Hi there! I have OCD and Anxiety stemming from PTSD, that usually manifests itself by pervading my thoughts with philosophical issues. Complicated, I know. I'm 34, and I've been dealing with this condition for over 20 years. It will take time to learn how to cope with your condition, but it's possible. 10 years ago my life sucked... I once locked myself in an apartment for 2 years, leaving only for groceries. Now I have a girlfriend (lived together for 3 years!), I can function at social gatherings, I get along with my family and I only freak out... well, a lot. But for the most part, I'm happy.
I'll tell you what has worked for me, in maintaining a decent quality of life while living with the condition. Maybe it'll work for you, maybe not... but here it is.
First of all, the most important thing for me was learning how to compartmentalize, in terms of what was healthy and unhealthy about my thought patterns.
For instance, there's nothing wrong with thinking, in and of itself! Thinking is great. Problem solving is great. Philosophy is fine, even with the metaphysical issues you're dealing with. Academics spend years specializing toward a Phd in their respective field, and they don't suffer the way we do!
I had to realize that OCD and anxiety isn't caused by philosophy... OCD latches onto complex philosophical ideas because it gives our brain an excuse to perpetually problem solve. It's kind of like how depressed people compulsively look for things to feel crappy about, to rationalize their negative feelings. We latch onto complex problems, because we can't shut off our brain and need an outlet for that constantly chattering internal monologue!
The problem is that we can't stop thinking, and we get upset. We fear a particular outcome, usually pertaining to "the unknown" in some way, or the prospect of not solving what we tell ourselves is too urgent a problem to set aside. My advice:
1) Don't try to stop thinking about philosophy, altogether. If it's not philosophy, religion will upset you, or politics, or some sort of melodrama between friends, or some random crap you hear while riding the bus. If you're interested in philosophy (or anything else for that matter), pursue your interest! It's important to do that, in order to build a life for yourself.
2) Focus on the actual problem with OCD: You need to be able to "walk away" from your thought patterns and problem solving. You have to learn to feel comfortable with not knowing stuff, and not fear the things that you think about even when they're scary. That takes a lot of therapy and/or practice, but the sooner you deal with CONTROL and ACCEPTANCE as your focus, the better off you'll be. Academics who ponder whether reality is an illusion can walk away from their work for a few hours, to buy groceries or watch a movie. We can't.
The fix for me: I forced myself to focus on things that didn't trigger anxiety, once a day for two hours. I didn't try to space out watching television (won't happen)... for me it was metaphysics! Political philosophy is what triggers my OCD... long story. So even if my internal monologue was railing for 5 hours against "social contract theory" or whatever, at 5pm I'd force myself to walk away, and focus on something else for two hours. I'd set an alarm every day, and try to drop whatever I'm doing to focus on this pleasant thing for me. It was difficult at first, but it got easier. Now I can force myself to stop thinking on occasion, by intentionally focusing on something that I find pleasant to problem solve. It's not fool proof... I have episodes on a daily basis where I'm preoccupied, distant and irritable, but after 20 minutes I can usually relax. Best of all, I sleep well and I go for hours at a time without obsessing.
3) NO CAFFEINE!! Seriously, no soft drinks, energy drinks, no coffee and DEFINITELY no tylenol for migraines if it contains caffeine. Uppers are the enemy, because adrenaline (or cortisol) causes anxiety, and I believe the OCD as well. I'm convinced OCD is somehow triggered by our fight or flight response. If you're currently drinking a lot of caffeine, expect a 9 day withdrawl period that will suck. After two weeks I promise you'll notice a difference.
4) EXERCISE!!! The best advice my psychiatrist ever gave me: it is impossible to have a panic attack, while exerting yourself toward hard manual labor or exercise. If I'm really panicking I'll sprint laps around the block, and I find it disrupts my thought patterns enough to calm down. The better shape I'm in, the better my condition seems to be. Cutting out fast food helps... eat healthy. I cut down on carbs and salt, eating a lot of fruit, vegetables, nuts and a moderate amount of meat. Vitamin supplements, too.
Good luck.
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Thanks for the reply chia782,
Yea I'm trying to focus on religion, and the reason my OCD thoughts pain me the most is that it means that being caring, kind, loving, humble is pointless (as it's a false world, a dream, etc.) even if I know that's not the case. I'm very caring and loving and humble as well. I guess that's why OCD hits people like us really hard. I get annoyed that these stupid thoughts have been turning my LIFE upside down when it shouldn't. I guess that depresses me as well.
Yea I used to be very religious when I was young (ie parents and you believe what you're parents do and say) and had a strong belief in God, then I became skeptical around college, I'm 21, going to be a senior, and I haven't gone to church for a couple years.
I started to get back into religion and faith recently. Have been going to church on both Saturday and Sundays along with talking to pastor's and other fellow Christian's with strong belief about what I have been going through. I believe there is a God (no need to have a religious debate here though) who loves us and has a plan for us if you seek him. My OCD makes it hard sometimes (ie you created this "reality" with a God, etc.) but most of the OCD thoughts are getting weaker.
However, I'm still searching for my "true" self which I had before this bout of OCD which I know I will reach someday because I feel the progress, but sometimes it gets so hard. And I would appreciate it greatly if you would keep me in your prayers (as you seem religious) and I will keep you in mine as well.
Thanks for the effort in your reply chia782 and good luck in your endeavors in life as well.
One last thing- I'm not here to be preachy and I don't in any way want to push you, but I would recommed if you want to really understand the meaning of life, why you are here, to study the Bible. Look for people who base their entire understanding on the Bible and who seem competent with it because they are most surely the ones who will be able to most accurately help. It can be tough reading it on your own- I know. Once more, not trying to be pushy and I respect your beliefs, but I deeply believe it will help.
I happened to randomly stumble on your post and after reaidng it I was wondering what on earth I could say. I have never gone through anything like that but your reference to Inception made me remember my reaction in the last scene.
In the last scene Leonardo diCaprio's character tries to test the reality of his world with a spin top.If the spin top continues spinning the world is a dream, If it stops, it's not. But we never saw the spin top stop. The screen just panned out to an image of Leo with his kids from the movie.
It got me thinking. Of course that situation is science fiction, we live in reality and this is the real world. But I wondered, does it really matter if it was reality or not? He was able to be happy with his family, and enjoy life, and I thought, you know in the end it's the things you love that ARE your reality. My reality is my friends, family, faith and love of writing. Your reality might be different, you just need to find it. I think for me that movie made me realise that in the end our reality is what we make it to be, reality is a term so very loosely used I feel that it hardly matters anymore.
I see life as a book- each day to be a page written. That helps me to appreciate moments that in a book set the scene, people who are the main characters, minor characters, ones who have an impact and ones who don't. With this kind of thinking I've been able to relax and be much happier by appreciating everything in my life.
I've talked about myself for a while but I'm thinking of you. I'm no doctor, no expert, and with no experience of any of your disorders other than minor perfectionism- OCD- I can't really say I am able to help. But I am a deep thinker and also a bit of a philosopher/psychiatrist in my thinking, so I'm going to take a leap and offer some advice for your mental state with no drugs or medications involved.
1.Try thinking about your "reality" as your "life" instead. Avoid using the term reality in your thinking and instead think about it as a day. A week. A year. Don't let yourself be distracted and focus your mind clearly on a straight path rather than little side lanes deviating. Become a FIRM, STRONG, DETERMINED thinker. Try practicing maths- sounds boring and horrible, but maths is lived by rules and deviations mean you make mistakes. Try to apply mathetmatical principals/rules/strict thinking in your life.
2. Appreciate the good things that exist in your life anyway, be it imagination or not. Live out your life as you would if you didn't have worries. Even if it's all a lie, why can't I be happy in it? Even if this is a third layer dream, it's a good one!!! I can be happy in it because the people I love and care about are in it.
3. Keep a diary of the things you see in the world that make you smile every single day.
For me it's a blue sky, a baby laughing, a cute puppy or an elderly couple holding hands {how sweet!}. Reflect on these things and how little moments can really make up the big picture, set the atmosphere, like in a novel. How the little things become big things. How little happy things become big happy things.
4. Find a layout that appeals to you. Is it movie format? Novel? Poem? Look at the structure of these things, the plot, characters. Compare your life. Who are the main characters in your life? The supporting characters? The ones you don't need? What are the moments that stay with you after you've finished the novel? They may not be the main events but they may touch you. REMEMBER THEM. CHERISH THEM. Has someone given you a gift? Have you found the potential for love? Think of it as a side plot in a novel. One that weaves along with the main plot and has beautiful, small moments that make you stop and think. Appreciate it. Let it become the main plot. Don't worry if moments aren''t movie perfect just go with it. Think of them as the "obstacle" typical dramas have. Think of ways to overcome it.
Write your own ending.
I hope that maybe something there helps .If not I'm a misguided would-be-do-gooder, but I genuinely hope this helps. My life is focused on my religion, the kind, caring, loving, humble, true people in it, my family, and my friends. Find your focus.
Write your own ending.
Hi ocdchick,
Thanks for replying and the suggestion, and I'm glad that you are doing better on those meds. No I'm not on any anti-psychotics, I'm just on Prozac (20mg) and Klonopin (1mg x2). My psychiatrist might switch me up with some other drugs (ie Ananafril and such).
I went to San Diego with a couple friends yesterday to watch a movie (Senna) and to eat Phil's BBQ (the bomb :)) It helped alot. I feel much better and the intrusive thoughts seem much weaker.
I think if you have the same/similar thoughts as me, you should, if capable hang around with people more and watch them interact and such. Just get out of the house if you're anxiety levels aren't too high and just see the world and how silly our thoughts sound. I'm no medical expert but that's helped me. And talk to your friends about your problems, if they are "true" friends they will understand and try to help you through it and it should help and keep your mind off these stupid (albeit scary) thoughts and maybe subconsciously root out the cause as well (maybe?).
As well as taking your meds, eating healthy, take the right supplements, and exercise which helps alot. We are human after all so those being healthier will also help us mentally. Also you should use the breathing technique when feeling anxious (http://www.stop-anxiety-attack-symptoms.com/technique.html). I'm not "myself" yet but I've never felt better this past month and you will be better in time as well. It will take work but DON'T GIVE UP.
Hi Sam,
Are you on any anti-psychotics? I ask because I have severe OCD with a lot of the same obsessions you describe in your post and an anti-psychotic has really helped me out a lot. I'm not saying it will help you out, as everyone reacts differently to different drugs, but it might be worth your time to check it out with your doctor if you find the prozac and/or other SSRIs are not helping much.
I think the toughest part is that we know these thoughts are irrational, I mean we are smart people, but knowing that isn't always the answer obviously. We constantly test ourselves, and when we finally resolve something it is replaced by yet another test. The key is to not fight it because the more we do the worse it gets.
I also understand your need for this to go away and to be normal again. The bonus is that you know you WILL be normal again, it just is going to take some time. You know this, because you have lived through it before so that in itself should be comforting. Remind yourself of that when you are in that OCD cycle.
You are way ahead of the game here. You may not believe it but you really are. You know the thoughts are irrational, you are seeing a psychiatrist and you are taking medication for it. The increased dosage in Prozac will take some time to take effect as you probably know. You need a really good 4-6 weeks of being at the optimal dose to get the real benefits. Take the klonopin as instructed. It will actually build up to a steady state in your system and be more helpful. I take it myself.
The other thing I would suggest is seeking out a Psychologist to go hand-in-hand with the Psychiatrist. There are psychologists that specialize in cognitive behavioral therapy and I think that goes a long way with the medication. Most Psychiatrists do not teach CBT but you can discuss this with yours and if they don't perhaps they can give you the name of someone that does. Usually at that point the psychiatrist just takes over the medication and the psychologist takes over the actual therapy part.
Here is a book that I also found very helpful during my last major OCD crisis which was in May. It is called Self-Coaching by Joseph Luciani and it has a green cover. I read that thing to death and it really helped me.
Also, I am glad to see that you know that suicide is not the answer. Yes, if we were not here we would not be suffering but compared to having cancer or something like that, we are better off. I know you don't think that now but we truly are. Your derealization/depersonalization will go away, I promise you! And you will be able to do all those things on your to-do list.
If you want to know more about me, then you can read "About me" under my name. It does not list everything I have been through becasue that would take an entire book, but you will get the gist about me and that I understand you and what you are going through.
Feel free to post again here if you need to talk or you can PM me and I will respond. Keep me posted as to how you are doing! You WILL get over this.