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An introduction to Acceptance and Commitment Therapy (ACT) for OCD, particularly as it relates to handling uncertainty and urges. Check it out: link here    

View original article published in Psych Central– Rhonda was a kind and religious woman. Most importantly, she adored her kids. However, one day, a fleeting thought showed up in her mind, “Did I touch Ronnie inappropriately,” as she was buckling her son in his car seat. Rhonda became anxious and couldn’t stop worrying about it. “Did I really touch him? What if I did? Am I a pervert? No, I’m not! I would never do such thing! But then, why do I feel anxious? Does that mean I did something wrong? Otherwise, I would not feel anxious.” These and many similar thoughts began to occupy Rhonda’s mind. The more she tried to “get rid” of the thoughts or figure out why she was having them, the more they stuck. Gary was single with many nephews and niec

View original article published in Psych Central– Looking back to what I now know suggests that my 3 1/2 year old son’s long lasting temper tantrums may have been an indication that something was up. I just didn’t know what it was and wasn’t sure how to become better informed. All I remember is that it seemed like it was his way or the highway. He eventually grew out of those temper tantrums by the time he started pre-school. When Jeff was in elementary school, he would erase numbers and letters until they looked “just right!” At night I would spend a few minutes with each of my sons saying good night. When it was his turn, we would talk and then say good night. But as I was leaving the room he would say, “Say good night mom.” I would say,

View original article published in Psych Central– Nathaniel, a college student had been suffering from anxiety for over two years. He found psychological help through his university but continued to feel lonely in his journey. He had chosen to hide his anxiety from his family and friends for fear of been judged as weak. As he continued with therapy, he decided to be open about his challenges. One day he said, “I feel like I can move on with my life. I don’t need to be thinking about hiding my struggles. I can own it because I’m more than my anxiety!” Nathaniel’s anxiety didn’t completely go away, but he learned to notice his thoughts, feelings, sensations, and urges with flexibility and curiosity. He discovered that when he spoke about his

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

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

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

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

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

[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?”