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It’s to increase the anxiety levels by going to an extreme to keep facing that fear, because OCD is a trickster. No one wants to do any of those things, even non OCD sufferers. But the fact is that the person with OCD is afraid of contamination, whereas the non OCD sufferer know there is a chance of contamination but arent going to ponder and wonder and ruminate if they were poisoned or contaminated etc or check their body symptoms whatever it may be. to defeat OCD you must go great lengths of feeling disgusting fear, it’s about exposing yourself to extremes so your brain stops bringing it up with anxiety. It’s literally to fix your brain.
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It’s not to get you to “like” those things or be comfortable. It’s to get you to be comfortable with discomfort and knowing you can handle it.
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@charleejadeg Then eventually the anixety will subside. It’s exactly why people with harm OCD keep knives in their house or next to them.
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Okay, but where do you draw the line? That's what's confusing me. For example I have intrusive thoughts about losing my wallet when I go out & I'll check my pocket/around me to make sure my wallet is still there. So for exposure therapy I go to extremes and throw my wallet away? That doesn't make sense. Also, isn't it about uncertainty, maybe I did drop my wallet, maybe I didn't, but I'm not going to check. This is what I mean by things contradicting each other. Are intrusive thoughts really just intrusive thoughts or reality?
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@feelinghopeless23 I don’t see where the contradiction is. Intrusive thoughts are just thoughts. Like literally just thoughts. For exposure therapy about your wallet, it would be about not doing a compulsion, like checking. Exposure therapy isn’t about having your fears happen to get over it , it’s about accepting the uncertainty of them. That you don’t know if fears could come true or not. For me, ERP would be going outside on a walk at night, I could have a panic attack, I also could just be chill. But I accept the uncertainty, and the possibility of it happening and I still go on a walk.
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@feelinghopeless23 I mean you draw the line like any other person would with their actions. Why would you throw your wallet away? If the fear is losing it and not knowing. Because then you’d be certain that you lost your wallet.
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@charleejadeg Then there is no uncertainty. It’s really simple.
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@charleejadeg Yeah, I agree. I personally don't have contamination fears, but I would draw the line at licking a public toilet seat on regular basis. Some of the extreme exposures are beyond me I guess. I get facing the intrusive thought and not doing the compulsion, but then to go beyond that would start to make me feel not like myself & that's where I get confused.
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@feelinghopeless23 Yeah I totally get that. I personally never would want to do that but for people who have it, it’s important. And they don’t do it regularly LOL! They just do it to get over the fear. Then it’s one and done :3
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@charleejadeg Well not one and done but i mean once they get rid of the contamination fear.
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@charleejadeg Certainly all therapists want clients to go further than what your average person would do but not all think you have to go to such extremes as licking a public toilet seat.
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@Missy That’s true. But it does help.
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@charleejadeg Agreed!
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@Missy While I can sort of understand how it might help, I'm still confused about what ERP is. So each time I don't do a compulsion in response to an intrusive thought, is this ERP ?
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@feelinghopeless23 Yes !! No compulsions and accepting anxiety. No ruminating or neutralizing thoughts. No nothing
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@feelinghopeless23 ERP is one of those things that makes way more sense when you’re doing it. It is hard to wrap ones mind around it without experiencing it.
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My NOCD therapist said he would ever recommend an exposure that was something he wouldn’t also recommend to someone who wasn’t going through therapy. For example, anything that would be unsafe, unhealthy (ie, licking a public toilet would be pretty unreasonable). But it should make you uncomfortable.
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Yes! Someone might be asked to sit in a bathroom and eat a snack. Do most people do that? No but certainly people might use the bathroom as they’re eating a breakfast bar or something. So it pushes the boundaries somewhat but not to a ridiculous extent. That said, some therapists (Shala Nicely - an OCD therapist who has OCD herself) do push those boundaries. Ultimately, ERP requires creativity and flexibility and some pushing of boundaries.
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@Missy Yes! And sometimes, it’s just *imaging* doing those things. Just imagining those types of scenarios was intense enough for me to be effective. (Combined with in-real-life exercises too.)
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@sara235 Absolutely! It can be a great way to start!
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me*
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I think what confuses me is the E part of treatment. I get not doing the compulsions in response to the intrusive thoughts. But for example if my intrusive thought is "Have I just dropped $20 on the ground?" And my compulsion is to check, I get confused about what the exposure part is. Do I just let the thought be there, do I go above and beyond and start dropping a moderate amount of money on the ground.
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No you just let the thought be there and don’t check at all.
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@charleejadeg Okay, I'll try to do that. I keep comparing this money theme to a contamination theme and what one might do that's considered intense (licking a toilet) for example.
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It might be more like putting your wallet in your pocket and finding a way to ensure you don’t check for it while you walk so you’re uncertain the wallet hasn’t fallen out. Maybe you place single dollar bills in all your pockets which could theoretically fall out. Maybe you carry something with your hands to make it harder to check to be sure.
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@Missy That’s a great idea
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@Missy Those are good exposure ideas too. I might try some of those. Thanks charleejadeg & Missy
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@feelinghopeless23 Good luck 🤍
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@feelinghopeless23 I think you're doing the same mistake as I have done many times, thinking about extreme exposures without being in therapy. You never start with this extreme overbending exercises and you dont need to know much about them before you have reached that level so to speak.
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@Estrid Yes, I think you're right. I guess since I can't afford therapy right now, I wonder how far I need to go with this money worry, or if I just let the intrusive thoughts be there without reacting compulsively. It is hard to know how far to push myself and where to draw the line with "overcorrection" exposures.
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@feelinghopeless23 with any theme really.
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@feelinghopeless23 Yes, I definitely understand you. I want to figure out everything about where to draw the line...thats an obsession too. Have you tried to learn mindfulness? Its a great tool and helps you to be in the present moment and dont drift away too much into the future, and to make realistic plans for your own recovery.
Related posts
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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?
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Hi! I've been on my OCD healing journey for about half a year and I have seen a lot of success. I'm reaching out for advice, I am very willing to do exposures because I know the more I do them, the more I get better, but I struggle with the response prevention part. I don't know how to control my brain when it comes to facing the fears especially since most of my compulsions are mental. I can tell myself the typical things "I am okay with the uncertainty of this happening", etc. but its like my brain doesn't believe them. I've been stuck in this disconnect for a while and would love advice you have heard from a therapist or learned that has really help you.
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If your mind purposely keeps fetching a repetitive word, and you’re afraid it will never go away, is the ERP therapy to STOP the mind from doing it? Or ALLOW the mind to do it, and not react? Also, is repeating a word in your head a mental compulsion? Or would that be the obsession? So then what’s the compulsion? Posting on here? Lol
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