Self-Help - Overcoming OCD
Vivek Jayaraman
7th Nov, 2019
Self-Help - Overcoming OCD
In the previous write-up, we discussed Obsessive-Compulsive Disorder (OCD) and its implications. How does it occur? How do I know if I have OCD? , and What are some of the common disorders that come out of OCD? In this blog, we are going to discuss some of the things that can help ease our OCD. Nobody wants to live with a disorder that directly or indirectly affects their everyday life. So, how can we overcome OCD?
How
deep is OCD?
Obsessive-Compulsive
Disorder (OCD) is considered or can be comparable to that of chronic disease.
OCD itself isn’t a disease but is currently recognized as incurable. Chronic
illness means illness is persisting for a long time, or it can be regularly
recurring, which means that either it comes back after getting cured or takes a
longer time to get cured.
It
is said the cause for Obsessive-Compulsive starts before 19 years of age and
could be visibly seen or felt after that. OCD could be because of comparisons,
abusive childhood, paranoia, drugs, childhood trauma, and loads of other
factors. As discussed in the previous blog, OCD affects the everyday life of
people who has it. You can also identify people with OCD through motor tics,
which they wouldn’t be able to control by themselves. They are anxious, and engaged
in some deep thoughts about their obsessions.
What
are some of the ways to treat OCD?
Below
are some of the ways to treat OCD patients.
- Medication
- Psychotherapy
- Brain Stimulation Therapies
- If you don’t want to know more about practices that are used to treat OCD currently, you can move to the last section, where we will discuss Self-Help
These
are the primary treatments available outside of OCD. If you go to a therapist,
medication or psychotherapy is usually suggested depending on the severity or
whether they are a clinical psychotherapist or an applied one.
Medication
Many
of the industry-wide medical treatments for psychological disorders are
suppressants or sedatives. Suppressants could also be a sedative. I have seen
treatments for schizophrenia and severe mental disorders. It mainly involves
keeping them sedated, and the sedation level varies from moderate to high
depending on the severity of the problem involved. These drugs make the person
dull and keep all their senses in a constant state of sedation when taken.
There
are a variety of side effects of medication. Sometimes, drug leads to risks
and also have benefits. When it comes to treating mental disorders, it is all
about trial and error. Many of them get risks while few receive benefits.
Medication at times could also lead to suicidal thoughts, worsen OCD even
further, and so on.
People
resort to drugs and alcohol themselves to suppress obsessive thoughts or
compulsive behavior. The drugs and alcohol are nothing but a sedative and keep
them calm if they want to or can turn them violent. Let’s leave the medication
part to clinical psychologists and focus on some of the insights that I can
offer based on my studies.
Psychotherapy
Psychotherapy
is a vast field, and there are many ways and means of treating OCD. Let us see
some.
- Cognitive Behavioral Therapy (CBT)
- Exposure and Response Prevention
- Acceptance and Commitment Therapy
Cognitive-behavioral
therapy (CBT) is a psycho-social intervention that aims to improve
mental health. CBT focuses on challenging and changing unhelpful cognitive
distortions (e.g., thoughts, beliefs, and attitudes) and behaviors, improving
emotional regulation, and the developing of personal coping strategies that
target solving current problems. CBT is a combination of the basic principles
of behavioral and cognitive psychology. CBT is a “problem-focused” and
“action-oriented” form of therapy, meaning it is used to treat specific
problems related to a diagnosed mental disorder. [Wiki]
Exposure
and Response Prevention (ERP or EX/RP)
variation of exposure therapy is the resolution to refrain from the escape
response is to be maintained at all times and not just during specific practice
sessions. Thus, not only does the subject experience habituation to the feared
stimulus, but they also practice a fear-incompatible behavioral response to the
stimulus. The distinctive feature is that individuals confront their fears and
discontinue their escape response. The exposure therapist identifies the
cognitions, emotions, and physiological arousal that accompany a fear-inducing
stimulus and then tries to break the pattern of escape that maintains the fear.
[Wiki]
Acceptance
and commitment therapy (ACT) is a form
of counseling and a branch of clinical behavior analysis. It is an empirically-based
psychological intervention that uses acceptance and mindfulness strategies
mixed in different ways with commitment and behavior-change strategies, to
increase mental flexibility. The objective of ACT is not the elimination of
painful feelings; instead, it is to be present with what life brings us and to
“move toward valued behavior.” [Wiki]
Brain
Stimulation Therapies
Brain
stimulation therapies can play a role in treating certain mental disorders.
Brain stimulation therapies involve activating or inhibiting the brain directly
with electricity. The electricity can be given directly by electrodes implanted
in the brain, or noninvasively through electrodes placed on the scalp. The
voltage inducing is also by using magnetic fields applied to the head. While
these types of therapies are less used than medication and psychotherapies,
they hold promise for treating certain mental disorders that do not respond to
other treatments. [NIMH]
I am
personally against this kind of practice, which involves electric/shock
treatments irrespective of the results that they yield.
Some
other Self-Help practices followed
The
above ways of treating OCD is what is available these days. Be it medication,
CBT, ERP, ACT, or Brain stimulation. But is there any other way to use some
necessary steps at home to take care of my OCD? The answer is yes, but it takes
a lot of discipline and determination to follow something like a routine that is
against your compulsion.
Snapping
Rubber band
A
couple of months back, I watched a movie named “Mile 22”. In that movie, Mark Wahlberg is someone
who has OCD, and to remove obsessive thoughts; he has a rubber band on his
wrist. Check the video here. Every time an obsessive idea comes, he
pulls it and slaps it against his wrist. Which means a way to enforce and stop
those thoughts. I checked for it, and some say it helps while the majority say
that it’s not.
Relaxation
Techniques
There
are many relaxation techniques available. Meditation, Mindfulness meditation,
body relaxation, deep breathing, exercising, running, aerobics, muscle
relaxation, and so on. Techniques like Hypnosis can help with complete body
relaxation with in-depth suggestions that can help with eliminating both obsessive
thoughts and compulsive behaviors. Many people practice yoga, which helps with
relaxation, and some work out heavily in the gym or take up running a marathon.
Self-Help
Let
us first do something for the obsessive thoughts as it is the one that is most
disturbing and annoying. Like lightning before the thunder, it’s the thoughts
that drive behavior.
Some
of the common obsessions could be fantasizing thoughts, distractions of the
same kind of things, and thinking the bad/good things over and over again. It’s
your mind trying to communicate with you in some form. It could be displaying
images, a voice that tells you, a feeling that you want to feel again, etc.
Start with a small observation of these thoughts. I want you to be consciously
aware of this. Proceed next only when you are consciously aware of the driving
factor. Answer some of the questions below to get awareness. From now on, I
suggest you write down everything from now. It helps you to analyze once after.
- When do I get these thoughts?
- What is the reason I get these thoughts?
- When was the first time I got these thoughts?
- How do I usually behave when I get these thoughts?
- What my body does when I get these thoughts? (Like increased breathing, agitation, nervousness, restlessness, shouting at people, anger trigger, leads to biting nails, biting lips, etc.)
- How long do these thoughts stay when they come?
- In a day, how many times do I get these thoughts? (If you don’t know, spend a day or two and see that on an average, how many times do you get)
Conscious
awareness is the first step in solving anything related to the mind. Be it a
counselor or a therapist; they help you understand this first. Every emotion
thought, or feeling is associated with clues that happen in your body, you
know them first, and you can manage your feelings easily.
You
need to believe that you have a choice. Be it an obsession or a compulsion; it
doesn’t happen without you choosing it. You choose to do it even though it comes
as a compulsion. You are doing it because you like to do, or you have been
doing it for so long, and so you continue to do it. Either way, you need to
understand that it is your preference to do it, and it comes from you. That is
why one of the outcomes of OCD is guilt.
First,
let’s go to the Self-Motivation blog and
identify “Token.” If you haven’t read that blog, I suggest you read them
once. Then, find another object or a toy that makes a different sound. A click
pen does the job if you couldn’t find anything. Zip open and close sound will
also be an ideal choice. You can even snap your fingers. Find an everyday
object that you use to make a sound, which also is handy. It could be a squeeze
toy, a tic tac noisemaker, a small blow horn, etc. Let’s call it a toy.
Make
the thoughts unattractive.
- Identify the most unattractive thing for you. Make sure it’s disgusting. It could be one of the many like an overflowing gutter, someone sneezing at you, people spitting on the road, etc. Find what disgusts you the most.
- Close your eyes, and bring the obsessive thought that bothers you. Identify all the parameters of your token and enrich your experience. It could be Visual, Sound, Feeling, Smell, or Taste. Open your eyes. Name this thought “Obsession.”
- Close your eyes again, and bring the most disgusting thing that you can think of. Identify all the parameters of your token and enrich the experience. If it’s a disgusting smell or an image or a sound or a feeling or a taste, increase the experience to 100 times more disgusting. Open your eyes and name this thing “Disgusting.”
- Now close your eyes again and bring the obsession right in front of you. Zoom out the obsession as tiny as you can. Use the toy to make a sound. Zoom in on the disgusting thing as big as you can, like a blow-up screen, after you hear the sound. Repeat this process as many times as you can until your obsession becomes disgusting.
From
on then, whenever the obsessive thought comes, it will be a sickening feeling
that you hate the most. As you continue to make it a disgusting thing, it
becomes one. The obsession will slowly wear off. During the initial days of
trying this out, you can keep the toy with you. Whenever an obsessive thought
comes, you can use the toy to make the noise, so it creates a sense of
disgust. You will then come out of that obsession, as soon as possible. You
can use the same Disgustion trigger with the same toy for many obsessive
thoughts. It takes at least some weeks as an obsession has to wear off slowly.
Give the amount of time needed to eliminate the obsessive thoughts.
We
will see next about compulsive behavior. The behavior could be biting lips,
biting nails, smoking, drinking alcohol, drug intake, taking selfies, social
media addiction like Facebook/Twitter/Instagram, and so on. Conscious awareness
is everything when it comes to change. Ask yourself whether you are okay with
giving up this behavior. You should be 100% sure to give up this compulsive
behavior.
I
was a chain smoker, and every time I give up smoking because someone else
wanted me to give up. So, naturally, I get the behavior back because I like to
smoke. One way to understand is to ask yourself whether you are okay in giving up
the compulsive behavior. If yes, proceed. If not, ask yourself if the action is
helping or hindering. If it is blocking, then understand its nature and its
causes. Understand what benefits you are going to get by giving up this
behavior.
It
is hard to get rid of habits, once formed. Many therapists suggest that
existing habits should be replaced with new one to increase the possibility
of getting rid of it. Interesting, right?
Bringing
in a new habit by replacing an old habit is the same as changing behavior. Check this blog and follow the steps mentioned for
transforming an old habit.
You
can change anything that you wish, and you do have the potential within. OCD is
just another limiting belief that people do have. How you look at things can
improve outcomes exponentially. You need to have an open mind to challenge your
ideas, and so they can change with proper learning and experiments. They say
OCD is chronic, but if you have the will to change, you can change. The limit
only exists in mind. I used to tell people who go for any treatment, “You
need to believe that you are going to get cured first. Everything else comes
next”. One needs to believe.
People
who pray to God are less anxious because they trust and believe God so much
that the result is so apparent to them. Belief and hope are what keeps humans
running on their toes in this busy world.
I
know there will be questions like,
- What is stopping people from doing this and curing themselves?
- What makes you think this is going to help?
- If this works, why other practitioners are not helping people with such things?
- And much more
You need to understand that this is business when it comes to hospitals, therapists, and practitioners. Information is free and should be available for every individual to learn and implement things for their welfare. I started writing self-help because everyone needs help on one or another item. I am a Coach, and I consider this as my responsibility to help and empower individuals.
People
hide things when it comes to any problem related to psychology or mental
illness. They think that others will consider them as a nut cases. It’s a taboo
that persists. So, self-help and self-care can individuals help in moving
forward. As I have mentioned early, “Accepting things and asking help is the
only way to move forward.”. I suggest moving forward. This article is not
everything. But, definitely a starting point. Be persuasive when it comes to
helping yourself and be persevering.
What
do you believe? Believe that you can, and anything is possible. Believe that
you can help yourself. Everything is curable.
What
do you hope? Well, make a list, don’t wait for me to tell you. See you in my
next article.
This is just a speck of knowledge on your journey to becoming an expert in the industry. If you have any doubts or require career guidance, feel free to connect with our Industry experts and trainers for 1-on-1 coaching.
You are already a step ahead. Keep learning and growing!