- Date posted
- 4y
- Date posted
- 4y
Comment deleted by user
- Date posted
- 4y
Yes! Dr. Michael J. Greenburg believes we completely recover from OCD. It’s not that we never have uncomfortable thoughts — everyone does — but with time once we stop doing compulsions, we move right past them like everyone else does!
- Date posted
- 4y
I’m glad that I’ve found this post, because I genuinely believe that the core fear is unbelievably useful to understand - and it was an integral part of my recovery. I’m not a psych expert, but I know that ERP is a specific form of CBT. Identifying ‘core fears’, and ‘deeper meaning’ is associated with psychodynamic psychotherapy, which isn’t as effective as CBT (ERP), and a lot of CBT therapists dislike this type of therapy because it can be ineffective and potentially damaging. That’s very likely why it hasn’t been explored in your treatment! HOWEVER, there are aspects of the psychodynamic theory that I think are heavily overlooked, when they are actually immensely valuable. Here’s two articles by Dr Michael Greenberg speaking about the nature of OCD, and core fears: https://drmichaeljgreenberg.com/a-simple-explanation-of-ocd/ https://drmichaeljgreenberg.com/the-core-fear/ The second article includes a link to a worksheet that will open up in Google drive. It’s really useful and helped me identify my core fear, and subsequently begin my recovery with ERP with much more effect. If you want to do it and don’t have Google drive, just download it!
- Date posted
- 4y
Your therapist will help you identify your core fears. And actually, for me, it can differ from obsession to obsession, but usually, my Core Fear is experiencing a permanent feeling of guilt. I have Scrupulosity and my obsessions are all moral concerns — what I’m doing right or wrong. I know God will forgive me but my fear is if I don’t do the right thing, I will forever live with the guilt. I have to face that fear and do ERP and realize when I don’t try to solve it, the guilt passes! :)) Core Fears are important. Your NOCD therapist may help you find them in therapy. Mine does.
- Date posted
- 4y
Thanks Madison, I will bring this up during my next session.
- Date posted
- 4y
@DOCD You bet. Also, regarding your question in the post, you’ll know if trying to figure out your core fear becomes a compulsion if you feel like “I HAVE to figure out what this is or I’ll never get better”! (In that case your core fear for *that* obsession actually could be that you’ll never get better/whatever that means for you) If you can’t identify what scares you when an obsession pops, actually, that’s okay sometimes. Instead of trying to figure out why you’re threatened you can accept those feelings and not ruminate about them. It’s still a good exposure. I do agree that getting down to the Core Fear will be really beneficial though. Your therapist will know how to do this in the best way. Good luck!
- Date posted
- 4y
Thank you both for your posts and insights. E L, you say you’ve largely overcome your SOOCD theme. Can I ask what core fears were driving this for you?
Related posts
- Date posted
- 25w
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.
- Date posted
- 24w
So I've been working to address my OCD for about a month now. So far, I haven't been working on it with a therapist and have instead been trying to create my own exposure exercises. The primary obsession I'm working on is the fear that I'm somehow flawed or invalid on a fundamental level. The best way I can describe it it is that its similar to the feeling you get when you have germ OCD and you feel contaminated, except my whole existence and being feels contaminated, so to speak. I've identified a list of triggers, and a list of compulsions (pretty much all mental) that I've noticed myself performing. I started out by doing imaginal exposures and scripts where I'd write out triggering fictional scenarios and read them over and over, combined with mindfulness techniques to focus on my breath and bring myself back to the present when I noticed myself performing compulsions mentally. At first it worked to some extent, but eventually I started to feel like the stories I was writing about this obsession weren't triggering any anxiety anymore or a very low level. So I stopped reading them and focused solely on improving my ability to stay present and identifying compulsions as I perform them, and disengaging. Now, I'm at the point where it seems like my general anxiety levels throughout the day are lower, and the triggers I've identified are producing noticeably less anxiety. But that makes me wonder if somehow I'm just secretly doing mental compulsions without knowing it? Is only a month of rather disorganized and unstructured ERP enough to produce this much improvement? To avoid giving me re-assurance, I'd appreciate if you guys don't directly answer those questions, maybe just provide some possibilities or your own experiences so I can get a better idea of where I'm at. Any info would be appreciated. Thanks!
- Date posted
- 22w
Just noticed something that helped me today. I was having the realization a lot of my issues stem from me not taking responsibility for my own life, and also not recognizing my own self-limiting beliefs (SLBs) and automatic negative thoughts (ANTs.) In doing this, I learned that the only way forward is confronting my deepest darkest fears head on and associated irrational/self limiting beliefs- and that for years and years, I have simply retreated and run away. One of my deepest darkest fears (one of my obsessions) is rooted in the understandable fear of the worst of humanity, and the 'what if' I was that (like many of us.) I actually can have compassion for myself because it is perfectly okay to be scared of the worst of people, and if something like that is perpetuated throughout pop culture-media- it would make sense to have associated thoughts about it. The fear is that I am a serial killer or have motives of one. And the OCD has caused me to constantly question my motives and actions to no end (how OCD latches on- makes you look for evidence where there is none.) For the longest time, I have been convinced I am one, and need to hide myself from the world, avoid people more than just because of social anxiety, what my main anxiety was back then. I look for signs everywhere- and the OCD latches on to any perceived (not real) evidence that I am one, that people think I am one. When I decided to confront this fear rather than run away like I have for years, it made me realize it is just a fear- it has nothing to do about who I am as a person, despite how strong the OCD tries to convince you otherwise. It is so sad how strong OCD can be, to make so many of us good intending people be convinced that they are something horrible. Anyway, I hope this can help people realize the best way forward is to confront it head on. It's akin to shining a light on the monster and seeing it for what it is - a goofy thing with fake prosthetics for a movie that isn't a monster after all- a sheep in wolfs clothing. It's just you have been running from it so long, your imagination has gotten so detailed about how horrible it is, hearing its fake growls, instead of turning around and blasting it with a spotlight. This is I guess what ERP is about. For me, one of the struggles with ERP and a specific exposure is that the OCD will jump to a different obsession , which then tells me ERP is a waste because Im not confronting the 'most recent' fear. This is faulty thinking though- because the solution is to confront the fear, not the specific thought. By doing that, you learn to not run away and do all the compulsions in your mind. Tl;dr- long winded post about me realizing how I have actually been avoiding the solutions (ERP) and making up reasons to not confront my fears this whole time. I have been running instead of shining a light on the sheep in wolfs clothing.
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