2024 Author: Harry Day | [email protected]. Last modified: 2023-12-17 15:43
There is a myth that Obsessive Compulsive Disorder is incurable. Indeed, people often suffer from obsessive-compulsive states for years, change a lot of medications and specialists, which is hard to believe in help.
Let's see why psychotherapy might not work for OCD? The first difficulty is content trap.
The main component of OCD is obsessions - obsessive, unwanted thoughts that are often contrasting. They evoke negative emotions: fear, shame, guilt, etc.
These are thoughts of death, murder, disasters, illness, sex, blasphemy and other unpleasant phenomena. Obsessions bring intense suffering and literally haunt their owner. They are contrary to the whole nature of the person suffering from OCD.
And so, when such a person brings his heap of obsessions to a psychologist, it is important not to get into content trap OCD. How can you please her?
- to begin to convince a person that he does not have schizophrenia. It would seem that diagnostics is part of the work of a psychologist or psychotherapist. But in the case of obsessive-compulsive disorder, psychodiagnostics can replace psychotherapy.
- to convince a person that he will not die from panic attacks, will not suffocate if he ceases to control his breathing, does not choke at dinner. In this group, there may be many fears associated with physiological processes.
- to treat the sexual problems of people with sexual obsessions. There may be doubts about sexual orientation and fear of pedophilia. This is a big diagnostic problem, because more than 70% of sexual obsessions are mistaken for real problems in sex.
- mistake relationship OCD for relationship problems. Obsessions can often be about issues of love and fidelity. There is a difference between real jealousy and obsessions of jealousy. Doubt about love can have a real basis, or it can be just a frightening thought.
- contrasting thoughts about murders can draw into a constant search for an answer to the questions: "Can I kill?", "Am I not a maniac?" Asking these questions inhibits psychotherapy and maintains the disorder.
- it is difficult not to fall into the trap of content with body dysmorphic disorder. A harmless question about appearance and the same harmless answer to it can turn communication with a psychologist into a search for reassurance.
Separately, it should be noted
hypochondriacal thoughts, into the trap hypochondria medical staff are more often caught than psychologists themselves. It is the job of physicians to treat illnesses, but in the case of hypochondriacal disorder, the more you heal, the more you are sick … Of course, over time, doctors understand that the patient needs psychological help, and not the tenth MRI, but this can take a lot of time, effort and money.
How can you not get into trap hypochondria?
For example, you did an analysis, but it was not enough for a day or two, and the anxiety reappeared.
If you have doubts about your health, but medical examinations of the whole body have not clarified anything and you feel that you will soon go to the second round of tests.
Or you switch from one fatal disease to another. For example, from cancer to multiple sclerosis.
For a month, introduce a moratorium on searching for symptoms and diagnoses in the network, measuring blood pressure, counting heart rate, etc. Consult with a psychotherapist or psychologist
Don't fall for OCD traps and stay healthy.
To be continued…
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