Tag: Beating OCD

OCD: Your thoughts are NOT special! 

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A small idea with a big impact which I’d like to share with you today is a statement I heard on a podcast:

‘You’re not special’

It sounds kind of simple and maybe a bit mean but as humans we generally like to think of ourselves as being unique and different from everyone else. 

The reality of thinking in this way however is that it can make us feel that our problems/issues/intrusive thoughts are unique too.

This is an issue, if we think our problems are unique then we can believe them to be unsolvable.

When we have OCD we think, ‘no one else will have had these thoughts before’, this can lead to us becoming isolated and withdrawn.

The reality however is that we’re not that special and the more likely scenario is that multiple people will have experienced the same thoughts you have. 

Our brains like to keep us isolated and trapped believing it keeps us safe, but I’m here to tell you:

THIS IS RUBBISH!!

A side note here to say when it comes to OCD I would go to a OCD therapist, rather than a friend, as they will have the training to help you understand what is going on and see the thoughts for what they are – faulty signals being sent from your overactive amygdala. 

A short one today but such a powerful idea, which always helps me when I think of it. 

I really hope it helps,
Remember you are not alone and you’re not that special either! 
Stay Strong xxx

Conquering OCD: Recognizing Fight or Flight Responses

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In my last post I talked about the threat bucket metaphor and how it relates to our resilience levels – if you haven’t read that one you might want to go and check it out first – link to pervious post.

In this post we’re going to look closer at why it’s particularly bad for your bucket to overflow when you have OCD and why your self-care is of the upmost importance. 

Why it’s so bad for OCD when your bucket overflows?

When we have OCD we want to do everything we can to keep our resilience as high as possible, why? 
Well, when in fight-or-flight, our brain shifts into ‘survival mode’ this, like OCD, changes how you think, not just how you feel.

Our goals switch to speed and safety over accuracy, nuance and long-term reasoning – not what we want when dealing with OCD intrusive thoughts. 

Here’s a summary of what’s happening in the brain when our resilience drops (bucket overflows).

1. Our brain’s “thinking centre” goes offline – The prefrontal cortex (responsible for reasoning, planning, empathy, and impulse control) becomes less active.

This means:

  • We have a reduced ability to think logically
  • Difficulty seeing multiple perspectives
  • Poor working memory (“I can’t think straight”)
  • And more impulsive reactions

You’re not choosing this—blood flow and neural activity are redirected away from this area.

2. Our threat-detection system takes over – our amygdala and related limbic structures start to dominate.

This means our thinking becomes:

  • Threat-focused (“What’s wrong?”)
  • Binary (safe vs dangerous, right vs wrong, black vs white)
  • Fast and reactive
  • Emotion-driven

Our brains are asking one question only: “How do I survive this?”

3. Cognitive narrowing occurs, Fight-or-flight (an overflowing bucket) causes tunnel thinking.

You may experience:

  • Fixation on one detail or outcome
  • Loss of creativity and flexibility
  • Difficulty accessing learned skills – this is why prepping in advance for triggering situations is so important
  • Overgeneralization (“This always happens”)

This is efficient for survival—but limiting for problem-solving and not where you want to be when experiencing intrusive thoughts.

4. Biases increase – in survival mode, the brain relies on shortcuts, common thinking patterns include:

  • Catastrophizing
  • Mind reading (“They’re against me”)
  • Personalization
  • Black-and-white thinking

These are not “bad habits”—they’re stress (OCD)-induced neural shortcuts.

Understanding all this helps you realise that you can’t reason or ruminate your way out of fight-or-flight (OCD)—you regulate your nervous system first. Thinking comes back after ‘safety’ is restored.

BUT…
…how do we know if we’re in fight or flight in the first place?
and
…how do we get out of it and stay out of it when our amygdala keeps letting off faulty signals all the time?
I hear you ask.

Honestly it can feel impossible at times, I get it! 

First things first, the best way I’ve found to work out if I’m in fight or flight is from Martha Beck:

Ask yourself:
‘Am I suffering/struggling?’

If the answer is, ‘yes’ then you can almost guarantee you’re in fight or flight.   
There’ll be no logic involved, you won’t be thinking rationally – you need to stop.    

Our bodies are designed to move between rest and digest and fight or flight naturally and if you can recognise you’re dysregulated and sit with the uncomfortable feeling then great, do that.

I have however found some nice ways to speed up the process, so you can start to see things more rationally more quickly!   

Here are some of the best tools I’ve found to come out of fight or flight when in it:

  1. Creativity – this will mean different things for different people but creativity is amazing at switching on a different part of the brain, drawing your attention away from the catastrophizing part. Quite often if you can focus on creating something, whether it be a piece of art, a yoga sequence, something in the kitchen, garden, workshop, on the computer, anything that gets you thinking outside the box, you will start to draw your attention back to a more balance place.
    What’s your creative outlet?
  2. Curiosity – This can be curiosity about anything, quite often when we become curious and interested in something it grounds us and pulls us away from that extreme black and white thinking. Try asking why? Maybe investigate how something works or why it’s the way it is.
    Have you ever wondered about anything?
  3. Humour – is fabulous for getting the brain to switch modes. It works because its unexpected, remember the brain is a prediction machine and it’s pretty good at it. When a joke comes along and it doesn’t end where the brain think it will, BAM! You’re out of default mode and the brain is switched on and listening.
    Do you like any particular comedians? Go and look up one of their new sets online.
  4. Awe – part of the joy of being human is our ability to find awe. It can really give you some perspective when you look at the stars, birds, clouds, landscape etc. Going out into the world and finding things that make you think, wow! Is very important to our wellbeing and it helps us reset.
    What brings you that feeling of awe?
  5. A Challenge – this can be tricky when you’re in fight or flight but something which I found fun – from Martha Becks book – was to try and write your signature backwards. It takes a huge amount of focus and is very grounding. Go on, give it a try!
  6. Foundations Work – movement, nutrition, sleep, relaxation & social connection.  This takes an element of doing what you know is good for you, even when you don’t feel like it. We have to take action first, do the things we know make us feel better in the long run, your body and brain will thank you.

I really hope some of these methods are useful for you, give them a go and see what works.  It can be very individual which is tricky but once you’ve found the thing that works it can be seriously life changing.  Once back in rest and digest quite often we can let the thought go and see it as completely irrational, but if not, at this stage we can work through Byron Katies, questions.

Ask yourself:
Is it true?
Is it 100% true?  If the answer is no – which it always is in the case of OCD as it is based in doubt and uncertainty – then:

YOU HAVE TO LET IT GO!!!!!!

As I said in one of my previous posts, why would you torture yourself over anything less than 100% certainty?

I really hope this post has helped you to understand the role the nervous system plays in OCD and why it’s so important to recognise when you’re in fight or flight and find useful ways to bring yourself back. Only when out of fight or flight can we rationalise, think clearly and see OCD thoughts for what they are, just thoughts.

And if you ever wanted a reason not to complete a compulsion in the first place then remember, every time you give into one of those unwanted, intrusive, and distressing thoughts, images, urges, or feelings you’re filling up your bucket a little bit more and getting closer and closer to fight or flight, where it all starts to fall apart! 

Leave that thought be and carry on with your life aligning to your values. 

I really hope this post helps, education and knowledge are so vital for OCD recovery,
As Always, you are not alone,

Stay Strong xxx  

Resilience in OCD: Why the holidays can be hard

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OCD recovery can be tough; in fact it’s very rarely a straight line.  Some days we feel like we can conquer the world and ‘why was I even worried about that thought’ and the next day, that same thought, can be all consuming! 

Does this sound familiar? 

I believe it has a lot to do with our nervous system, which is like the software of our body.  Everyday it’s impacted by our day-today routine, which in turn has an effect on our resilience levels, which directly impacts how well we can manage OCD thoughts when they pop in.   

Our brain sits at the top of our nervous system and its number one job is to keep us alive.  It really doesn’t care if you’re living your best life or not, it just wants you alive.

As a result, the brain likes predictable routines, to know what’s coming next and anything out of this remit can upset our resilience levels. 

A prime example of being out of routine is holiday season.  Not only does a lot of the day-to-day structure disappear but most likely we’re moving less, eating worse, drinking more, potentially sleep is also disrupted, not to mention you may also be staying away from home.  All this is dysregulating for the nervous system, as a result we can get more easily stuck in our sympathetic nervous system (fight or flight). 

Why does this matter? 

The autonomic nervous system (ANS) has two main branches: –

Sympathetic – fight or flight
and
Parasympathetic – rest and digest.

Our resilience levels depend on how easily we can move between these two states.

When our resilience levels are low our nervous system can get “stuck” in fight/flight.  When they’re high, our nervous system can activate fight/flight when needed (getting up in the morning/running for a bus) but then returns to rest and digest efficiently afterwards. 

This flexibility is called autonomic regulation.  Can you take a guess what our resilience levels are like when our routine disappears? And in turn how well we are able to manage OCD thoughts when they occur?

A great analogy for this is: The threat bucket

The water level is your resilience level at the start of the day – and it will depend on how safe your brain feels. 

The arrows going in are your daily additional stresses – some days these will be less and the bucket wont overflow, other days they’ll be coming in so quickly you can’t keep up, if your bucket overflows you’re moving into fight or flight.

Note: if you have OCD it’s likely that your base line water level will already be higher to start with and if you’re ruminating throughout the day it’s a bit like having a hose filling that bucket up with a steady drip, drip, drip. 

Taking this metaphor a bit further we can release some of this built-up stress with the tap at the bottom of the bucket.  This is where all the self-care and routine comes in, those little daily habits which lead up to big results, or in this case resilience. 

Routine can be incredibly important in OCD recovery as it improves our resilience levels allowing us to deal with obsessions (intrusive thoughts) more easily – remember those days when you’re able to dismiss that same thought that kept you caught a pervious day?  Those are the days your resilience is high and you’re not suck in fight or flight.    

Routine including: good nutrition, sleep, movement, social connection and relaxation are unbelievably important for recovery maintenance.  This is why I’m a PT, I’ve had to force myself to live the lifestyle I know does me good.  The brain and body automatically seek comfort but this is not what keeps us healthy, especially when we’re dealing with mental health issues. 

If you know you find the holidays hard then it can be so helpful to prepare some support in advance, where you can try and keep some elements of your routine in place.  Maybe drink a little less, take a walk after dinner, make sure you have a good meal, including protein, before you start on the sugary treats, have someone you can talk to if it gets tough, write down the things you know help and refer back to them if OCD hits. 

I did just this and it really helped me out over the last few days, remember when you’re in fight or flight it’s very hard to think rationally so you want everything in place and ready beforehand.  If you’re not sure where to start then comment ‘FOUNDATIONS’ in the comments below and I’ll send you a link to one of my foundations trackers to get you get started.   

I’m going to follow this post up with a more detailed look at what happens when that bucket overflows, so don’t forget to subscribe.

Remember, you are not alone,
Stay Strong xxx

Understanding Thought-Action Fusion in OCD

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Thought-action-fusion is a common cognitive distortion associated with OCD.  It’s where a person believes that having a thought is equivalent to performing an action, or that thinking something makes it more likely to happen.

It is a very important distortion to be aware of if you’re suffering from OCD as when you’re in fight or flight mode – talked about in my previous post – anything can feel possible.     

Remember when we are suffering from OCD we are highly likely to be in the fight or flight (sympathetic) part of our nervous system. When in fight or flight our ability to think rationally goes out of the window and so things that we know to be impossible, when in our rational minds, can feel possible! 

When struggling and ruminating on an OCD obsession the brain and body are suffering with high stress (fight or flight), when in this state our memory becomes selective and fragmented.  Our attention narrows (tunnel vision) and our hippocampus (memory organiser) works less efficiently.

The result of this is that we can get gaps in our memory, Out-of-order recall and confusion about timelines. In addition to this the brain searches for danger-related memories, and the Safe or neutral memories are harder to access. 

It’s important to note that a Strong memory ≠ accurate memory.  Stress increases confidence in memory and emotional intensity but decreases, detail accuracy, context and perspective! 

All this results in intrusive memories feeling more real because they’re emotionally tagged

  • “What if” thoughts feel urgent due to amygdala activation
  • Memory distrust develops (“What if I forgot something important?”)

This fuels checking, reassurance, and rumination.

For me this was one of the most enlightening distortions to learn about.  Following my nervous breakdown, I was constantly in my sympathetic nervous system and so I had a few events when an intrusive thought occurred, and I couldn’t remember clearly/rationalise it/work it out, this caused me unbelievable distress. 

Thought-action-fusion can make you feel like a thought is real and because of your mental state your inability to rationalise that distortion feeds the uncertainty.  We need to recognise this pattern when it happens for what it is and reduce the impact by:

  • Not trying to ‘figure it out’ while anxious – this includes during the night, no analysis between 11pm and 5am remember! 
  • Remembering that you’re in fight-or-flight, you’ll be thinking in extremes and this is not evidence.
  • Find ways to reset and come back into the parasympathetic nervous system (rest and digest). 

I really love Byron Katies method for this where we say:
Is it true?
Is it 100% true? 

If the answer to the second question is no – which it will be because the stress is based on doubt and uncertainty, then ‘you have to let it go’.   

Why would you torture yourself over anything less than 100% certainty? 

Fear lives in the vague after all and it’s my guess, it’s just a thought (obsession), attached to a feeling of uncertainty, that you’re basing your rumination on, not facts. 

Your brain is probably desperately trying to work out whether there is something genuine to be concerned about, you should take this as your sign that there isn’t!   

I really hope this helps, OCD recovery isn’t easy and sometimes thought-action-fusion can get worse when we are in recovery and start to let our guard down, but know and trust who you are and as always,

Stay Strong xxx

Breaking the Cycle: Overcoming OCD Compulsions

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I wrote last week about how when we get triggered by OCD obsessions (unwanted, intrusive, and distressing thoughts, images, urges, or feelings), it’s a faulty signal from our amygdala (part of the brain responsible for detecting potential threats), if we then give into the compulsion (a repetitive behaviour or mental act) it confirms the threat and fully triggers the fight or flight response in our body. 

Why is this an issue? 

Well, when in fight or flight we don’t tend to think rationally, we’re in survival mode and though this system can be useful at times, when it comes to OCD it’s not the place we want to be. 

It allows the irrational use of compulsions to ‘neutralise’ thoughts seem rational.  We see ourselves doing things we know are senseless, like retracing our steps, washing our hands multiple times, repeating safety phrases in our heads or ruminating endlessly on thoughts, but for whatever reason the brain has convinced us it will help. 

This is wrong, in fact compulsions do nothing but cause us more distress, more uncertainty and less trust in our own ability to cope!

So why does our body do this? 

According to ChapGPT it serves the following purposes:

The brain prioritizes speed over nuance.
In a threat situation, the amygdala, pushes the body to act quickly. Nuanced thinking takes time; survival favours rapid, simple judgments like safe vs. unsafe, friend vs. foe, stay vs. run.

It reduces cognitive load during stress.
Under high stress, the prefrontal cortex (responsible for reasoning and complex thinking) becomes less active. The brain simplifies decisions to conserve resources.

It minimizes hesitation.
Ambivalence can be dangerous during real threats. If you’re being chased, you don’t want to think:
“Well, maybe it’s dangerous, but maybe it’s not, and perhaps I should consider my options…”
You want an immediate, decisive action.

It helps coordinate the body’s physiological response.
Fight-or-flight relies on a clear appraisal: threat = act. Black-and-white thinking helps the brain send a strong, unified signal.

Why is this an issue in OCD?

When we believe our obsessions, which are being prompted by a fault in this system and give into our compulsions, we are triggering our fight or flight response repeatedly, the cascade of issues this causes is as follows:

The brain learns:

  • Ambiguity = risk
  • Nuance = unsafe
  • Only extremes are predictable

So the nervous system keeps simplifying the world into binaries—even when there is no threat!

Our amygdala becomes hyper-reactive

A sensitized amygdala reacts to mild cues, (OCD obsessions) as if they’re major threats. This leads to rapid, black-and-white judgments like:

  • “That bump in the road might have been a person”
  • “I had a negative thought when I turned on the light, maybe I should turn it off again and make sure I think positive thoughts when I turn it on this time, just in case.”
  • “There’s a tiny mark on that apple, I should probably throw it away and get another one, it’s probably poisonous.”

The prefrontal cortex, responsible for reasoning and nuance, gets less access as chronic stress reduces blood flow and connectivity in regions that support:

  • Perspective-taking
  • Emotional regulation
  • Tolerance for uncertainty
  • Gray-area thinking
  • Long-term planning

In this state, the brain defaults to simple categories because complexity feels overwhelming.

When we have OCD, Fight-or-flight can turn into a trait instead of a temporary state!

When the sympathetic nervous system (fight or flight) stays activated long-term, the cognitive style that evolved for emergencies becomes our everyday thinking. 

This is why giving into OCD compulsions, even one, is only ever going to lead to more distress, more compulsions to try and relive that stress, sending you freefalling down that rabbit hole. 

We need to realise that the compulsion is not keeping us safe and remove it’s usefulness. 

I know from years of experience with OCD that there’s always another ‘what if?’ or ‘maybe?’ and whenever I’ve given into a compulsion all I’ve done is made things worse. I become withdrawn, irritable and irrational, simple tasks get overwhelming and life becomes very challenging. 

I understand it can feel impossible at times not to just do the compulsion, ‘just once more won’t hurt, I’ll sit with it the next time’ – sound familiar?  But I know from experience that it’s never going to feel easy, it’s always going to be challenging.

However knowing that the compulsion is useless, serves no purpose and will only make things worse, helps give me the strength to not give in.

I really hope this information helps you too. Let me know what you think in the comments below.
As always,
Stay Strong xxx

Why OCD Compulsions Make it Worse!

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If you’ve landed here, you probably already know a bit about OCD but in case you don’t here are the Cliff notes.

OCD stands for: Obsessive Compulsive Disorder. 

Obsessions are: unwanted, intrusive, and distressing thoughts, images, urges, or feelings that repeatedly enter a person’s mind and cause significant anxiety. 

The resulting compulsion is a repetitive behaviour or mental act that a person feels driven to perform in response to the obsession. 

Todays blog is all about why the compulsion part of OCD is not helpful for us. 

When you have OCD completing a compulsion, whatever it may be, is done out of a need to neutralise the obsession in some way. 

Examples of compulsions include; driving back round to check that a bump in the road wasn’t a person.  Washing your hands more than once to make sure they’re clean.  Going back to check if the oven is off, or that the doors are all locked and secure. 

There are in fact endless examples, and we’re all slightly different which can make OCD a very tricky beast to catch. 

It can be hard at times not to complete a compulsion, especially if we feel responsible for others safety but I’ve found that by invalidating the supposed ‘safety guarantee’ of the compulsion, the need to do it disappears as well. We start to see it as pointless – because it is, read on to see why.

How do I know if it’s an OCD compulsion?

The real clue to whether it’s an OCD compulsion or not, is that when it’s OCD it’s normally accompanied by distress.  Afterall if we don’t mind the compulsive action, then is it an issue?

People with OCD are normally fighting an inner battle where they are trying to work out the doubt and uncertainty they are feeling – impossible by the way – and compulsions such as checking or ruminating can feel like a productive way to do this.  Well, I’m here today to confirm to you that IT IS NOT. 

We feel like the compulsions are’ ‘helping us’ and ‘keeping us safe’ but they’re doing the complete opposite, yep you heard it right, they are making everything worse!

Now I’m not a qualified therapist but I know from years of experience that as soon as you give into one of those compulsions, you are validating the faulty signal coming from the amygdala and telling the brain that there is something to worry about.  You’re basically saying,

‘hey brain, this is important, you need to be on high alert and focus all your attention on this obsession’.    

By doing this you are putting yourself into your Sympathetic Nervous System, more commonly known as fight or flight.  Once in this state you will not be thinking rationally. The logical brain switches off and passes everything over to the more primal survival part of the brain. This part of the brain is all about keeping you safe and you’ve just told it, by giving into the compulsion, that there’s something it needs to worry about. 

Basically you’ve just started to fall down the rabbit hole.  I told you last time, he might look fluffy but he’s a whole lot of trouble!

When in fight or flight you cannot think rationally and so you are in a state where the brain can convince you black is white, up is down and left is right – things you know to be impossible!  You are not able to reason or be sensible in any way in this state and giving into an OCD compulsion puts you in this state.

How do you know when you’ve reached this state?  It can be hard when you’re in it to know but I like Martha Becks phrase:

‘If you’re struggling, you’re spiralling’

basically if it’s causing you distress then you can be pretty sure you’re in fight or flight. 

At this point you need to step away and reset.  Say ‘thank you brain, that’s exactly what I wanted to hear right now’ and carry on with your day aligning with your values.

More tips on how to do this coming next week, so don’t forget to subscribe below!  

In summary, compulsions are pointless because:   

  • As soon as we complete a compulsion, we validate the faulty signal aka the obsession. 
  • This then takes us into fight or flight – as we we’ve just told the brain there’s something to be worried about
  • Once this happens, we can’t think rationally
  • This cycle is self perpetuating.

I have illustrated it below to make it clear.

Hopefully you can now see why completing compulsions is COMPLETELY POINTLESS!!!!

I really hope this helps, let me know in the comments below.
As always, Stay Strong xxx

Expect and Accept: Overcoming OCD Thoughts

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‘Expect and accept’, is a new mantra I’ve been trying out recently. 

I’ve found It can be helpful when managing OCD thoughts day-to-day to have a mantra to act as a ‘switch’ for the brain, helping you to label the thoughts as OCD and move on. 

Obviously in an ideal world you wouldn’t need it but it can be so easy at times to get dragged into OCD thoughts and before you know it, you’re freefalling down a rumination rabbit hole and all sense of reality has gone.

Don’t be fooled by the cute bunny, he may appear to be your friend but believe me he isn’t!

At times like this it can be so helpful to have a little reminder, like a therapist in your ear, saying to you:

So let’s be clear here, by saying ‘expect it’, I’m not saying, lets invite those thoughts along or will them to be there.  It’s more about having an awareness that if you’re going into a triggering situation, a new environment or out of your comfort zone, then it’s highly likely that your OCD will want to come along for the ride. 

I’ve found at times that I can get frustrated with my OCD when it turns up and what I’ve learnt over the years is if you don’t want it to be there, then it’s almost guaranteed to be.

When it does, if it does, we need to accept it.  We can do this by saying, ‘Thank you, brain that’s exactly what I wanted to hear right now’.

After all OCD recovery is not about getting rid of the intrusive thoughts, this is a common mistake, remember everyone gets them. So it’s more about allowing them to be there and then carrying on with your day regardless, aligning with your values. 

I realise how hard this is, but know that you are not alone and that every time you carry on with your day, despite the thoughts, you are making progress and the brain is learning it doesn’t need to freak out at every thought that comes into your mind.  

Why not give the mantra a go this week and see if it helps you too. Let me know how you get on in the comments below.

Remember: ‘Expect it and Accept it’

As always,
Stay Strong xxx

The Role of Values in Overcoming OCD

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I’ve mentioned values in several posts to date, and I feel it’s time to take a closer at them and why they are so important in OCD recovery. 

What’s a value anyway? 

Lets start at the beginning, a value is: ‘a principle or standard of behaviour; one’s judgement of what is important in life’.

They are the standards we set for ourselves to live by, they outline the things that are most important to us and help guide us with our daily choices. 

If you’ve done any ACT (acceptance commitment thearpy), then you will know that values work is one of the 6 core principles

They describe values as something you, ‘do’ rather than ‘have’. They are verbs not nouns, general directions and guiders for life, a place you can never arrive at but are always striving towards.  

From this description they can feel quite nebulous, but they are the invisible building blocks of our lives. 

How do you work out your values?

There are lots of great exercises online that you can work through.  Here are a couple of links to try but a quick google will find you lots of information on the topic.

Values worksheet 1

Values worksheet 2

If you’ve never done this work before then I advise spending a bit of time working through one of the above activities. 

So why are values so important in OCD recovery? 

They become especially useful when you are struggling because you can align to your values and know that that’s the person you want to be. 

You can then take actions towards your values, regardless of the thoughts and how you feel, which is exactly what we need to do when OCD gets loud.

OCD has a nasty habit of making you think you’re the worst person in the world, capable of distressing and horrible things and when you’re spiralling it can be incredibly hard to pull yourself out.

Your values then become a superpower, acting as your anchor during these difficult times.  They remind you of who you truly want to be and allow you to proactively take action to align with them. 

Say for example that your values are to be an honest, trustworthy, reliable, kind and loving person, then when OCD is telling you otherwise you have the opportunity to say;

‘No OCD, I’m not who you’re telling me I am, I know my values and I’m going to carry on with my day aligning to them’. 

The brain believes what it sees, so if you live your life aligning to your values then you will be banking undisputable evidence of who you are. The OCD thoughts then become much easier to dismiss and don’t take hold as easily. 

In addition to this it’s worth remembering here that OCD thoughts are ego-dystonic, which refers to the fact that the obsessions and compulsions are inconsistent with a person’s values, beliefs, and self-image, understandably causing a lot of distress.  

When going through OCD therapy and recovery it can feel so tough at times and your values can act as your guiding light through the darkness. 

Every time it feels overwhelming and tough, you need to remind yourself of your values and ask yourself;

‘If I’m aligning with my values and the person I want to be then what would I do in this situation?’  

  • Would I drive back and check if that bump in the road was a person or would I carry on with my day?
  • Would I wash my hands again because they still feel dirty or would I just carry on with my day?
  • Would I spend hours ruminating over the nightmare I had last night and not make it into work, or would I just carry on with my day?

There are endless scenarios you could use here but ultimately you have to ask yourself, is your OCD holding you back from the values-based life you want to live? 

I’m guessing the answer is yes.   

The amazing thing about doing values work, is that once they’re in place they allow your life to become more focused and meaningful in all ways.  You become empowered to let anything that doesn’t align with them go, which quite often results in a lot less drama, mental health struggles and a lot more peace.

I’d love to know if you have also found ACT therapy and Values work helpful in your OCD recovery, please share your insights below.

As always,
Stay Strong xxx

Overcoming OCD: The Power of Choice

Posted in Mental Health, Mental Wellbeing, OCD, OCD Awareness Week, OCD GeneralTagged , , , , , , , , , Leave a comment

I have recently had the pleasure of coming across the choice article written by Dr Steven Phillipson – a licensed clinical psychologist who specialises in Cognitive-Behavioural Therapy for OCD.  It’s such an extraordinary piece of work and a must read for anyone suffering from OCD.  It is quite lengthy but there is an audio version here.

The focus of the article is how we need to see OCD thoughts as irrelevant and that we DO have a choice when it comes to this decision.

I know only too well when you have OCD you can feel like you have no choice but to do the compulsion when the thoughts come in, the doubt & uncertainty that comes with not knowing 100% whether the thought is significant can feel too much to bear. 

However, we need to start to see this part of the brain as an independent system from our conscious thoughts, one that works automatically – like the systems which control automatic functioning in the body such as breathing and heartrate.  We do this by becoming aware of our automatic thoughts and autopilot, making the choice to carry on with our day, align with our values and see the thoughts as meaningless and irrelevant – because they are.  

Below is a quote from the article which I thought was helpful:    

‘what do our feelings say about our fundamental beliefs? I believe that the answer to this question is, “Not necessarily very much.” Our feelings are not a reliable measure of our self-perception. Why? Because automatic thoughts can create feelings that are just as convincing as thoughts that reflect our deeply held beliefs. So, it is vital that we do not reflexively take the thoughts and feelings that our brains send to us at face value.’

Here Dr Steven Phillipson is highlighting the fact that automatic thoughts can create feelings, these feelings can make things feel more real.  Therefore, we shouldn’t put too much emphasis on how we feel as feeling are NOT within our control. 

Why would we give up our autonomy (our right to make informed decisions about our lives) to something we have NO control over? (Remember, we cannot control our thoughts and feelings only our behaviours. )

Another great quote from the article:

‘Remember when you have OCD, you cannot use your feelings to determine if a threat is ”real”.  Doing so is a little like asking the Devil for directions to heaven’.

I always remember this quote when I’m starting to spiral as it happily reminds me that I cannot trust those feelings.

The article highlights how when one has OCD the amygdala – whose primary function is to process emotions, especially fear and anxiety – is sending us a faulty signal that there is something which needs our attention right away and cannot wait. Our job – through ERP therapy – is to become habituated (the process of making or becoming accustomed or used to something.) to this alert. 

This is no easy task and can feel very uncomfortable. Choosing to ignore your brains warning system and take the chance that it’s a false alert can truly feel like jumping out of an aeroplane not knowing whether your parachute is packed correctly. However this is the chance we have to take to show the brain that the signal was faulty, we literally do nothing about the thought and carry on with our day aligning with our values.

More on habituation coming in future posts but for now I’m going to leave you with this motivational mantra which I use all the time,

‘Every day is a new opportunity for me to show my brain that this continued prompt is meaning and irrelevant. ‘

I really hope it helps you too:
As always, stay strong xxx

OCD – Maybe This Time it’s Real!

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Ever heard yourself thinking this?  Maybe you’ve had OCD for a while, maybe you’ve had some therapy and you know all the tools; don’t engage with the thoughts, go on with your day like the thoughts are irrelevant, don’t fall down the rabbit hole – sounds familiar?    

You know it all but then comes that little voice which saying, ‘but what if this time, it IS important, it feels so real.’      

Don’t be fooled, it’s OCD’s sneaky trick, ramping up the doubt and uncertainty to take hold of the one thing it wants, your complete attention.

When you get triggered – for whatever reason – it can feel desperate, like this thought (obsession) needs all your time and energy – if you could just work it out this time then you would be OK. 

Well let me tell you it’s not important, your mind is telling you lies and trying to capture your attention.  Your scared amygdala (the part of the brain responsible for triggering the body’s fight-or-flight response to threats) is sending you a faulty signal and your only job is to not engage. 

The only way the brain can truly learn that the signal is faulty is by not engaging with the thought (obsession) and seeing for itself .  Any attempt to try and neutralise the thought will tell the brain that the signal was important & so perpetuate the OCD cycle.

OCD Cycle

Remember,

‘If you’re struggling, you’re spiralling’. 

If it feels desperate/urgent you can be sure you’re not thinking rationally, you’ve switched over to fight or flight mode and you will not benefit from completing any compulsions (repetitive physical or mental behaviour a person feels driven to perform to alleviate the anxiety, distress, or unease caused by an obsession).    

So ‘how?’, I hear you shout, when it feels so important, do I ignore my brains natural instincts and just carry on? 

It’s tough, it can feel like stepping out of an aeroplane not knowing if your parachute is packed correctly. Sometimes it can feel like the risk isn’t worth it, especially when people you love are involved,

examples include:

‘I must make sure my hands are extra clean before making my children’s tea, I should wash them a second time.’

‘I need to go back and check I didn’t hit anyone when I felt that bump on the road.’

‘I have to hide all the knives in case I loose control and hurt someone.’

Your brain tells you can’t take the risk and you’re just being a responsible person by making sure.

It’s worth pointing out here that we shouldn’t give our feelings so much credit either, we cannot control them, so don’t let them control you!  Feelings are not facts!

However know that by not sitting with the thoughts you will be drawn into them. 

You might think you’re being responsible but what the people around you see – the ones you love and are trying to protect – is a person who isn’t fully engaged in the world, has become irritable, withdrawn, detached, distressed, less empathetic and is really struggling.  

When we dissolve into our thoughts, our subconscious takes over our outer functioning – this is the you the world sees! Because you are so caught up in your thoughts your brain goes into default mode and it uses programs it picked up from when you were a child! Is this what you want? 

Wouldn’t you rather be showing up in your life?  Aligning to your values, trusting yourself and getting on with the things you enjoy, with the people you love? 

Does that make sitting with the thoughts a risk worth taking? Know your reason and keep it at the forefront of your mind whenever those thoughts come knocking, it will give you the strength and resilience to push though.  

Don’t let OCD steal anymore of your life, the time you have with the people most important to you and the dreams and ambitions you have for yourself.   

It might feel real this time, but my guess is if you leave it be, it will float away and be replaced by another thought pretty quickly and I bet you that one will feel just as real! 

Take a step back and just have a laugh at the madness that is OCD, I know it doesn’t always feel like you want to laugh when you have OCD but it’s a way of detaching yourself from the lies it tells you. 

I hope it helps, you have totally go this.
As always, Stay Strong xxx

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