Obsessive-Compulsive Disorder: Signs and Symptoms
Obsessive-compulsive disorder (OCD) is a mental condition that is becoming increasingly widespread. Fortunately, however, so is the research being done on the condition. Behavior Therapy is available and the best thing about it is that it works.
OCD can manifest itself in a number of ways and tends to manifest specific to the emotional and/or neurological structure of the individual who is suffering from it. It is characterized by a feeling of being stuck within repeating cycles of behavior and/or thinking.
Over a period of time, the individual begins to feel they have little or no control over their behavior and/or thinking. Feelings of depression and anxiety may arise and escalate. Not stepping on cracks on sidewalks, constant washing of hands, and checking and rechecking to make sure the stove is turned off are all examples of OCD behavior.
The condition of OCD is complex. Being diagnosed as having Obsessive-Compulsive Disorder warrants a visit to a mental health professional to discuss concerns and explore solutions. If you feel you have symptoms where your OCD behavior is affecting yourself and/or your loved ones, it is crucial that you reach out for help. Newport Beach Christian Counseling can provide the support and guidance needed to navigate and manage these challenges.
Because the symptoms may be behavioral, neurological, or somatic, it’s vital to discover the root cause so you can find the treatment that best suits you. If you’ve received an OCD diagnosis from a professional in the mental health field, depending on the causality and severity, it may be able to be treated by Behavior Therapy.
Behavioral Therapy Help for OCD
As a rule, Behavioral Therapy, also known as (BT), embraces the use of operant conditioning as a tool to alter the sufferer’s behavior. It is through interventions that are structured especially with the patient in mind, sometimes employing the use of a reward or punishment or even extinction which is the abrupt halting of an unwanted, undesired behavior. Individually tailored treatment plans strive to make use of the interests and strengths of the person in order to optimize the effectiveness.
The following are some BT practice examples that are fictitious in nature, but whose scenarios ring very true to life where the condition is concerned:
- A. is a male who is 24-years of age and is still residing with his parents. It has proven to be difficult for the young man to make it out the front door and arrive at college on time because he gets stuck sitting in his bedroom, obsessing over things that might go wrong throughout the day. His professional therapist has recommended that he pack his school things in his backpack the night before and set it beside the door, put a copy of his daily schedule on the refrigerator, and set his alarm before bedtime. In addition to these suggestions, A’s counselor is working with him to redirect his thoughts away from possible negative outcomes.
K. is a female who 32 years-old is. She was promoted in her job six months back but suffers from a touch of OCD, mainly the action of touching a light switch three times prior to turning it on. No other OCD actions were significant, however. Within the past few weeks, though, she has caught herself continually vacuuming her floor to the point where she is consumed with doing so any time she is at her house. Her therapist has recommended that she not vacuum after seven in the evening and suggested that her vacuuming should not go on longer than thirty minutes each day. She is to tie a ribbon on the doorknob of the closet that the vacuum is in to remind herself of the suggestion.- B. is a male who is 28-years-old who cannot get thoughts of a girl he had been dating out of his mind. She ended the relationship abruptly, without any explanation and refuses to return his phone calls. He is obsessed with her and constantly wonders what she is thinking, what she is doing, and why she ended things with him. He has not even been talking to his friends during this time. His therapist suggests that he pick a friend and set up an interaction such as going for coffee or to a movie. The counselor also tells him to put a rubber band around his wrist which he is to snap each time he finds himself thinking of the girl in order to distract his thoughts.
The above examples show how a therapist can use BT to help alter a patient’s thoughts and behaviors. These types of intervention may be helpful, depending, of course, upon the pathology that lies behind the behavior
If behavior modification worsens the situation or doesn’t work, other options will be explored such as psychodynamic psychotherapy for the purpose of finding the root cause, brain testing for possible neurological issues, and/or use of medication.
Underlying Structure
We are virtually completely emotionally unstructured at birth. Birth is generally the first traumatic experience that takes place and our response to it is typically to desire to control the trauma. Since infants, and even children, are helpless to control what is going on around them, they begin to create defense structures in order to protect themselves.
Since the very young don’t have the capacity to think it all through because the neocortex is not mature enough to understand and reason, a child who has experienced great trauma may become catatonic or may disconnect from the feelings that are just too overwhelming to deal with.
Among the number of possible trauma responses are ones that have to do with OCD. Repeating actions can, in some strange sense, make us feel as if we have control over what is going on around us. When we reach our adult years, those behaviors and thoughts are actually hardwired in our brains. Thankfully, neurological studies reveal that we can rewire providing we’re willing to go through the effort and time it takes to do so.
Brain Rewiring
When we are dealing with our typical ways of thinking, awareness and identification are about half of the battle. Our system defenses are automatic so they don’t necessarily need to be in the forefront of our thoughts in order to be used, which ultimately means that if we want to make changes in our modus operandi, we must make a purposed, conscious effort.
For instance, if just seeing your neighbor causes you to be anxious, you may, unconsciously, distance yourself from him. If you take it a step further and explore why seeing him might may you feel nervous and anxious, much may be discovered by exploring such a question. Does he remind you of a relative who was abusive? Maybe you are intimidated by him? Perhaps you waved to him once and he didn’t wave back?
Once you figure out that your emotional response isn’t realistic, the next time you see him, you can remind yourself of that fact. With each and every breath, remind yourself of what is and isn’t the reality of the situation and become consciously aware of the goal of working through the anxiety rather than adding to it.
It is amazingly easy to take a perfectly normal situation and make it into a vendetta which is imagined. Picture a family reunion. Your cousin is there with her new husband who is an attorney. In the back of your mind, you are thinking of years ago when you actually had to hire an attorney to represent you for a misdemeanor that stemmed from a case of bad judgment.
You are introduced and reach out to shake his hand but he does not reciprocate the gesture. You immediately assume he thinks you are beneath him. For years, you carry the intimidating feelings and when you see him, you feel very anxious.
Later, when attending a relative’s funeral, you learn that he suffers from a phobia of germs and never shake hands with anyone. Your anxiety and feelings of insecurity were never legitimate but years have been wasted by your assumptions.
The truth of the matter is we can’t really know what anyone thinks or feels, even in the event that they tell us. We can decide to believe them if they tell us, but we can never know for sure. A child who has a father who is abusive may be apologized to, time after time.
Can the child believe that the father really was sorry? It is normal in such an event for the child to look for signs of sincerity or evidence otherwise. That’s why our defense mechanisms are always sending out feelers to second guess others and to go into defensive gear if things seem out of order.
Abused children are often pros at reading people in a room. They can immediately see who is emotionally stable and safe and who is not. This type of hyper-vigilance can be temporarily effective because it gives the illusion of being in control, able to control social setting and to choose who to talk to and who not to.
It also causes problems. It becomes exhausting and your thoughts can be way off track. Having your defenses up can interfere with relationships with friends and family and even with intimacy. When your defenses are always up, it is difficult to have meaningful relationships.
But when we start to develop internal awareness, we can stop and ask ourselves such things as, “What was that response all about?” We can dig down inside ourselves and figure out the roots of our feelings. That is where a therapist shines.
A therapist is trained to work alongside you to explore and discover and then to reach solutions that will free you from the bondage of OCD behaviors and OCD thoughts. If the BT route is not productive, your therapist will present other solutions to you.
Unprocessed trauma narratives don’t just go away. You may rearrange the thoughts and tuck them away for a time, but they will always resurface. When you reach out to a therapist, together you can work through, not around the issues and put those traumas into the past so you can move on without the OCD symptoms that are controlling your life. It will involve some work (there’s no denying that) but in the end, you will be happy that you chose to get help.
As we begin to recognize things that are emotional triggers, we can reflect on the situation and what is going on around us. We can pinpoint why a song makes us sad or why a neighbor makes us anxious. We can then work through it, separating the two.
Just as defenses have become the natural way you go about your life, so can the learned behaviors of dealing with OCD. Soon, you will be able to put an end to the destructive behaviors and thoughts like clockwork and replace them with constructive ones that promote mental health, life, and healing.
Recognize, Reflect then Redirect is a useful tool when it comes to relatively mild traumatic triggers. The more severe the trauma is, the more possible it will be for it to take professional help and time in order to work it through.
Behavioral Therapy has the potential to be a very valuable tool in the management of thought and behavior patterns that are undesirable. While it can be tempting to self-diagnose OCD, it is not wise.
It’s best to seek a therapist and acquire a diagnosis from a professional standpoint so that if it is present, you can begin with a tailored treatment plan. Working through to experience health and emotional growth is very possible. Don’t put it off another day. Your new life awaits you with the support of Newport Beach Christian Counseling.
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We hear a lot about children with ADHD (Attention Deficit Hyperactivity Disorder), but what happens when these children grow up? Unfortunately, over half of children with ADHD carry their symptoms into adulthood. They now have to face the challenges and responsibilities of adult life while dealing with restlessness, difficulty concentrating, and a tendency to be disorganized.
Adults with ADHD also have emotional and psychological symptoms such as anxiety, depression, anger, impulsiveness, low self-esteem, mood swings, and an inability to deal with frustration. As you might imagine, this can lead to conflicts with colleagues and superiors.
Most individuals with ADHD have impairment in executive function. Executive functioning takes place in the prefrontal cortex of the brain, and gives the ability to analyze, plan, and organize tasks. If a person has an impairment in executive functioning, they will have trouble self-monitoring and staying on task.
A counselor can coach you toward better job performance. Together, you can set up a schedule for your days, weeks, and months so that you’re able to be productive in the task at hand without worrying about something going undone. A counselor can help you with structuring your days and your work area and in using coping skills.
These types of emotional responses are usually short-lived and emotional balance restored within a few days. For women with depression, however, low mood is not limited to life stresses and does not simply go away once the immediate stressor has been resolved.
The fact that most people consider the birth of a baby to be a cause of celebration only exacerbates the difficulties for women with postpartum depression. Symptoms usually develop in the first few months after giving birth, but in some cases, symptoms may emerge during pregnancy.
Such factors mean that women have a greater likelihood of ruminating on negative and unhealthy thoughts, which creates a vicious cycle that prolongs depressive episodes and results in a greater severity in symptoms.
Men
Depression is also very common. Millions of Americans will suffer from it this year alone. Despite its prevalence, one person’s experience of depression may be very different to another’s. It is a complex illness with many varied factors and an array of different symptoms.
Thіѕ type of depression is sometimes known as “Thе Bаbу Bluеѕ.” It is common for women to experience some level of depressive feeling as their hоrmоnе lеvеlѕ change, they find themselves short on ѕlеер, аnd thеy are overwhelmed by the responsibility of parenting a child.
Thеrе are some who find themselves falling into depression durіng fаll or wіntеr. Of course, many people feel a bit low when the evenings get darker and the days get colder, but SAD is more serious than that and may result in extreme feelings of hopelessness.
Dерrеѕѕіоn саn make іt tough to take care of yourself in the most basic of ways. But actively taking part іn уоur trеаtmеnt and working with a professional to help уоurѕеlf cope wіth things саn mаkе a huge difference tо your overall state of mind.
Women approaching midlife traditionally experience a higher propensity toward anxiety disorders.
Tossing and turning is a symptom of anxiety in women ages 30 to 50. Mothers are used to losing solid, uninterrupted sleep when the baby comes, but there could be other signs to look out for. If your day is full of anxiety then your sleep might be interrupted by nightmares or other internal thoughts.
A panic attack itself is extremely noticeable. The physical signs can be frightening for someone who has never suffered through an anxiety attack. However, interpreting the symptoms accurately is harder to do.
Self-Blame
If a child has endured consistent loss, all of those feelings and memories can be reignited in adulthood when triggered.
Fear of abandonment is involuntary. Because of life events that were out of your control, this fear has been instilled inside of you. Here are five symptoms that are associated with a fear of abandonment.
When someone re-enacts trauma it’s a subconscious effort to resolve past trauma. This could manifest by being attracted to the “wrong” person who is noncommittal and hurtful. You begin to project your insecurities on those around you.
Shame and condemnation bombard you daily. An onslaught of thoughts around worthlessness fills your mind. Those who can relate to a fear of abandonment normally find themselves wanting to cling to people, yet wanting to avoid intimacy at the same time.
Codependents may feel as if they are some sort of hero for constantly saving the addict from themselves. But in reality, they are not helping the addict recover and are only compounding their issues. You could say that the codependent person has a control addiction in the same way that the addict does for a particular substance.
Many would describe the Christian life as “just one beggar showing another beggar where to get some bread.” This is a brilliant quote as it sums up what the Christian faith is all about. We all need the Lord and our aim should be to point each other to Him.
Those who are more susceptible to codependency are often seeking after a predictable way to attain a sense of value that has been lacking in their past.
Why do you look at the speck of sawdust in your brother’s eye and pay no attention to the plank in your own eye? (Matthew 7:3)
This example of a flight-or-fight response is similar to the ones people experience in most dangerous, life-threatening situations. Our brain assesses the risk and tells our body how to respond
We hope this post will provide you with an overview of successful interventions and give you examples of common treatment plans for this disorder. The four following approaches can help people cope with their social anxiety:
Our thoughts are powerful, and when they are unhelpful, they can be powerful barriers to overcoming social anxiety. Our willingness to participate in social activities is directly related to how we think about ourselves, about others, about the situation, etc. Negative thoughts lead to increased anxiety.
Social anxiety disorder acts like a phobia. When you are afraid of something, you tend to avoid it. People with social anxiety disorder avoid social situations. They experience anxiety when confronted with particular stimuli (speaking in public, taking public transportation, attending parties, etc.), and when they avoid that stimulus, their anxiety is reduced.
Simply put, there is no one right path of grief, and you should never feel under pressure to conform to one particular way. David Kessler, an expert on grief, writes that the stages of grief “are a part of the framework that makes up our learning to live with the one we lost. They are tools to help us frame and identify what we may be feeling.”
Grief is a process and should be viewed in the long-term. Too often, we look for a “quick fix” or the ability to rush through the prescribed “stages of grief,” failing to give ourselves ample time. It is important to note, however, that even with all the time in the world, the pain may never fully leave you.
In his book, A Grief Observed, Lewis wrote: “He will probably have recurrent pains in the stump all his life, and perhaps pretty bad ones, and he will always be a one-legged man. There will be hardly any moment when he forgets it. Bathing, dressing, sitting down and getting up again, even lying in bed, will all be different. His whole way of life will be changed. All sorts of pleasures and activities that he once took for granted will have to be simply written off.”
Though it may seem counterintuitive, anger may at times be helpful because it helps us release our emotions, instead of merely turning numb. Though the anger may be directed at any number of different things, it is always rooted in pain.
If you’ve ever wanted to wake up from a nightmare only to realize it’s a reality, you might have experienced a form of trauma. Often trauma comes after a life-threatening experience, but it can also develop after an incident that is perceived as life-threatening. Trauma invades our individual sense of control after a deeply terrifying circumstance. How we perceive what has happened to us is where the trauma lies.
Most people have a pretty clear and accurate idea of physical abuse, but emotional abuse is easier to miss. If your friend experienced physical abuse, bruises and scars might be left as reminders, but emotional abuse leaves invisible bruises like feelings of humiliation, shame, and depression.
Domestic violence is often hidden because it happens behind closed doors under the roof of a home. It looks like physical violence, sexual violence, or emotional abuse among adults in a relationship.
Most are aware of the term post-traumatic stress disorder, or PTSD. This can occur when someone has returned from a war zone where they experienced threats to life and other terrifying experiences. Memories are lodged in their mind and often flashbacks occur.