"There's no point in trying to wrestle a thoughts while you're in survival brain" - Dr Russel Kennedy This quote helped me a lot. Hope it can help others.

I recently posted about my experience with Existential OCD (https://app.treatmyocd.com/community/posts/2184668), and one of the most common questions I got was how to deal with DPDR (depersonalization and derealization), as it often goes hand-in-hand with existential obsessions. I wanted to create this post to summarize my thoughts and understanding of DPDR, so I have something to point people towards. For context, I'm not a trained mental health professional, doctor, or neuroscientist. I'm just someone who has been through the gambit with OCD, and has learned about the mind through conversations with several therapists, reading books, and watching videos. I also regularly consult with a few Buddhist teachers, and have been practicing meditation for several years. Please keep all of this in mind, and take everything I say with a grain of salt. First, some quick terminology: Depersonalization = a feeling of "detachment" from your own body, almost as if you're living life as an autonomous robot. Derealization = a feeling of "detachment" from the outside world, where people, places, and things feel distant or alien. They often go hand-in-hand, and mainly differ in terms of what feels "unreal" (yourself, or the outside world). It's easy to see how this can coincide with obsessive existential thoughts. After all, when things feel unreal, how can you help but think about the big questions of existence? So these feelings often make those with OCD extremely uncomfortable, and the desire to make it "go away" inevitably arises. But, just like with anxiety, most attempts to "get rid" of it generally make it worse. Even grounding exercises can become problematic if the goal of those exercises is to get rid of DPDR, just like any other compulsion. That's why my first piece of advice is always to acknowledge and accept the feeling. One way to get comfortable accepting any feeling is to understand where it comes from. As of today, the exact neurobiological workings of DPDR aren't fully understood, but one thing seems to be pretty clear: DPDR is the result of the brain momentarily shifting gears to protect itself from overwhelm. It's something that happens when you are stressed, and/or burnt out. It's the brain protecting itself from overstimulation, similar to a circuit breaker closing down parts of an electrical circuit to prevent overloading. It's important not to take this information as reassurance against the existential intrusive thoughts that arise during DPDR, rather simply as an explanation as to what is happening in the present moment. I'm a big proponent of using "maybe, maybe not" responses to intrusive thoughts. So in the case of DPDR, you may considering responding to the existential thoughts with: "Maybe that's true, maybe it isn't. Right now, this brain is overwhelmed, and it is protecting itself." (Side note: the use of "this brain" instead of "my brain" is a habit I've picked up from Buddhist philosophy. It's a way of practicing non-attachment to the self. If that doesn't work for you then feel free to phrase it in whatever way makes sense. I also recognize the beautiful irony of bringing up non-attachment in a post about DPDR 😂) Basically, you want to acknowledge the existential thoughts, acknowledge the feeling of DPDR, acknowledge that the DPDR is coming from a place of stress, and then refocus your attention to the present moment. The key is to not refocus your attention in hopes to GET RID of the thoughts or feelings, but to do it DESPITE those things. You need to teach yourself first-hand that none of those things are dangerous, and that you can continue to live life while scary thoughts exist in the mind, and while you feel uncomfortable things. The more you try to push the DPDR away, or logically dig yourself out of a hole, the more stressed you will become. And since DPDR is a stress response, this will only cause it to stick around longer. It's the same ironic cycle that fuels the intrusive thought / compulsion loop. Sometimes it can last for a few minutes, a few hours, days, weeks, or even months. While DPDR disorder exists, in many cases (especially with OCD), DPDR tends to persist because of our resistance to it. If you find that it just won't go away, try not to get discouraged. Instead, look for the resistance, and consider how you may be able to open up to the experience in a lighter way. If you find yourself resisting, gently remind yourself: "I don’t need to figure this out right now. I can let the brain do its thing and focus on living life." It can also help to recontextualize the DPDR. I like to think of it like a warm blanket or sweater, or the brain taking a nap. You wouldn't want to wake someone up from a nap, would you? Let 'em rest! I hope there is something helpful here for those struggling with this issue. Trust me, I've been there.

I hope everyone is holding up okay! I’ve been seeing a lot of scared posts and whatnot lately, so I just wanted to make this post to remind ourselves to practice our uncertainty! I want to share a few response prevention lines that help me calm down! My thoughts do not define who I am. Maybe I’m a bad person, maybe I’m not, but I have a lot of things I need to do now. I’m going to practice not knowing for sure. I don’t have to solve this problem. I am choosing to sit with this uncomfortableness!

Last week I fell into a bit of an existential spiral, which hasn't happened for a long while. Now that I'm mostly on the other side, I think it's important to reflect on the lessons I learned from it. I hope this is helpful for others who find themselves in their own spiral, existential or not. 1. The thought, "I'm never getting out of this one," will always be there, and it will always be a lie. Whenever I fall into a deep existential spiral (which is pretty rare these days), it *always* feels as though I've uncovered some horrible thought that I'm never going to be able to get past. As if I've finally found that one existential thought this is going to ruin me for the rest of my life. When that happens, allow the thought to come and go just like the rest of the thoughts, and take some time to reflect on how you've been there before. For me, it helps to sarcastically agree with it: "Yep you're right! THIS is the one that'll do me in." 2. Keep doing what you do A major difference between this spiral and past ones is that I forced myself to not cancel any plans because of it. I played at an open mic, accompanied my friend on mandolin for his performance, and I attended a run group, all while experiencing an existential crisis. I definitely think this shortened the length of the episode. I proved to myself that I could do some pretty demanding things despite the thoughts. I was also able to reflect on how when I was forced to be present (such as while performing), the existential crisis totally subsided. Which brings me to... 3. Trust in mindfulness I absolutely get it; when you're in the middle of a spiral, the idea of just "bringing yourself into the present moment" seems laughably unhelpful. This time in particular, it really felt irresponsible to *not* attend to the thoughts. It genuinely felt like I had to *solve* these existential questions before I could move on to anything else, including the present moment. But when I reflect on the times that I felt the most at-ease, it was always when I was present. It was during the 10 seconds I took to breath and notice my surroundings. It was when I disengaged from the thoughts and allowed them to come and go. It was when I smelled the fresh air after a thunderstorm, or during a conversation with a friend about her breakup. It was when I named the feelings and emotions I was experiencing, and welcomed it all. Existential thoughts are supposed to be about reality, but when you're lost in them, you aren't actually *in* reality. They're only scary in the virtual reality of the mind. And finally... 4. Yes, the compulsions are the problem I did a LOT of research last week. I watched videos, Googled, and even dove into ChatGPT. The compulsions were obvious, and they were never enough. Every answer that made me feel a little better was followed by doubt less than 15 minutes later. In the moment it genuinely feels like you HAVE to keep doing the compulsions, but you need to trust that that's exactly what is making you feel worse. In order to stop researching, I just had to...stop researching. It was hard at first, but eventually the spiral stopped spinning, and the longer I waited between compulsions, the easier it was to move on.