Tag: anxiety

OCD: Rituals and Obsession

“I couldn’t do anything without rituals. They invaded every aspect of my life. Counting really bogged me down. I would wash my hair three times as opposed to once because three was a good luck number and one wasn’t. It took me longer to read because I’d count the lines in a paragraph. When I set my alarm at night, I had to set it to a number that wouldn’t add up to a ’bad’ number.”

“I knew the rituals didn’t make sense, and I was deeply ashamed of them, but I couldn’t seem to overcome them until I had therapy.”

“Getting dressed in the morning was tough, because I had a routine, and if I didn’t follow the routine, I’d get anxious and would have to get dressed again. I always worried that if I didn’t do something, my parents were going to die. I’d have these terrible thoughts of harming my parents. That was completely irrational, but the thoughts triggered more anxiety and more senseless behavior. Because of the time I spent on rituals, I was unable to do a lot of things that were important to me.”

People with obsessive-compulsive disorder (OCD) have persistent, upsetting thoughts (obsessions) and use rituals (compulsions) to control the anxiety these thoughts produce. Most of the time, the rituals end up controlling them.

For example, if people are obsessed with germs or dirt, they may develop a compulsion to wash their hands over and over again. If they develop an obsession with intruders, they may lock and relock their doors many times before going to bed. Being afraid of social embarrassment may prompt people with OCD to comb their hair compulsively in front of a mirror-sometimes they get “caught” in the mirror and can’t move away from it. Performing such rituals is not pleasurable. At best, it produces temporary relief from the anxiety created by obsessive thoughts.

Other common rituals are a need to repeatedly check things, touch things (especially in a particular sequence), or count things. Some common obsessions include having frequent thoughts of violence and harming loved ones, persistently thinking about performing sexual acts the person dislikes, or having thoughts that are prohibited by religious beliefs. People with OCD may also be preoccupied with order and symmetry, have difficulty throwing things out (so they accumulate), or hoard unneeded items.

Healthy people also have rituals, such as checking to see if the stove is off several times before leaving the house. The difference is that people with OCD perform their rituals even though doing so interferes with daily life and they find the repetition distressing. Although most adults with OCD recognize that what they are doing is senseless, some adults and most children may not realize that their behavior is out of the ordinary.

OCD affects about 2.2 million American adults, and the problem can be accompanied by eating disorders, other anxiety disorders, or depression.  It strikes men and women in roughly equal numbers and usually appears in childhood, adolescence, or early adulthood. One-third of adults with OCD develop symptoms as children, and research indicates that OCD might run in families.

The course of the disease is quite varied. Symptoms may come and go, ease over time, or get worse. If OCD becomes severe, it can keep a person from working or carrying out normal responsibilities at home. People with OCD may try to help themselves by avoiding situations that trigger their obsessions, or they may use alcohol or drugs to calm themselves.

OCD usually responds well to treatment with certain medications and/or exposure-based psychotherapy, in which people face situations that cause fear or anxiety and become less sensitive (desensitized) to them.

Source: http://www.nimh.nih.gov/index.shtml

Bryan Lowe

When There’s No Exit: Psalm 88

  O Lord, God of my salvation,
    I cry out day and night before you.
2 Let my prayer come before you;
    incline your ear to my cry!
3 For my soul is full of troubles,
    and my life draws near to Sheol.
4 I am counted among those who go down to the pit;
    I am a man who has no strength,
5 like one set loose among the dead,
    like the slain that lie in the grave,
like those whom you remember no more,
    for they are cut off from your hand.
6 You have put me in the depths of the pit,
    in the regions dark and deep.

Psalm 88:1-6, ESV

I definitely needed this Psalm today. Yesterday I went to the doctor and was blindsided by news that really isn’t good, at all.  Of course, I also have this ongoing struggle with depression.  Today I feel like I’m running a marathon with ‘leg weights’ on. 

This particular Psalm is radically different than the others. 

This Psalm has no kind words, and no praise to God for deliverance.  It is a singularly sad song.  Imagine if you will, a huge stone fortress in the mountains.  Every room has a door, and every room a window.  All except one.  No light enters this room.  There is no entrance or exit, no way to get free.  Psalm 88 describes living that torturous experience.

I like my Psalms to be strengthening or encouraging. 

But then comes this one!  Life unravels and frays.  Everything gets confusing. Life comes apart.  The thought of being one who is irretrievably lost and damned, it saturates my thinking.  The despair is beyond belief, I have no words to describe its special variety of darkness. 

Anyone who has walked into this hell will understand.

Am I ‘less’ a Christian because of this vicious despair?  Some would say so.  The writer in verse 1-2, calls out to God.  (I guess this what you are supposed to do).  There is a sense of consistency in his cry.  In verses 3-5, we see him evaluating his position.  Again, there is a underground current of despair. 

There is simply no help, no deliverance for him.

It’s a bitter and painful place to be.  There are no explanations why life has gotten so nasty and bitter and out-of-control.  But one thing that Psalm 88 does quite well, it strips you of any dignity that you have left. 

(Does this make any sense at all?)

There is so much embedded in the book of Psalms.  Comfort, faith, victory and hope are what we find. But in Ps. 88, we find a black pearl, the only one of its kind.  Somehow, we dare not leave it behind, just because we don’t understand it. 

I’m convinced that it has tremendous power to the disciple who is in endless pain.  Just vocalizing this Psalm does something to us.  These real words help.  This Psalm is ours. 

God has provided it for us.

 

An Attack of Panic

A panic attack affects one out of 75 people, and it often can be quite disconcerting.  My panic attacks occur roughly once a month and last for about 1/2 hour.  When the acute symptoms first appear my first reaction is to resist giving in to it.  I get the “shakes.” For a long time, I didn’t know what caused them or more importantly what could stop it.

A panic attack is a sudden surge of an incredible fear.

Typically it comes without warning and without any obvious reason. It is far more intense than the feeling of being ‘stressed out’ that most people experience.

As a believer in Jesus, the physical symptoms can be quite real, but the spiritual issues become obvious when we consider Satan’s attacks on our faith. Although we may have a proclivity, we don’t have to surrender to panic as the way of life.

Symptoms of a panic attack include:

  • racing heartbeat
  • difficulty breathing, feeling as though you ‘can’t get enough air’
  • a terror, that is almost paralyzing, a seeming irrational fear
  • dizziness, lightheadedness or nausea
  • trembling, sweating, shaking
  • choking, chest pains
  • hot flashes, or sudden chills
  • tingling in fingers or toes, (‘pins and needles’).
  • fear that you’re going to go crazy, or are about to die

You probably recognize this as the classic ‘flight or fight’ response that human beings experience when we are in a situation of danger. But during a panic attack, these symptoms seem to rise from out of nowhere. They occur in seemingly harmless situations–they can even happen while you are asleep.

In addition to the above symptoms, a panic attack is marked by the following conditions:

  1. it occurs suddenly, without any warning and without any way to stop it.
  2. the level of fear is way out of proportion to the actual situation; often, in fact, it’s completely unrelated.
  3. it passes in several minutes; the body cannot sustain the ‘fight or flight’ response for longer than that. However, repeated attacks can continue to recur for hours.

A panic attack is not dangerous, but it can be a bit terrifying.

Largely because it feels ‘crazy’ and ‘out of control.’ Panic disorder is frightening because of the symptoms associated with it, and also because it often leads to other complications such as phobias, depression, substance abuse, medical complications, even suicide.

Its effects can range from mild social impairment or just pretty a total inability to face the outside world.

As a follower of Jesus, I’m certain that Psalm 91 is written for me. If I may, attacks of fear shouldn’t be faced head on, rather we set our hearts on Jesus, and allow Him to defend and protect us. I suppose we’ll always be susceptible, but we dare not be defeated.

“You will not fear the terror of the night, nor the arrow that flies by day.”

Psalm 91:5, ESV

Further reading and help on panic attacks check out these sites:

What Will it Be, Fire or Blackberries?

“Earth’s crammed with heaven, and every common bush afire with God; But only he who sees, takes off his shoes, The rest sit round it and pluck blackberries.”

Elizabeth Barrett Browning

“Let all the earth fear the Lord; let all the inhabitants of the world stand in awe of him!”

Psalm 33:8

The most phenomenal night skies were in Mexico while camping on the beach. We had no electricity, no light pollution. I laid on the sand and stared up into the Milky Way. The conditions were perfect. It seemed there were 1000 times more stars than ever seen before.

But as I laid on the beach I gazed up, a weird surge of fear gripped me.

I started to panic then–I was trembling and shaking. I got up and ran to our tent. I just couldn’t handle the incredible universe with no buffer. I was completely undone and reduced to a quivering speck of dust. I tried to tell my wife Lynn what had just happened to me, but I couldn’t. I was too scrambled. I couldn’t speak.

I now know that what I had experienced was called “awe.”

It was a word used commonly a few generations ago. We’ve side-stepped this perspective in these more modern times. We rarely contemplate the night sky. No one told me this might happen!

We seldom, if ever, have seen fire in a bush.

MINOLTA DIGITAL CAMERA

It seems we have traded our awareness of an authentically Almighty God, and in turn, we get to pick all blackberries we can haul. We reason it out and feel we have made a better bargain. But when we extricate this from our souls, don’t be surprised if we suddenly find that we have become spiritual paupers. 

Maybe we should learn to see those things that are invisible.

Each of us has the opportunity now to see the spiritual world that swirls around us. Why wait for heaven? Ask the Father to reveal His glory right now in this present moment. Learn to see that which can’t be seen by our eyes, but must be seen only through the optics of our faith.

And after all, only faith can breakdown our ignorant illusions, it’s “the conviction of things not seen.” (Hebrews 11:1.)

“The heavens are telling of the glory of God; And the expanse [of heaven] is declaring the work of His hands.”

Psalms 19:1, Amplified