Choosing Treatment: a Parable

bandaidOnce there was a man named Mr. Jones.  Mr. Jones found out he had a brain tumor.

Experts told him, “Mr. Jones, you need to have surgery, followed by chemotherapy.”

But Mr. Jones said, “No thank you.  Surgery is hard.  Chemo is hard.  I’d prefer to just meet with someone to discuss my cancer once a week.  Also, I’ll apply a fresh bandaid to my forehead every few days, for good measure.”

“That won’t help, Mr. Jones,” the experts told him.  “You really do need a very specific treatment for your condition.”

But Mr. Jones was insistent: he preferred the easier “treatment.”

So he met with a therapist to discuss his cancer, and he applied and reapplied bandaids whenever he was feeling worried.

It didn’t work.

And the moral of the story is this: ERP is the best way to treat OCD.

 

For (lots!) more about OCD and ERP, go to jackieleasommers.com/OCD.

Image credit: F2 Images

Being Me with OCD by Alison Dotson

BeingMeWithOCDI first connected with Alison Dotson through the International OCD Foundation blog, where we realized that we were both from Minneapolis and made plans to get coffee.  I can still remember that first in-person meeting at Dunn Bros, one of those lovely times between two obsessive-compulsives finding joy and relief in saying, “Me too, me too!”

Alison’s book– Being Me with OCD— is aimed toward teenagers and young adults, but I think its audience is much wider than that.  It’s incredibly well-written, chock full of helpful information, and– most importantly, I think– it’s like sitting down with a friend.  While reading it, I kept thinking of my first meeting with Alison.  Her comforting, empathetic voice comes through so strongly in the book that you feel like you have a friend, a cheerleader, right beside you.

The book is part-memoir, part self-help, and is sprinkled throughout with personal essays from teens and young adults who offer wonderful insight into a variety of areas.  OCD is a strange beast in that, while it works the same way for most people, it manifests itself differently for each person, and the personal essays help the book touch on areas that haven’t been a part of Alison’s own personal journey with OCD.

I deeply appreciated her approach to medication.  I also loved that she dedicated considerable time discussing exposure and response prevention, even though she never underwent ERP herself.  Alison also spends time talking about overcoming stigma.

All in all, a great book for teens, young adults, or any age!  The best part is finding someone who gets it,
someone brave enough to share, someone on your team.

Read an excerpt. Buy the book on Amazon. Follow Alison’s blog.

Obsessing vs. Brainstorming

I’ve had a very, very active brain for pretty much my entire life.  I’m the girl people always described as “the one who thinks too much.”  I have thoughts and ideas rush me like little hurricanes, and this is just as true after ERP therapy as it was before.

But there’s a huge difference too: productivity.

Before ERP, my thoughts were often OCD-induced intrusive thoughts that led me down dark avenues over and over again.  My thinking was circular, and I could re-visit the same ideas an uncountable number of times each day.  I was a hamster on a treadmill or a dog chasing its tail– that is, expending a lot of energy but going nowhere.

After ERP, my thoughts are much more welcome to me.  I can choose to focus on the ones I want.  I may still be lying awake at night, but it’s productive, and I end up jotting tons of notes and ideas down in my phone.  I start in one place, but an hour later, I’ve traveled some distance and often have huge realizations about my fictional characters and storylines.

Believe me, the latter is much more fulfilling.

 

For more about the ERP therapy that set me free, go to jackieleasommers.com/OCD.

I'm SO over this.

I’m SO over this.

I Confess

confessI don’t want to admit this to you.  I really don’t.

But I’ve made such efforts to be honest with my blogging community, and the wonderful, encouraging reception I’ve always gotten from you, my beloved readers, has continually encouraged me to continue with that honesty and integrity.

So today I’m going to tell you something that might make you made at me.  Here it is:

Sometimes I get really frustrated with people with OCD. 

Five years of freedom and already I am so quick to frustration.  Shame on me, right?  Then again, the last five years of my life (post-ERP) have been so absolutely incredible that they make me even more frustrated with those who avoid treatment.

The truth of the matter is this: exposure and response prevention is the best and most appropriate treatment for OCD.  Quite simply, if you’re looking for a “solution” to your OCD, then I have it for you: ERP.  I hear from a lot of people who seem to want a different answer, and yet my bottom line remains the same: ERP, ERP, ERP.

I know it’s scary.  (Trust me, I know it’s scary!)  But it’s the right answer, and I’m not going to send you on a wild goose chase when I know the right answer.  That would be like me telling you to go get chemotherapy for your gunshot wound or that you need insulin for your broken arm.  It’s obvious that those aren’t the correct treatment for the issue, and I won’t do that to you.

Research shows that ERP is the best treatment for OCD.  My life shows that a person with obsessive-compulsive disorder can redeem the years he or she lost to being enslaved by OCD.  No matter how many times you ask me, I’m going to give the same answer.

There.  Got it off my chest.  Don’t worry, folks; I’m still here for ya!  I aim to be a voice advocating for our quiet and oppressed community.  But just how I refuse to aid someone in compulsions, I will also refuse to send you down the wrong corridor for help.  I’m doing this with the best interest of our community in mind, I promise.

My heart and energies and motivations rest in leading those in slavery toward freedom.  Know that.

Life after OCD Treatment

Someone on Quora asked:

How does your personality compare from before and after the treatment ? Do you feel you are not curious anymore ?  Do you feel you are now asking less questions than before ? Is there any reduction or improvement in cognitive performance ? What were the negative symptoms ?
You can read my answer here.
For more information about ERP, the #1 treatment for OCD, go to jackieleasommers.com/OCD.

Don’t Push the River [& other advice]

Last month I was stressing out intensely over writing my next novel.  We’re talking panic, high stress, extreme anxiety, the whole shebang.  There’s a head game in writing, and I was losing it.  Badly.

I reached out to my undergraduate writing instructor, Judith Hougen.  She was a mentor to me in college, and in many ways, she still is today, even though I don’t get to see her nearly as often as I’d like.  I’ve written about Judy on my blog before: how she is laden with wisdom and creativity, how she loves truth and beauty.

We got coffee, and I shared how stressed I was, then I waited for her wisdom.  She said:

InWater1 by carpeemorteem via deviantART

InWater1 by carpeemorteem
via deviantART

Don’t push the river.

The full proverb is “Don’t push the river; it flows by itself.”

A river is going to go where it wants, carve out the path it chooses.  I’m a fool if I think that I can redirect it– or that I somehow keep it flowing.

It quite fascinated me because one of the things that my cognitive-behavioral therapist said to me (digitally recorded for all time in my ERP exposure recording) was this:

“I want you to close your eyes and imagine you’re standing in a river.  The current is strong, and the waters rush past you, pounding you, beating against your legs, hips, waist.  Eventually your whole body is fatigued; your legs are so tired you can barely stand.  Then you finally turn around and let yourself go with the current.”

His point was plainly and simply that he was offering me relief.

And that’s what Judy was offering too.

Judy said, “If you skip writing one night, you have to trust it’s not all going to leave you.”

Judy said, “Let the writing of this book be its own experience.  Don’t compare it to the last one.”

Judy said, “Respect the mystery of writing.

It was like balm to my anxiety-riddled soul.  I am letting her words minister to my writer’s heart.  And letting my one word for 2014– grace— work its way into the cold and lonely places in me like an adhesive that holds me together.

Theme Hopping

Recently someone emailed me and asked if my OCD was more about worrying about hell than it was about worrying if God was real, and I had to say honestly that after twenty-five years of OCD, there aren’t a lot of themes I haven’t experienced.  Is God real, is Jesus real, is heaven real, is Christianity legitimate, was Jesus really God’s son or was he the devil in disguise, have I committed the unpardonable sin?  OCD can cycle through a lot of themes in a quarter of a century.

That’s the thing with OCD: it often doesn’t remain in one place.  When I was still in high school– and even into my college years– I kept thinking, “If I could just sort out X, then I would be happy.”  So I’d wrestle with X, read books about it, seek reassurance, talk things over with my youth pastor and parents, research things online … and if I was ever able to “solve” it, then … my OCD moved onto Y.

Hitman: Contracts by TheKingArthur at deviantArt

Hitman: Contracts by TheKingArthur at deviantArt

I was in perpetual motion for so many years– but I never got anywhere.  It was all spinning my wheels.

Exposure and response prevention ignores the emergencies that OCD is sparking in every corner and goes after the OCD itself.  Instead of relying on compulsions, which temporarily help to “solve” individual issues, ERP is like a hitman with a mission to assassinate the OCD.

You can see why one is far more preferable than the other.

 

The Long Journey … to the Starting Line

"Cross That Line" by xLadyDaisyx on deviantArt

“Cross That Line” by xLadyDaisyx on deviantArt

It is SO HARD for OCD sufferers to be correctly diagnosed and then find the right treatment and a good cognitive-behavioral therapist.  In fact, it takes an average of 14-17 years for someone to access effective treatment.

That stat stings my heart.  I feel it deeply because of my own personal struggle.

I developed a sudden onset of OCD at the age of 7.  I wasn’t diagnosed with OCD until I was 22.  I started ERP (exposure and response prevention) therapy at 27.  That’s twenty years, folks– fifteen just till diagnosis alone.

Growing up, I just assumed that I “thought too much”– was an “overthinker” and especially sensitive to issues of morality. I didn’t understand that other people were also undergoing the same doubts as I was but were able to move past them with ease.  I, on the other hand, would get trapped.  The exit door to my brain was stuck shut, so all my thoughts just milled and churned and generated intense anxiety.  I didn’t know that others even had the same thoughts as I did, nor did I realize how it would be possible to let such thoughts come and go.

In childhood, I cried all the time.  In fact, I cried every single night for three years in a row.  I never told my parents about this.  I was so scared that they wouldn’t be able to “fix” me that I preferred to just rest in my own sadness, still clinging to the hope that *someday* I could be fixed.  As long as no one told me it was impossible, it still felt possible, and even thought I was terrifically sad, I kept that hope as my lifeline.

High school was a beast.  I got straight A’s (OCD drove me to perfectionism) and graduated at the top of my class.  I was a class clown, and I had some amazing friends.  But I battled intense spiritual doubts and lived in great fear.  My tenth grade year was one of the hardest of my whole life.  Only those closest to me knew it.

My doubts intensified in college.  They escalated to a whole new level.  Thankfully, I had a solid support system in my new friends (people who remain my support system to this day!).  And though they couldn’t understand what I was going through, they loved me.

After undergrad, things fell apart.  In a nutshell, I lost my grip on reality– my doubts had grown so large and out of control that I no longer knew if I could trust my friends or my own human experience.  Finally, for the first time in my lifesomeone used the words mental illness with me.  It felt shocking.

I was encouraged to meet with a therapist (unfortunately, a talk therapist– not effective for OCD), who also got me in to meet with a psychiatrist, and I was finally diagnosed with obsessive-compulsive disorder.  A diagnosis fifteen years in the making.

I spent about a year with that first talk therapist, and it was more damaging than anything else.  I finally “escaped” and never again set foot in that clinic.  Meanwhile, I was an SSRI lab rat, trying out a slew of various medications to treat my OCD.  I eventually went back to talk therapy– this time to a much better therapist, who was a true blessing, although she still didn’t truly understand OCD, and so my therapy included a lot of reassurances.  In other words, this kind, amazing woman who loved me was just reinforcing my compulsions.  Not good.  I also took a break from trying out medications after one stole all my energy and made me rapidly gain weight.  I was overweight for the first time in my life– all due to a medication– and have struggled with my weight ever since.

Five years after that initial diagnosis, my psychiatrist was out of ideas.  Literally.  She asked me what I thought we should do next.  I, of course, had no clue.  She referred me to an OCD specialist.

This incredible man– Dr. Suck Won Kim– changed my life.  He got me onto the right medication (almost immediately) and essentially required that I begin ERP, even giving me the name and contact information for the therapist who would ultimately allow me to bottle up my OCD and put a stopper in it.  Dr. Chris Donahue, to whom I’m forever indebted.

Twelve weeks was all it took.  In one sense.  In another, it took twenty years.

My life was a mix of depression, anxiety, compulsions, “bad” thoughts, and wrongness, and then twelve weeks later, I felt the burden of OCD lift from my shoulders.  I was giddy with freedom.  Five years later, I still am.

I hear from OCD sufferers every week who are in their 50’s, 60’s, or even older, who are still seeking appropriate treatment.  This absolutely breaks my heart.

On the flip side, I’ve had the incredible experience of meeting Maddie, 11, and her incredible parents, who leapt into action almost immediately and got her into ERP within months of her OCD onset.  In the same year, she developed OCD, was diagnosed, and was treated.  Marvelous!

That’s one of the reasons I blog about OCD.  To help people to understand earlier what they are dealing with and to encourage them to seek appropriate treatment (ERP, with or without medication).  It still just boggles my mind that in 2013, mental health practitioners still don’t know that ERP is the answer.  People get passed around from talk therapist to talk therapist, when the solution should be so ready, so available.

Better than a Bandaid

“Healing” cancer with a Bandaid is the same as “healing” OCD with compulsions.  In short, you’re not healing ANYTHING.

In other words, all those things that obsessive-compulsives do to alleviate the tremendous anxiety they feel?  Not helpful.  Asking for reassurance, obsessive confessing, reciting prayers and phrases, repeating rituals that make you feel “okay” or “balanced,” washing your hands, etc.– they are just Bandaids plastered right over the cancer of OCD.

To effectively go for the “root” of OCD, you have to resist those compulsions.  Exposure and Response Prevention (ERP) therapy is recognized as THE best treatment for OCD.bandaid

Skip the talk therapy.
Skip the (many) reassurances.
Skip the rituals.
Skip the confessions.

Go for the jugular with ERP.

Related posts:
A Detailed Post about ERP
Preparing for ERP Therapy
ERP & Imaginal Exposures

An Uncertain Framework

I used to get thrown by anything I couldn’t know FOR SURE.

Is real life real life, or am I just dreaming?

Am I going to heaven?

Are my friends really my friends?

What do people really think of me?

Are people even really people?

I mean, completely thrown.  I had no framework for dealing with uncertainty.  And the truth is that a person just cannot live that way.  It’s not how life works.

Now that ERP has re-wired my mind, I am finally able to say, “I’m just going to have to accept that I can’t know” and carry on with life.  I never thought I’d be able to approach such huge things with that kind of statement.  Never. If you’re reading this and think that that is an impossibility for you, please know that I once thought the same.

uncertain

Related posts:
Narnia and Uncertainty
Uncertainty is the Key
Uncertainty
Interview with a Former HOCD Sufferer
No Antidote
Life is Risky Business