Common Misconceptions About Anxiety & OCD Treatment

People new to OCD treatment often walk through the door with more than a few misconceptions. Here are some common ones: Misconception 1: Anxiety is bad. Actually, anxiety is a normal, functional, biologically-based phenomenon that every person is capable of experiencing. The only people who are truly anxiety-free are dead people. The rest of us (the living ones, at least) will find that anxiety will be a part of our lives, at least to some extent. Some anxiety is good and can be helpful. For example, it’s probably good to have some anxiety when you’re studying for a test. This anxiety can help motivate you to prepare sufficiently. Similarly, it’s probably good to have some anxiety about doing dangerous things, such as driving too fast — this anxiety might just save your life. Of course, not all anxiety is good or functional. Some anxiety spikes occur for no good reason and don’t have an upside. These false alarms make us feel bad for no good reason. Panic disorder is the perfect example of this. In panic disorder, your fight-or-flight system gets continually reactivated in situations where it isn’t warranted. Treatment of panic disorder involves learning to disregard the danger messages attached to your panic symptoms. The goal of OCD treatment (or the treatment of any anxiety disorder, for that matter) is not to eliminate anxiety, but rather to recalibrate your anxiety system so that there are fewer false alarms, and anxiety is again serving a useful purpose. When you finish OCD treatment, you’ll still have anxiety. It just won’t be standing in your way like it is now. Misconception 2: Avoidance is an effective solution for anxiety. There is no denying that avoidance is an effective solution for reducing anxiety. However, the anxiety-reducing effects of avoidance are short-lived and come at a great cost. Reliance on avoidance as a coping strategy may reduce your anxiety in the short-term, but it dramatically increases anxiety over the long-term. If avoidance is left unchecked, anxiety often grows to a point where it becomes debilitating and interferes with our functioning. Why does this happen? In essence, avoidance brainwashes us to believe that if we didn’t avoid, the worst would have happened. Let’s examine this in relation to a common contamination OCD thought: “Germs are everywhere. If I don’t touch the dirty doorknob, then I won’t get sick.” Avoidance of the doorknob prevents anxiety...
read more

OCD Awareness Week 2016

It’s #OCDWEEK! Help raise awareness and understanding about obsessive compulsive disorder (OCD) and related disorders. Welcome to #OCDWEEK 2016, a week organized by IOCDF to help raise awareness about OCD and related conditions! If you visit IOCDF’s website, you’ll find information about local and online programs and events designed to help increase the general public’s understanding of OCD. When I started this blog a few years ago, the internet was awash in misinformation about the nature of OCD. OCD was (more often than not) described in oversimplified terms, and the popular media largely mischaracterized OCD as a disorder defined primarily on the basis of excessive washing or checking behaviors. If you didn’t fit this mold, it was implied that you didn’t have OCD. I was hoping that, through my writing, I might be able to address some of these misconceptions and bring awareness to some aspects of OCD and anxiety treatment that were often overlooked or poorly understood. For each person with contamination OCD or checking OCD, there was another person with Pure-O OCD wondering, “What’s wrong with me? Am I the only one who has these thoughts?” On the surface, these various manifestations of the disorder can seem quite different, but truly, there are unifying concepts and processes that unite these disparate forms of the disorder and transcend obsessional content. One of the marvelous things about attending an OCD support group is that you can learn so much about your own OCD by simply listening to how other people talk about theirs. Even with radically different symptoms, many people with OCD suffer the same way. They get trapped in the same types of reassurance-seeking behaviors and mental rituals. They fall into similar patterns of avoidance. When you hear somebody else talk about their OCD — especially if it’s a different type of OCD — it can help you see your own OCD with fresh eyes, learn to take your own fears less personally, and ultimately relate to your own OCD in a different way. That’s one of the reasons why I so strongly advocate OCD support groups. Although we have to continue to educate the “I’m so OCD” people of the world, we’ve come a long way. There now exists a veritable army of OCD bloggers and OCDvocates, who have begun to candidly share their experiences with the disorder. They have written about what it’s like to live...
read more