OCD – Having a Plan of Action

This is something which came from my Cognitive Behavioural Therapy or CBT for short.  As the therapy came to an end a plan of action was put in place for times when I’m maybe not feeling as strong as usual for some reason.

I have found that it is vitally important to know what to do when you can feel the doubt kicking in.  It’s also really important to be aware of your triggers so you can be prepared to deal with them straight away.

For me a massive trigger is time on my own.  I know that if my husband is away for some reason and I spend longer then a day on my own, then the OCD thoughts, doubts and associated anxiety will start to creep in, sigh.

So, I do my best to prepare in advance and plan activities which I know will keep me busy.  For me socialising is massively important, it makes me feel normal somehow to interact with people.  I have to keep this in mind when my head is telling me that I don’t want to go out in the car in case I crash (worry) and that I don’t want to go somewhere new in case I’m faced with a situation I can’t handle (anxiety) and I don’t want to get dressed this morning because I’ll have to find an outfit which doesn’t have some sort of negative connotation (OCD).

OCD and it’s associates does everything it can to keep me locked away in the house with just my thoughts, but all this causes is a downward spiral which I know, after many years is the worst thing for me and so I have to push myself past them all and go for it.

Of course it’s not always possible to prepare for these situations and even if you try to sometimes every single person you know will just happen to be busy on that day.  In cases such as these you need to find a way to cope healthily on your own.  Again this isn’t always easy, my first step is always to get out of the house.

I say to myself, ‘put your shoes on and go‘ (baby steps).  Most of the time just by walking out of the front door and taking a deep breath I feel slightly better.

I then try to be mindful as I walk, notice things in more detail than I normally would.   The sky, the buildings, the grass and trees, whatever is around me I take it in and appreciate it.  I remember how lucky I am to be alive and free enough to do these things.

Next I think about what makes me happy, just something small and see if I can incorporate it into my walk.  A warm drink at the local cafe, a book from the local library, (maybe combine the two), sometimes I treat myself to a magazine, a chocolate bar or a piece of cake (maybe all three).  Whatever I do, I try to appreciate it and do it mindfully.

Small acts of kindness are another thing I’ve come to appreciate recently, if you can repay them it can make you feel good.  Hold the door open for someone, offer your seat on the train to someone more in need.  It’s a bit sad that I’m still always surprised when someone does something unexpectedly nice for me.  I have found if I’m feeling particularly negative a small act of kindness can quickly change my perspective on things for the better.

OK so to summarise:

Prepare for situations you know will be triggers for you with activities you enjoy.

If you have no time to perpare

  • Get outside
  • Be mindful
  • Think of something you enjoy and do it and try to do it mindfully
  • If there is an opportunity along the way help someone, it will make you and them feel better.  Who knows perhaps they’re having a bad day as well.

I hope that this has been helpful, I’m just trying to pass on the things that help me in the hope that they can help you too.

Stay strong xxx

False Memory OCD

Today is the first day I’ve been able to put a real name to this type of OCD.  Up until now I’ve always described my ‘false memories’ as ‘warped memories’, as this is what it has always felt like.  A real memory which has been skewed by my OCD rather then a completely made up/false memory.  All of my ‘False memories’ have been based on something which was originally fact so for example:

“I know for a fact that I definitely drove home from work on Tuesday.  “  – Real memory

but by Wednesday I’m thinking:

“How can I be sure I didn’t hit someone when I was driving through the high street on my way home on Tuesday?  I can’t remember every inch of the drive home so I can’t be entirely sure I didn’t.  “  – False Memory

Over the years I think this may actually have been my biggest issue.  The fear of having done or even just said something I shouldn’t of and having to reanalyse and think back through events over and over and over again. 

These of course are classic OCD traits, the Intolerance of doubt and uncertainty coupled with the feeling of over responsibility. 

My biggest tools for fighting false memories are:

Firstly: Self Belief – knowing your values

I’ve talked quite a lot about self belief in previous posts.  It really is worth taking some time to sit down and look inside yourself (a scary thought for someone with OCD I realise).  It can help to do an exercise on values, working out what your about as a person.  On tough days your values should be what guide you.  Always work towards your values, no matter how you feel, and you’ll be on the right tract.  Know the person you want to be and when you look at yourself you most likely are that person already, your OCD is just covering it up, don’t let it!  When you are worrying about something that happened in the past are you heading towards your values, NO!

Then if you still can’t shift the memory:

Check faulty thinking patterns, Accept the Consequences, Don’t Catastrophize and Sitting with doubt and uncertainty, this is probably best explained with an example:

So say you believe you have run over someone on the way home.  You think about every moment of your drive over and over again but even though you can’t find one scrap of evidence that you have run someone over you cannot shift the false memory.  

Firstly Check for faulty thinking patterns, are you thinking in extremes?: When we are overthinking about something we are using the emotional side of our brains, when this is the case we are unable to think rationally and we often think in extremes.   Think about your reaction, would you really be able to drive over someone and:

  • a) Not notice
  • b) Have absolutely no memorable reaction
  • c) No one else notice?

unlikely I would say

Next: Accept the Consequences (an equivalent to a written exposure)

The consequence of this event would probably be that you would be arrested and have some sort of trial, you may end up in prison and would have to live with the guilt of what you’d done.  I don’t know how many times I’ve imagined myself in police interview rooms explaining that ‘I don’t even remember doing it, sorry’ but actually when you start to realise you wouldn’t have anything to say to the police and that you shouldn’t be able to feel guilty for something you don’t even remember doing.  You start to feel yourself relax.  A lot of the time acceptance of these consequences is easier to deal with then the OCD feeling and constant thinking over of the events.

Next: Don’t Catastrophise the event:

You have no memory of this event so you don’t know what happened, therefore tell yourself that the best outcome occurred rather then the worst.  In this scenario it is just as likely, isn’t it?  So instead of thinking that the person you think you ran over died.  Think that you didn’t run anyone over (which is the actual reality).

Lastly: Be Mindful – Sitting with doubt and uncertainty

So even if these consequences are coming your way, (which of course they’re not) they’re not happening right now, right this second are they?  If they do (which they won’t) you will deal with them then, not now.  No one knows what’s around the corner, as humans we hate to sit with uncertainty.  Uncertainty means we’re not completely in control and prepared for the things coming our way, the brain HATES this.  So this is why we bring mindfulness back in at this point.  Right here, right now, non of that is happening and until then you must make the most of every single second you have because life is super short and you can’t worry about the future.

These tactics have really worked for me in fighting my false memories so I really hope that they can help you too.

I want to add in here that ruminating – thinking on the same memory again and again – really has ZERO use. When we think back over an event are brain is reconstructing the event from the last time we remembered it and so the memory gets fussier and fussier and we are less and less likely to remember things accurately and more and more likely to try and fill in the gaps with rubbish. You have to just sit with the uncertainty and don’t go into that rumination rabbit hole, don’t even take a peek! 

Trying to predict the future – also hopeless by the way. None of us know what’s going to happen and endlessly going over ‘what if’s’ is a sure fire way to make you miserable!

Lastly, never push away OCD thoughts, they’ll just come flying back your way. Just say, ‘thanks for making me aware of that OCD’ and move on with your day. 

Stay strong xxx

Come join me on Instagram: @conqueringocd for more helpful tips and support.

OCD during my Pregnancy

So this was a big one for me.  Having had OCD since I was 11, having kids is something I always thought would probably be beyond me.  The very thought of having to look after another person who would be completely dependant on me – when at times I wasn’t that capable of looking after myself – seemed ridiculous.  I can even remember having a conversation with my husband before we got married where I explained that children may be completely off the cards for me and he should know that before we went any further.  Luckily for me, he was OK with that but I guess a lot of people wouldn’t be.

As time went on however it became apparent to me that kids were something I did really want and so I set to work sorting myself out.  It took two years, a course of anti depressants, 12 weeks of CBT therapy and a lot of hard work and communication before I felt ready to go for it.  At this point I was pretty in control of my OCD and I felt the strongest I had for years.

For someone with OCD, pregnancy is a minefield – so to speak.  Pregnancy brings with it an endless list of things that can go wrong and all when you’re in a heightened emotional state – in fact I understand that many people actually develop OCD during this time.  I don’t know how many times my partner had to say to me ‘You just have to have blind faith that everything is going to be OK’ and unfortunately it is a bit like that.  It was a tough time but each day passes and you move forward.  I wrote a list every time I had an OCD thought that I couldn’t dismiss straight away whilst I was pregnant, I have just counted back and there were 74!  I did have the support of a counsellor through my pregnancy and even though this could be seen as scary in some respects I actually found it reassuring.

However as tough as the pregnancy was, I got through it and I now have the most amazing little boy who makes every day worth while.  I hardly have time to think about OCD thoughts anymore, I’m so busy looking after him.  There has never been an easier way of grounding myself and being mindful in the moment because he demands it of me.  I never would have imagined beforehand that I would of coped with giving up my routine of full time work – the thing that always used to work best at grounding me – and spending long periods of time at home – something that always used to terrify me beforehand.  It just goes to show you don’t know what you are capable of until you try.  I had to go on a long journey to get there but it was worth every step to be where I am now.