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OCD - exposure therapy, CBT and experiences

Citizen Insane

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#41
20 years or so of the famous "OCD - Thought Broadcasting" in full effect - it got real bad in the last few years and I simply became less aware...
Until a change started to happen... I can rest now and I'm alone with my thoughts again.

Decided to write like this (for diary) - it's an effective way for me to communicate with myself...
OCD is hell.

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Windhover

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#42
Just a little note about something from the last few days. There were a couple strong triggers for anxiety, and instead of fighting it and making it worse, I let it be. After a few hours I was able to practice a small action which functioned as exposure therapy. I managed to do it without significant trouble. I felt okay.

When that original trigger occurred I was able to hold my attention on what was starting to happen, let it be itself: not a monster just nasty old anxiety. But I won out. Triggers will not stop happening but maybe I've found some muscle with which to deal with them.
 

LumberJack

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#43
20 years or so of the famous "OCD - Thought Broadcasting" in full effect - it got real bad in the last few years and I simply became less aware...
Until a change started to happen... I can rest now and I'm alone with my thoughts again.

Decided to write like this (for diary) - it's an effective way for me to communicate with myself...
OCD is hell.
Wow, Ken. Your handwriting is beautiful. I also have little dialogues with myself, but if I didn’t type them I would be unable to read them in the morning.

Oh, also thanks for the words that convey thought broadcasting. I thought everyone did this! Are you suggesting that it’s possible to refrain from it?

I totally agree that OCD is hell. My therapist told me that her own daughter (who is also diagnosed as OCD) describes it as being in pain, all the time. I cried when I heard that, because I fully understand what she meant. She is mid-teens IIRC, and she articulated that detail way better than I could.
 

Citizen Insane

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#44
Hey @LumberJack *shake Thank you! *hi5
My psychologist told me that most of the OCD will be there the rest of my life... Not easy to accept:

What helped me was to build a Mental Buffer versus this: "I'm going to have OCD thoughts (today & in the future), they'll express them in ways X / Y & Z - and these are the feelings of discomfort that will accompany the thoughts. I will also have moments where I'll be completely involuntarily creating shit I don't want to see, visualization (mind's eye) wise..."

This doesn't mean giving up ~ but it's a way to see how predictable OCD behaves. It's still hell, but I'd do a lot for just a 5% to 10% improvement any day.
 

LumberJack

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#45
5% is good enough.

I'm not being consistent with practicing exposures. I'm kind of staying on the lowest rung of my "fear hierarchy." Some days I just say F*** it and do the all the things I was trying to resist doing. It's like scratching an itch.
 

Citizen Insane

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#48
Freedom.... holy shit. 7 days of exposure therapy - pretty f'd up :D but this helped. I felt a range severely bad anxiety and strange feelings I can't even explain.
It's insane. I'll keep doing this for the upcoming time, the exposure exercises. I just didn't realize how much repetition it was going to take. There's so many lies OCD / anxiety tells us... it's so crazy. (see the writings)
 

LumberJack

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#49
I have been doing more exposure practice. I have found out that planning out exposures on a certain level of the fear ladder helps me push forward. It reminds me of weight training in that you go for consistent small gains with many reps but with breaks between sets. It’s also imperative for me to give myself rest in between “workouts.”

So my blueprint so far is that I will plan out what exposures I want to take on, and in-between what calming techniques to use before taking another small step forward. I have found grounding to be helpful in addition to slowing down my breathing.

What I am noticing is that I am having thoughts outside of my structured sessions that I didn’t have before. I used to be driven to do all these things that I never even thought could be questioned. So it’s a new feeling to ask myself if I really have to do the thing that I think I must. Usually it’s not, but I still do it if it makes sense (cost<benefit).

When it’s not I engage my rebellious side and decide to do something else, usually read, short walk outside, or something creative. The real payoff comes when I notice that not doing a certain thing, or even interrupting a ritualistic behavior without completing it, doesn’t end up causing the clouds to part in the sky so that Zeus has a clear view to aim his thunderbolts at me.

This is bittersweet in the sense that I am realizing just how much time in a given day I spend doing things that don’t need to be done. And I have been doing it for over 30 years, at least since about 14 years old. I guess any new realization will come with a degree of sorrow over not having learned it sooner. It’s a sign that I am making true progress. I hope. 🤞
 

LumberJack

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#50
I might have pushed myself too hard. It seems like I'm coming out of it now, but I was in a poor state before. I had an interval where I entirely forgot that I was trying to work with this. Kinda like rational me passed out suddenly, then compulsive me took over. I'm back to "rational me" now, but it's a bit scary that I am doing this goddam jekyll/hyde switch back and forth. Nonetheless, any time that I was clear-headed (as opposed to unquestioned ruminations telling me what to do 100% of the time) is good progress. Damn. This fucking split personality shit is hard to contain! Dr. Jekyll is runnin' his ass off trying to arrange things so that when Mr. Hyde comes around, the fallout is minimized. Unfortunately, this energy expenditure reduces the good doctor's availability and Hyde grabs the spotlight for more of the time cause Jekyll is passed out.

No big deal, tho. I didn't learn to ride a bike without a good amount of skinned knees, and other injuries involving blood and asphalt. With OCD I can hardly expect myself to have a one-shot sudden realization and now I'm fine forevermore. I'm learning by making mistakes and getting back up. What I noticed before the shutdown was that my brain was strangely, but pleasantly, quiet. I had stopped rehearsing all the instructions to do all the things that I was driving myself to do. I didn't do them, and guess what - the sky is still blue, rain comes down (admittedly not that often lately), and the world is still turning. I was spending so much effort keeping this whole show running and I didn't even have to! With that newfound surplus of energy, I was more mindful throughout the day and I ruminated less. This led to my being able to remember where I put that damn widget this time, so I wasn't on a constant scavenger hunt for the <fill in the blank>. I had fewer clumsiness incidents, e.g., spilling things, knocking stuff over, or moving my body in such a way as to collide with objects on a horizontal surface. It was like hot damn I want more of this. But then the lights went out and so did my awareness, until now. This is gonna happen whether I get upset about it or not. So, maybe just for tonight I can ask myself if I really need to get so harsh with myself, like what is that accomplishing?

NB: this post is basically an internal dialogue/shouting match among various aspects of the "Jack" composite life form. So if it sounds a little bizarre, that's why. The inside of my head is a really complicated place. I have to define little regions of personality or I can't keep anything straight from one day to the next. In other words, I'm speaking metaphorically as opposed to actually fragmenting my personality.
 
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LumberJack

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#51
In a bad state. I have images of myself as a prisoner, twisted and tortured. Having been confined and neglected for so long that my body has adapted its fascia to the ultimate defensive posture. Interesting that it is the fetal position such that the head and abdomen are protected by the spine , ribs, and limbs. All the important things on the inside and all the protective bones on the outside. A human in a good, upright posture is vulnerable. Proper S-curve back, neck balanced on shoulders. and so on all the way down. Well, now the throat is exposed and everything above it is, too. Brace the head from oncoming attacks with the arms. Now the abdomen is exposed. curl the spine around into more like a C shape. Head protected by arms. Abdomen protected by spine and ribs in the back and by legs in the front. Now I am safe, despite having no escape route and no means to oppose those who wish to see me suffer. I'm going to get beaten. If I curl up into a ball, I move my injuries to the easiest spots to heal. This is the optimal strategy.

However, upon leaving the prison with my misdeeds paid for, I cannot unravel. My tendons are shortened in front and lengthened in back because of all the time spent stuck in the fetal posture. Now, it feels uncomfortable outside of the cage. Similar with OCD. I'm noticing that I can get some space from my routines and rituals, but I've been committed to them for so damn long that it hurts to not do it. I plan to keep at it, though. Leaving this here to read upon waking. I might have an easier time then.
 

Citizen Insane

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#52
I was reading some of the general people's experiences online a bit ~

I do have some spikes, let's say flares (as people call it) with OCD sometimes even when "I think I should be totally okay" in a situation.
So even after a good night's rest, no overstimulation (autism), a workout & shower afterwards - It activates from nowhere.

They tend to have some awful effect on me, I just rarely am able to relax then - How important could these thoughts even be... It's just not how I think compared to all the other times.

It can last quite a long time on a given day - involuntary just watching the thoughts go by and then it becomes more and more difficult to shift focus to what I am doing.

At times it's so much to buffer and to prepare for & also react to in real-time. Awareness of this is a killer sometimes too:
"Today I'm going to feel confused about intrusive thoughts, I'll have the usual strange feelings, I'll react to them (involuntarily) even though I know the negative result of that and nothing is going to resolve by analysing it all."

Experiencing a bit of an odd limit with exposure training then, despite all previous efforts. I tend to dislike the fact that whatever this disorder is doing, it makes it seem so goddamn important that my mind is reacting so strongly to it all.
 

LumberJack

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#53
Experiencing a bit of an odd limit with exposure training then, despite all previous efforts. I tend to dislike the fact that whatever this disorder is doing, it makes it seem so goddamn important that my mind is reacting so strongly to it all.
Oh goodness do I recognize that in myself. There seems to be a certain point where I just run out of steam, like if I were hanging by my arms from a bar that kept my feet off the ground - the muscles would eventually give out. Seems like my ability to do exposure without freaking out has a similar limit, because if I do too much too soon, then I get those same flares you mentioned. Like bad - multiple days. I don't even notice I'm doing it at the time, though, but I figure it out in retrospect after I get my "self"/rationality back.

I feel frustrated with myself when this happens because it feels like I'm backtracking and/or doing it wrong. By writing this out, though, I had the thought that with any behavioral change we should expect occasional setbacks. The longer trend over time is what matters. Definitely had that pattern going on when trying to quit substance use.

On the one hand, I want to say that I really hate having this condition, but at least I know wtf is going on instead of freaking out all the time because it feels like someone who is not me is driving my behavior. Now I just freak out some of the time, lol. OTOH, I guess it is what's on my plate, so that's what to work on.
 

Citizen Insane

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#54
On the one hand, I want to say that I really hate having this condition, but at least I know wtf is going on instead of freaking out all the time because it feels like someone who is not me is driving my behavior. Now I just freak out some of the time, lol. OTOH, I guess it is what's on my plate, so that's what to work on.
Yes! 100% - damn! I remember my psychologist telling me about that yes... People who've had it and were never (made) aware of this.

Having the disorder for decades ~ and then not knowing that what the person experienced is classified as what we know is OCD.

I do think about OCD quite a bit... It's an odd experience, being aware of this afterwards:
It's never the case that the thoughts will present itself as "Okay Citizen Insane / Kenneth, I'm going to produce OCD thoughts soon~ish."
No announcement of course.

They actually happen so fast instead ~ I wish I had that same speed of thinking when studying & reading something. *halo I can visualize things easily when it's about super distressing subjects *nono but when it's something I actually want to think about it's like...*grr constant brain fog.
 

LumberJack

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#55
They [as in OCD Thoughts] actually happen so fast instead ~ I wish I had that same speed of thinking when studying & reading something. *halo I can visualize things easily when it's about super distressing subjects *nono but when it's something I actually want to think about it's like...*grr constant brain fog.
You and me both. Except for the visualizing thing. I'm daydreaming every time I don't have to be careful for physical safety. It's so constant that I have to practice meditation with my eyes open. I am not exaggerating when I say I the visuals behind my eyelids are more interesting than IRL*, lol.

What I came here to document, mostly for my future reference is the exposure progress I'm making. First, I'm starting to notice opportunities to practice an exposure within my reach more frequently. Second, I'm making upward progress on my "fear hierarchy," meaning I am stretching my reach day by day. :)

May your own exposure work blossom, Ken. *brohug


* - my second favorite movie quote in any movie is in the Sci-Fi Horror flick titled, "Event Horizon." The main character (Captain of the space ship) appears in front of his second command, having no eyes and the lids gravely damaged.
Code:
Commander: "What in the hell happened to your eyes?" 
Captain: "Where we're going, we won't need eyes to see!"
My immediate reaction was, that sounds great! How do I get there? I have since been wondering if Satanism might be a good path for me after all. *nono *shy
 

Citizen Insane

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#56
You and me both. Except for the visualizing thing. I'm daydreaming every time I don't have to be careful for physical safety. It's so constant that I have to practice meditation with my eyes open. I am not exaggerating when I say I the visuals behind my eyelids are more interesting than IRL*, lol.

What I came here to document, mostly for my future reference is the exposure progress I'm making. First, I'm starting to notice opportunities to practice an exposure within my reach more frequently. Second, I'm making upward progress on my "fear hierarchy," meaning I am stretching my reach day by day. :)

May your own exposure work blossom, Ken. *brohug
*thumbsup - I'll try something new with exposure yeah - & Good to hear about your progress*agreed!

I mostly have mental compulsions (OCD - Thought broadcasting, for example) and it will often affect communication IRL when I'm speaking from what I've noticed. Experiencing how awkward that can be... at times. Even with people I've known for years.

I will experiment with this & continue to communicate as opposed to not speaking at all - the latter would be "avoidance". If I need to adjust, I'll do it in real-time *thumbsup versus preparing conversations in mind only (with anxiety). *nono

It's been a rough week. Multiple flare-ups - so much rumination too... and there's situations where I simply am unable to do anything about it. I can understand now why I chose to simply isolate & not interact with people for years between like 2007-2011 ~.

Exposure time now yea!
 

LumberJack

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#57
It's been a rough week. Multiple flare-ups - so much rumination too...
Me too. I’m trying to process a certain resentment so that it doesn’t take up so much of my mental CPU cycles. It feels like I am just stirring up my bitterness. Not directly related to OCD except for the fact that I tune out and go into automatic mode, meaning I’m going with my impulses based on my habits. When those impulses involve ritualistic behavior or rigidity in routines, I get a few steps down the wrong path before I notice what is happening. I didn’t even know these were OCD behaviors until I was diagnosed.

But the rumination is far worse. The temptation to get drunk is overwhelming. I know it won’t make me feel better; I lost the ability for substance induced euphoria long ago. It might make me forget, and it might lower my defenses against self destructive urges, which I am back and forth on whether this would be best for everyone. I don’t believe those thoughts but they are there.
 

LumberJack

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#58
I'm making little gains, but these are very draining. What I've noticed is that it takes courage to stand up to these arbitrary thoughts and ask if this is really something I *must* do. Last night there was an aspect of my bedtime routine that I missed until I went to bed, and then I wanted to get out of bed and do it. However I was dead tired and so I had the thought of questioning that. I was already about to nod off, so it's not like I would not be able to sleep without doing it, and it would have no impact on the following day. I ended up just rolling over and I was unconscious before my brain could come up with a sufficiently upsetting answer to make it so I would be compelled to do it. It's now morning and I'm still feeling drained from that effort, albeit somewhat accomplished.

I'm disturbed by my failures to do things that I need to do in order to be a functional adult. It's OCD avoidance according to my therapist, but I'm still not warmed up to the idea yet. How can I be compulsively *not* doing something? Nonetheless, I am entirely avoiding this area, so my understanding must not be a crucial piece of the puzzle. Even writing about this is amping up my anxiety level.

Ruminations and intrusive thoughts are also mopping the floor with me. I've started to seriously consider applying for disability coverage. After all, I'm apparently disabled by this. I'm wary of the possibility that this could reinforce my avoidance - so I'm avoiding even that, which is also probably reinforcing other avoidant behaviors. Aside from that, depending on the gov't in the USA is a decidedly unpleasant proposition.
 

Citizen Insane

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#59
OCD avoidance is a strange one to me too @LumberJack ... It can be seen as a mental ritual (in its functioning) of some sorts, I suppose.
Same as seeking reassurance in that sense to temporarily relieve distress. That would stimulate the anxiety cycle too.

I mean, for exposure I'm actively bringing up a lot of images from memory that are super distressing. It's still not the easiest thing, but I've seen what the alternative is.

When I'm on the internet and I choose not to click on some subject, headline (Let's say it's something war/genocide related)... At times I can't even determine whether or not I'm truly interested in that or is it just my OCD-mind that says: Don't click on it, it will make the thoughts worse (avoidance) ~ or whatever. Too much uncertainty there for me which of course is the nature of the beast of what OCD is about.

--
(I've been on disability since age 18, ~ am 36 now. -@ Netherlands - I don't know what the conditions are for that @ USA ~ to apply for it etc...)
 

Citizen Insane

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#60
On that note, going to practice exposure outdoors too in the city centre.
Going to a festival in a few hours with mom, there will be lots of people - Good place to severely stress-test my "Thought Broadcasting OCD" shit. *halo
Probably won't be able to hold a conversation there anyway.
 

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