OCD – Driving

So this has been a huge one for me over the years and it still affects me today.  I guess with OCD there’s an element of wanting to control as much of your surroundings as possible and when it comes to driving, even though you have control over the car itself, you have no control over anyone else on the road, pavement, carpark etc etc and so my OCD is able to go a bit crazy.

Checking mirrors multiple times, not driving to certain places because I don’t like the road or car park, avoiding driving at night and driving back to check roads where I’m sure that a pot hole was me driving over a person/animal.  I’ve done it all through the years and at times I’ve felt like giving up driving completely  – luckily I am a bit stubborn.

I do think there are lots of crossovers with this one.  I definitely know people who also get quite anxious and worried about driving in general, who don’t have OCD but the difference is when they get to their destination, they can switch off and know they arrived safely.

For me I find I’m calmer in the car but once I’m done and get out, that’s when the OCD thoughts start to kick in.  Obviously I can’t remember every single step of the journey therefore how can I know that I didn’t hit anyone/thing etc etc.  For me this has been one of the most limiting parts of my OCD, its stopped me going places, seeing friends, it’s trapped me in the house for days at a time, while I wait for the police to come and arrest me, so they can tell me what I’ve actually done.  Gosh writing it down sounds crazy but when you’re going through it, it feels so real.

However on a brighter note I do believe I’ve made progress when it comes to driving this past year.  I’ve had to push myself to go to places I would of previously avoided, which has pushed me to face my fears.  Sadly as with most of the things that cause us stress, facing them head on is normally the solution.

Talking to my husband about the thing that’s stressing me out has also helped, particularly if he’s in the car at the time, as he will know whether it’s happened or not – this one should be used with caution, as obviously there won’t always be someone else in the car and you need to be able to overcome your fears on your own but sometimes just saying it out load can diminish the thoughts power over you.

Trusting yourself is another solution, this one can be really hard but knowing that you are a good driver and will be able to react to changing situations if you come upon them is essential for confident driving.

Knowing that it’s actually more dangerous to be continually checking your mirrors and not concentrating on the road ahead properly.

One of the things that makes driving particularly tricky to master is that it’s a constantly changing situation, every time you go out in the car the circumstances will be different.  You have to learn to trust yourself and your reactions.

As with most of the things I blog about, I am still wading my way through them myself, so I hope the above has been helpful.  As I find new ways of coping with driving, I will share them on here to try and help others.  Please feel free to share any tips you have for overcoming driving with OCD in the comments below.

Stay Strong xxx

 

OCD – Looking on the Bright Side

OCD can feel very oppressive at times, so I realise the thought of looking on the bright side could be laughable at times.  However the further I travel along my OCD journey the more I see that there are aspects of OCD which you could look on positively.

Here are some of the brighter aspects of my OCD:

I feel like I appreciate things more

It’s very easy day to day to forget about how lucky we are.  A lot of the time OCD intrusive thoughts are born out of the fear of loosing what we have, whether that’s your lifestyle, freedom, the people you love, your health, the list goes on.  I think my OCD makes me appreciate what I have much more than I otherwise would. 

I care about others more

I feel like I have more compassion for others and a bit more insight when trying to understand peoples actions.  As we are all well aware, you don’t always know whats going on in someones mind.  

I am more active

Anyone recovering from mental illness should know the benefits of exercising.  There’s no better motivator then the possibility of feeling better. 

I am more social 

For me being in the house, on my own, for long periods of time, is very detrimental and so my OCD has pushed me to take part in activities, interact with people more and get out as much as I can.  It definitely stops me being lazy and as a result I do more and have more friendships and fun.  

I am becoming calmer (slowly!)

OCD recovery is a slow process and it’s not normally all in one direction unfortunately but every time I fall back, I also come back a little bit stronger and I know one day I will get there.  OCD has taught me patience, it’s making me calmer and more peaceful.  It’s taught me mindfulness and allowed me to understand myself better.

Yes, I still battle daily and it’s worth it because all the good things that have come out of my OCD have all come from the recovery I’m currently wading through.  So if you’ve happened upon this blog and you’ve just been diagnosed or you’re having a bad day and finding your recovery hard, I urge you to write down all the good things you’ve discovered about yourself as a result of your OCD.  Know that when you come out the other side you will be stronger, happier and more at peace.

I hope this has helped to throw some light onto what can so often be a very dark place.

OCD after all is all about thinking about things differently, is it not?

Stay strong xxx

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.

Mental Health Crossovers

One of the most interesting things for me when I finally got myself into some counselling was the realisation that what I was suffering from wasn’t just OCD but actually also anxiety and worry.  I had always just blanketed all of my thoughts and feelings under the OCD umbrella and it was enlightening to break it down and understand it all on another level.

I sometimes find it really difficult to differentiate between worry and OCD.  I will try now with a couple of examples:

A worry:  

‘I have to drive to the supermarket to do my shopping, what if I crash the car on the way or hit someone in the car park?  ‘  

An OCD thought after visiting the supermarket:

‘There was a pothole in the car park that I went over when leaving the supermarket, what if that was actually a child and I didn’t see them?  ‘  

Once you start to break the thoughts down, you can start to look at how to overcome them.  To be honest a lot of the methods work for both worry and OCD but there are some separate tools which could be useful.

For worry there is a tool called ‘The Worry Tree’, best shown by an illustration here.  I have personally found the worry tree very useful in helping to dismiss worrying thoughts when they come along.

Worry and OCD are also incredibly closely linked to GAD (General anxiety disorder) and the intolerance of uncertainty.

I’ve recently found the APPLE acronym  (Acknowledge, Pause, Pull Back, Let Go and Explore) which can be used to help combat GAD.  I’m going to be giving it a go (More information in link above page 2).

As always I hope this helps, Stay strong xx

Everyone has intrusive thoughts

EVERYONE HAS INTRUSIVE THOUGHTS!

You are not weird or strange for having them, you are just less able to dismiss them. During one of my sessions I was given the below information which I am now passing on to you in the hope it will help.

normal intrusive thoughts

The table below shows the results of research findings from a survey of 293 students (198 female, 95 male), none of who had a diagnosed mental health problem. The column on the left shows the type of intrusive thought and the 2 columns on the right show the percentage of women and men who said they had experienced that particular thought.

  item female % male %
1. driving into a window 13 16
2. running car off the road 64 56
3. hitting animals or people with car 46 54
4. swerving into traffic 55 52
5. smashing into objects 27 40
6. slitting wrist/throat 20 22
7. cutting off finger 19 16
8. jumping off a high place 39 46
9. fatally pushing a stranger 17 34
10. fatally pushing friend 9 22
11. jumping in front of train/car 25 29
12. pushing stranger in front of train/car 8 20
13. pushing family in front of train/car 5 14
14. hurting strangers 18 48
15. insulting strangers 50 59
16. bumping into people 37 43
17. insulting authority figure 34 48
18. insulting family 59 55
19. hurting family 42 50
20. choking family member 10 22
21. stabbing family member 6 11
22. accidentally leaving heat/stove on 79 66
23. home unlocked, intruder there 77 69
24. taps left on, home flooded 28 24
25. swearing in public 30 34
26. breaking wind in public 31 49
27. throwing something 28 26
28. causing a public scene 47 43
29. scratching car paint 26 43
30. breaking window 26 43
31. wrecking something 32 33
32. shoplifting 27 33
33. grabbing money 21 39
  item female % male %
34. holding up bank 6 32
35. sex with unacceptable person 48 63
36. sex with authority figure 38 63
37. fly/blouse undone 27 40
38. kissing authority figure 37 44
39. exposing myself 9 21
40. acts against sexual preference 19 20
41. authority figures naked 42 54
42. strangers naked 51 80
43. sex in public 49 78
44. disgusting sex act 43 52
45. catching sexually transmitted disease 60 43
46. contamination from doors 35 24
47. contamination from phones 28 18
48. getting fatal disease from strangers 22 19
49. giving fatal disease to strangers 25 17
50. giving everything away 52 43
51. removing all dust from the floor 35 24
52. removing dust from unseen places 41 29

Purdon C. & Clark D.  Obsessive intrusive thoughts in nonclinical subjects. Part 1 Content & relation with depressive, anxious & obsessional symptoms.  Behav Res Ther 1992;31:713-20

Catastrophizing

This has always been a big one for me, my mind seems programmed to always think of the worst case scenario.  This has sadly meant that over the years I’ve managed to talk myself out of all sorts of things, from simple things like going out to the shops, to bigger things like holidays, jobs, big purchases such as cars, houses, you name it.  As I look back over my life it is with a twinge of sadness that I’ve let OCD control so much of it.  I am however who I am and all I can do is look forward and not back.  So how have I started to take control and manage these negative thought patterns?  It is tricky and I have to admit I’m not always successful.

One nice method is to think in the opposite direction, think of the most positive outcome of a situation instead of the most negative for example:

The situation:  I need to go to the shops to get some groceries

catastrophizing thought:

‘If I go out in the car today I might hit someone, perhaps I should stay at home’

likely result:  you don’t go out, you stay at home and get more and more wound up about your thought and how to get the groceries you need.

Positive thought:

‘By going out in the car today I will get a step closer to conquering my OCD’

Likely result:  You get in the car, drive to the store & get your groceries.  You feel better for being out –  even if you’re a little anxious – nothing happens and you have achieved what you set out to do.

As hard as it is you have to, ‘feel the fear and do it anyway’, the only way the brain learns is by showing it, you cannot reason with the emotional side of your brain it does not listen to reason.

A problem shared is a problem halved

I think one of the things which sets OCD apart from other mental illnesses is the shame it can generate within the sufferer.  The thoughts can be so repulsive to the person suffering that they don’t even want to admit them to themselves, let alone tell someone else.  This is why so many people with OCD suffer silently for so many years on their own.  Which is so sad as once you start talking about your thoughts they start to loose their ‘power’ over you.

It took me 20 years to go to the doctors and ask for help, 20 YEARS!!!!!!  Even then I wasn’t sure I could.  The thing that finally pushed me to go was my partner.  They were having some anxiety problems of their own and instead of suffering they just made an appointment with the doctors and went, as if ‘why wouldn’t you?’  I sat there and thought, you’ve suffered for a few weeks and you’re getting help, I’ve suffered for 20 years, I need help, I want help and so I went.  But to this day if they hadn’t gone, I don’t think I would have.

I can remember sitting in the waiting room at the doctors (they were running late of course)  getting more and more wound up.  When I finally got to see the doctor I’m not even sure what I said, I had after all 20 years worth of thoughts to throw their way, but they understood straight away and they were very understanding.

I had some CBT therapy, (there is normally a wait for this, all the more reason to go sooner rather than later).  Did CBT therapy work for me?  Yes it was good (and I will go into more detail in a later post), but what helped me more then anything was sharing my thoughts, every time I talked to someone about one of my thoughts, it lost it’s ‘power’.  I know my OCD thoughts are irrational and by sharing them with someone who understands OCD, that was confirmed and therefore the thought diminished.  For me the saying ‘a problem shared is a problem halved’ couldn’t of been more true.

OCD is quite a personal thing, what works for one person may not work for another but what will help everyone, I would guess, is talking openly about it.  If you can’t talk to a professional talk to a close friend who you trust, a family member who knows you well.  Just don’t continue to suffer in silence.