O.C.D.
What is OCD?
Obsessive-Compulsive Disorder (OCD) is a common yet debilitating mental health condition characterized by recurring, uncontrollable thoughts (obsessions) that cause significant distress. Individuals with OCD often feel compelled to engage in repetitive behaviors or mental acts (compulsions) to relieve the anxiety associated with these intrusive thoughts. OCD (Obsessive-Compulsive Disorder) is not about being organized or color coordinating your to do list. OCD is about experiencing debilitating intrusive thoughts that often conflict with your values, leading to intense self-doubt and at times shame. These thoughts create so much stress that individuals may engage in compulsive behaviors to seek relief. Common compulsions include switching lights on and off or excessive handwashing, as often depicted in media. You might also have personal rituals, such as knocking on wood, touching certain materials, or repeating prayers a specific number of times. For many, compulsions aren’t just physical; they can also involve ruminations or constantly seeking reassurance from others (ie: did I lock the door, he will be OK right?).
Cycle of OCD
The cycle of OCD can be relentless. The more you seek reassurance—like checking if you've locked the door—the stronger the urge becomes. Engaging in repetitive behaviors, such as handwashing or rituals to alleviate the stress from intrusive thoughts, can give your intrusive thoughts more power, making them stronger over time. While you may find temporary relief through these actions, they can ultimately increase anxiety in the long run.
Intrusive Thoughts
Almost everyone experiences odd or alarming thoughts, but those prone to OCD often feel immense distress from having them. For example, as a cat lover, you might see a cat and briefly think, “Could I lift this cat by its tail?” While most would dismiss this as a random thought, those with OCD may fixate on it, worried that they might actually harm the cat. Similarly, if your partner is late, you might momentarily worry about an accident, but instead of moving on, you could become consumed by worst-case scenarios, such as imagining their funeral, even as they arrive home safely.
Repetitive/Compulsive Behaviors
While many can brush off random thoughts, those with OCD often find themselves stuck, compelled to engage in repetitive behaviors or mental acts such as ruminitaing on their own or asking others for reassurance. These compulsions might include repeatedly checking if the stovetop is off, the doors are locked, or that you unplugged your hair straightener. Repetitive behaviors also could include excessive handwashing and cleaning or seeking reassurance from others. For instance, you might repeatedly ask your partner if you locked the doors, even after he has confirmed it multiple times.
How Can Counselors Help?
Counselors are not here to diagnose OCD or prescribe medication. For an assessment, please consult your family doctor. However, we can assist you by utilizing Cognitive Behavioral Therapy and Exposure Response Prevention Therapy and by:
Reducing compulsions and stress caused by intrusive thoughts.
Providing psychoeducation for clients and their families.
Working to reduce shame and stress associated with intrusive thoughts.
Challenging obsessive thoughts and urges.
Limiting time spent on compulsive behaviors.
Gradually reducing assurance-seeking behaviors.
Supporting clients in building trust in themselves and managing stress.
OCD is a debilitating condition that can manipulate your thoughts and make you doubt yourself, even leading to feelings of shame. If you are struggling, remember that you are not alone. You are not your intrusive thoughts or compulsions. It is possible to live a fuller life while reducing compulsions and the stress associated with them. If you’re interested in learning more about how we can help you, click below to book your 15-minute free consultation.