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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
- Date posted
- 19w
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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- 17w
I had just posted a summary of ERP for a group member, and I thought it might be useful for everybody. Here it is below (with a little extra added)…. ERP therapy is researched-based. Most other therapies don’t work. There have been people who have been literally stuck in their houses (from their OCD) who gained their lives back through ERP therapy. NOCD does ERP therapy exclusively. You can find it in other places too, but you have to ask around. There are two tenants of ERP therapy: The first one has to do with the repetitive thoughts inside our heads. These thoughts are actually defined as “obsessions”. You are not supposed to do anything with the obsessions. You are supposed to let them run through your head freely, without trying to fix them or stop them. Imagine a tree planted by a river. The leaves fall off and float down the river. You can see the leaves falling, but you don’t try to stop them or pick them up. You don’t try to fix them. You just let them float away. This is really important to do with your obsessive thoughts. The more you try to fight them off, the worse they get. I used to have blasphemous sentences running in my head 24/7. I felt like I had to put a “not” next to each sentence in order to “fix” it. But this just took hours of my time every day, and it was very scary, because I was worried that if I messed up, that I would go to hell. It was very freeing to learn later that I could just let those sentences run freely through my head without trying to fix them. The second part of ERP therapy is all about “denying your compulsions.” Every time OCD tells you that if you don’t do things a certain way that something really bad will happen, that is a compulsion. Once you recognize what your compulsions are, ERP therapy will have you practice stopping doing all of those things. For some people, that will mean stopping washing their hands or touching lights switches or, in my case, putting “fixing” words in their head. Compulsions are safety behaviors. During ERP therapy, you will practice stopping engaging with safety behaviors. All this is very hard to do and scary, so during therapy you will be given tools to help you deal with the fear. Often ERP therapy will take people from being non-functional to functional. I highly recommend it. ————————————————- PITFALL #1: After you have been doing ERP for a while and become somewhat successful, the OCD will try subtle little tricks to bring you down again. The first one is to tell you that your thoughts are REAL and not OCD, and therefore you can’t apply ERP therapy. Don’t fall for this trick! All thoughts are just thoughts. They are all meaningless. Don’t try to figure out what is real and what is OCD. Just treat all thoughts with ERP therapy. PITFALL #2: The second pitfall is that OCD will tell you that you can’t move forward unless you have absolute certainty that you will be safe. Hate to tell you this, folks, but there is no certainty in life. You will never know for SURE that you or your loved ones will be “safe” from the OCD rules. Therefore, you have to move forward in the uncertainty. It’s hard, but it gets easier with time and practice. We got this, guys !!!!!!
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- 15w
I read about ERP and have seen information about it on here. One of the goals is to say, "maybe I am this or that...ect." That terrified me. The thoughts and images that go in my head are disturbing and upsetting. I don't want to even think about saying, "maybe this or that." It's devasting to have these thoughts and question why you're having these thoughts. Doesn't the "maybe" make it worse? The one thing that helps me is that is to remind myself that these are just thoughts and I know I'm not a monster, even if I feel like one. Is ERP not for everyone? Has anyone else had a problem with the techniques used in this kind of therapy? I had cognitive therapy for years with an OCD specialist and that seemed to help a lot. Writing out the worst case scenarios would make me suicidal. Im having a difficult time not obsessing over the "maybe" after intrusive thoughts now. It doesn't make it better.
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