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OCD and the Pervasive Reassurance-Seeking Compulsion

6.26.17

View original article published in Psych Central – “Are you sure I have OCD?” “What if it is something else?” “Am I going crazy?” “Are these thoughts normal?” These are among many questions individuals struggling with OCD ask themselves. Even when they have been thoroughly assessed and diagnosed with OCD by their mental health provider, sufferers’ doubts and the need for reassurance seeking continues. It has been said that OCD is the doubting disease. Uncertainty is the driving force behind OCD. The need to know the consequence of their thoughts or behaviors leads individuals to compulsions. When OCD targets individual’s fears of contamination, they reassure themselves by doing compulsions such as washing and avoiding certain substances. W

Scrupulosity OCD — You Have Choices!

3.30.17

View original article published in Psych Central – “I’m such a sinner. I’m supposed to have pure thoughts. I’m so wicked!” Destiny’s incessant thoughts compelled her to pray, sing hymns, confess, and repent to no avail. Her religious leaders kept telling her that she was not a sinner. They reassured her by telling her that she was a good person. She didn’t know her reassurance seeking was actually a compulsion that kept strengthening her OCD. Her anguish and her need to control her thoughts were affecting her overall functioning. Every time she experienced “impure” thoughts she felt unworthy of happiness or anything good in her life. Her anxiety would swell through her body as a wave that left her feeling guilt and shame, even though she ha

OCD: “The Bow that You Have to Keep on Tying”

10.11.16

View original article published in Psych Central– “It just doesn’t feel right. I have to fix it until it is just so!” “I need to figure it out, and once I do, I’ll feel free to move on!” “I have to check all the windows, then I’ll be able to sleep peacefully.” “I have to repeat my prayers until I know God has really heard them.” “Not knowing whether I may hurt my child makes me anxious. I waste too many hours reviewing my behavior to ensure I haven’t harmed her.” What do those statements have in common? When individuals experience OCD, accepting uncertainty seems to be the greatest challenge. They have extreme difficulty moving on with their day unless they feel 100% sure the answers to their doubts have been resolved. Whether it is doing s

Two Ways to Put the Brakes on Your Anxiety

9.23.16

View original article published in Psych Central– Our human instinct is to react and push back when we feel pain and discomfort. When we struggle with anxiety, those feelings are magnified. Our inherent response is to try and get rid of unpleasant feelings and sensations immediately, but does it really work? This is an important question, and ACT (Acceptance and Commitment Therapy) teaches that fighting the discomfort can actually make the situation worse. Mental health providers practicing ACT often use the quicksand metaphor, and the reaction we naturally would have if we were ever caught in it. Even though we know it makes matters worse when we panic and try to get out quickly, our survival mechanisms tell us differently. Trying to

Mindfulness and OCD

5.22.16

View original article published in Psych Central here] Vincent was a young man experiencing intrusive thoughts. All he wanted in life was to get rid of those tormenting images and thoughts once and for all. One day, after coming back from a camping trip he told his therapist, “I was so busy and focused on what I was doing that I didn’t have time to analyze my thoughts and obsess. I was mainly focused in the present moment. If only I could go on camping adventures every day!” Vincent’s OCD symptoms had begun when he was 12 years old. He had created thinking patterns that weren’t helpful. In the past, he had tried different “distracting strategies” but their effectiveness was short-lived. He also had discovered that fighting his internal expe

Relationship OCD and the Doors of Uncertainty

10.11.15

[View original article published in Psych Central here] When Adam was about 9 years old, he began to experience contamination obsessive-compulsive disorder. At 14, his fears about possibly getting sick subsided, but he began questioning his religious and moral values. His OCD had morphed. Throughout his high school years, he experienced scrupulosity OCD. His first year in college, he dated on and off, and his OCD continued to target his religion. Then, he met someone special and got married, but he did not live happily ever after. One year into his marriage, he began to question his relationship. He often wondered, “Did I make the right choice? Do I really love my wife? What would my life be like if I had I married my previous girlfriend?”

6 Things You Need to Know Before Starting OCD Treatment

6.8.15

[View original article published in Psych Central here] If you suffer from OCD, you likely feel exhausted every day. The anxiety and tormenting thoughts may lead you to internal and external rituals. These compulsions provide relief — at least temporarily. You probably wish there was a magic pill or treatment that could take the suffering away permanently. If you were told that the answer to a better life is found at the top of a high mountain, would you be willing to climb it? You would be warned, “It will be a stormy and an arduous ascend, but once you get to the top, you’ll find what you are looking for!” Would you take the chance and do what it takes to get there? It could be the hardest thing you’ve done in your life. Would you still

When Your Loved One Has Body Dysmorphic Disorder

4.7.15

[View original article published in Psych Central here. Aaron was a senior in high school, and his grades had begun to decline. He wasn’t interested in hanging out with his friends. He seemed depressed. He’d spend an extraordinary amount of time in the bathroom fixing his hair. Aaron’s father had a difficult time understanding his son’s behavior. He would get irritated when he saw all the hair products in Aaron’s bathroom. Aaron was determined to find the perfect product for his hair. He still had not found it. We all have bad hair days. We also are aware of our physical flaws, but most of us are able to accept them without obsessing or becoming paralyzed by them. If you know someone who has become depressed and is excessively preoccupied

Scrupulosity: When OCD Targets Your Religious and Moral Values

1.14.15

View original article published in Psych Central here. Whenever Marian was exposed to religious issues, she felt overwhelmed by doubt, guilt and anxiety. She had been steadfast in her devotion since childhood. Lately, though, she’d try to avoid anything or anyone that triggered her spiritual obsessions. Her loved ones were puzzled because her commitment had been extraordinary. Conflicting worries consumed her mind and she was becoming depressed. Marian’s example of scrupulosity is one of many variations a sufferer may have with this type of OCD. Sometimes individuals with scrupulosity aren’t religious but feel hyper-responsible to their moral standards. The fact is that once in a while, religious individuals may experience doubts, guilt, re

Starve the OCD Beast and START Making Changes

10.15.14

Once upon a time a young man was walking through the mountains near his home.  A cute little kitten appeared.  It looked hungry and lost.  He decided to take it home.  He took good care of the kitten, but every time he fed it, it seemed hungrier.  One day he noticed it was eating a mouse.  He realized his kitten was ready for big cat’s food. But the problem continued. The more he fed it, the more the kitten wanted.  One day, a friend came to visit him.  The friend was shocked and said,  “What in the world are you doing with a tiger?”  The young man had gotten so used to living with his pet and its demands that he had not even noticed that it had become a tiger! You may have heard similar stories to illustrate how individuals who comply with

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A guide to help you find relief and happiness in spite of religious or moral OCD (scrupulosity OCD). Learn more about Annabella Hagen's book.
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