OCD Reflections

It's been an eventful few weeks.  I can hardly believe it, but I have been in my intensive treatment for almost a full month now and am about 2/3 of the way through the program.  Four hours a day, five days a week, I've been in treatment for OCD.  And I think I'm finally getting what I needed to propel me forward - a more aggressive, thorough, and persistent attack on my disorder, a sort of fight that I struggled to make with just one hour a week of therapy. Perhaps I'll write more in depth on the actual experience of being in the program later, but right now I have another topic on my mind:  what will I do when I am out?  My number one fear:  slipping, losing not only the gains I've made but the forward momentum I've collected.  What I hope to take away with me is not necessarily the ability to face any one specific fear, but rather the willingness and readiness to do what it takes to get better.  It's so much easier to do what needs to be done...

I haven't written a particularly introspective or well thought-out post in a while.  And I'm afraid this one isn't going to be any different.  Maybe it's the whole almost working full time thing.  Maybe it's the half-way normal life I'm living and trying to balance with my OCD.  I know there are OCD impediments that I just don't even really notice anymore. For instance, tonight I realized I don't have anything to wear to work tomorrow.  I can't fathom doing laundry now or even determining whether I am "clean enough" to do laundry.  I can't (aka won't) pick a skirt (that I just wore once before condemning) out the dirty laundry - too contaminated.  So what am I going to do?  Take the least offensive route - find a dress that I haven't unpacked in over a year and wear that, even though I'm not sure if it was "clean" before I packed it or if it's "okay" to wear since it's been in a box for so long,...

This week I have something to look forward to as I plan and prepare for my short trip to San Diego for the International OCD Foundation's Annual Conference !  Woot!  I'm pretty excited, I have to say. :) In case you don't know what this is, let me give some quick background:  every year the International OCD Foundation (IOCDF) , a fantastic resource for learning about OCD and finding treatment, hosts a 2 and a half day conference with TONS of presentations and panels, all of which address aspects of OCD and related spectrum disorders and their treatment.  Basically, it's my chance to totally geek out for an entire weekend while immersing myself in OCD education.  What makes the conference even better is that, for a couple days, I feel like I can let my guard down a bit because I am surrounded by people who understand OCD and have first-hand experience with this disorder, either as sufferers themselves, as friends and family members of sufferers, or as treatmen...

Goodness, I don't do well with free time.  What happens when I have a wide open expanse of time in front of me?  Well, it looks something like this. Step 1:  Plan on getting things done - dishes, showering, laundry, decorating, etc. Step 2:  Avoid the above because I am feeling unsure whether I am "clean enough" and am unsure of how to do complete the activities mentioned - the compulsive way or the non-compulsive way.  So, with the possibility of having to do said things the compulsive way looming in front of me, I have a hard time finding the motivation within me to just get up and face them. Step 3:  Spend all of my free time thinking about how above tasks are not being completed while searching my soul for the drive and courage to face them. Step 4:  Wishing I could sleep the weekend away and or find something to distract me from my avoidance and/or motivate me to actually just get things done. That's how I've mostly spent my Saturday, an...

And somehow I find myself here again...needing to sleep but unwilling to shower and also unwilling to sleep in my bed because I'm not "clean enough."  Of course, "clean enough" doesn't really mean anything.  It's useless OCD fluff, but it somehow still has a strong hold over me, even though I can recognize it for what it is. So I'll be sleeping on the couch.  My roommate is out of town so it's easier to avoid doing those things I find so onerous - i.e. showering.  I don't normally feel comfortable sleeping out in our living room when she's here, so eventually the desire to have somewhere besides my bedroom floor to sleep drives me to the shower.  But with my roommate gone, I am far too comfortable sleeping on the couch, and the procrastination of the showering goes on and on and on. So...the couch it is...

So life has been a bit all over the place as of late, and I haven't been writing as much.  I think it's partly because I feel pressure to write the "right" kind of post - you know the kind where I come to some new level of self-awareness in the process of writing or where I finally put into just the "right" words the thoughts I've wanted to share about OCD.  I haven't been feeling super "inspired" by my OCD or by the process of fighting it as of late, (perhaps because I am gradually getting better and spend less of my time cloistered in a room with my laptop writing posts :), or perhaps because I've been a bit down lately).  But in reading one of Pure O Canuck 's posts this evening,  Here we go Again - More OCD ERP experiences. , I was struck by how nice it was just to hear about how she was doing and what specific ERP homework assignments she is now courageously tackling.  So perhaps I will do the same, so I feel a bit less out of...

I'm not even sure what to say.  Other than the fact that I'm definitely in new territory.  I'm finally committing to a more extreme method to ERP (at least what seems extreme to me), and I'm not sure what to do or how to feel about it.  Let's just say it's not as bad as keeping myself out of contact with water for days on end, but it feels that way to me.  I still get to shower and wash my hands, but not in a way that really provides any sense of cleanliness.  It seems all wrong, and it's only been a few hours since I started this new regimen. How did this all get started?  Well, after I ended my outpatient intensive treatment program back toward the end of February, I went back to the standard once a week therapy regimen.  I improved a lot during the few months that I did the intensive treatment, but little by little, things have begun to slip again  over the last month and a half.  So yesterday I scheduled a last minute session with my th...

Life has been a bit crazy-making lately.  A few weeks ago I started to titrate down from my uber high dose of Zoloft (sertraline) so that I could try out Prozac.  And as I much as I feel like the Zoloft never really noticeably affected my thought patterns or my ability to fight my OCD, I have been hesitant to proceed in going down in dosage.  Meanwhile, my psychiatrist is out on leave, and I have been further hesitant to call the psychiatrist covering for her in her absence.  But I haven't proceeded with the schedule for decreasing medication dosage, and I should probably talk to someone about it. Part of my hesitation to going down in dose is rooted in OCD, I believe.  OCD is probably also the reason I stayed on the Zoloft (and my super high dose) for so long.  It didn't seem to be harming me.  I WAS getting better, albeit ever so slowly, as I continued to move forward in CBT.  And if my ability to progress was, in fact, facilitated by the meds...

Bad advice is everywhere when it comes to dealing with OCD.  Today I ran across one of those yahoo question/answer deals where someone described taking extra long showers with a great big helping of compulsive avoidance.  This person asked:  how can I make my showers more pleasant?  What can I do?  I never answer those sort of things, but as I read the answers that had been provided so far, I quickly changed my mind. The answers angered me.  And it's not the fault of those answering - they just don't know better.  Answers like "try listening to music to relax yourself," "dance in the shower," or "maybe take a bath instead so even if you don't want to touch certain parts of your body to wash them, they are at least getting a little bit clean."  These are the kind of answers that I got from the first therapist I saw when this all began.  Answers like, "Why don't you try to do some deep breathing exercises to reduce your stress?" o...

As much as I believed there would come a point in time when I would feel ready to climb the hierarchy of exposure to minimize my OCD, a time when it would feel "right" and "easy," that time has yet to come.  It seems that I can't reach the top without first having to commit to exposure whether or not I'm sure it's "okay" or "right."  I had hoped I would find another way, but it appears the only way to go is, in fact, up.  Sometimes no matter how many times you read things, they don't start to make since until you've gone through them yourself.  I am admittedly a huge nerd when it comes to OCD and OCD treatment.  I love reading about this disorder - in books, through articles, on others' blogs :), you name it!  And yet, despite all I have learned from all the reading I have done, despite all my time spent in therapy, and despite the fact that I BELIEVED in what I had read and what my therapists recommended, some thin...

Reality:  there's really only one way to find my way back, and it's not by constantly retracing where I've been... It's that time again.  I'm stuck in that post-home session funk where I try to decide what to do next - whether to dig myself out or to give up for the day.  I'm going to try to sort my thoughts out about it here so I can do what I need to do to get better! Today I did a lot of good exposure work with one of my therapists.  The big exposure of the day was...showering!!  Woo.  My showers are now under 30 minutes but still heavily ritualized, meaning that I do everything in a very specific order, in a specific way, a specific number of times.  Deviation from this routine or lack of focus while completing it can lead to repetition until I'm sure I got it "right."  Well, today we took a nice big wrecking ball to my shower regimen.  And this is how we did it:  my therapist timed me as usual, but instead of just calling out h...

Sometimes we are so focused on battling OCD on one front that we hardly notice when it sweeps in from another angle, offering deceptively sweet new reasons to engage in compulsive behavior... Oh no!  What if I no longer have OCD???   Now those, I think, are officially the words of a crazy person.  Of course, this theme is far from new for me, but it's finding fun new ways to try to integrate itself into my recovery. Earlier this evening, as I did some of my exposure homework, I noticed something:  Windex doesn't seem to cause me as much discomfort as it did in the not-so-distant past.  I feel like the appropriate response would be:  "Woo hoo!  Hooray!  I must be getting better!  I can do this without it bothering me so much!  Things are getting easier!  Take that OCD!" Hah.  Wouldn't that be nice.  It's more like: "Wait, hold on.  Does this not bother me so much?  I don't think it does.  Oh no!  ...

I periodically do this thing where I decide that it's just not worth it to go to bed.  It's a bad habit, and I'm perpetuating that bad habit once again tonight.  I'm no longer in school.  The need for all-nighters has passed, and yet I still pull them, and mostly because of OCD. This is how I ended up making the decision tonight:  I have an appointment at 8am.  Before I go to that appointment I'd like to shower, which means that, even though I have gotten my shower time down to under 30 minutes, I should probably be sure to be up and about by about 5:30 to make time for all the other OCD shenanigans that usually end up taking place before/after my shower and while I get ready.  That way I can be ready to leave by about 7:00/7:15 for my 8am appointment.  Woo. Still not really a reason to stay up all night, right?  Well, there's more.  I woke up late today and had to head out to my office session without showering, which is something I like...

UGH. UGH. UGH.  I hate how OCD can lead me to rage almost instantaneously sometimes.  Of course that rage is misdirected.  I should be getting mad at the OCD, but instead I get mad at the person who unknowingly got between me and my compulsive avoidance.  When I take out the trash, I avoid touching door handles.  Before getting the trash ready to go, I go downstairs and unlock and open the door so that I won't have to touch the door handle with my contaminated trash hands when I actually carry the garbage out of our house.  I did this as usual after doing my regimen of exposures that I have started attempting daily as part of my new intensive CBT program.  So downstairs I went, passing the girlfriend of one of my housemate's along the way.  As I passed her I thought, "She better not have closed the door!  I opened it for a very specific and deliberate reason..." And of course, like most normal people would probably do when they see an ope...

Well, it's that time.  Operation "Destroy My One and Only Pristine Sanctuary of Cleanliness in this Dirty, Dirty World" is well underway (go here for further explanation).  Here's a recap of day one, in my therapist's words: Touched bed with unwashed hands Stripped bed, put bedding on floor, then remade bed Dumped dirty laundry on bed Removed bedding from bay window and placed on bed Confiscated sanitizers and bag of hoarded receipts Sat on floor Briefly touched toilet seat and handle, then returned to bedroom Touched items in "condemned corner" Walked on bed in bare feet Touched clean clothes with unwashed hands, touched clean clothes to dirty clothes, touched clean clothes to floor and put away with other clean clothes Ate dried fruit with unwashed hands Touched flute with unwashed hands (esp difficult) Touched all areas of bedroom in no particular order with unclea...

This has been a rough weekend.  As much as I usually like to keep the day to day ups and downs of my progress to myself, it's been a rough couple of days filled with tough situations and some bad decisions. Earlier tonight I just laid down on the floor and cried.  I didn't know what else to do.  I felt too dirty to lay anywhere else, so onto the floor I went, which sealed my fate - at that point I was "contaminated" in my mind, beyond all repair.  I would have to shower.  Again. But at that point I just didn't feel like I had the strength left in me to face showering.  To do anything.  Paralyzed in my "dirty" state I just laid there and cried as quietly as I could, hoping none of my housemates could hear.  I couldn't get up.  I couldn't sit anywhere else.  I couldn't touch anything.  The only place to go from there was to wash my hands and then shower.  And yet it just seemed too difficult.  Too dirty touch anything....

There are weeks where I really just feel like I am moving forward for the sole sake of moving forward.  Step by step, inch by inch.  This is one of those weeks.  I am finding that even the simplest of things are starting to feel like monumental tasks again - brushing my teeth, making my bed, washing my face, getting dressed.  Even writing here, which is usually quite enjoyable, seems somewhat like a task I must goad myself into doing. I think a lot of it has to do with the ups and downs of progress in fighting my OCD.  As I get better there are periods where I really challenge the thoughts I have and the urge to perform compulsions.  I feel free and alive.  The shackles seem temporarily removed.  And then I get used to that level of freedom.  It is no longer exciting, and those chains that still remain seem like an even heavier burden to bear.  What suddenly seemed easier with less weight to carry, starts to seem harder again.  T...

Some days I feel like I have somehow managed to bury myself by means of excessive avoidance and procrastination.  When I don't have things I HAVE TO do or HAVE TO be at, it is hard for me to find the will to do the things I dread - to shower, brush my teeth, clean, etc.  Even when there are places I had planned to go or things I had planned to do, there are times when the consequences of missing those things still isn't motivating enough for me to face the dread they stir up.  And so my life is put on hold, tasks accumulate, and time slips by as I sleep the day away or search my computer, numbly looking for something to entertain me, something to fill the time until I muster the courage to go face what I'm avoiding.   I seem to go through cycles.  First there is the dread that arises when I either actually need to do something or when OCD says I need to do something.  Usually it goes something like, "I can't do x until I have taken care of z ."...