Recovery from OCD is possible
Isn't this the question we have with anything we want to go away in our life? How long will I have this? This question can cause a lot of anxiety to think about and bring a lot of comfort. It all depends on what mindset you have.
To jump right into it, recovering from OCD depends on many factors. Do I have the right tools and am using the right treatment? Am I actually using the treatment often? Do I have a strong foundation for therapy?
For many, treatment can be relatively quick. Individuals can feel better sooner, while others it may take longer. It also depends on the severity of symptoms. It's already infiltrated itself into your day, we might as well do something with it.
I almost hesitate to give a specific number because I do not want you to be your timeline because your timeline is YOURS. Here is what I've heard many specialists suggest their own research. Many can expect to feel recovered between 12-20 therapy sessions and can see a clinically significant decrease in OCD symptoms. Others give a timeline of 2 months. Personally in my own practice, I've seen individuals for a few weeks and others a couple of years. There is not that magical formula that fits each person, but I'll share with you what I see as a standard for individuals getting better quicker.
-Using exposure and response prevention the correct way.
-Building an exposure hierarchy to help you face your fears in a gradual way
-Doing these exposures daily and when I mean daily I don't mean 1x a day. I mean, making it your part-time job. It could be hours.
-Simply put. You've got to stop doing compulsions. Even if you're feeling anxiety.
-Your focus must be on recovery. It needs to take priority.
-You must accept the anxiety, fears, doubt, and guilt and decide they bring no more value into your life. You can't be wishy-washy. "I'll accept this fear, but have to figure out this one."
All these things are taught in my online OCD course. I'll link it here. You can even try it for free.
Ultimately, who's going to get better quicker. The person who knows the tools and will do them every once in a while or the person who's dedicated themselves to recovery. They recognize the pitfalls, where they can improve and use resources around them.
I do want you to know that you can recover from OCD. Things can get better. I also want you to have realistic expectations of what "recovery" means. For some, it may mean they are feeling minimal symptoms. For others, they've reduced symptoms up to 60% and are okay with that. Others may not feel symptoms for weeks, months, years. But here's the deal, this doesn't happen by doing treatment for a few months and then be golden for years to come. It's something you work on to maintain the progress that you've made. So when you hear others say online, "I am recovered" keep this in mind.
Here is the most important thing. Your recovery is your own. Your timeline is your own. If you do get caught up in, "how long will this take" you may give yourself an answer like, "it takes as long as it takes and I've accepted this."
I want you to get on top of this, you need to go right now watch the 25 tips for succeeding in your own OCD here.
Thanks so much for watching and I'll see you next time.
What recovery looks like for OCD
The truth about OCD recovery
Past thoughts and OCD
Think about your OCD and anxiety symptoms for a moment. Whenever you are feeling anxious or are ruminating. Is it about things that are happening right now in this moment? Typically we are feeling anxious about things from our past or things in our future. Really think about it. A thought like, did I leave the stove on? That lives in the past. Will I do this thing my brain says I’m going to do? This is in the future.
So, real anxiety that is meant to be felt is for the present moment. Meaning, we need to see the threat. It can’t be a guess of what the threat is going to be it has to be something we actually can see right now. Something like that car that is coming my direction and I need to jump out of the way. I am at somebody’s house and I threw up. My child fell in the swimming pool and they can swim. Here’s the thing. When real moments of anxiety actually happen we can fix it and problem solve it.
OCD and anxiety hate living in the present moment. Because in the present moment it knows there is not an actual threat. The only power it has is to warn you of a perceived threat even if it is so untrue and so unfounded. The only power thinks it has is to remind you of the past. To remind you of all those things that you did that you can’t believe you did. But the thing it forgets is that your brain back then is not the same brain you have now. Just like when you are five years old, the behaviors, the decisions you made, the tantrums you threw do not define who you are right now in this moment. Your brain is different now. We learn, we adapt, we look back at experiences and say wow, I can’t believe I actually did that. And the only way we got there is because we learned new things, we grew up.
OCD loves to attach to the past. We give it zero attention. We don’t even need to use logic with it. Life is what it is. We learn through experiences and we move forward. When the brain comes up with memories from the past we can answer them with, oh yeah! I remember when that happened. Sweet glad I made those decisions. With these answers do they allow your brain to stop going to the past because you simply are teaching it that you don’t care. You’re not answering it the way that you normally would.
When it comes to the future, we treated the same way. It comes up with any what if’s and we need to learn to answer it with yes, that may or may not happen. I don’t know, I don’t have a Time Machine to know for sure it is not my job to know right now. We will cross that bridge when I get there. Because more hours of ruminating and problem solving about possible threats does not prevent it from actually happening. Because we often find that there was no threat to begin with. Even when anxiety tells you so strongly that is true. We are not falling for it.
So your job is to keep your anxiety and OCD symptoms in the present moment. Staying in the present means you’re not trying to problem solve future. Staying in the present moment means you are not revisiting the past. Staying in the present means you are actually being present. You’re going out and doing things even if you don’t feel up for it. You are allowing yourself to enjoy life and continually answering these past or future thoughts with uncertainty.
So for you to gain the upper hand, we already know staying in the present moment is one of the best things you can do. Feel empowered when you do not engage in the past or the future. Allow life to be lived right now. Start by answering any threat with and maybe maybe not.
This is how you will gain control over your OCD and anxiety.
Here’s my question for you, let me know in the comments. Does your anxiety or OCD threaten you about the past or your future?
Thank you so much for watching, and I will see you next time.
Future thoughts OCD
Test your anxiety and OCD
I talk about exposure and response prevention quite often as the best, in my opinion, treatment for OCD and anxiety. I mean you are actually facing your fears. Retraining your brain. You are essentially becoming a researcher. You are doing experiments. You are testing theories.
You are willing to take the risk that the fear that you currently have may be a false signal.
I’m going to go through how you can do these experiments better when it comes to your treatment.
So how to do better exposures for experiments. One of the first things is to be aware of what the perceived threats are the come to your mind. Something like, if I don’t check the door one more time someone can break in. If I don’t pray, God will smite me. If I don’t put those knifes away I might react and do something. If I get close to that person, what if I like it or them. If I look at somebody else, maybe I don’t really love my partner. If I touch this item, I will get sick.
This is how you are keeping track of your fears. What does it mean if you don’t follow through with your compulsion? What does it mean because you have a certain intrusive thought?
This shows exactly how we can do experiments. Your brain already came up with the threat if you don’t follow through with the compulsion. Now it’s your time to test the theory out. Each one is going to feel very real. It’s going to feel very important. It’s even going to feel risky.
But just like any experiment, we do not know the outcome until we tested. So what I would do is take one of my fears, and I would test the theory out. My brain says if I don’t check the stove, I will start my house on fire. So guess what I’m going to do, not check the stove. I’m also going to pay attention to all the compulsions that my body wants to do. Maybe it wants to listen for a fire, maybe in researching online the chances of the fire happening.
I cannot do an experiment, and then mess with the data in between. Instead I’m practicing staying uncertain. Choosing to see what the outcome is going to be. I’m living my life, if there is a problem I will solve it. If there’s not there’s nothing to solve.
While I am sitting with this uncertainty, I might be practicing statements tell me through. The house may or may not set on fire. Yep, might be my fault.
Here’s the cool part, after a few hours, maybe the next day. Your brain looks that moment and says, hey, I told you that you were in danger. The house is supposed be on fire, it’s not, maybe throughout all false signal your way.
You did this experiment to see what was going to happen. You tested the theory out. Your brain needs to know that you are testing these fears out, over and over and over and over and over and over and over again. It will finally get it.
The thing is though, we can never be hundred percent certain that our fear won’t come true. But we are willing to take that risk, it might be the only way to retrain the brain and for you to enjoy life more freely.
I know what you might be thinking, yeah I can test the theory out for something like your example. But mine is different. Mine is more dangerous. Might involves my child, mine involves my salvation, mine involves death. That’s one of the biggest pieces to get past, you are not special in that your OCD or anxiety is different. It’s all false signals. The only way for you to retrain the brain is to do these experiments. Do these experiments with meaning. It’s not, I’m going to avoid checking, and that I’m going to rock back and forth staring at a wall for the next five hours. It’s continuing to live life despite of this uncertainty that you’re living in. And anytime a threat comes up, but is a house going to start on fire? Your answer is, yeah man, maybe maybe not. I guess we’ll see after the experiment.
My question to you is this….Has your fear EVER come true? Really think about it, the thing your brain threatens to you day after day.
Thank you so much for watching and I will see you next time.
Thought suppression doesn't work
One of the most common questions I get asked is….How do I STOP thinking about my fear? How do I stop obsessing? How do I STOP the anxiety.
If you’re like most, you’re searching videos to learn how to STOP your symptoms. There in lies the TRAP. We don’t learn to STOP thoughts or fears…we learn to respond differently to them….which in turn allows symptoms to decrease.
If you start off you search or mindset with….how can I stop……Don’t do it! It’s a trap!
Seriously. You’re just training your body to continually check To see if you are still having thoughts or not. Which actually produces more thoughts. It is actually natural for the brain to automatically start pushing thought we don’t want. Which is why it takes practice to lave them back.
Let me take you through what to do instead of pushing thoughts away or ignoring them.
So how to avoid suppression? To get out of the thinking that you need to STOP thinking about your fears. Well, you can start by learning to notice when these thoughts occur. Allow thoughts to be thoughts. Not put any meaning to a single thought. A thought is bad or a thought is good. When a thought brings anxiety or distress, we tend to label it as bad. When our brain hears bad, it goes to this automatic process of pushing. Practice having a thought than simply saying, “oh cool, there is the thought again. You’re welcome to stay as long as you want”
As your learning to accept a thought is a thought you’re also practicing not doing a compulsion. A compulsion is anything you are actively choosing to do to remove the thought, or to reduce your anxiety symptoms. For instance, if you have a distressing thought you quickly shake your head to get it to go away. Maybe you tap something a few times. It’s possible you go to the Internet to research different ideas about your thought. You might have to say a phrase for the thought to go away. These are all the things you have to be aware of and stop doing.
Because we cannot accept a thought, take value away from it, and also do a compulsion of the same time. It’s like we’re not fully accepting the reality of the thought. It’s a halfway effort.
Once you learn to accept our thoughts, even if you think it is the worst thing in the world to think. OCD can bring some pretty gnarly thoughts. It’s easy for somebody to say, yeah I can accept a thought about something small but this doesn’t apply to my big scary thoughts. Going back to what was said earlier, thoughts are thoughts. There is not one thought that has more value or power than another.
Some choose to use act therapy. Acceptance and commitment therapy. This builds flexibility in your thinking and allows you to accept the thought. Without changing it whatsoever. At the same time some choose to expose themselves to the triggers or obsessions. This is so you can continually learn. Learn to not respond the way you normally would want to with a thought.
For instance, I might pay attention and write down all the triggers I noticed that bring these thoughts. I might purposely expose myself to them. Not all at once, but starting off with something small. Maybe it’s looking at a picture of something, maybe it’s a video, maybe it’s hanging out with my kid, maybe is driving, maybe it’s cooking dinner, maybe it’s saying a certain word, maybe it’s touching something. Regardless of what it is, you are practicing engaging with this thing, not doing the compulsions, and pretty much acting like you don’t care. Allow the thoughts to come, allow them to leave.
You don’t care how long they stay. They have no value unless you give it value. This takes practice, practice, practice. It is easy for anxiety or OCD to say, this one is important. This one is different. The tools that were just presented to me, do not apply to me.
Let me tell you, your OCD or anxiety is no different than someone else. The next time you think, “I need to get rid of these thoughts. I need to get them to stop.” Remember that we are actually doing the opposite. You can even say, “oh boy, I love these thoughts.” “yes, thanks for coming my way.” “these are amazing!” “I wish you would stay forever.”
These types of responses, help the brain know that you simply don’t care.
Let me know in the comments, what response can you give your OCD and anxiety today when you have distressing thoughts?
Thank you so much for watching, and I will see you next time.
How to stop intrusive thoughts
How to stop OCD thoughts
Inhibitory Learning For OCD
When somebody is facing their fear, they repeat this process over and over again their body tends used to it. We’ve seen this in many different ways such as jumping into a really cool swimming pool. At the very beginning it is very cold but their body adapts and get used to it. We didn’t have to spend time convincing ourselves it was going to get better, it just happens. This can be seen when we are using exposure and response prevention. When you are exposing yourself to the upsetting fear it’s going to feel very difficult at the beginning. Overtime, you may face the same fear but notice that the anxiety level is a lot less. This is seen as the habituation model. That we essentially are doing exposures to reduce your anxiety by half or more. You’re getting used to it, you’ve taken the value away from it. When it comes to the habituation model, it’s all about this anxiety reduction in your body adapting just like the swimming pool. We will often use us as a measure of success if you were doing exposures correctly. If you’re anxiety is reducing this is a good thing.
There are definitely some drawbacks from using the habituation model. Anxiety is something that we want to take value away from as well. If we are focusing solely on anxiety and having us go up and down individuals can get stuck in paying attention to the anxiety and wondering if they are doing the exposure correctly or not. Let me start obsessing about the actual anxiety versus the actual fear. Many will start to question and wonder why they’re in anxiety is not reducing. Well evidence shows that the habituation model does work, individuals can you get stuck with these pitfalls often.
This is why there is another approach to exposure and response prevention called inhibitory learning. While this is still being researched there is evidence that shows that this helps reduce OCD symptoms as well. The difference is not the actual exposure you were doing but rather the way you were approaching it. With the inhibitory learning model you are teaching your brain more than reducing anxiety. Exposures are all about what can your brain learned from this experience. It doesn’t matter if your anxiety reduces or not. It might not even matter if you have anxiety while you’re doing the exposure. The whole mindset is all about your brain learning something new. So if I was facing a fear that really caused some anxiety, the way I approach is designed is to face the fear, expose yourself to it and RESPOND differently to the fear. You sole focus is what am I teaching my brain by every movement, words I’m saying, what I’m thinking, how I’m behaving.
If I avoid touching something because it’s contaminated, my brain learned that that thing is dangerous. If I touched it and acted like it wasn’t a big deal and didn’t do any compulsions, then my brain learns it’s not a big deal. You may learn time and time again that you faced your fear and NOTHING happened. That is what the brain is learning.
If you’re confused by the two, here is an easy way to remember:
The habitual model means your body is getting used to it and your anxiety is reducing.
Inhibitory learning model means your mindset is all about what your brain is learning from the exposure regardless of the anxiety felt.
Realistically, there isn’t the right choice comes to do an exposures. You do what you feel like is best for you. I have used both models together where I focus majority of my time making sure that the person knows that the brain is learning something. We use anxiety as a measure but ultimately it doesn’t matter if the anxiety reduces or not.
If your brain can learn that the fear that you have is not happening and it is it because you’re trying to control the situation what is the compulsions and to me that’s one of the best ways to do an exposure. Let things be. Stop controlling. It feels like an experiment, but the experiment is worth taking for your brain to learn something major. That you’ve never been a danger.
Habituation For OCD
Inhibitory Learning Exposures
How To Stop Asking For Reassurance With OCD
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This video is sponsored by NOCD – NOCD is great. You get connected with a licensed, OCD-trained therapist right on your phone. They help diagnose what you’re experiencing, you actually do the the most effective treatment for OCD with live video appointments online and you get support in between sessions by messaging your therapist. You can check them out at www.treatmyocd.com
A really common question that I get often is this. How do I know if I’m seeking reassurance? How do I know what I can ask and what I can’t? Our entire life we have been trained to seek for reassurance. We been trained to give reassurance. But if you think about any moments of your life, when someone gives you reassurance whether this is OCD related or not has it actually helped. And if it has how long does it last?
Before you’re about to go on stage in front of a lot of people someone will say you’re going to do great or you got this. Does this automatically change every emotion you have and now you’re super confident and nothing to worry about? I would guess not. So then why do we give this reassurance. We do it because it’s a temporary fix someone might feel great for a second maybe 10 seconds but we are who we are. Before feeling anxious or feeling anxious. If we have a what if in our mind were going to have a what if in her mind.
But because of this natural training we seek this reassurance throughout life. When it comes to OCD, reassurance tends to be one of the biggest compulsions that I see. So I can see where individuals are cautious when they’re trying to figure out if they’re seeking reassurance or they just want to know something.
Here are some indicators that might help you recognize if you’re using reassurance or if you’re generally curious. The first thing you do is recognize your motivation. You have a question in mind that you want answered. If you don’t get the answer to this question are you studying to be okay? Will you move on? We move forward? If you are motivated to find an answer only to feel better or to feel some relief you are likely searching for reassurance. If you’re only wanting an answer because you feel curious about something then go ahead. But again look at your reason for why you are asking. You have to be okay with not knowing the answer.
You can almost assume that if anxiety is present within an urge to know an answer we are just going to say OCD. Even if you’re wrong. Individuals sometimes come up with this guideline, if I’m feeling anxious whatsoever I don’t get to know this answer right now. I may reevaluate after the anxiety is gone to see how important it is for me to know this thing I want to know.
Reassurance is not just asking questions. It can be in the form of researching online, checking your body for different symptoms, or even reassuring yourself that everything is going to be okay that maybe thoughts are not facts.
While reassurance gives that very temporary fix. When some to go through treatment they are really learning not to seek this reassurance. Some may choose to write down every question that they continually ask on a piece of paper and have that handy to remind them that this is not the thing that you’re asking anymore. Some may ask their loved ones or friends to give them an answer like “maybe maybe not” to a question that you may have asked them multiple times. To remind you all right a message to be asking this.
But when individuals choose to not do the compulsion of reassurance, they need to know to do about this. It’s not just sitting through the anxiety and staring at a wall. It’s teaching your body how to respond differently to these thoughts and feelings. So we do this through exposure and response prevention. You are essentially responding differently to the fears that come your way. Through your body language, through thoughts, and through behaviors.
So to go back to the original question, how do I know if I’m asking for reassurance or not. Come up with a guideline for yourself, if you feeling anxious you’re not gonna do it. If you’re genuinely curious maybe you do. If you’re questioning if it’s reassurance or not you might just assume that it is.
Finding a therapist can really help you through this. I’ll leave the link down in the description if you’re looking for a live therapist for an NOCD and for my online self-directed course for OCD.
So here’s my question for you, what things do you find yourself seeking reassurance for?
Reassurance and OCD
Reassurance OCD compulsion
My OCD is different
You are not special! WAIT! Don’t don’t run away! I needed to get your attention for a moment. If you leave now you think I’m just a big jerk. Here’s what I mean by this!
So here is what I mean by you not been special. First of all your special. You matter in your feelings matter. Because you’re even watching this video right now it shows a lot of strength.
So what I’m really meaning is that the OCD that you are experiencing is not different. Individuals can often think that the topic or theme that they are going through this special, it’s different, no one understands exactly what they are going through, its untreatable, I hear all these videos online I see all this advice but it doesn’t apply to my theme.
Errrrrr! Nope! Your OCD is not special or different. This to me is one of OCD’s biggest lies. If it can make you believe that you are untreatable and that you are different from what you are experiencing then it’s got you. Individuals will often tell me that exposures they hear the specific theme just don’t apply to them. That if people really knew all the details of everything there experiencing they would change the treatment.
So this is something that is important to note, something to tell your OCD even if you think it is different than everyone else’s to remind yourself that OCD is OCD. That follows the same route as everybody else. It’s making you doubt in question yourself and who you are as a person. It’s making you question the threats in the future and if they can come true or not. It’s giving you an intrusive thought putting a lot of meeting on this thought making you feel anxious that’s wanting you to do something to fix it.
Simple as that. When we see OCD simply becomes simple. If you see OCD is complicated, different, or special, than it has the upper hand. To take control is to see it simply. Do not see yourself as different or special. Like I said you as a person are unique and special. Your OCD does not get to join this party.
So as you’re seeing the videos that I have, your hearing advice given, and you think it doesn’t apply to your theme. Remember that this is a lie. Give yourself more credit. You can even remind your OCD that it’s not special when it’s trying to take the light. Give yourself the opportunity to do treatment. I know what people say, “but if you only heard what I’m going through you’d be shocked. You would say that mine is different.” Don’t even allow your brain to go there. Instead he focus on living life and enjoying.
This tactic the OCDs using is no longer going to be something you fall for. Treatment is available if you’re looking for a specialist.
So here’s my question for you, have you ever felt that your OCD is different than everyone else’s?
OCD feeling alone
OCD is unique
How To Stop Compulsions with OCD
How many things do we do in our life because “just in case”. Our brain comes up with an idea of “something bad” happening and we tend to follow it up with….well just in case, I’ll do this behavior. I want to talk about the traps we can fall into when we use “just in case” when it comes to OCD and anxiety.
So if you really think about it, this just in case mentality is the root of a lot of anxiety and OCD. Most people are not doing certain compulsions because they know a hundred percent no doubt in their mind that the thing they're scared of is going to happen. They are doing these behaviors because they want to prevent something that they don’t know could happen.
For instance, those who may struggle with contamination OCD wash their hands just in case there are germs or contaminants.
Those who struggle with sexual orientation OCD might ask for reassurance again just in case the person didn’t understand them correctly.
Someone who struggles with relationship OCD may just end the relationship just in case it was never meant to go anywhere.
Someone with real event or false memory OCD may spend a lot of time ruminating, their thinking through all these different types of scenarios just in case they find some new evidence to what they’re thinking.
These just in case behaviors keep people trapped in their OCD. And what I want is for people to turn this all away around and say just in case my theory is wrong I’m willing to risk it. Risking it means they are using exposure and response prevention. This is something to think about when you are going through your OCD topics or themes. You think about your motivation for why you are doing whatever you are doing. You can follow it up with I’m doing this just in case ….. -- if there is even a just in case there and you know it’s part of your OCD this is a moment to step back and say I am purposely not going to do this behavior or this compulsion.
Because what the brain needs to learn is that you are saying I’m going to fix this before there’s ever a problem. The problem that doesn’t happen in all the brain knows is that you had a lot of control over the outcome. This can be completely false because in reality, you may have not had any control. The brain doesn’t know this, this is your job to teach it. The only way for it to learn is for you to not do the compulsion to respond differently to the thoughts and fears.
Because what happens is that when your brain says This thing five times or a family member will die. You choose not to. You see that the outcome most likely doesn’t happen. When it doesn’t happen it starts correcting the brain and retraining it to say, hey you completely lied to me. You said I had to tap five times, and nothing happened. Maybe it’s time for you to stop lying to me.
Your brain congratulates you for taking care of the just in case moments. Of course, we can never be 100% sure that these bad things will never happen in your life. But that’s not the point, the point is that you may need to risk that the fear in your mind may happen but it’s not because of any compulsion were not doing a compulsion.
So the next time your brain says just in case. Look around you, if you don’t see immediate danger then you may choose to make a different choice, you may learn to sit through the anxiety, not ruminate through it, not do any other compulsion…. And see what the outcome is. You may be surprised.
So here’s my question for you, what just in case things do you do?
Stop What if with ocd
Just In Case with OCD
How To Stop Ruminating with OCD
Rumination and OCD
This video is a long time coming. Let’s talk about rumination. Do you know what rumination is? I would say most, If not all individuals who struggle with OCD ruminate. The official definition of rumination is “the action of chewing the cud”……
Wait, that’s not it. How about this. “a deep or considered thought about something.” That’s better. We can all be in deep thought from time to time. It can whisk us away from the present moment. It can distract us from noticing the surroundings around us. Some have said that rumination is often considered to be a silent mental health issue. No one can see what’s going on except the person. They often don’t know the harm they may be causing themselves because of this rumination.
But why would thinking something very deeply be an issue? Well, it only tends to be an issue when it actually starts interfering in a person’s life. When it comes to anxiety, rumination is essentially a way for the individual to gain answers and problem solve whatever they’re feeling anxious about. It’s trying to problem solve the future. Trying to problem solve the “what if’s”.
If you think about yourself, are you ever able to actually come up with a good answer to the things you are ruminating about. I would guess the answer is no. Because we think we have a good answer, we react as if we have a good answer, we do behaviors assuming we have a good answer, and in the end it ends up being different than what you thought.
Rumination is a huge part of obsessive-compulsive disorder. Individuals who struggle with this often are looking for certainty. They want to know for sure what they are experiencing is true or not. If there really that type of person or not. If they would really do that thing or not. If that catastrophe in the future is going to happen or not. Rumination is thinking about all these things. Thinking about your specific topic or fear when it comes to your anxiety and OCD. Often rumination is just trying to figure out if what you are experiencing is OCD related or not. It’s problem-solving through what your brain says is a potential problem.
Here is an example: somebody you may experience contamination OCD may attach to door handle. Their brain has attached meaning to this. Here’s the rumination and what my sound like: “ I can’t believe you just touch the door handle. Do you have any people touch the door handle? What if somebody was sick that touched it? Do if you touched your face or no after you touch the door handle? No is probably okay to touch it. But if it’s not okay then I’ll get sick. I get Sick, then I won’t be able to go to work. If I can’t go to work, then how am I going to support my family. You know even though it’s probably fine, you should probably wash your hands just in case.
The person goes to wash their hands.
I know you washed your hands, did you know if you touched your pants afterwards? I know you trust your phone is a something you probably need to wash? How about you just change her clothes just in case. Well I know now you just kept yourself safe, but did you see that your child just touched the door handle. What things did they touch. Maybe need to go ask them, wash their hands change their clothes washed the door handle.
As you can see, this person is problem-solving they are doing just in case behaviors. There trying to think through it and prevent whatever the fear is from happening. Often I see rumination as very automatic. It will throw out these threats to you as quick as it can. If you go down this road and problem solve or think through the situation. You are doing a compulsion.
The compulsions are the things that are keeping you trapped. All your brain knows is that you may have saved yourself from whatever fear it says was going to come your way. It is a liar. You cannot think your way through your fear.
I say don’t engage with rumination. Do not give it any power whatsoever. This is a very tough task. But here are some tips you can use. Making sure you give your brain the same answer every single time it threatens you. It says you hit someone with your car are you thinking through this whole situation. Your answer is maybe I did maybe I didn’t. Some choose to agree with the threat to take the power away. They may say, sure I totally have someone of my car.
I can only imagine the OCD screaming you just gave it that answer, that you agreed with it. Are you sure you actually love your partner? Maybe I do maybe I don’t. Are you attracted to somebody of your same gender? Maybe I am maybe I’m not. Will I harm my child? Maybe I will maybe I won’t.
There is not a topic or theme you cannot use this phrase with. Everybody thinks their special and that their specific topic or fear does not apply. To help you not ruminate, it’s committing to not engage by giving it the same answer every single time. Even if it feels real, even if you feel like this one’s different.
Some choose have different catchphrases. That’s not my thing. Sure man totally. Thank you for your opinion.
These statements need to be followed up with not engaging in the compulsions. The individuals that do the compulsions are not really committed to the maybe maybe not’s that they are saying. Because you cannot say maybe maybe not, and then go wash your hands because you’re just not sure. Or avoid the knife because you’re just not sure. Or go back and check to make sure you did hit a pedestrian because you’re just not sure. Ask for reassurance again because you’re not sure. That is the whole point. You need to be unsure. Being unsure on purpose as a way to stop the rumination.
One of the first parts is recognizing that you’re even ruminating in the first place. You might think about what is my reasoning for thinking through this right now. Am I just genuinely curious, or do I feel this urge for this need to figure out this answer right now. If it’s the urge, you’re not gonna do it, you choose not do it. Is actually your choice. The thoughts will start coming in that’s the automatic part, but you engaging with them is completely your choice. Give yourself that power.
Did you know that I created a very specific course for OCD. It takes you through understanding yourself, the treatment and a way to maintain your progress. We talk about rumination, hierarchies, exposures, writing scripts so much more. There are over 41 videos in this thing. I’ll link it in the description. You can preview you it for free.
Do you ruminate? What do you ruminate about?
Overthinking and OCD
Real Event OCD Anxiety Treatment
You may have had an experience of something that happened years ago. It’s possible that you forgot about it for quite a while and all of a sudden BAM, it hits you. Now you can’t stop thinking about it, you can’t stop thinking about what you’ve done. Even if it is something so small and meaningless. Your brain has all the sudden put a lot of meaning to this. You’re spending a lot of time convincing yourself you didn’t do anything wrong. This isn’t enough. Your brain replace it over and over and over again, the guilt sets in. It almost verifies that what you are experiencing must matter. The thing in the past must be rectified. You must fix this in some way, even if it is absolutely impossible to fix. Extreme anxiety and fear join the party. This past experience now consumes your life.
This is what we call real event OCD.
If you want to know more about real event OCD. I will link my video down in the description and you’ll be able to click on it here.
You may already know you struggle with real event OCD. I want to be able to help you learn how to retrain your brain and use the evidence-based treatment of exposure and response prevention. With permission from “turning point psychology” and the clinical director Anna Prudovski; I will be providing 10 tips that can help you right now with your real event OCD.
#1 - OCD is known for attacking what matters the most to us, so this is your chance to use your obsessions as a guide to understanding yourself.
Which values lie underneath your regret? What is your pain trying to tell you? What matters most to you in your life? What kind of person would you like to be? How would you like to treat yourself, others, and the world around you?
As opposed to to being consumed by your intrusive thoughts, memories, and emotions, use them to uncover your core values and start taking active steps toward them in the present instead of being consumed by the past.
This exercise is not to ruminate in the past. It’s not to problem solve whatever it is that you did. Instead this is focusing on you right now. What your values are, who you are as a person, and allowing your brain to move forward instead of going backwards.
#2 - Start making a list of what gets neglected while you continue being entangled in the battle with your mind.
Is being consumed by the past preventing you from having a present? Do you find that being hooked by your thoughts prevents you from taking effective action toward your goals? Are you spending so much time in your head that you don’t feel present or engaged in the moment with people you care about and in doing what you love? What would you be doing differently if you could put your memories aside and reengage with what matters to you in your life?
Make a list, put it somewhere visible, and use it for motivation in the moments where your OCD tries to hijack your attention by making you compulse.
3. Every time you have an urge to check, ruminate, neutralize, reassure, or do any other compulsion – ask yourself, “If I let these thoughts and emotions determine what I do in the next few minutes or an hour, will it get me closer to the person I want to be or will it move me even further away?”
Think about how powerful this is. Your living life right now. The compulsions were only to keep you trapped. It seems important, I get it. What do you know what is more important. Living life right now, feeling joy, looking towards the future.
4. Put a visible reminder somewhere that OCD is the issue, not your past event.
We tend to put so much power and value to past experiences and events when really all filters down to the same thing. OCD and uncertainty. The past event, no matter what it is can be seen as OCD. The OCD thinks it’s protecting you when really it’s your job to retrain your brain to show that you don’t need that protection. You’ll find that it wasn’t protecting you from anything.
5. Practice self-compassion.
This is not the same as forgiveness (which, in your case, most likely will just constitute another compulsion).
Self-compassion is acknowledging that you are suffering. You can remind yourself that suffering is a common human experience and is a part of life. Give yourself a moment of kindness without reassuring yourself.
(Yes, yes, I know: your OCD will probably tell you that you don’t deserve kindness. Or that the kindness is another way to trick yourself into thinking you didn’t do anything wrong. Please treat this thought just like every other obsession – let it be… and continue practicing self-compassion)
6. Do not try to get rid of your thoughts and emotions. They will come and go at their own time. Let them be and redirect your attention toward taking a step toward something that is important to you (not to your OCD). Don’t wait for the difficult emotions to subside to move forward in life. You can have them and still live your life the way you choose to in the present.
7. Ban rumination. Rumination is a compulsion. It deserves none of your attention. It’s wanting you to problem solve and you don’t problem with anxiety anymore. You don’t “problem solve the past.” Don’t give it any attention or power. As thoughts come, you can answer them with, “totally” or “maybe, maybe not.”
Even trying to figure out whether it is really OCD is an example of rumination.
8. This is a tough one. The only way to recover from OCD is to be willing to live with the fact that your scary thoughts may be right.
WAIT, WHAT DID YOU JUST SAY?
That’s right, your scary thoughts may be right. It doesn’t mean that you accept that they ARE right. It just means that you accept to NOT know. To not problem solve to know.
As long as you continue living with the hope that you will have certainty about the past, the future, and the kind of person you are, OCD will continue to have a grip on you. Yes, the thoughts about what you did and what kind of an immoral human being you may be are horrific. But these are thoughts. Not facts. (don’t use this as a compulsion). Hold them lightly. All our thoughts may or may not be true. As long as we don’t take them too seriously, we have the freedom to live our life. Allow the uncertainty to be there and continue with your day.
9. Seek treatment. Your OCD will, of course, tell you that treatment will not help, that you will be judged, that going to therapy is just an excuse to avoid repenting, that nobody can possibly understand what you are going through, that the shame will be unbearable, that your OCD is very different from other OCDs and that, of course, it may not even be a real OCD.
Just like with the other thoughts, hold these thoughts lightly and don’t allow them to sway you from getting your life back.
10. Make sure that your therapist specializes in OCD and practices ERP (Exposure and Response Prevention) and ACT (Acceptance and Commitment Therapy).
This is crucial. Seeing somebody whose method of treatment is CBT but who doesn’t mention ERP as their treatment approach on their website or in your phone conversation is not enough. Not all CBT is applicable for OCD and the therapist needs to know a very special way of using CBT for the treatment of OCD.
Don’t see a coach. They tend to charge less and use words like, “cure” “overcome forever” or “fully recover” making it sound very enticing. I mean, I’d want to go to them. Don’t fall for it. See a true specialist.
Treat My Real Event OCD
Anxiety From Past Mistakes
Nathan Peterson, LCSW
OCD can be tricky! I want to provide useful information for your OCD, anxiety, tics, tourette's, BFRBs, and many other anxiety related disorders.