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Angst

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  1. Lynz is correct in her account of the type of thing that the therapy provides. If you look at NHS Choices website it will contain a brief description of the types of issues that the therapy will deal with. CBT is the therapy recommended by NICE for OCD. But the water may be cloudier if you have a diagnosis of OCD with another mental health problem. For example OCD with depression. Which is something that I have. In the case of depression, NICE recommends CBT along with five other therapeutic approaches. All have equal status. A very illuminating book is Linda Gask’s The Other Side of Silence. Lind Gask was Professor of Community Psychiatry at the University of Manchester and spent many years practicing as a consultant psychiatrist in England and Scotland. She provided therapy and received therapy. She gives a frank and brave account of her experience of the different types of therapy. I say brave because it’s rare for an insider to provide such an account.
  2. Angst

    Riddled with guilt

    Don’t think about a pink elephant! You think about a pink elephant. Likewise - don’t think about the incident. You think about the incident. So when a memory of the incident enters your consciousness think of a place where and when you were really happy. Close your eyes and let the happy memory flood your consciousness in all its graphic visual and sensory detail. It is one of the techniques taught to me by a clinical psychologist treating me for OCD and depression.
  3. Hi BelAnna. Very much agree with advice given. Stop googling. Stop checking. It has become a compulsion for you. Did you see your GP today or yesterday? I saw my GP about two weeks ago about a skin complaint and with treatment it is clearing up. On two previous occasions I had to go to out patients appointment at the hospital for cancer tests for skin conditions. All clear. I would feel in quite a predicament if I felt on these occasions that I could not visit a GP. You need to be able to visit a GP as they are the gatekeepers for further tests and they can diagnose for common conditions without further tests. A visit to a GP would be a personal victory against OCD. Do it. Book an appointment and do no more checking.
  4. Guilt is a retrospective emotion when we apply a moral standard to our actions in the past. We do not experience guilt when we commit an act but soon after an act we can judge that we have broken a moral code. Regret is an emotion where we criticise ourselves for making a wrong decision in the past. We feel that life would be better if we had not taken a particular decision. Both emotions involve a retrospective judgment of past actions. You cannot change your actions in the past but you can change your interpretation of the past or learn from your actions in the past. Your constant reviewing of your past has affected your mood. Mood is long term disposition to feel in a certain way. Some find that taking medication can lift mood and this can help in reframing the past. Medication and therapy might help. Your mood might fuel the regret that you might feel in the future about the decisions that you are taking now. You need to break out of your cycle of thoughts and emotions.
  5. Hi OBI. You say in your openning paragraph you know where your ideas come from but you say in your concluding paragraph that you want help in dealing with your belief. It is up to you, but the circumstances of the origins of the belief need to be mentioned. If not to us then to your therapist. A book CBT for OCD deals with the origins of core beliefs. It is written by the authors of Break Free From OCD. In Break Free the authors say that establishing the reasons for the core belief is not important. In CBT for OCD they change their recommendation. (There is one substitution in the writers). I cite these books because they are written by the leading experts in OCD in the UK. I had a fear of being killed or injured at night. I live in a flat. My fear revolved around my neighbours not securely locking the communal front door. I have experienced unwelcome guests before and there was and is a series of break ins in my road. I have made as secure as possible the door to my individual flat following the advice of my local police force who leafletted advice in my area after a peak of break ins. I no longer check the front door. Reasonable security - I stress reasonable - along with the things that you are doing should solve the problem.
  6. Angst

    So much anger

    When I worked I too at times felt anger. The trouble is that if you act in anger then the result is often counterproductive. I learnt this in a hard way. Spend this weekend being active and switch your attention from work. Are you seeing a therapist at the moment? For a period of time while I was working I was seeing a therapist which was helpful because he was an expert in occupational stress. We discussed strategies to reduce stress and helped me negotiate a ‘reasonable adjustnent’ at work which helped me a lot.
  7. ‘A way forward’ requires a destination or a goal. The goal should be specific and in no way vague. Any goal can be subdivided into a number of staged targets. Goal setting is at the heart of therapy. Goal setting is often done for us. For example the curriculum, tests and examinations in the education system or the performance targets at work. What personal goal do you want to achieve? As said, personal goal setting can and is done at any age.
  8. It’s called a conversation. You say something. I respond to what you say. Then you respond to my response. I bet that you can do conversations.
  9. Hi Bruces. You never seem to engage with the comments made by the people who respond to your posts. I have read many of your threads. Two of the people who responded to this most recent post gave an interpretation of your feelings as depression. They also provided strategies to lift the hypothesised depression. My advice is to reflect on the posts which you receive and respond to them. At least, this mental activity will switch your attention away from your ponderings. It might even galvanise you to implement a plan to improve your life!
  10. Angst

    OCD or Psychosis?

    Belanna’s initial question does seem to have particular relevance in the context of comorbidity. That is in situations where a person has more than one mental health diagnosis. In the case of OCD, the most common comorbid conditions are depression followed by the other anxiety disorders. A person might have personality disorder, bipolar or schizophrenia as well, although these are less common co-conditions.
  11. I had something similar. Do no checking when you plan to be away from your flat for a short time. Do no checking when you plan to be away for longer and longer time periods. So start the no checking regime when you go to a local shop, then a walk, next a visit to a friend.........a holiday away.
  12. Angst

    OCD or Psychosis?

    Hi. I think that you know the answer because you label the image as a ‘instrusive thought’ and you say that ‘a small part of me is unsure’. This type of internal debate is common in OCD. You need to strengthen the rational part of your mind by not doing compulsions and let the thoughts/images fade away. Probably, you, like me, find images more powerful than verbal thoughts. But the same principle applies. Don’t feed the obsession.
  13. I can identify with your predicament. That is why a steer clear of arguments. To the extent of avoiding situations which might result in conflict. An intense argument affects me for a long time afterwards. But a month is a long time. And you appear to be in a mental loop going around and around the options in your head. One of the good things about having a therapist is that you can talk through the options with him or her and this can really help you make a decision. Do you have a therapist or have you had therapy?
  14. I’m not saying that this is a good option but it is an option. You could appply for social housing and your mental health condition might give you some priority. You could take some advice on this. There are problems with this regards housing benefit and the roll out of universal credit. Let alone the shortage of social housing. But it might be worth investigating. Is there, in your locality, a carers’ organisation? This might be helpful for one or both your parents
  15. There is a degree of stigma attached to disablement. This is one of the reasons why there is anti discriminatory legislation. The degree of stigma differs according to the diagnosis. Friends of mine in various organisations were very vocal and lobbied very hard to get mental health conditions as well as physical health conditions incorporated into a particular Act of Parliament that allowed ‘reasonable adjustment’ to be made in the workplace. Whether one can divorce oneself from discriminatory forces and not feel shame is at times difficult. Shame is a social emotion and the opposite of shame is pride. That is why the term gay pride was used. There was also a movement called mad pride. These were social movements to counteract negative representations of groups of people often found in civil society and the media. Progress has been made. Why don’t you join an organisation and collectively make a difference?
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