OCD: What Happens When We Don't Stick to the Facts

You're driving in a tunnel. The only two outbound lanes of traffic are both congested, but you're moving along at a good clip, say 40 mph. You see brake lights a few cars ahead of you. What do you do?

A) Nothing.
B) Watch the car in front of you to see when he applies his brakes.
C) Slam on your breaks, bringing your car to an immediate stop.

Now you're taking a walk. Your leg starts to hurt. What do you do?

A) Nothing--continue your walk.
B) Turn around and head home--you probably strained it.
C) Go home immediately and drive to the emergency room--it's probably knee cancer.

In the first question, what if you had slammed on the brakes? You would have crashed, causing a massive pile-up who knows how long, closing the tunnel for the rest of the afternoon until the accident could be cleaned up.

That's the what part of the question...here's the why: The reason for slamming on the brakes in the first situation would have been a misinterpretation of the facts. It's mistakenly following the logic of "brakelights mean stop." Black and white. (Or Red.) But really, seeing brakelights a few cars ahead more likely means that that car is slowing down. If that car is far enough ahead, you may not even need to take your foot off the gas!

I've said in another post that my brain doesn't often operate using linear thinking. The one inopportune time it does, though, is when I'm thinking like this, below:

The first line is a fact. The rest are interpretations of that fact, improper conclusions which are drawn from the prior conclusions, or unclear memories that I can't even confirm happened.

Fact: On Tuesday I walked my dog.
2. I put flea treatment on him a few days before Tuesday.
3. A little girl petted my dog.
4. I think I remember her petting him where the flea treatment was.
5. That little girl is going to put her fingers in her mouth.
6. She is going to get sick.
7. Her sickness will cause her to die.
8. I will be sued.
9. I will not be able to forgive myself.

Can you see where my logic fails? It happens in the space between nearly every so-called conclusion I make. By the end I've "concluded" myself into a scary situation, spiking my anxiety. If my OCD is bad enough at the time, I'll fixate on it and send myself into a deep depression.

When you find yourself thinking like this, don't jump to false conclusions. Think about the facts, and only the facts, if you want to live well with OCD.

Don't slam on your brakes.

The Beauty of OCD Friends

I posted a while ago I posted about the plusses of being part of an OCD support group. In honor of my group's upcoming summer picnic, I thought I'd talk about the benefits of making friends of your support group members.

• You look forward to seeing each other. For people with particularly debilitating OCD, or during times of intense struggle, seeing friends at my support group reminds me that OCD isn't all there is to my life. When I can look forward to hearing about what's going on in someone else's life, it takes the focus off of my own.
• You don't always have to talk about OCD. At the group, of course, the tendency is to talk about our afflictions. But sometimes that can get old, and sometimes we just want to talk about movies, our families, or our jobs. When you're genuinely friends with the people at your support group, it's easier to relate to each other on these more personal levels.
• You can go "way back." A number of the people with whom I attend the support group have known each other from other support groups, therapy sessions, and the like. This history creates a feeling of "I knew you when," whether the "when" was a hard time in someone's life, a good time in someone's life, or a benchmark for progress. The longer you attend support groups, the further back you'll go with the people there.
• You can relate. I recently made a friend outside of my OCD group with whom I can share my OCD struggles. She doesn't have OCD, but she can relate. In that way I know she understands me and how my mind works.

Here's to a fun-filled picnic this weekend!

Advice on Letting Go

Driving home today I realized how many times at work I heard myself say "It doesn't matter because next week I won't be here." Uncertainty about whether a project will be completed on time, discomfort over having unanswered questions, and frustration over a co-worker treating me poorly will all be moot points.

Three weeks ago it would not have been easy for me to say this--no matter what the reason! The only thing that changed in the meantime was getting the new job. When I finally got it, all the frustration and the pain became insignificant.

I thought about this and realized that in so many of my OCD worries I could use some help letting go. At my worst I'd lie awake, so late it's neither night nor morning, and repeat the phrase "I will not be tethered to this." In my delirium I even visualized myself chained to a large block of cement, willing the chain to break so that I could be freed from the worry that wracked my brain.

In my situation at work, I have a reason to let go of the worries--my new job. That's why it was so easy to do. Like a huge pair of scissors (or in the case of the worry that caused me to lose sleep, an industrial-sized pair of tin snips) focus on the new job severed my connection to the worry and frustration of the old one. Whatever happened in the past didn't matter. Whatever happens after I leave won't matter. The new job is so salient in my mind, and it affects everything about my current job, that it makes for a sharp, powerful weapon.

My challenge for you is this: Can you identify your scissors? What can you focus on so it's easier to let go?

New Job!

My recent posts were about job anxiety. I think that will subside now that I have a new job! But as I make the transition I'll be sure to post as to whether it spikes my OCD. I don't think it will...I'm so relieved to have found a better environment!

Holy Nails!

Nailbiting and skin picking is something I've always struggled with, even before I knew I had OCD. I have ugly hands with nails that dip way down past the quick. They sometimes bleed, and I pick and chew the cuticles and the skin around them, too. (Do you see the irony in this?! I'm a person whose OCD sometimes pertains to contamination, yet I have a nailbiting problem that leaves me with open wounds on my hands. But we already know OCD is illogical!) Perhaps it's an overlap into trichotillomania, I don't know, but there's definitely a nervousness-->compulsion-->satisfaction component involved.

Anyway, I was on vacation from work this week. That meant less time sitting at the computer, less time feeling frustrated by the people I work with, and less time worrying about whether I'll find a new job any time soon. It was simply free time during which my husband and I relaxed, went bicycling, paddled down a river in a canoe, and had lots of good dinners. All of this added up to the longest fingernails in a long while!

I'm hoping I can keep them growing. If anyone else out there has the same issue as I do, be it OCD-related or not, here's the most helpful advice I can offer: interrupt your fingers! While it's hard sometimes to interrupt your thoughts, it's easy to interrupt your fingers. To do so I stop and "play" a C scale on my trumpet (air trumpet, of course). The only enemy of this distraction is inattention; the air scale will work for me as long as I focus hard enough on it.

Wish me luck! : \

Three Ways I Handle Job Anxiety

"Whew." That's how I feel after every day at work. I've got a lot of stress at my job right now, so I thought I'd discipline myself enough to recognize three things I can do to handle it when it gets bad. Maybe it will help you, too.

1. Eat a good breakfast. On top of that, eat a good dinner! Today was particularly stressful. I'm talking crying-in-the-bathroom stressful. I didn't sleep well last night, which probably amplified my emotions. I didn't sleep well because I didn't eat well yesterday. To top it all off, I didn't recover by eating a little more today to even it all out. It sounds silly, but I know my body and my mind get a little bit off kilter I dfon't eat well enough.
2. Take time to pause. I have a pause button, and it's my husband. Today I called him to vent, about to react inappropriately to something. Just that little bit of time speaking with him diffused my frustration a little. It didn't take the frustrating issue away, it just helped me to step back and take a break.
3. Know where to find a friend. In the middle of a bad day at work, I know I can trust my friend to "meet me in the second floor bathroom." There we hash it out away from the rest of the people in my office (we're on the 5th floor).

If tomorrow is like today, I'm going to keep these things in mind.

OCD and Embracing the Grey Areas

I realized something this week about my OCD that I've never noticed before. I'm uncomfortable with grey areas.

It's true in so many ways: I fear that I've done something wrong, and strive to always do right. I'm obsessed with knowing; not knowing is bad, and knowing is good. I want to know that something either will never happen, because the only other option is that it absolutely will. (I'm over-simplifying in every example, but at the core of nearly every issue is tension between extremes.)

If, after assessing each issue in question I fall on the less-desirable side of the grey, I have to do whatever it takes to traverse the expanse. When I can't, I'm wracked by anxiety. If I've done something wrong, I have to apologize and try to make it right. Sometimes I even try to reverse what I've done. If I don't know something, I feel guilty out of some obligation to know. And we all know what happens when a person with OCD has trouble with the uncertainty that a worst fear may come true.

To further complicate things, I'm impatient. I can't wait to decide that something falls on one side of the grey area or the other.

This impatience comes out in the real world, too (vs. the world of fear inside). Say I'm waiting for a boss to make a decision. Is he going to decide that we're going to take this job, or not? If we are then I have to start working right away because the deadline is approaching. If not then I can do other work. I'm either all in, or I'm moving on.

There's a responsibility issue all wrapped up in this, too. Something is either all my fault, or I'm 100% in the clear. Say I'm driving to work. I see a man coming out of the woods. What if he just got done burying a body? If I don't say something then when the murder is uncovered, the death will be all my fault.

I thought about it wonderment and asked why this hasn't come to me sooner; it would be the perfect exposure to practice in my GOAL group, but I'm not even sure I know how to approach it.

People aren't all good or all bad. There is such thing as only half getting it. The very antidote to fear is living in the grey area. Any ideas for helping me see that?

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If you have any ideas for exposures to tackle the discomfort of grey areas, post them here! If you don't know what an exposure is or are new to OCD and ERP, a good place to start is wikipedia, with the search term "exposure and response prevention."