Having had OCD for 30 years now I have a lot of experience with dealing with intrusive thoughts.  What are the two main things I’ve learnt you need to cultivate to succeed in OCD recovery?

Firstly, Trust in yourself & secondly, confidence in the process

First let’s take TRUST.  OCD after all is the doubt disorder and generally most of our distress comes from doubting ourselves and our ability to cope.  We must learn to trust ourselves completely and in the choices we make. 

This is by no means an easy task, OCD can make you feel like you don’t know yourself anymore, it can make you think up is down, left is right, and black is white. 
Over time you can lose complete confidence in yourself, asking others for their options and trusting what they think over your own.  A sad and possibly quite scary situation if you choose to trust the wrong person. Do you ask for reassurance a lot from a loved one?

So how do we learn to trust in ourselves? 

Firstly, work out your values – Examples of values include; honesty, kindness, loyalty, compassion, courage, creativity, responsibility, respectful, authenticity, and dependability. The list is endless and very personal. If you haven’t done this yet then take a few minutes now and work out who you want to present yourself to the world as.  Ask yourself, who do you want to show up as day to day? 

(Still not sure where to start with your values?  Then google ‘core values quiz’ and you’ll get multiple options to guide you.)

Quite often when we feel uncomfortable it’s because of something called cognitive dissonance; this is when our actions/thoughts don’t align with our values.  You can however think of that uncomfortable feeling as a good thing, it’s OCD misaligning with who you believe you are as a person.  It’s a sign that it’s OCD is playing its evil game and has nothing to do with who you are as a person. 

Secondly, work out your reason – when times get tough in OCD recovery – and they will – you’ll need to dig deep and the way to do this is to find your reason for recovery.  Write it down, know it inside out and when it’s hard think of that person, reason or version of yourself, which makes the effort it worth.

Thirdly, action – the brain believes what it sees, we must step forward no matter how hard it feels.  Some days it may feel impossible – I know I’ve been there – but the only way to build trust is to be your own advocate and align with your values. 

Moving onto confidence, confidence in ourselves but also in the ERP process. 

ERP (Exposure response prevention) therapy is hard, it involves working out what you’re scared of/avoiding and slowly allowing yourself to exposure yourself to it. It goes against everything your brain is telling you to do and feels horribly uncomfortable but until the brain sees that it can cope in the situation – whatever it may be – it will be scared and doubt (mistrust) your ability to cope.

The hardest part of this process is creating the trust and confidence.  If OCD has done it’s job well, you may be starting at zero on the trust scale.  How can you trust something with no evidence?  That’s what the brains telling you right?  Sure, the nice therapist is telling you it works but the brain only believes what it sees.

Somehow you have to step off the shore into the lake and realise its not as deep as you thought.  I admit it can feel like jumping out of an aeroplane with a parachute attached to your back not knowing if it’s been packed properly.  This is, I believe, why you either have to get to absolute rock bottom before you truly start on that road to recovery or your reason has to be bigger than you, to make the risk of jumping into the unknown worth it.

Of course, once you start on the process you start to build evidence quickly that it works, every time it’s easier to jump, so to speak, but it does take time and energy.  I love the analogy of OCD recovery being like a set of fairy lights.  It’s not all or nothing like a flashlight, it’s slow and gradual, they come on one at a time as the brain learns to trust in the process. 

We must make ERP a lifestyle choice, constantly building up that catalogue of evidence as proof to the brain that we are capable and can trust ourselves when the intrusive thoughts come along.  It is only once you have tried and see the desired outcome that your brain will learn that it can sit with the doubt & uncertainty. 

So, ask yourself, do you trust myself? 

I’d love to hear about some of the times you pushed outside of your comfort zones even though it was hard. If this resonates with you please share your experience below.

As always,
Stay Strong xxx