2024 Author: Harry Day | [email protected]. Last modified: 2023-12-17 15:43
Obsessions are obsessive thoughts. Compulsions are compulsive actions. Between them is a state of anxiety. Obsessive-compulsive personality disorder (OCD) - such a diagnosis is made by a psychiatrist if a person cannot fully lead their usual lifestyle for more than two weeks: go to work, meet with friends, go out of the house for groceries, etc. overwhelmed by fear and anxiety that something might happen, that he forgot something or did not do something to prevent a catastrophe.
What prevents him from leading a habitual lifestyle? Obsessive disturbing thoughts that something might happen and obsessive actions with which a person tries to prevent "impending disaster." Most often, an OCD patient realizes that something is wrong with him when he returns home from a stop for the fifth time to check if he closed the door or turned off the iron. It is walking in circles that the person with OCD cannot get out of.
Perfectionism, preventing the realization of our plans, alcohol dependence, nutritional problems, excessive desire for order, obsessive rituals - all these problems come from OCD.
OCD is based on beliefs:
“If I start to do something, it must be done flawlessly”;
"Any action must lead to an effective and meaningful result";
"If I do something not good enough, punishment will follow";
“I must be perfect in everything”;
“If I have bad thoughts about something or someone, then I am bad”;
"Everything that I think is realized in reality, I must carefully monitor my thoughts."
In order to determine to which personality disorder or dynamics a particular anxiety belongs, it is possible to analyze what the patient is afraid of.
When we talk about paranoid dynamics, there is a fear of exposure. I show myself as one, but I feel different. The world around me is dangerous and unfriendly towards me. In the dynamics of OCD lies the fear of punishment. I have to take into account all the smallest details, check all possible scenarios for the development of events. I have to prepare well and then just do something, because I have no margin for error. This fear develops in a child between two and three years of age. At this time, the baby begins to master the space, explore objects in the room, on the street and their properties. At this time, he is potty trained, and for the first time he sees the creativity he produces: the contents of the pot. The way parents perceive his works: poop in a pot, painted wallpaper, scattered flour, smeared with mother's lipstick - determines his attitude to his own capabilities. Or he can experiment, create, create, or his actions are something shameful, dirty, and he will be punished for any impulses, creativity. Patients with obsessive-compulsive dynamics have a strong internal conflict between "should" and "want".
OCD patients have the following problems:
- difficulties in making a choice, since what he does not choose, he does not control;
- hypertrophied dependence on what others think;
-the intolerance of uncertainty, hyperresponsibility for everything and for everyone.
Work towards treating OCD includes a psychoanalytic, cognitive-behavioral (CBT) approach, in difficult cases, drug treatment.
Psychotherapy is aimed at:
- gaining knowledge about the causes and mechanisms of the disorder;
- separation of fantasy thoughts from those that relate to a real event;
- mastering the skills to withstand stress from uncertainty, anxiety, uncertainty;
- increasing self-esteem - changing the attitude towards oneself;
- mastering the skills of relaxation, breathing exercises, meditation;
- deliberate gradual filling of their real life with new emotionally significant events and people.
A positive dynamic in treating OCD will be the ability to use your character traits to your advantage. This refers to your ability to do efficiently, skillfully plan, be attentive to details. And also start to get pleasure and satisfaction from your productivity, find a place for creativity and creativity in different areas of your life.
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