If you struggle with uncertainty, the coronavirus crisis and other natural events in the world may only heighten your anxiety. If you tend to obsess about the future, your mind may be going a thousand miles a second providing a myriad of possible scenarios that could come true or not. Indeed, these are unprecedented times. The “what if” thoughts abound among all of us. You are not alone. As you read the news about the virus spreading, the fight-or-flight response is evident. It’s easy to go down the labyrinth of fear. Social distancing is limiting, and this has placed extra emotional stress because of our natural need for human connection. So what can we do? “To everything (turn, turn, turn) there is a season (turn, turn, turn), and a time
Annabella Hagen, LCSW was interviewed and quoted as part of the article. “Imagine being obsessed with your personal worthiness before God — a captive to compulsive thoughts that require engaging in excessive religious behavior to cope. Imagine being weighed down with the constant need to confess sinful behavior to an ecclesiastical leader and unable to accept anything less than perfection…” Read full article here.
December can be a time of stress as you hurry to attend Christmas shows, plan parties, finish shopping, send greetings, and help your family and friends complete last minute preparations. Whether you have been practicing the skills you’ve learned in therapy, have just begun treatment, or haven’t yet begun, your scrupulosity OCD may flareup. “For God so loved the world, that he gave his only begotten Son, that whosoever believeth in him should not perish, but have everlasting life.” 1 Indeed, Christmas is a wonderful time to reflect on your religious beliefs and your relationship with the Lord. However, the season itself may trigger your scrupulosity. Questions may arise regarding your worthiness and God’s love for you. The uncertainty that
View original article published in Psych Central– I once had a neighbor who was very fragile in her age. When I’d ask her how she was doing, she would always respond, “I am counting my blessings. That’s what counts. Things don’t have to be one way all the time. Changes happen and I go with them and laugh instead of growl.” I loved her attitude, even though she was ill and up in years. She was accepting changes with a positive and grateful perspective. “The greatest trap in our life is not success, popularity or power, but self-rejection.” – Henri Nouwen When we struggle with mental, emotional, physical or relationship challenges, it is difficult to feel thankful and show gratitude. This can easily happen when we buy into unhelpful thoughts
View original article published in Psych Central– Maddie thought she liked and loved her fiancé but lately began to question whether she really did. Every time they were together she would start obsessing, “His ears are too big. Our kids are going to have big ears. They’ll resent me. Do I want to obsess about his ears the rest of my life? Maybe I should call the wedding off? But then he is a great guy! What if we end up divorcing because of that? That would be horrible!” When her fiancé would ask, “What’s the matter?” she would dismiss the question as “Nothing.” “Sorry, what were you saying?” Her incessant thoughts brought uncertainty and anxiety. She would also review all the “good” things about him to feel reassured. She would ask her fa
View original article published in Psych Central– While snorkeling in the ocean, I had the opportunity to remember an invaluable lesson regarding willingness — to take what is offered in the moment. Willingness is an Acceptance and Commitment Therapy (ACT) principle that, when applied correctly, can help us live more meaningfully, despite unpleasant external and internal events. My snorkeling story illustrates how easily we forget that we should not try to fight the unfightable. We can learn to accept what is offered to us in the here and now, so we can focus on whom and what matters most in our lives. While swimming towards the area of a lagoon that had a reef by the open sea, my sister and I found some fish to look at but not as many as
View original article published in Psych Central– Noah didn’t care for ERP (Exposure and Response Prevention) therapy despite his struggles with harm OCD. Stories that he had heard from acquaintances and friends were not positive. In fact, one of his friends felt traumatized by ERP. He also indicated that he was asked by his previous mental health counselor to sit in front of a bunch of knives so he could habituate or get used to the feelings and sensations the knives created. He said he had already been around sharp knives for three weeks while working at a knife shop temporarily while he looked for another job. His excruciating anxiety was off the charts. “I basically white-knuckled each day until I found a better job. I was exposed to k
By Allyson Guilbert, LCSW View original article published in Psych Central– I’ve been a mental health therapist for over 10 years and in the social work profession for more than 20. I have been pregnant 8 times, with 4 living children. I consider myself to be pretty self-aware, intelligent, and inquisitive. And yet… I had some form of perinatal mood and anxiety disorders (PMADs) with each of my pregnancies. I just didn’t know it. Oh, sure, I got sad and I got angry and with my older son, I couldn’t let myself fully bond to him until he was 9 months old, but I was fine, right? I even took medication, but that’s normal, right? I was introduced to PMADs last year when a friend of a friend posted about it on social media. I was intrigued. This
When you struggle with OCD, it may feel like you are constantly fighting a monster that just won’t go away. Day in and day out you keep fighting it, and you feel exhausted. ACT (Acceptance and Commitment Therapy) researchers and clinicians use the Tug-of War with a Monster metaphor to help people realize that there are better options than fighting their thoughts and feelings each day of their lives. Let’s pretend that your fears and doubts are like a big, hideous, and strong monster. You hate it, and you want to destroy it. The monster is holding one end of the rope and you are at the other end. In between the two of you there is a huge cliff with hot lava. You don’t want to fall over it. You want to control the monster, and so you keep pu
Shayla Love did an amazing job writing this comprehensive article on OCD for VICE. Nancy Larsen, LCSW and Annabella Hagen, LCSW, RPT-S were interviewed as part of it. Read it here.