accept the uncertainty of never knowing "for sure" and to class the unwanted thought as irrelevant. OCD says "quick..bad thought..feels horrible.. what does it mean.. fix it". But in reality there is nothing bad here or nothing to be fixed, it's a false alarm. Once you learn to respond to a thought calmly by working on anxiety, it gets easier over time. It's your perception of your thoughts that needs to change, you believe they mean something about you, but random things pop into our heads all the time - both things we like and things we don't. OCD also latches onto what we care about most and it always comes with a feared consequence, so think about what yours is, e.g "what happens if my worst fear comes true" you can then practice imaginal exposure which is imagining your worst case scenario over and over until you become desensitised to it and no longer fear it - therapists use this technique in sessions. Everyone in the world has thoughts, the thoughts are not the issue, you just get more of what you focus on, up until the point that you can change your attitude towards the thought. If I asked you if you went upstairs today you would have an answer straight away, however if I asked you a question related to your OCD theme, your anxiety would increase and you would doubt yourself, because that's OCD doing the thinking for you. Once you give it less power it becomes a less significant part of your day. It's so easy to give into compulsions as they feel like a "quick fix".. but as I mentioned, ocd is never happy, which is why it wants us to continue to check and seek reassurance. Once you start reducing and gradually stopping compulsions, whether this is rumination, checking, or a physical action (whatever you falsely believe is "keeping you safe" from your feared consequence) you will see it's not necessary to do them, and that the time consuming little things you have taught yourself to do have no effect on what actually happens in real life. Thoughts prompt feelings and feelings prompt actions - meaning - thoughts cause anxiety and anxiety drives unnecessary actions. As a side note, I overcame contamination ocd (I was in a very very bad way and now the theme doesn't bother me anymore). I still have OCD and it can affect me slightly at times, but i can manage it in a way that it doesn't interfere with my day and without the need to carry out compulsions. Please practice, because I promise it helps, it's super scary at first and extremely difficult but the end result is worth it. ERP therapy is also very helpful.
- User type
- OCD Conqueror
- Date posted
- 24w
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.
- Date posted
- 15w
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.
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