OCD is Ego-Dystonic, but what does that mean?

A super short one this week to highlight something important everyone suffering with OCD should know.  If you’ve had OCD for a while you’re probably already aware of it’s ego-dystonic nature but if not, it can be enlightening to understand what this means.

What do we mean when we say something is ego dystonic?

Ego-dystonic means: against the self or being inconsistent with one’s true beliefs and personality.

When it comes to OCD we can say that the obsessions – unwanted, and intrusive thoughts, urges, or images – are ego dystonic, as they directly contradict a person’s values, desires, and self-image.

In fact, someone with OCD will find the obsession so repugnant in nature that they often lead to the compulsive behaviours we see in OCD – which are an attempt to ‘neutralize’ the anxiety caused – despite the fact we often recognise the compulsion as unreasonable. 

A couple of examples of ego-dystonic content could be:

Harm OCD – A caring person having unwanted, persistent thoughts of harming someone.

Or

Contamination OCD – A clean and tidy person worrying that they’ll spread a disease or infection to someone they love.

As with intrusive thoughts, everyone will experience ego-dystonic thoughts at times.  The difference being that someone without OCD can immediately recognize the thought as untrue, and move on with their day.

When it comes to OCD however this is where the ‘glitch’ or ‘faulty signal’ in the system seems to trip us up. For whatever reason we get stuck worrying that the thought might mean something – it doesn’t, but by giving the thought time, the brain starts to see it as significant and so we can see where the OCD spiral into fight or flight begins.

In conclusion it’s our job to notice these thoughts when they come in for what they are – ego-dystonic – and let them go, taking the fact we find them so distressing as our sign that it’s OCD at play and nothing more. 

I really hope this one helps, it’s one I often have to remind myself of, but it’s always really helpful when I do.

Remember you are not alone,
As always, Stay Strong xxx

The Benefits of Scheduled Worry Time for OCD

OCD and worry are different but do have some crossover in how they make us feel.  They like to occupy our thoughts, consume our attention and cause us to feel distressed and dysregulated.

A common strategy for manging worry is to use a decision tree (shown in the diagram below) and then allocate, if needed, specific ‘worry time’ to process and manage those worries which can’t be easily dismissed or dealt with in the moment.

Image taken from: CBT Therapy in London’s website

When it comes to OCD however a more common strategy is to not give the thoughts any time and sit with the uncertainty, knowing that the nervous system should reset itself if we don’t engage with the thoughts. 

As a result, I’ve always thought ‘worry time’ isn’t a valuable tool for OCD recovery however more recently I have seen a couple of benefits which I thought I would highlight and see if anyone else thinks they may be useful too. 

I’ve spoken a lot about how when OCD hits we are thrown into our sympathetic nervous system (fight or flight) and so at this stage engaging with the thoughts in any way is problematic.  We will be thinking through a distorted mindset where our mind can make us believe anything is possible, this is inherently problematic as we are handing over our thinking to a bunch of assumptions which are fundamentally flawed. 

OCD can feel very urgent and like it must be looked at NOW! But by allocating a time in the future when your system is re-regulated, the OCD brain will feel like its been heard and may quieten down. 

We are not engaging with the thought as such but allocating a time in the future, if needed, to work through it from a more rational head space.

The benefits of this I see are 4-fold:

  1. You’re not engaging with the thought but you’re also not pushing it away, this means the brain (amygdala), feels validated and is more likely to relax. 
  2. You are finding a time when you are in your parasympathetic (rest and digest) nervous system to work through any uncertainty, this means you’ll have your full cognitive functioning, reasoning and rational switched on.
  3. When worry time comes, the OCD thought might already have been dismissed, this is the ideal scenario – no need to do anything. 
  4. Labelling the thought as OCD and delaying any ruminating until a later time, switches the mind back to the prefrontal cortex and away from the amygdala in the moment.  These two systems can act a bit like a seesaw, so when we label the thought we take back control of our thinking brain.    

When you reach your allocated ‘worry time’, if the thoughts are still about and being bothersome, I would highly recommend Byron Katies method to work through each thought in a rational & logical way.

I’ve mentioned this method before in previous posts but just in case you haven’t seen it here is the full example:

Ask yourself the following questions:

  1. Is it true? (If no, move to 3).
  2. Can you absolutely 100% know that it’s true? (Yes or no).
  3. How do you react, what happens, when you believe that thought? (Explore physical sensations, emotions, and behaviours).
  4. Who would you be without the thought? (Imagine yourself in that situation without the stressful belief). 

The Turnarounds

The final step is to turn the statement around to see if the opposite is as true or truer than your original thought.

 I often find as soon as I ask the first question the answer is ‘no’ but I can always guarantee when it comes to OCD the second answer is always ‘no’ as OCD is all about doubt and uncertainty and if you have that it cannot be 100% true. 

So use your OCD worry time to work through your thoughts in this logical, prefrontal cortex orientated way.  Anything less than 100% certainty you have to let go and sit with that uncomfortable feeling, that’s the work we must do to become habituated to our OCD. I know its tough, I get it, but if we want to let go of OCD we have to let go of certainty. 

I really hope this post helps, I don’t know how many times I’ve used this process to help let go of intrusive thoughts, thank you Byron Katie.  If you want to see more of her work you can visit her website here.

Let me know if it helps you too and please share your experience in the comments below.

As always,
Stay Strong xxx

Overcoming OCD: Letting Go of the Rope

I have had OCD for what is fast coming up to 30 years. As I quickly approach my 41st birthday it can sometimes feel like I’ve been fighting a war inside my brain for what feels like forever.  I’ve read all the books, listened to the podcasts, had a couple of rounds of therapy, trained as a yoga teacher and PT, I look after my nutritional and physical health, and choose to share what I’ve learnt in the hope of helping others through my blog, Instagram posts and workshops. 

So why I ask myself do I still struggle at times?  Why does the world still feel overwhelming & why won’t my nervous system just relax already? 

Maybe my expectations are too high?  I had a therapist once say to me that I might just have to ‘accept the fact that I’m an anxious person’, not really what you want to hear but then expecting to find total inner peace is probably a little unrealistic too I realise.     

I know Steven Phillipson says, ‘I don’t care how you feel, continue with your day aligning to your values’ and I try to do this. It is in fact how I’ve managed to achieve everything I have over the last 10 years but I do sometimes wonder how much noise is normal?

I wrote in a post a while back: ‘When we have OCD, Fight-or-flight can turn into a trait instead of a temporary state!’ and this is how I feel, like I’m stuck in fight or flight most of the time. My ability to relax, be in the moment and not feel overwhelmed is seriously lacking.    

I feel like I’ve been on a mission the last few years for answers – which I now realise may be a sneaky compulsion of mine, eek!   Maybe what I should have been doing is letting go of the rope – another ACT metaphor which I love.

This ACT metaphor illustrates how struggling against your obsessions (the monster) is a never-ending fight, but Letting go of the rope and not engaging with your intrusive thoughts, accepting the presence of them and carrying on with your life while aligning to you values is your way to freedom. 

Breaking it down a bit further:

  • The Monster: Represents your OCD obsessions.
  • The Rope: Represents your attempts to control, avoid, or eliminate these obsessions with compulsions.
  • The Pit: Represents the fear of being consumed by, or drowning in your obsessions.
  • Letting Go: Means dropping the rope (not completing the compulsions) and ceasing the battle, not necessarily defeating the monster (obsession). 

We need to recognise that fighting our obsessions is exhausting and ultimately ineffective, allowing our difficult thoughts and feelings to be present without fighting them is the key, this then frees up energy and attention to focus on what actually matters. 

I wonder then have I secretly been pulling on that rope and keeping my OCD alive with all my research and development?  Argh! Does it all actually come down to my inability to just stop and sit with the feelings?

As I head towards my 30 year anniversary with OCD, I need to acknowledge that some education with OCD is important but then try to recognise where the line is between being informed and it being a compulsion.  

Have you got any sneaky defaults which are keeping your OCD alive and kicking? Do you feel like you’re doing everything right but you’re still struggling too?  

Maybe try and keep a list this week, whenever you notice yourself doing something unnecessary because of your OCD, write it down, awareness is the first step to being able to change these traits, which we have unknowingly accepted into our lives. 

On a more positive note and bringing some hope back into the conversation. I do have the odd occasion when I come out of fight or flight and it feels so wonderful.  It feels like what life should be, I’m present, in the moment and experiencing life as it could be, full of opportunity and joy.  

If I have one target for the next 40 years it’s to spend as much time as possible out of fight or flight and if I can achieve this I will be a very happy soul. I want to be able to enjoy life without rushing through it, listen when people talk, take joy in the small things and the process of getting to them.      

Let me know if any of this resonates with you.  It can be very lonely at times to have OCD, and community can help us feel that less.
A bit of a heartfelt one this week as I approach that 30 year milestone but sometimes that’s what’s needed.

As always, you are not alone,
Stay Strong xxx

Understanding OCD Through Relational Framework Theory

Does this sound familiar?

You’re out enjoying your day, you feel happy, in fact you feel really good and then all of a sudden out of no where you get hit with an OCD obsession.  ‘Ugh you think, why now when I was having so much fun and feeling so happy?’    

Why indeed?

Well there’s a theory to why this happens and it’s called, ‘relational framework theory’ in fact it’s what ACT – acceptance commitment therapy – is built upon.

I’m sure I’m not going to be as good as the creators at explaining how it works so please go look up Steven C. Hayes if you have a chance but the theory is based upon the concept that humans think relationally. 

This basically means that humans can and do relate objects in their environment to other objects. Virtually in any possible way e.g. same as, better than, opposite of, greater than, faster than, part of, similar to or like, before and after, if/then, family relationships, near and far etc,
There are all sorts of ways in which we sort and link information in our minds and it has been amazing for our evolutionary progress however it also opens us up to the possibility of immense suffering.   

Lets dig a little deeper

As we grow as humans, we create vast networks of relationships in our brains.  We link objects together so we are better able to make sense of them and recall them when needed. 

Ever found that when learning something new if you can relate it to or build upon something you already know it’s far easier to remember?  Or when you try and recall someone’s name it can help to remember where you know them from? 

This is because your brain has linked ‘Julie from the gym’, with the gym in your head, therefore remembering the gym will help you recall Julie’s name. 

Julie from the gym might also have other connections such as she has a daughter who goes to the same school you used to attend or maybe she likes to play netball and so does your friend Jane – Jane and Julie will now be linked in your mental framework too.

Here’s a little game you can play to help demonstrate this further:

Write down one noun – any type of object or animal will do

Noun 1 _________________________

Now write down a second noun

Noun 2________________

Now answer the following 3 questions:

  1. How is the first noun related to the second one?
  2. How is the first noun better than the second one?
  3. How is the first one the parent of the second one? 

The third one can take a bit longer but given a bit of time an answer will come.

This exercise highlights how the brain can relate anything to anything else!!!!!!!  It is an interesting insight as ultimately not everything can be the parent of everything; however, the brain justifies these relations by features it abstracts from the related facts. Your mind can always find a justification for that relation!  Sound similar to OCD?

Bringing us back then to OCD and the start of this post.

We can see how obsessions (unwanted, intrusive, and distressing thoughts, images, urges, or feelings that repeatedly enter a person’s mind and cause significant anxiety.) can become linked to events, people, places, circumstances, actions, words, smells, music/sounds etc.

The obsession, whatever it is, can become attached to an existing relational framework in our brain, triggering our OCD every time we then come into contact with that object or framework in the future!

‘ARGH!!!!!!!!!’

Does this sound familiar? 

Can you think of any frameworks that OCD has latched onto?  Maybe something in your bedtime routine, perhaps when you cook a meal and get the knives out, maybe when left on your own with your kids, perhaps when the news comes on, or it could be when you get into your car, the things OCD can attach itself onto are literally endless.

And unfortunately, once it has attached itself, as far as I’m aware, there’s no easy way to unattach it again.

Having an awareness of this is so important for OCD recovery because we have to accept that we are going to get triggered, and if we fight it, push it away or try and block it out, it just makes it stronger and even more sticky.  You can’t unravel these networks they are too vast and convoluted.    

So what can we do?

We have to let go of the struggle.

There’s a lovely ACT metaphor which illustrates this nicely

Someone is standing in a battlefield fighting a war. The war is not going well.  The person fights harder and harder.  Losing is a devasting option, but unless the war is won the person fighting it thinks that living a worthwhile life will be impossible. So the war goes on. 
Unknown to this person however is that at any time they can quit the battlefield and begin to live life now.  The war may still go on and the battlefield may still be visible. The terrain may look very much as it did while the fighting was happening but the outcome of the war is no longer very important and the seemingly logical sequence, of having to win the war before beginning to really live has been abandoned. – Extract Taken from: Get out of your mind and into your life by Steven C. Hayes. 

Here we see that the way to move forward is to stop fighting, accept the obsession and carry on with our lives aligning to our values.  Eventually the brain sees the link to the framework as unimportant and stops bringing your attention to it so readily, however every now and then it will throw it back up to check if its important and it’s your job at this point to say:

‘thank you brain that’s exactly what I wanted to hear right now’

and then carry on with your day aligning to your values – for more information on values work check out my post here.


If you’re enjoying learning more about ACT therapy then I would highly recommend looking up Steven C. Hayes, which is who a lot of these ideas have come from. 

A small thank you at the end of this one for your ongoing support, this is my 100th blog post and definitely something which should be celebrated.

As always, Stay Strong xxx

ACT Metaphors for OCD Recovery

I’ve written a lot recently about how when we have OCD, if we give into our compulsions we are likely to be plunged into our sympathetic (fight or flight) nervous system.   

This is an issue as when in this state we are unable to think rationally and our intrusive thoughts can feel all overwhelming. 

There are some great ACT metaphors which we can use to illustrate this concept, below are 3 of my favourites, let me know which one’s yours:

1. The fog

When an OCD thought comes in imagine it like fog being blown towards you.  You have the choice, at this stage, to not participate, let the thought be and wait for the fog to dissipate or you can give into the compulsion.  Every time you give into the compulsion, whatever it may be, imagine a new layer of fog being blown towards you, further damping your ability to see clearly.

2.Ripples on a pond

Here the OCD obsession is like a stone being thrown into a pond.  If we do nothing and let it be the ripples will soon disperse and we will be able to see clearly again. If however we give into the compulsion it’s the equivalent of throwing a new stone in every time.

3.The bus stop

Here we see that before we are triggered we are standing at the bus stop watching the traffic go by.  If we then get triggered and give into the compulsion it is the equivalent of walking out into the road and being surrounded by the traffic, therefore not being able to see clearly.

There are plenty more of these metaphors out there, if you’ve found these ones helpful why not have a look around for some others or if you know of another helpful one then add it in the comments below, I’d love to hear it. 

I do think the metaphors can make it all seem very easy to just draw yourself back out of fight or flight. I don’t for a second want to belittle how hard this is to do when you’re in it, believe me I know, but it can help to show what the effect of giving into an OCD compulsion can be and hopefully it gives you another tool and incentive to not give into those compulsions when they come along, they really do only lead to misery. 

I really hope it helps, as always remember you are not alone.
Stay Strong xxx 

Conquering OCD: 10 things EVERYONE should know about thoughts!

Here are some useful things to know about thoughts that EVERYONE should be taught at school – it would honestly save us so much time and energy.

1.Thoughts are mostly random – don’t believe me? Then grab a piece of paper, a pen & a timer. Start your timer for 3 minutes, place your pen at one side of the paper, close your eyes and start drawing a line. Every time your train of thought changes, change direction on the page. After 3 minutes see what you’ve got, my bet is it’s not a straight line.

2. Everyone gets intrusive thoughts – it’s a normal human condition. I wrote a post on this a few years back, you can read it here.  

3. We get over 60,000 thoughts a day – do you really think you’re controlling them?

4. It’s not the thought that’s the issue – the thoughts come in randomly most of the time and if we can just let it be, it’ll float on out again too. The brain will realise we’re not interested in it and move on. It’s the attention & meaning we give to the thoughts when they come in that causes the problem! 

5. You can’t outthink your thoughts – there will always be another, ‘what if?’ or ‘Maybe?’.  Logic is limited but imagination is not.  Think of logic like the size of the earth and your imagination as the universe, you cannot logic yourself out of an OCD intrusive thought – trust me I’ve tried! 

6. Your brain has a filter – its called the reticular activating system (RAS), it draws your attention to what it thinks is important to you and filters out everything else!!!  It works this out by seeing what you focus your attention on – see how this can be an issue in OCD? No blog post on this one but I have don’t an Instagram video which you can view here.

7. The OCD themes are irrelevant – the subject of your thoughts doesn’t matter! It’s your inability to sit with doubt and uncertainty that’s the problem.  If you’ve had OCD for a while it may have changed themes once or twice over the years.  This is called ‘whack a mole’ and it highlights that it’s not actually the thought but the associated feeling of doubt that you struggle with.  

8. Most of our thoughts are about the past or the future – we are rarely in the present moment, where anxiety doesn’t exist.  This isn’t our fault; our brains top priority is to keep us safe and one of the ways it does this is to analyse the past to try and predict the future.  It also likes to run through different potential future scenarios to see how they might turn out for us – a very useful tool if used wisely and can even be fun when imagining happy outcomes but with our unlimited imaginations & OCD this can quickly turn into an activity which can cause us immense distress. 

9. At night the prefrontal cortex takes a rest, and the more primal ‘chimp’ brain takes over – don’t take anything your brain tells you between 11pm and 5am seriously.  How often have you been awake in the middle of the night worrying about something and then in the morning you wonder what all the fuss was about? Everything feels harder at night and this is why! I’ve also done an Instagram video on this one here.

10. We think mostly about ourselves – we’re actually quite egocentric- this however tends to cause us distress, especially if the thoughts are of a intrusive nature, remember: ‘Overthinking only leads to unhappiness’. Try thinking about yourself less and others more, you’ll be happier! 

    In summary

    • Our thoughts are mostly random
    • Everyone gets intrusive thoughts – it’s a normal human condition. 
    • We get over 60,000 thoughts a day – do you really think you’re controlling them?
    • It’s not the thought that’s the issue – it’s the attention & meaning we give it! 
    • You can’t outthink your thoughts – there will always be another, ‘what if?’ or ‘Maybe?’.  Logic is limited but imagination is not.    
    • Your brain has a filter (RAS), it draws your attention to what it thinks is important to you and filters out everything else!!!
    • OCD themes are irrelevant – the subject doesn’t matter; it’s your inability to sit with uncertainty that’s the problem.
    • Most of our thoughts are about the past or the future, we are rarely in the present moment – where anxiety doesn’t exist. 
    • At night the prefrontal cortex takes a rest, and the more primal ‘chimp’ brain takes over – don’t take anything your brain tells you between 11pm and 5am seriously.
    • Most of our thoughts are about ourselves, this causes us stress, try thinking of others more.

      I’ve learnt a lot of the above from my extensive reading and research into psychology and well-being literature, I share a lot of these ideas with my students in my anxiety workshops. It’s nice to see them all summarised here in a helpful way.
      I really hope they help you as much as they have me.

      As always, you are not alone,
      Stay Strong xxx

    OCD: Your thoughts are NOT special! 

    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

    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

    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

    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 fragmentedOur 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