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

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Traveling Mercies, [The Journey]

Things can get pretty grim just living life.  But add a disability, and suddenly blam! It gets worse.  A mental illness intensifies life, and the weird concoction of symptoms and hospitals, therapists and medications and family/friends is a bit daunting for anyone. Imagine, that it’s a bit like running through the wilderness slathered in ‘bacon grease,’ trying to stay ahead from the bears (I’m writing this from Alaska, hence the bear imagery, lol.)

My walk with Jesus has extreme variations (at least, on my part.)  I’m up, and then I’m down.  I’m on fire and then I’m cold.  I struggle to attempt at least a modicum of consistency, wishing I could just put two ‘good days’ together.  I am ashamed by this volatility.  The apostle Peter, or David are probably the only guys in scripture I can really understand.

The impulsivity of my mental illness has driven me to turn my credit cards over to Lynn.  I try to avoid liquor stores, porn sites, and urges to strip off my clothes and run down Pioneer Avenue.  I definitely try to go to Church, read the Bible and pray.  But I have been known to hallucinate, I hear things, and get awfully paranoid.  I’m always, it seems just one step ahead of my psychiatrist in avoiding the hospital.  (And I want to keep it that way.) And suicidality is an almost real monster– always lurking for me under my bed.

But I have also learned many other things from being a mentally ill believer:

  • When its really dark, His love always comes through. He understands me. He intentionally ‘looks’ for me. He’ll never quit on me.
  • My discipleship is not about the externals of my theology, but it’s about romance from my heart.
  • In my pathetic brokenness, He is my strength and my shield. Always.
  • Worship and prayer are more like invasive “medical procedures” that keep me alive.
  • Love. I’m learning to be kinder and more aware of others then ever before.
  • I want to live in the Light and respond to others in Christlike way. Never out of my fallen sinfulness.

I suppose I could add more, if I thought about it.  Ultimately, it all comes down to the presence of Jesus Christ coming to meet me, to forgive me and to change me.  This simple blog is saturated with posts that other Brokenbelievers can wade through, and some just might help, lol.

The title of this post alludes to a quote I found. I’ve gently modified it. Not sure where I found it. But it gives the explanation for all that I’ve said:

“Life should NOT be a journey to heaven with the
intention of arriving safely in an attractive and well
preserved body, but rather to skid in sideways,
with bruises and band-aids, and some tears as well, body thoroughly used up, totally worn out and screaming… “WOO HOO what a ride!”

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Christians with Depression, by Dr. John Piper

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by John Piper

Does being depressed mean that something is wrong with our hope?

Every Christian who struggles with depression struggles to keep their hope clear. There is nothing wrong with the object of their hope–Jesus Christ is not defective in any way whatsoever. But the view from the struggling Christian’s heart of their objective hope could be obscured by disease and pain, the pressures of life, and by Satanic fiery darts shot against them. We all have to fight the same way, by getting our views of Christ and his promises clear every hour of every day.  All discouragement and depression is related to the obscuring of our hope, and we need to get those clouds out of the way and fight like crazy to see clearly how precious Christ is.

This means we should help each other see Christ, right?

Yes. It seems that whenever one person is struggling—whether in a family, church, or small group—another person is given strength. The point of that is so that the body would work together and the strong would minister to the weak. Then the roles might be reversed the very next week or month, and the one who was just weak becomes strong to help the other who has now become weak. The weakness can be psychological, spiritual, or physical. But the strength should flow back and forth between us.

As we come up out of a discouragement we should minister to others.

This is exactly what Paul said in 2 Corinthians 1:4 where he speaks about comforting others with the comfort with which he had been comforted by God. God ordains that one person walk through a valley, find comfort in the valley, come out, turn around, go back to the beginning of that same valley, and help other people walk through it with the very comforts they discovered there. We miss some of our greatest blessings by not enduring through hardship in our own families or in a church. God has things to teach us through hardship that we will not learn if we flee from it every time it comes.

http://www.desiringgod.org/ResourceLibrary/AskPastorJohn/ByTopic/24/2530_

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The Art of Kneeling

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“Come, let’s worship him and bow down. Let’s kneel before the Lord who made us.”  

Ps. 95:6, NCV

We come directly to Him, with so many deep and ugly flaws.  We step toward Him, having lost every confidence, but yet there is an assurance that we have arrived at something far beyond ourselves.

Mental illness destroys confidence.  In our most lucid and aware moments, we discover that we are completely disarranged.  We stumble and fumble through many things which are easy for others.  But they are intensely difficult for us.  My distinct paranoia has ruined many possible relationships.  I end up fouling many possible friendships to my loss.

We gravitate toward this place where we can only bow.  There are so many, far too many loose ends.  So much is unsure and I’m totally unready for this.  And yet, we have a nagging thought that we just might shatter these issues that hold us.  And maybe even break into a profound awareness of Light. Sometimes we can only bow without saying a word.

We must readily admit that we can only bow.

Nothing can be brought in, or considered as a provision or an enhancement to our credit. All of us are beggars and losers in His sight.  We simply can’t generate anything that just might make us acceptable in His eyes. The only thing acceptable is the blood of Jesus on the cross.

Everyone who truly kneels is brought to this place.  We are undone, completely.  In the light of His deep grace, we have been dismantled and rendered inoperative.  We must step out of our ruins, and leave them in a pile.  Sweet grace will save us, in fact, it is the only thing that can.

“We believe that we are all saved the same way, by the undeserved grace of the Lord Jesus.” Acts 15:11

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