PURE OCD

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Hello does Four steps therapy from Brainlock book free yourself from OCD really work for Pure ocd form .  If anybody has idea about this please let me know 

 

Please reply if you have some idea.    

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Maybe, maybe not. I will say ocd is not just a chemical imbalance as that has been debunked. It’s far more complicated than that and relies on both genetic and environmental factors. The actual cause is still unknown and even people that don’t get diagnosed with ocd will likely have some ocd tendencies at some point. A sticky problem —-> a thing you do that works at reducing anxiety/doubt so you keep doing it. This matters bc ocd sufferers have behavior problems, not thought problems and labeling it as something you can’t control removes agency that can be essential in complete recovery. Pure O sufferers tend to feel like they have zero agency and I would find a recovery plan that focuses on what you are doing to keep that fear alive rather than what ocd keeps doing to scare you. Regaining that sense of agency takes away all the power from ocd. It does however describe a common method to reducing compulsions that may be somewhat helpful so if you find that description helpful to follow then you may find some relief putting it into practice. The fact that nothing in ocd should be taken at face value and learning how to recognize your urges are also things that get taught in ocd recovery that are essential to recovery  especially bc we often feel like we have to do compulsions when we’re really just responding to an urge to reduce our anxiety. 

there’s been a lot of research into ocd and the unanimous decision by researchers, therapists, doctors, and ocd suffer is that ERP is the best way to recovery. Even for those with Pure O.  Exposure and Response Prevention. It’s the response prevention that matters here because it teaches the brain that you don’t need to respond to the threat and it will stop sending false signals of “THERE’S A THREAT HERE, SOLVE IT!” The habituation aspect is debated now and learning that one can sit through anxiety is also seen as successful erp. The inhibitory learning model is what it’s known as. There’s also the idea that ocd is rumination and learning not to ruminate removes the problem altogether. You can see it’s still a work in progress but they all still do agree that response prevention is key. The behavior is the key issue not the threat that makes you anxious. The threat is false but ocd sufferers keep teaching the brain that it is important by responding to it bc they fear it might be real. The brain, just trying to protect us, will do whatever it needs to to keep us safe especially by pointing out the threat non-stop. It’s easy to not respond when you touch a door knob and just don’t wash your hands. I mean easy in the sense that you know what response to prevent not easy in the sense that you can’t wash your hands! Mental compulsions however feel so automatic. There’s a loss of agency that comes with them. That they just happen and there’s nothing you can do about it because brain. “My hands feel so gross, I don’t want to get sick, omg I can see myself getting sick, what if I die! Roses, I’ll think about roses.” “Wait, did I lock the door?! Agggh, let me think, I remember grabbing the keys... ” “why don’t I feel x about my partner, let me just look at them, omg I don’t love them do I, why can’t I just feel right!” “why do I keep seeing that image of myself killing someone! It’s so scary, I don’t want to do that, do I? Let me just see... ah! The image is back! Omg maybe I do since I keep picturing it!” (Even though you brought the image back to check a response it feels like it just keeps happening to you). It’s anything really that has to do with trying to figure out a problem that will allow you to avoid whatever worst outcome you don’t want. Mental compulsions may also not be ritualized in the same way tapping a door three times or counting to ten is so a sufferer may not even recognize it as a compulsion and do it during exposure skipping over the response prevention part. This can lead to them not recovering fully and seek other alternative methods of treatment. 

Rumination is the major compulsion in Pure O. Trying to analyze the problem and solve it. Looking for certainty. Testing, monitoring, checking, mentally reassuring oneself etc.  Not ruminating no matter what is the response prevention to whatever trigger/exposure there is and pure o sufferers tend to trigger themselves all day every day checking to see if the problem (doubt/thoughts etc,) are still there. First thing most do in the morning is check. And they’ll check all the way to bedtime. It’s terrifying to not have complete certainty about something you care about. Disregarding the fact that complete certainty doesn’t exist. Reducing rumination rapidly leads to recovery for Pure O sufferers. There’s other compulsions that need to go too, namely avoiding and reassurance seeking. There could be others, monitoring your body, looking down, etc. The same way that realizing not washing your hands doesn’t automatically make sick, not solving a problem doesn’t automatically bring the worst outcome to fruition. In other words, not trying to figure out if you’re a murderer doesn’t make you a murderer and the more you stop trying to figure it out the more you realize this truth. 

I understand this is easier said than done. OCD sufferers rock at living with uncertainty it’s just this one problem they care about so much that it’s unacceptable to not know for certain. Even though certainty doesn’t exist. But that unacceptability is what drives us to try and figure it out which is what drives ocd. It requires a leap of faith to stop, it’s just not something that feels safe to do, but recovery is on the other side.