Remember my journal from last year? Where I
asked if you guys thought OCD was an illness or a part of someone's personality?
My psychiatrist recommended a book to me about OCD. (A
book I highly recommend to anyone out there who suffers from OCD and wants to know more, a friend or relative of someone who has OCD, or for anyone that just wants to know more about this disorder.)
Turns out that OCD isn't a psychological disorder, but rather a neurobiological disorder, meaning that it's comparable to diseases such as diabetes. There's something
physically wrong with how my brain handles certain thoughts.
The book is very informative and was written by a psychiatrist who treats OCD patients and even suffers from OCD himself. To help the reader understand the different types of OCD, he presents 4 cases that he helped treat. First he describes his first encounter with those patients and describes the symptoms they had. In a later chapter about the treatments available, we see some of the progress the patients made (Each of which now have coped with their disorder and can now lead normal lives). He also explains the two things that make up OCD: obsessions and compulsions.
Obsessions aren't what you probably think they are. Clinically, obsessions are "recurrent and persistent thoughts that are experienced as intrusive and inappropriate and that cause marked anxiety or distress." The author goes into detail about the 4 main qualities of clinical obsessions: Intrusive, recurrent, unwanted, and inappropriate. In other words, these thoughts I have? I don't want them. They come at any time, no matter what I'm doing. They don't make sense to me; I would never do some of the things that I sometimes think of doing.
Compulsions may be something you've never never really thought about. We've all used the term to describe doing something in excess, like compulsively planning for something. However, the common clinical definition is that a compulsion is "a repetitive act that is performed according to rules that must be applied rigidly." The author offers an alternative definition to show the relationship between obsessions and compulsions: A compulsion is a repetitive act that is clearly excessive and is performed in order to lessen the discomfort of an obsession. Compulsions are an "easy way out." They may immediately get rid of the obsession or lessen the anxiety at the time, but ultimately they make obsessions worse. But OCD sufferers see no other way out other than performing their compulsions.
The book has helped me understand more about OCD than I thought I'd ever know. A question that has been haunting me has finally been answered: Will I ever be cured?
The answer: No. OCD, again, is like some diabetes. The symptoms can be controlled, but I'll always have OCD.
And I think I can live with that.I think the real reason I brought this book up is because I've been
really frustrated with some friends (One or two in particular) that think it's psychological and that it's just a matter of willpower. To me, those attitudes seem condescending and made me feel weak. Like I wasn't strong enough to overcome these silly thoughts that completely debilitate me. In a sense, it
is a matter of willpower, but OCD sufferers have a major disadvantage.
Everybody (in a general sense) gets these thoughts that are completely out of character or are completely unrealistic. Thoughts like a loved one being harmed in some unrealistic way, harming another person for no reason, or even sexual thoughts that you'd never do (Of course, like I said before, I'm speaking in a general sense. Some of you may never have some of those thoughts, or you may have other thoughts that I haven't mentioned.). People without OCD simply see these thoughts as silly or not true, and push them aside and never think about them again.
With OCD, it's very different. I won't go into detail about one of the theories as to
why it's different, though. Basically, OCD sufferers can't push those thoughts aside and thus become anxious or distressed. We can't forget about them; they keep coming back, stronger than before. The only way out of the obsession for us, for some unknown reason, is to perform compulsions, which can take the form of just about anything.
If you want to know more, I strongly recommend picking up this
book. You don't even have to read the whole thing, if you don't want to. It's easy to just pick up the book and start reading at a later chapter that has information you want to know about.
( Sorry for the wall of text.

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