Are my thoughts really true? OCD
Do you own your thoughts, or do your thoughts own you? Every thought you have has validity of who you are and what you wanted to think of...right?
There is a point where you have to look at the behaviors you're doing because of the thoughts and see who has ownership. Here is what I mean! The thoughts that cross you remind predict your actions. We either are going to push a thought away or do an action or a behavior because of the thought.
Intrusive thoughts are thoughts that we don't really want but we have them anyway. They come and go as they please. The thoughts we give attention to are the ones that want to stick around.
But we don't always react to our thoughts. If we did, wouldn't we really be our thoughts? For example...I'm sitting at a restaurant and am looking at someone's food. I'm hungry, my food hasn't gotten here yet. I have the thought, I should go over there and take a piece of bacon. I wonder what would happen. I have feelings, I have thoughts....you know what I don't have....the action.
This tells us that we ACTUALLY have a choice. I can see that thought as random noise. meaningless. Because a thought is a thought.
Here is a literal definition of a thought. It is merely an idea or opinion created by your mind. It is sudden and spontaneous and has no particular origin. Wow. think of that. This thought has no home. It's a random collection of thoughts that can cause real emotions which make us doubt and question something.
So who is owning your thoughts? Well in one way, you do. In another way. No-one does. It has no where to go until we do an action to put it in it's place or just let it fly on by. When it comes to these intrusive thoughts, they can be about anything and cause extreme doubt, which make you believe they are valid. These random thoughts can be toward relationships, getting sick, possible harm, memories, and even responsibilities.
When these thoughts don't match your value system we need to treat them as fluff. Nothing. Garbage. A random signal. Meaningless. Once we attach to it and attempt to figure it out, it's going to happen more and more and more. That is when these thoughts own you. You're doing behaviors to remove the thought or perceived threat.
Let me tell you why it's important to recognize that you aren't your thoughts. If I take every random thought and run with it. I'm going to be convincing myself that I'm a monster pretty darn quick. If I pass by a girl and my brain says, "wow, she's cute" my brain tries to make sense of this. It's going to say, "well, you must not love your spouse" or you "just cheated" OR I could say, "hey, thanks for the thought today brain."
Ultimately, we need to stop taking our brain so seriously. It's screaming out thoughts just to get your attention and says they all mean something, but you're not going to fall for it anymore.
Let's actually own these thoughts by giving these types of responses:
"sup thought" "coolio, thanks for that." "yep, I guess that could happen" "maybe, maybe not." "you're welcome to stay thought" You're also practicing now pushing them away or making since of them.
You're not giving them a good home to burrow into. Once you say, this thought has meaning. It just snuggles right into bed with you. Taking the opposite and not giving it a great answer and just letting it pass on by...it moves over to the neighbors.....no neighbor. It may stick it's head over the fence to try a few more times. But that response of "I do not care" is important so it knows, "man, you can keep trying, and I'm willing to listen to you, but I'm giving you nothing."
But Nate! How will I know when it's a thought I actually need to pay attention to? Well, here's my indication. Anxiety mixed with an urge to know. It's a trap! Anxiety always tell the brain the thought is dangerous, BUT here's the kicker. If you don't actually see the danger right in front of you, and I mean it. RIGHT IN FRONT OF YOU. It's not super obvious. Then, we're treating a thought as a thought and allowing it to pass.
If you treat a thought as a thought, but try to push it away, you're saying it has value. We don't want to do this. Give yourself more grace for having a thought. No really. Enjoy your life. Enjoy your brain and all the processes it does. the positive thoughts and even the negative ones.
Our brain isn't trying to hurt us. Instead, it's actually attempting to help. It's just not doing a great job at it at times. Our job is to retrain it by the responses we give. That response is the most important thing in all of this. Think about this with the next thought you have that causes some distress. My action right now is going to determine if this is important or not. Choose wisely.
The next time you have intense intrusive thoughts and you're trying to figure out what you're going to do with them....remember that you don't have to do anything. You have a choice if your thoughts are going to own you or if you're going to own your thoughts.
Did you know there are at least 3 types of intrusive thoughts? I made a video about these and how to actually get them to slow down. You're going to need to enhance these skills so you can become even more of a boss!
How to own your own thoughts
Intrusive Thoughts wont' stop
Don't click on the ad!
Have you ever just been scrolling the internet or social media and you see those ads pop up. they can be flashy, they can have some great one liner hooks I just capture your attention. But whatever you do, do not click on the ad. these ads are like your random thoughts. Those random intrusive thoughts that you don't really want but they just keep coming back anyway. What's worse is that they start joining your everyday life and activities. These ads can be intrusive.
If you allow those ads to be there. Actually will slow down and sometimes be non-existent. You just told your computer or your thoughts that these ads have no value in your life and you're simply not interested. When one topic disappears, another may take its place. This new flashy ad seems important. It's new, you're not used to it and it seems highly important for you to pay attention to it.
Do not click on the ad!
When you're scrolling through social media and moving from page to page, you notice this ad following you. The ads say, you don't really love your partner to you? What if you pushed somebody harmful? What if you're going to get sick now? have you ever thought about this past experience how awful it was? today's the day you need to figure out you were identity? how do you even know there is a God? Your monster and I'll show you why.
How tempting would it be to just click on this and once and take a peek. They don't know me! seriously, I'm not that kind of person. I'm starting my faith. I would never harm anyone. I love my partner. Let me just click on this ad so I can see what the fuss is all about. It is so intriguing that this thought goes completely against who I am and I want to figure out why. this is completely natural. I would want to know why my thoughts seem to be against me. I mean I'm just scrolling through social media, I'm just doing my homework, just watching a TV show. These ads are relentless and follow the person anywhere.
Do not click on the ad!
You have clicked on the ad. here is what is going to happen. This ad that makes you question your partner is now going to show up everywhere. You just taught your brain that this thought or ad has value. It gave it permission to say, "here I am" "here I am" "remember me" "I'm still here" -- thanks for giving me some attention. I'm here to tell you that it has meaning.
In the digital world, when someone clicks on an ad, it teaches it that you care and thus they spend more to put that ad more in front of your face. They often call it retargeting. This intrusive thought is retargeting you. The cool thing about these retargets is that if you stop clicking on the ad, they eventually go away. Depending on the budget, it may last a few days. It may last a few weeks. But the thing to always count on is that they will slow down. Who wants to spend "money" or "energy" on someone who simply isn't showing any interest?
So if you're not getting what I'm saying. Do not click on the ad and here are some tips to give you better chance.
Notice the ads, allow them to be there. Don't use an adblocker. We don't push the thoughts away. We don't try to control them. We let them be. When you're scrolling, you may notice the thought or ad, but your job is to continue scrolling. If you must give the thought a response they can look like this.
"hey thought" "welcome" "great to see you" "sure" "maybe" "maybe not" "thanks for the thought today." "You're welcome to stay as long as you want."
When we give these responses and you may have to do them a lot. It shows the brain that you've recognized the thought, but aren't giving them much value. It's the "I don't care" attitude.
This attitude is the antidote to intrusive thoughts. Allow them to be there, respond differently than you normally would and move forward. Continue living life and do exactly what you want to do. These thoughts may infiltrate various aspects of your day and life but don't stop living. You not stop moving forward. Just like these ads, it got nothing to retarget when you simply give them no value. And as these flashy ads keep switching we treat each one the same way. Not one thought is more important then another. Thoughts are thoughts. Let them be thoughts.
We can't ignore the anxiety and distress that come from these thoughts. Just know that these feels tend to be false. it's that extra push for you to click on those ads. Instead, we treat these feelings the same. To me, it's a false signal. Anxiety without immediate danger is false anxiety. It's based on a guess and on a meaning that you've put upon this thought.
We can treat this anxiety the same. "hey anxiety" "welcome" "you're welcome to stay" "I love love love these feelings" When our response to anxiety changes. You're putting your arm around it. It learns that as it's freaking out, you're cool as a cucumber. Teaching it to no longer freak out about an intrusive thought. It often doesn't know until you teach it.
These ads have nothing on you. You're too powerful. Tell yourself this! Don't click on the ad the next time your intrusive thought demands attention. Act as if you don't care. Welcome it. Acknowledge and move forward.
Speaking of intrusive thoughts. You need to enhance your skills even more. I've come up with even more responses to these pesky thoughts. Go watch that video here. It's worth your time!
This is Nathan Peterson, licensed clinician and OCD specialist. This one compulsion is so very common and most don't even know they're doing it. I often talk about sneaky compulsions. These compulsions come in so many different forms. If you don't know what a compulsion is, it is the thought, behavior, or action that someone might take in order to attempt to gain certainty with their fear and/or reduce anxiety.
Here's the compulsion. Telling your OCD story. No don't get me wrong, there are times in your life where you need to tell your experiences. Go through the thoughts and feelings. But many tell their story daily. Whether it be on forums, groups, or to their loved ones. It seems so innocent to do so but let me share with you the dangers of taking this path. What ends up happening is that the individual that suffers with OCD shares the story time and time and time again. And when I mean story I mean they are sharing an experience they had in the day. They are sharing an intrusive thought that came their way. They are sharing a feeling that they have. Essentially, they are confessing their thoughts.
They are not necessarily looking for reassurance. Instead they are just simply sharing what they're going through. Here's the tricky part, for most, not all... They are receiving reassurance. Maybe they don't even though they are doing so. They are receiving reassurance because they just shared their experience to someone and that person did not freak out. That person may have given them reassurance. They may have looked at their facial expression to see if they think I'm crazy or do they not. Do you think I'm OK or do they not. The sense of being a roundabout way of receiving reassurance. I mean heck, we're taught our whole life to share experiences. But when it comes to intrusive thoughts and obsessions, we were verification and certainty. We want support.
See what happens if you don't. If you feel that overwhelming need to share, maybe you feel like you won't get better until you do, it may be a compulsion. Maybe delay it. You're not waiting for your spouse to get home to tell them what you've gone through. You wait two or three hours after they've already been home. See if you can wait. If your loved one or support person has asked you to share what you've gone through. You may still have to evaluate and ask yourself, why am I sharing this intrusive thought today. Is it to gain support what is the gain Comfort and reassurance.
There are obviously instances where sharing your experiences and story are important. To someone like a therapist. Some may set up checkpoints. Meaning they have set a certain time every other day or every week whatever is reasonable to share and experience at a certain time. But again it's looking at if this is going to help or hurt your OCD. I would love it if people changed talking about their OCD experience that day to here is how I used treatment with my OCD experience.
I had this intrusive thought today while I was driving. Guess what I did, I kept driving, I didn't look in my rear view mirror, I didn't go back and check. I kept driving. What does does is promote treatment more than give the story more power and value.
Think about this the next time you want to share about your intrusive thoughts or OCD story. If you've been watching my other videos, we've learned that OCD is OCD and we give the thoughts no value or power. So, to help with this process, not going through it and "figuring it out" shows that it's all fluff. It doesn't mean that you don't matter, it may just mean that those thoughts are error messages that don't need to pay attention to.
To help you build a stronger muscle to stop these compulsions, go watch this video, where I talk about simple tricks to stop compulsions all together.
Thanks so much for watching and I'll see you next time.
Treatment for OCD compulsions
Why OCD feels so real
I'm Nathan Peterson, a licensed clinician and OCD specialist. Have you ever wondered why your OCD feels so incredibly real? For many, they know that the thought isn't real, but it feels real. So when something feels real, we react as if it's real....right?
Think about it this way. When we watch a movie we can become immersed and get absorbed. We get hyper focused, get lost and even confused. We can lose touch of reality for a bit. For some they may watch the same movie and not be connected or immersed at all.
So what's the difference? One person is allowing and inviting themself to get lost in the story and the other person see it for what it is and keeps it at the surface. Both have control over this decision.
So when it comes to OCD and an intrusive thought, one main point to bring it even more value is the anxiety or distress attached. This anxiety says.....HEY, this is important. Keep thinking about this one. As you get engrossed into the narrative or story, we tend to feel more emotions and feelings. Making it feel...well...real.
When something feels real, we spend time trying to "figure it all out" and prevent a possible catastrophe. Thus adding even more value to it.
So when I hear someone tell me that their OCD thoughts feel so real, it typically isn't the first time they've had that thought. They've had this thought many times and in each moment taken the time to try to understand it. Thus making it feel more real overtime.
We also know that OCD attacks what people care about. We have many doubts and questions in our mind everyday. But most of the time they won't feel real because we don't care about it. For instance, I may be watching tv and hear about how easy it is to get fungus under our toenails. Why do I not care about this....because it's not my thing. It's a threat like any other. My brain only cares about whatever I made a connection with and put value to. Maybe it's my relationship, maybe it's a certain disease, maybe I'm focusing on my breathing. Either way and either topic. It's all the same.
One only feels real because we make it feel real. To stop this progression of realness, we can see or hear a threat and choose to not put value to it. Choose to see information as information. Choose to keep things uncertain. Choose to stop ruminating. Choose not engage in a compulsion. The urge may be there, but you always have the choice.
When you take this proactive choice to not engage, it no longer feels real. Why? Because you are telling your brain that you simply don't care. You're letting life be what it is. And don't fall for the, "but I'm different" - That's just another trick that feel's real.
You're a special person, but your topic or content of the obsession is not. So ultimately, let it feel real. Just choose to not engage. Not figure out. It's got to be pretty obvious that there is a problem. 1000% hit you in the face obvious. If that is not there, we may treat this "real feeling" as a false signal.
Have you ever had a memory of the past, maybe a story that you've told over and over and over again throughout your life. Sometimes there is a point where you're actually not sure if it happened the way you've been telling it. Maybe it started out as an embellishment, but overtime it actually feels real with some confusion. I think of this the same way, we've told the story so many times, just like the OCD brain tells the content of the story and all of a sudden, we're confused on what is accurate and what is not.
In simple terms: Stop telling the story! Stop creating a narrative. Stop with the "what ifs" - You don't need the story. Yourself without OCD doesn't need the story. Let it go. Sit with the discomfort and the "realness" feelings. Let it pass. The more you do this, the less scary and real it may feel.
The way we think is the way we feel. If I felt someone is judging me, I'll feel anxious, scared, and sad. Even if this is untrue. I made up a story and fell for its tricks. Don't fall for it.
Since OCD affects our mood, see how you can control these mood swings with this video here!
Thanks so much for watching and I'll see you next time.
OCD feels real
OCD seems real
How long does OCD recovery take?
Isn't this the question we have with anything we want to go away in our life? How long will I have this? This question can cause a lot of anxiety to think about and bring a lot of comfort. It all depends on what mindset you have.
To jump right into it, recovering from OCD depends on many factors. Do I have the right tools and am using the right treatment? Am I actually using the treatment often? Do I have a strong foundation for therapy?
For many, treatment can be relatively quick. Individuals can feel better sooner, while others it may take longer. It also depends on the severity of symptoms. It's already infiltrated itself into your day, we might as well do something with it.
I almost hesitate to give a specific number because I do not want you to be your timeline because your timeline is YOURS. Here is what I've heard many specialists suggest their own research. Many can expect to feel recovered between 12-20 therapy sessions and can see a clinically significant decrease in OCD symptoms. Others give a timeline of 2 months. Personally in my own practice, I've seen individuals for a few weeks and others a couple of years. There is not that magical formula that fits each person, but I'll share with you what I see as a standard for individuals getting better quicker.
-Using exposure and response prevention the correct way.
-Building an exposure hierarchy to help you face your fears in a gradual way
-Doing these exposures daily and when I mean daily I don't mean 1x a day. I mean, making it your part-time job. It could be hours.
-Simply put. You've got to stop doing compulsions. Even if you're feeling anxiety.
-Your focus must be on recovery. It needs to take priority.
-You must accept the anxiety, fears, doubt, and guilt and decide they bring no more value into your life. You can't be wishy-washy. "I'll accept this fear, but have to figure out this one."
All these things are taught in my online OCD course. I'll link it here. You can even try it for free.
Ultimately, who's going to get better quicker. The person who knows the tools and will do them every once in a while or the person who's dedicated themselves to recovery. They recognize the pitfalls, where they can improve and use resources around them.
I do want you to know that you can recover from OCD. Things can get better. I also want you to have realistic expectations of what "recovery" means. For some, it may mean they are feeling minimal symptoms. For others, they've reduced symptoms up to 60% and are okay with that. Others may not feel symptoms for weeks, months, years. But here's the deal, this doesn't happen by doing treatment for a few months and then be golden for years to come. It's something you work on to maintain the progress that you've made. So when you hear others say online, "I am recovered" keep this in mind.
Here is the most important thing. Your recovery is your own. Your timeline is your own. If you do get caught up in, "how long will this take" you may give yourself an answer like, "it takes as long as it takes and I've accepted this."
I want you to get on top of this, you need to go right now watch the 25 tips for succeeding in your own OCD here.
Thanks so much for watching and I'll see you next time.
How to recover from OCD
Recovery from OCD
OCD about the past
Think about your OCD and anxiety symptoms for a moment. Whenever you are feeling anxious or are ruminating. Is it about things that are happening right now in this moment? Typically we are feeling anxious about things from our past or things in our future. Really think about it. A thought like, did I leave the stove on? That lives in the past. Will I do this thing my brain says I’m going to do? This is in the future.
So, real anxiety that is meant to be felt is for the present moment. Meaning, we need to see the threat. It can’t be a guess of what the threat is going to be it has to be something we actually can see right now. Something like that car that is coming my direction and I need to jump out of the way. I am at somebody’s house and I threw up. My child fell in the swimming pool and they can swim. Here’s the thing. When real moments of anxiety actually happen we can fix it and problem solve it.
OCD and anxiety hate living in the present moment. Because in the present moment it knows there is not an actual threat. The only power it has is to warn you of a perceived threat even if it is so untrue and so unfounded. The only power thinks it has is to remind you of the past. To remind you of all those things that you did that you can’t believe you did. But the thing it forgets is that your brain back then is not the same brain you have now. Just like when you are five years old, the behaviors, the decisions you made, the tantrums you threw do not define who you are right now in this moment. Your brain is different now. We learn, we adapt, we look back at experiences and say wow, I can’t believe I actually did that. And the only way we got there is because we learned new things, we grew up.
OCD loves to attach to the past. We give it zero attention. We don’t even need to use logic with it. Life is what it is. We learn through experiences and we move forward. When the brain comes up with memories from the past we can answer them with, oh yeah! I remember when that happened. Sweet glad I made those decisions. With these answers do they allow your brain to stop going to the past because you simply are teaching it that you don’t care. You’re not answering it the way that you normally would.
When it comes to the future, we treated the same way. It comes up with any what if’s and we need to learn to answer it with yes, that may or may not happen. I don’t know, I don’t have a Time Machine to know for sure it is not my job to know right now. We will cross that bridge when I get there. Because more hours of ruminating and problem solving about possible threats does not prevent it from actually happening. Because we often find that there was no threat to begin with. Even when anxiety tells you so strongly that is true. We are not falling for it.
So your job is to keep your anxiety and OCD symptoms in the present moment. Staying in the present means you’re not trying to problem solve future. Staying in the present moment means you are not revisiting the past. Staying in the present means you are actually being present. You’re going out and doing things even if you don’t feel up for it. You are allowing yourself to enjoy life and continually answering these past or future thoughts with uncertainty.
So for you to gain the upper hand, we already know staying in the present moment is one of the best things you can do. Feel empowered when you do not engage in the past or the future. Allow life to be lived right now. Start by answering any threat with and maybe maybe not.
This is how you will gain control over your OCD and anxiety.
Here’s my question for you, let me know in the comments. Does your anxiety or OCD threaten you about the past or your future?
Thank you so much for watching, and I will see you next time.
OCD about the future
OCD about the present
I talk about exposure and response prevention quite often as the best, in my opinion, treatment for OCD and anxiety. I mean you are actually facing your fears. Retraining your brain. You are essentially becoming a researcher. You are doing experiments. You are testing theories.
You are willing to take the risk that the fear that you currently have may be a false signal.
I’m going to go through how you can do these experiments better when it comes to your treatment.
So how to do better exposures for experiments. One of the first things is to be aware of what the perceived threats are the come to your mind. Something like, if I don’t check the door one more time someone can break in. If I don’t pray, God will smite me. If I don’t put those knifes away I might react and do something. If I get close to that person, what if I like it or them. If I look at somebody else, maybe I don’t really love my partner. If I touch this item, I will get sick.
This is how you are keeping track of your fears. What does it mean if you don’t follow through with your compulsion? What does it mean because you have a certain intrusive thought?
This shows exactly how we can do experiments. Your brain already came up with the threat if you don’t follow through with the compulsion. Now it’s your time to test the theory out. Each one is going to feel very real. It’s going to feel very important. It’s even going to feel risky.
But just like any experiment, we do not know the outcome until we tested. So what I would do is take one of my fears, and I would test the theory out. My brain says if I don’t check the stove, I will start my house on fire. So guess what I’m going to do, not check the stove. I’m also going to pay attention to all the compulsions that my body wants to do. Maybe it wants to listen for a fire, maybe in researching online the chances of the fire happening.
I cannot do an experiment, and then mess with the data in between. Instead I’m practicing staying uncertain. Choosing to see what the outcome is going to be. I’m living my life, if there is a problem I will solve it. If there’s not there’s nothing to solve.
While I am sitting with this uncertainty, I might be practicing statements tell me through. The house may or may not set on fire. Yep, might be my fault.
Here’s the cool part, after a few hours, maybe the next day. Your brain looks that moment and says, hey, I told you that you were in danger. The house is supposed be on fire, it’s not, maybe throughout all false signal your way.
You did this experiment to see what was going to happen. You tested the theory out. Your brain needs to know that you are testing these fears out, over and over and over and over and over and over and over again. It will finally get it.
The thing is though, we can never be hundred percent certain that our fear won’t come true. But we are willing to take that risk, it might be the only way to retrain the brain and for you to enjoy life more freely.
I know what you might be thinking, yeah I can test the theory out for something like your example. But mine is different. Mine is more dangerous. Might involves my child, mine involves my salvation, mine involves death. That’s one of the biggest pieces to get past, you are not special in that your OCD or anxiety is different. It’s all false signals. The only way for you to retrain the brain is to do these experiments. Do these experiments with meaning. It’s not, I’m going to avoid checking, and that I’m going to rock back and forth staring at a wall for the next five hours. It’s continuing to live life despite of this uncertainty that you’re living in. And anytime a threat comes up, but is a house going to start on fire? Your answer is, yeah man, maybe maybe not. I guess we’ll see after the experiment.
My question to you is this….Has your fear EVER come true? Really think about it, the thing your brain threatens to you day after day.
Thank you so much for watching and I will see you next time.
How to help ocd
How to stop OCD
Thought stopping doesn't work
One of the most common questions I get asked is….How do I STOP thinking about my fear? How do I stop obsessing? How do I STOP the anxiety.
If you’re like most, you’re searching videos to learn how to STOP your symptoms. There in lies the TRAP. We don’t learn to STOP thoughts or fears…we learn to respond differently to them….which in turn allows symptoms to decrease.
If you start off you search or mindset with….how can I stop……Don’t do it! It’s a trap!
Seriously. You’re just training your body to continually check To see if you are still having thoughts or not. Which actually produces more thoughts. It is actually natural for the brain to automatically start pushing thought we don’t want. Which is why it takes practice to lave them back.
Let me take you through what to do instead of pushing thoughts away or ignoring them.
So how to avoid suppression? To get out of the thinking that you need to STOP thinking about your fears. Well, you can start by learning to notice when these thoughts occur. Allow thoughts to be thoughts. Not put any meaning to a single thought. A thought is bad or a thought is good. When a thought brings anxiety or distress, we tend to label it as bad. When our brain hears bad, it goes to this automatic process of pushing. Practice having a thought than simply saying, “oh cool, there is the thought again. You’re welcome to stay as long as you want”
As your learning to accept a thought is a thought you’re also practicing not doing a compulsion. A compulsion is anything you are actively choosing to do to remove the thought, or to reduce your anxiety symptoms. For instance, if you have a distressing thought you quickly shake your head to get it to go away. Maybe you tap something a few times. It’s possible you go to the Internet to research different ideas about your thought. You might have to say a phrase for the thought to go away. These are all the things you have to be aware of and stop doing.
Because we cannot accept a thought, take value away from it, and also do a compulsion of the same time. It’s like we’re not fully accepting the reality of the thought. It’s a halfway effort.
Once you learn to accept our thoughts, even if you think it is the worst thing in the world to think. OCD can bring some pretty gnarly thoughts. It’s easy for somebody to say, yeah I can accept a thought about something small but this doesn’t apply to my big scary thoughts. Going back to what was said earlier, thoughts are thoughts. There is not one thought that has more value or power than another.
Some choose to use act therapy. Acceptance and commitment therapy. This builds flexibility in your thinking and allows you to accept the thought. Without changing it whatsoever. At the same time some choose to expose themselves to the triggers or obsessions. This is so you can continually learn. Learn to not respond the way you normally would want to with a thought.
For instance, I might pay attention and write down all the triggers I noticed that bring these thoughts. I might purposely expose myself to them. Not all at once, but starting off with something small. Maybe it’s looking at a picture of something, maybe it’s a video, maybe it’s hanging out with my kid, maybe is driving, maybe it’s cooking dinner, maybe it’s saying a certain word, maybe it’s touching something. Regardless of what it is, you are practicing engaging with this thing, not doing the compulsions, and pretty much acting like you don’t care. Allow the thoughts to come, allow them to leave.
You don’t care how long they stay. They have no value unless you give it value. This takes practice, practice, practice. It is easy for anxiety or OCD to say, this one is important. This one is different. The tools that were just presented to me, do not apply to me.
Let me tell you, your OCD or anxiety is no different than someone else. The next time you think, “I need to get rid of these thoughts. I need to get them to stop.” Remember that we are actually doing the opposite. You can even say, “oh boy, I love these thoughts.” “yes, thanks for coming my way.” “these are amazing!” “I wish you would stay forever.”
These types of responses, help the brain know that you simply don’t care.
Let me know in the comments, what response can you give your OCD and anxiety today when you have distressing thoughts?
Thank you so much for watching, and I will see you next time.
Thought suppression and OCD
OCD thoughts won't stop
Backdoor Spikes with OCD
Backdoor spikes are a response to your recovery and success. Those who are recovered with anxiety all of a sudden feel a SPIKE of anxiety that came out NO WHERE. It almost sneaks through the back door and says, “hello, is anywhere there….remember me.” “Let me make you doubt yourself, your diagnosis, and all your feelings.” “make you fearful that you’re going to get stuck with all these OCD and anxiety symptoms all over again.”
Introduction: Hi, my name is Nathan Peterson and in this video I want to share with you what a backdoor spike is and what to do with these nasty things. Just when you think you have it all figured out…..uhhhhhh
The “backdoor spike” is a term that is used to describe the overwhelming feelings that individuals with OCD get when they have thoughts that may make them worry that symptoms may come back.
A backdoor spike often comes about when an individual has been doing well with their treatment plan for a few weeks or months, leading them to believe that they no longer need treatment. This could be related to the person having had some success and believing they are doing well on their own, or it could happen simply because the anxiety-provoking events of their life are naturally subsiding. But then suddenly out of nowhere comes this thought:
“Even though I haven't had any obsessions or compulsive behaviors in weeks, I still may not be able to control them if anything happens to mess up my treatment plan. What would happen if my Dad got sick? Or if my family gets into another car accident? Then these thoughts wouldn't go away and I'd never get better.” (The word “I’ll never get rid of OCD!” is often present here.) This thought can also take the form of an intuition:
Because I have the thought it must be true. It must mean something great and amazing. It must be my intuition trying to warn me of something.
The individual struggling with a backdoor spike can spend days or even weeks trying to regain control over their thoughts and feelings as they cycle through obsessive questioning of their own sanity.
Even after many months or years of recovery, some people with OCD may still find themselves struggling with backdoor spikes. For example, a person might not be able to "really" believe that they are not going back into full-blown OCD because of feeling so depressed without their obsessions and compulsions. Or they may feel so much shame about having had OCD in the first place that any thoughts about getting better make them feel like an impostor who doesn't deserve such good fortune.
When symptoms start to decline. Individuals are feeling really good. I guess what, those darn intrusive thoughts don’t want to stop. So individuals can start questioning. Wait! I’m still having all these thoughts and I’m not feeling anxious about them. This must mean something. That must mean that I was really a bad person this whole time. Must mean the things I was thinking about is actually going to happen.
So with these backdoor spikes what we do about it? The answer may surprise you. Are you ready? You do everything you’ve already doing. That’s right! The treatment that you did which is most likely exposure and response prevention is the treatment that we continually use for backdoor spikes. Because the body and brain all of a sudden come up with a threat, tries to convince you that you’re in danger all over again and most of the time your job is to respond completely different to these threats. If you’re looking around you don’t see immediate danger we choose to leave these threats uncertain.
Responses like yeah totally I’m going right back into that OCD what a fun ride this is going to be. I sure hope these experiences come back that would be so amazing. It will not feeling anxiety about it probably does mean I like it. Some may choose to just stick with the uncertainty route which is those maybe maybe not statements.
Essentially, we are not problem-solving anymore. Not trying to figure out if you’ll have symptoms again or not. Not figure out why you’re not feeling anxiety. We’re not putting any value to this anymore!
Intuition isn’t a part of this. The brain is really tricky and make someone believe their thoughts are so powerful. Don’t fall for it.
One thing to know about backdoor spikes is that it may make you believe that this new topic or fear that throws your way is different. It can make you believe that this is so absolutely important. Because all it wants is for you to come back in to the OCD cycle. To reattach. They think about it, individuals may go weeks or months without anxiety, then all of a sudden comes back. We naturally are going up a lot of meaning to this.
In here is how we can see the difference between something you need to put value to something you don’t. When anxiety hits, you might look around you, if you don’t see anything happening. The ceiling is falling down, there isn’t a lion running at you, your child’s not about to fall off the counter, It has to be see something you can physically see. Not something you “THINK” is going to happen.
If there is nothing you can see where you would be in danger, you may choose to treat it as a false alarm and give it NOTHING. Answer a lot of fears with, Yep, maybe maybe not. Or Totally man.
To reduce the likely hood of a backdoor spike, people do treatment, even when they’re doing well. They do treatment. They continue to face the fears they did in the past. Just to remind them that they are still the boss.
If you are wanting to learn treatment for yourself, check out my online self-directed course for OCD. There are 42 videos this thing. Takes you through everything you need to know about your OCD and how to do treatment. I’ll leave a link down in the description below. You can even check It out for free.
So here’s my question for you, have you experienced these backdoor spikes? What did it look like for you?
Backdoor spike with anxiety
OCD coming back
Exposure Therapy For OCD
When somebody is facing their fear, they repeat this process over and over again their body tends used to it. We’ve seen this in many different ways such as jumping into a really cool swimming pool. At the very beginning it is very cold but their body adapts and get used to it. We didn’t have to spend time convincing ourselves it was going to get better, it just happens. This can be seen when we are using exposure and response prevention. When you are exposing yourself to the upsetting fear it’s going to feel very difficult at the beginning. Overtime, you may face the same fear but notice that the anxiety level is a lot less. This is seen as the habituation model. That we essxentially are doing exposures to reduce your anxiety by half or more. You’re getting used to it, you’ve taken the value away from it. When it comes to the habituation model, it’s all about this anxiety reduction in your body adapting just like the swimming pool. We will often use us as a measure of success if you were doing exposures correctly. If you’re anxiety is reducing this is a good thing.
There are definitely some drawbacks from using the habituation model. Anxiety is something that we want to take value away from as well. If we are focusing solely on anxiety and having us go up and down individuals can get stuck in paying attention to the anxiety and wondering if they are doing the exposure correctly or not. Let me start obsessing about the actual anxiety versus the actual fear. Many will start to question and wonder why they’re in anxiety is not reducing. Well evidence shows that the habituation model does work, individuals can you get stuck with these pitfalls often.
This is why there is another approach to exposure and response prevention called inhibitory learning. While this is still being researched there is evidence that shows that this helps reduce OCD symptoms as well. The difference is not the actual exposure you were doing but rather the way you were approaching it. With the inhibitory learning model you are teaching your brain more than reducing anxiety. Exposures are all about what can your brain learned from this experience. It doesn’t matter if your anxiety reduces or not. It might not even matter if you have anxiety while you’re doing the exposure. The whole mindset is all about your brain learning something new. So if I was facing a fear that really caused some anxiety, the way I approach is designed is to face the fear, expose yourself to it and RESPOND differently to the fear. You sole focus is what am I teaching my brain by every movement, words I’m saying, what I’m thinking, how I’m behaving.
If I avoid touching something because it’s contaminated, my brain learned that that thing is dangerous. If I touched it and acted like it wasn’t a big deal and didn’t do any compulsions, then my brain learns it’s not a big deal. You may learn time and time again that you faced your fear and NOTHING happened. That is what the brain is learning.
If you’re confused by the two, here is an easy way to remember:
The habitual model means your body is getting used to it and your anxiety is reducing.
Inhibitory learning model means your mindset is all about what your brain is learning from the exposure regardless of the anxiety felt.
Realistically, there isn’t the right choice comes to do an exposures. You do what you feel like is best for you. I have used both models together where I focus majority of my time making sure that the person knows that the brain is learning something. We use anxiety as a measure but ultimately it doesn’t matter if the anxiety reduces or not.
If your brain can learn that the fear that you have is not happening and it is it because you’re trying to control the situation what is the compulsions and to me that’s one of the best ways to do an exposure. Let things be. Stop controlling. It feels like an experiment, but the experiment is worth taking for your brain to learn something major. That you’ve never been a danger.
Inhibitory Learning For OCD
Habituation For OCD
Nathan Peterson specializes in working with OCD and Anxiety related disorders and has done so for the past 7+ years.