OCD: Black & White Thinking

Zebra between text reading BLACK AND WHITE THINKING, GOOD BAD, RIGHT WRONG, US vs THEM, FAILURE, CERTAINTY, ABSOLUTE, COMPLEXITY, NUANCE, Growth, EMPATHY, PERSPECTIVE, MAYBE, and CONTEXT.

At home I have a big zebra on my wall.  He has one job and that’s to remind me daily that most of the time I’m thinking in black and white and that the world actually isn’t black and white at all, in fact most of the time its grey.  

Black and white thinking is a common thought distortion also known as all or nothing thinking.  When we are under stress – like when triggered by an OCD obsession – black and white thinking can create a sense of certainty, but we then miss the opportunity to see things more clearly.   

Having OCD makes it incredibly hard to see any shades of grey, we spend a lot of our time in the emotional part of the brain, away from the more rational thinking prefrontal cortex. 

The emotional brain specialises in survival and keeping us alive, it doesn’t deal with grey, in fact it hasn’t even heard of the word.  It deals with certainty, with no room for nuance and so life feels scary and overwhelming when we spend the majority of our time here. 
Our OCD brains won’t let us do what most other peoples will, let things go and just get on, oh no, it has to be sure! 

So what can we do about it I hear you ask?

Firstly you need to Notice it!  Thank you, Zebra.

Secondly, try to get the prefrontal cortex – your thinking brain – back online

How? You ask

Well it’s easier said then done but I have written a post previously called: 6 Ways to combat OCD Spirals, which you can find here with some helpful tools to get you back online.

I really hope it helps,
Stay Strong xxx

p.s remember always look for the grey!     

OCD, Holidays & Lack of Routine

Woman relaxing on beach with text: WORK DEADLINE (again!), Check emails (ignore them), What did Sarah Sinarah say (milk, bread, kale?), Did I lock the door?, Buy groceries, charged?, Save for mortgage (Is my phone charged?), Climate change?, Social media notifications!, What did Sarah is uncertain, I should be relaxing, I should be relaxing!, and How to Relax.

Do you look forward to your holidays?  I think most people must but I for one struggle, it’s not that I don’t like spending time with my family, I really do, but there’s an element of having to relinquish control, particularly when you go away with other people and for someone who likes to be in control, it can be tricky.

Having a sense of control and predictableness over my day-to-day environment helps me feel calmer and more regulated and when this is the case my OCD tends to be quieter.  Remove some of those safety barriers and my nervous system is less happy and so OCD tends to be a bit stickier.  It’s a bit like doing one big compulsion, pushing myself out of my comfort zone for a whole week and even though there will be moments of joy, I know I’ll feel less regulated than normal.

Just by writing those proceeding two paragraphs down, I can see how much of a comfort zone I have created for myself and so I do need to push outside of it more.  This week I go away and I have been ignoring the fact for the last few weeks, I haven’t started packing and I am avoiding everything surrounding it.

So, I need to stop writing this post, get my head in gear and go pack.  Take a deep breath and try and make the most of what really should be a fun and exciting experience with my family.

Let me know how you feel about holidays, does anyone else struggle with the lack of routine?     

Right, I’m off to pack, wish me luck!  I’ll report back in a weeks’ time.

In the meantime,
Stay Strong xxx

OCD: The Subtypes are Irrelevant

Girl playing a colorful whack-a-mole arcade game

‘The subtypes are irrelevant’. When I first heard this statement about OCD I believe I rejected it, but once you start to zoom out a bit and observe OCDs wicked game, especially when you’ve had OCD for a while and have lots of evidence to look at, you can see that the subtypes are just a cover for what’s really happening underneath, which is your inability to sit with doubt and uncertainty. 

OCD will pick a subject which you care about, where you can’t tolerate uncertainty and it’ll set up camp. It honestly doesn’t care what the theme is, it’s just looking to get you hooked and fixated on something. 

It’s my belief that this is a mechanism in the brain, very similar to anxiety, designed to slow you down and keep you trapped and therefore ‘safe’ from perceived harm.  It’s a way of making you feel like you’re in control in a world that is uncontrollable.  It’s also my belief that this is why so often OCD is triggered in times of stress and dysregulation.

I’ve had OCD since I was 11, so that’s 30 years now, and I’ve noticed through my own experience that the theme jumps about, also known as, ‘whack-a-mole’.
When I was young I worried about my family coming to harm and as grew up I worried I might harm someone myself and now as I’m older with a family I worry something might happen to me or I could do something which would harm them.  It’s always locking onto my vulnerabilities, which is ultimately how much I care about the people around me. 

When my health anxiety is heightened, the harm OCD gets quieter, and vice versa.  Also some days old themes pop back in and depending on my how regulated my nervous system is on that day, I’m either able to completely dismiss the thought OR it can take hold again, argh!!!!!!!

So if I’m aware of all of this, how come it’s still able to get me? 
I wrote a post a few weeks back which included a story called, The Elephant and the Rider, in this story it uses the metaphor of an elephant to explain how powerful the limbic system (emotional part of the brain) is.  It can take hold of you and drag you down, it will lie and do whatever it can to get your attention and keep you stuck, IF it thinks it needs to. 

This is why noticing your triggers and not letting them take hold is of the upmost importance, this is the only real control you have in OCD, as once the limbic system gets involved you are falling down the rabbit hole to fantasy land, where anything seems possible. 

When you see that trigger pop up, notice it, label it as OCD and say:

‘Thank you OCD that’s exactly what I wanted to hear right now.’

And then carry on with your day. 

Twelve words, sounds too simple right? 
But it is the ONLY way I have found that works. 

I really hope it helps,
Stay Strong xxx

Perception vs Reality in Anxiety and OCD

Hiker with backpack and trekking pole between sunny and moonlit mountain landscapes

Have you ever heard the phrase,

‘You don’t see reality as it is, you see it as you are’

This is why two people can have the exact same experience BUT have two completely different reactions to it.

It’s something worth remembering, especially when you have OCD or anxiety because the brain will be putting a filter on everything relating to your themes coming through, making them feel more intense, urgent and scary than they are. 

When my physical compulsions were really bad many years ago, one of the lies my brain told me was that I had to do everything 4 times or something bad would happen to someone in my family. 
Eventually it got so bad it was taking over my whole life, something had to be done.  At this time one of the observations I made was that no one else was doing these compulsions and they seemed OK.  Why was my brain telling me different?    

Breaking the loop

The way you break out of these loops and false realities is to become the observer of your thoughts.  This is an idea from ACT (Acceptance Commitment Therapy) called defusion. 

Defusion means stepping back from your thoughts. Instead of treating thoughts as absolute facts or commands, you learn to see them as simple words or mental events. This helps stop overthinking and reduces emotional pain but it takes practice and it can be tricky as when we are tiggered, we are quickly pulled into fight or flight.  When in this state rational thinking and the ability to make sensible judgements and defuse from thoughts becomes tricky.   

I’ve talked previously about my fears around swimming – deep routed fears that have been there since I was about 8.  I’ve been working on these more recently and I am slowly making progress, but it takes a lot of time to rewire these patterns. 
One thing I have observed for a while now is that not everyone hates swimming, in fact some people enjoy it and so the problem isn’t swimming, swimming is neither good nor bad, it’s my perception of it that’s wrong. 
My brain has decided swimming is bad, based on an experience I had when I was 8 and so that’s it for life now? Wow!

Another example from when I was younger: I used to feel lightheaded when I stood for long periods of time on hard floors and I told myself this was because I have blood pressure that’s on the low side.  In fact, that’s what I used to tell everyone. 
But having had a bought of bad anxiety since then, I now know that feeling lightheaded has nothing to do with hard floors or blood pressure and everything to do with me telling myself these things and my brain creating the conditions to make it so.  Yes, your brain can make you feel dizzy, light-headed, tired and a whole cascade of other effects which are self-created, sorry.  

Your compulsions are similar; your brain tells you to do them or else… but in reality this is a lie your brain is telling you because of a perceived reality/false belief which I’m guessing doesn’t even exist.

Can you defuse yourself from your OCD thoughs long enough to see them for what they are? 

As Always,
Stay Strong xxx   

OCD, Perfectionism & The Monkey Mind

Security guard thinking about venue safety checks and guest list

I’ve never thought of myself as a perfectionist in the past, I’m not the tidiest person or the smartest and I think I’ve always had an image in my head of a perfectionist as a highly put together, successful person.  Of course this may still be right, highly successful people may struggle with the idea of failing but my perfectionism is a little more insidious than that. 

I spend quite a lot of time in my sympathetic nervous system, more commonly known as fight or flight and one trait of this is that you think in extremes, all or nothing, black and white.  This sort of thinking allows very little room for error or mistakes, especially when combined with your OCD themes, which are of course based around the things you care about the most and can’t tolerate uncertainty or doubt around.

AS a result when you combine these two  traits you create a situation where anything expect 100% certainty – perfectionism – is acceptable.

Perfect is impossible

When we’re triggered – for whatever reason – we fall into fight or flight, losing our ability to see nuance.  This takes away our permission to be human because we know being perfect is impossible for anyone, we then beat ourselves up and try to ‘fix’ the perceived issue. 

We can think of this way of thinking as our monkey mind, the more primitive part of our brain which keeps us alive and safe, in fact this is ALL it cares about. Staying alive. 
In the past this would of included not being kicked out of our tribe, so not making mistakes which may cause this would have been important.  ‘What would others think of me if they could see my thoughts and know I wasn’t perfect?’.  Sound familiar?

Why does the monkey mind overestimate threats?

The monkey mind has issues with calculating threats correctly. Estimating odds and making risk assessments are done elsewhere in the brain and so it can only guess.  Why wouldn’t it err on the side of safety?  Why would it take the risk?  The monkey mind CANNOT be reasoned with, comforted or distracted from its mission. The only way we can override it is with our behaviours.

The monkey mind doesn’t realise there is more to life than just surviving,

‘…reasoning with the monkey mind is impossible, its too primitive to see the big picture that you can see with the rest of your brain.  The monkey has a narrow little view of the world, it’s perception of what’s threat and what isn’t can only be altered by one thing. It learns by watching you do.  if you want to stop being ruled by your monkey you are the one who will have to change’ – passage taken from ‘Don’t feed the monkey mind’ by Jennifer Shannon

The above paragraph highlights beautifully how narrow a view this part of the brain has and why it is so important to let the thoughts be and carry on. 

We need to see it as the more animalist side of our brains, I think as humans we don’t like this less civilised part of us but it is largely responsible for our survival so we shouldn’t wish for it not to be there, in fact people with little to no anxious tendencies tend not to live as long – however they may not care about this!   

When regulated and not in fight or flight I can observe my monkey mind throwing pretty much constant live or die scenarios at me and it can be tiring to let them flow over me and not engage.  Most people have a ‘bouncer’ on the door to their conscious mind saying, ‘no you can’t come in’ or ‘not today mate you’re too drunk, go home’, when these thoughts come in however when we have OCD there is a fault here like the ‘bouncer’ has gone on his break, as a result more of these catastrophic thoughts tend to get through.

We have to act as our own bouncer, carrying on with our day, allowing the thoughts to pop up and pass through as best we can, I know it’s hard but it’s the only way.

Just writing this today has been a helpful reminder for me, I really hope it helps you too.

As Always,
Stay Strong xxx

Should, Must and Slowing Down

Split image showing stressed woman rushing with thoughts versus calm woman meditating peacefully

Do you ever get up in the morning and your mind feels busy, like there’s too much to do and not enough hours in the day?

This was me this morning, my mind was rushing round not knowing how it was going to cope with everything I had planned.

Luckily this morning I got up a bit earlier than I needed to for my morning class and I was able to observe this state.

Now I am a busy mum of two, and it is the summer holidays currently so stress levels are probably higher than usual BUT today both my children are at football club and the only thing fixed engagement on my schedule was to teach my early morning yoga class.

So why did I feel so dysregulated and out of control?

Enter the Shoulds and the Musts

Shoulds and musts are: ‘rigid, unrealistic rules we place on ourselves, others, or the world. They are an unhelpful thinking style in psychology that creates heavy emotional stress, guilt, and anxiety when we or other people fail to meet impossible standards. 

My brain, seeing that I had a small amount of spare time between finishing my class and picking my children up from holiday club, had ‘helpfully’ filled it with all the things that I ‘should’ do. 

BUT what I had unknowing done by filling every second was tell my brain that there’s no time to stop or slow down, that it MUST keep going or, well what?  I’ve failed?  I’m not good enough?  What is that drive that keeps us pushing ourselves endlessly and not allowing ourselves to stop?

I could see this morning that my brain was frantic, unable to settle and it was causing me to feel incredibly stressed and dysregulated.

So what did I do
I allowed myself to sit and drink my coffee in quiet, I didn’t pick up my phone and start scrolling.  I observed how fast my mind was running.

I then removed all the ‘shoulds’ from my day and allowed myself some space to breath.  This included not doing my strength training session, which was hard, as not only my brain but society tells us how important strength training is but my body felt tired, my brain needed space and the gym wasn’t going to give me that today.  In fact the gym was another way to punish and push myself – raising my cortisol levels even higher, not what I needed.

Instead I forced myself to slow down, showing my brain there was no emergency, no need to rush no need to panic.

Awareness
The feeling didn’t dissipate immediately, it lingered and I could feel my mind trying to find something to attach that feeling to.  Dangerous territory, it went over old OCD thoughts trying to pull me into a spiral but for whatever reason today, I was detached enough and aware enough to observe this happening and was able to allow the thoughts to be and pass through.

Since I had my second bought of vertigo recently this is how my brain has felt, on high alert, definitely in fight or flight. I think my tendency in the past, when feeling like this, has been to push.  Push into more, make myself busier, work harder, train harder, take on more, but all this does is create more dysregulation and less peace. 

As I get older, I want the peace, the ability to slow down and let my busy brain take a breath is a superpower.

Have you experienced states like this?  Have you been able to observe them?

I leave you with this wonderful quote to ponder:

‘The quieter you become the more you are able to hear’ -Rumi



As Always
Stay Strong xxx

OCD, Perspective & An Elephant

Blindfolded men touching different parts of an elephant's body in a dusty courtyard.

Perspective can be defined as: ‘a point of view’ or ‘way of thinking about things’ and I would argue when you have OCD your perspective is somewhat skewed towards the negative, worst case scenario and quite often completely illogical.

This is mostly due to the fact that we’re not thinking with our cognitive brains. When triggered by OCD obsessions, our more animalistic brain takes over and this one likes to think in black and white – no time for nuance when the obsession is being categorised as a life or death situation!

I heard a lovely story, which I believe originated in India, which highlights the flaws in perspective nicely:

Six blind men were asked to determine what an elephant looked like by feeling different parts of the elephants body. The blind man who feels a leg says the elephant is like a pillar, the one who feels the tail says the elephant is like a rope, the one who feels the trunk says the elephant is like a tree branch; the one who feels the ear say the elephant is like a hand fan; the one who feels the belly says the elephant is like a wall; and the one who feels the tusk says the elephant is like a solid pipe. -Taken from Brightening our inner skies Yin and Yoga by Norman Blair

We can learn from this story that quite often in life we are not seeing the whole picture. Our anxious brains have got us to focus in on the worst case scenario, often catastrophizing events to laughable levels, this causes us endless unnecessary suffering.

Do you find you catastrophise events and lose perspective?
Remember you are not alone, this is incredibly common but by having some knowledge we can remind ourselves that quite often there is another more favourable way to look at things.

If you most catastrophise then why not DO IT POSITIVELY!

As always,
Stay Strong xxx

Breaking the Cycle: Awareness in OCD Recovery

Diagram of thought-feeling-behaviour cycle with three connected circles labeled Thoughts, Feelings/Emotions, and Behaviours/Actions

We learn in CBT (cognitive behavioural therapy) that thoughts, feeling and behaviours are all linked and influence each other. 

We also learn that we have very little control over our thoughts and that we all definitely get thoughts which come in unbidden and randomly.

It always blows my mind that they don’t teach these lessons at school. How much suffering could be prevented if people we’re given even a small insight into the nature of thoughts.

As an example, if we’re not careful,

Automatic thoughts – potentially intrusive OCD ones – can come in and produce feelings – probably of unease, disgust, aversion or fear – which then influence our behaviours – driving things like avoidance, compulsions and irritability to name just a few. All from thoughts WE CANNOT CONTROL!!!!!

As we grow older we become more automated as people, the brain is clever and as it leans things it automates them for us. Things such as brushing our teeth, tying our shoes laces and even driving – which once required huge effort – over time require little to no mental challenge for us. 

Maybe less obvious then are the mental habits we form as we grow. The same thoughts tick round our heads daily, efficiently taking us about our normal routines. This is very appealing to the brain, who’s top priority is to keep you safe, which is does by predicting what you’re going to do next and so it has no huge incentive to change these automatic patterns.

When we suffer from OCD or anxiety these habitual thoughts may not be overly helpful, in fact they can be incredibly distressing but the brain doesn’t particularly care as it’s top priority is to keep you safe and it will happily pick a predictable hell over an unpredictable heaven. 

You see this again and again in life, people making the same mistakes even though they can see they’re not helpful.

In OCD we see this pattern too.  We know the thoughts are distressing and unhelpful, but all the brain sees is that you are safe and well if the OCD thoughts continue to come in and so it continues to throw them your way.  Why take the risk afterall that they’re not real, better to have you safe at home in your own head then thriving and living your best life. 

Awareness is the key. We have to be awake to our automated habits, becoming an observer so that we are able to see the ones that are useful – brushing your teeth – and the ones that aren’t – OCD loops. 

Ever had the experience where you wake up in the morning and for a second you feel calm and peaceful before all the OCD thoughts come rushing in and you feel yourself sinking into a spiral again?  Well that’s your automatic brain habits switching on, even just noticing this effect can be revolutionary and it really is the first step to changing them. 

I mentioned yoga a couple of posts ago and how it can be helpful for OCD recovery, yoga is all about action and reflection at it’s core.  We move, we observe and we change if necessary.  Modern life is chaotic and it’s only becoming more so as our attention is constantly being pulled here and there. Yoga gives you a space to breath, stop, slow down and observe, allowing you to make changes where needed and empowering you to take back control from those unhelpful automatic patterns.

Mindfulness is also an incredibly powerful tool here, how present are you in your life? How much of your time is spent thinking about the past, predicting the future or looping through OCD sprials? So little time is spent in the present moment and yet it’s all we have.

OCD and anxiety cannot live in the present, the more we train our minds to come back to the present moment, the happier we will all be.      

Do you have an mindfulness practice? It doesn’t have to be complicated, maybe just try slowing down and noticing what’s around you more throughout your day.

As Always,
Stay Strong xxx

OCD – All Smoke and Mirrors

Wizard operating mirrors to create a large mystical face projection behind four watching characters.

Wow what a couple of weeks I’ve had, following my second dalliance with BPPV (Benign Paroxysmal Positional Vertigo) I’ve been able to observe the nature of my OCD more clearly.

What I’ve noticed:

Your brain prioritises what it thinks is most important, filtering most other things out and when I say ‘most other things’, I mean out of 11 million bits of data coming your way each second, only 50 get through!

When you have OCD, can you tell what’s hogging that tiny highway?

Add text OCD on lorry front

I’ve mentioned, The Reticular Activating System or RAS for short, before in a previous post here if you’d like to read more about it.
The RAS is a system which works to bring to your awareness what it thinks is MOST important.

What I observed last week, whilst my anxiety increased and I was off balance, was that my OCD quietened down A LOT. With the possibility that I might fall because I was dizzy, all other concerns went away.

Not only that, I still noticed the odd OCD obsession getting through the filter BUT my brain quickly and pretty easily dismissed them as they weren’t a priority.  

This week as my anxiety has started to ebb, my OCD has started to get louder again. 

This highlights to me the ridiculous nature of OCD, it’s almost like a game my brain decides to play when its it has nothing better to do. Like it’s a bored child which can’t stand to be still, needing constant stimulation, thinking up problems and different horrific scenarios to distract me.

For whatever reason OCD can feel useful and productive but this couldn’t be further from the truth, it’s honestly the biggest most pointless waste of time I can think of. Hours wasted going down rabbit holes which always end in more worry and confusion.

And so if you can step back far enough to see OCD for what it is, the wizard of oz – all smoke and mirrors with nothing behind the curtain – then you can start to break free from the OCD noise.

Wizard operating mirrors to create a large mystical face projection behind four watching characters.

Easier said then done I realise, even sitting here now writing this post with all the knowledge and awareness I have of this non sensical disorder, I can STILL feel an intrusive thought trying to break through and take hold, pause to roll eyes and sigh. 

Ultimately your brain is just trying to keep you safe, whether that’s with anxiety and it’s overwhelming physical sensations stopping you from wanting to leave the house or with OCD and its compulsions and mental spirals, keeping you stuck.

Either way it’s doing it’s job and keeping you alive, regardless of whether you’re thriving – which it couldn’t care less about by the way.

As always,
Stay Strong xxx

OCD & Anxiety – An Illusion of Control

Mage using magical powers to summon a swirling storm vortex on a cliff beside a turbulent sea

As humans we have the gift to be able to think about and analyse our thoughts, feelings and general experiences in life. 

This is a gift, which has enabled us to become the most dominant species on earth, even though we’re not the fasted or fiercest in the animal kingdom.

However, the world likes to be in balance and so we should expect that with such a great gift comes the potential for great pain and suffering.

Our ability as humans to plan, create, and rerun scenarios in our heads, can also be used for our own self-destruction if we’re not careful.

With this awareness comes the knowledge that we aren’t as in control of the world as we would like to be and this creates great discomfort for us. 

Our brains are designed to work out and fix problems to enable us to survive, it doesn’t care if we’re thriving and living your best lives it just wants us safe. Unfortunately the brain, as smart as it is, isn’t great at telling the difference between an imagined reality and our real one, here we can see how we can create suffering for ourselves, enter anxiety and OCD.

Quite often, in my experience, the onset of anxiety and OCD coincides with times of stress where we feel out of control or unsafe, throwing us into our sympathetic nervous system (fight or flight).

At these times the brain creates anxiety to stop us in our tracts, forcing us to pull back and OCD to keep us stuck inside our own heads. 

Both scenarios work to immobilise us, stop us living our lives, slowing us down and to be honest they’re generally pretty successful at it. 

They use our human gifts of imagination, memory (past experiences) and prediction (perceived future experiences) against us, creating at times unbearable feelings, doubts, fears and uncertainty. 

Having suffered from both OCD and anxiety in my time I know just how strong they can be.

I hear a lot of therapists saying, ‘feel the fear and do it anyway’ and even though this is great advice I also know, from lived experience, that if you push too hard when you’re anxious and don’t respect your need to rest as well, your nervous system will get louder, not quieter. 

There is a balance we must find between, sitting with it and respecting it, which can be incredibly tricky to do. 

This week I saw a return of my BPPV – a type of vertigo – in the past this has caused me huge anxiety and panic and so it’s been a tricky week, my brain has felt scared and I’ve had to pull back to respect that. 

My anxiety has made me feel tired, fatigued, off balance and like I’d like to do nothing more then stay at home and do nothing. 

As a result I’ve removed some of the extra activities I’d normally do when feeling my best, like my strength training, to allow my brain and body time to rest and see that it is safe to relax again. 

I’ve still taught my yoga classes but had to cue rather than partake, all while sitting with the uncomfortable anxious feelings my brain is sending my way.  This is the balance I am talking about, it is a tricky one and a life long skill which we need to master. 

Life is chaotic and unpredictable and as humans we hate this but the more we push against it the more we suffer.  OCD is an ultimate version of this, trying to eliminate all doubt is impossible, there will always be another, ‘What if?’ or ‘Maybe?’ and in the end you need to trust that when a situation arises you will make the right decision and be capable of handling it.

You got this, as always,
Stay Strong xxx