OCD, I am currently in great pain. How can I find a way out?

Good day, question asker.

I wonder if I might suggest that you are suffering from OCD.

If it isn't an imposition, could I ask how old you are? And are you a man or a woman?

Could you please tell me a little bit more about the origin of your OCD and how long it has been going on for?

In general, the causes of OCD can be understood as follows:

It is thought that the patient's early family education may be a contributing factor.

It is possible that a critical and accusatory upbringing by a demanding father or mother may have contributed to the development of the patient's fear of making mistakes and obsession with perfection.

This may result in the patient developing a fear of making mistakes and an obsession with perfection.

Secondly, we may consider the psychodynamic hypothesis.

Some psychodynamic theorists believe that OCD may have its roots in the anal phase of psychosexual development, which could be the period of toilet training.

In this case, it seems that there is a discrepancy between the desire for obedience from the parent and the child, and the desire for freedom from constraints.

This unequal opposition may potentially lead to inner conflict and anxiety in children.

This may result in psychosexual development remaining at this stage, which could potentially contribute to future psychological and behavioral regression.

It may be the case that when an individual encounters external pressure, the conflicts and personality traits of the anal period may resurface.

Fourthly, we may wish to consider the interpretation of psychoanalytic personality traits.

Freud put forth the idea that the personality structure is divided into the id, ego, and superego.

The id is innate and forms the basis of the personality structure. Over time, the ego and superego develop on the basis of the id.

The id is situated at the lowest point of the personality structure and can be described as an energy system comprising innate instincts, desires, and a range of physiological needs.

The id is thought to have a strong primitive impulsive force, which Freud called libido.

The ego can be understood as the mental component of the personality, which gradually differentiates from the id and is located in the middle layer of the personality structure.

Its primary role is to mediate the discord between the id and the superego. It oversees the id on the one hand and is guided by the superego on the other.

It is thought to follow the principle of reality and satisfy the ego in a reasonable way.

It could be said that the superego plays a controlling role in the personality structure, guided by the principle of perfection and belonging to the moral part of the personality structure.

It is thought to be located at the highest level of the personality structure. It could be described as the moralized self, which may have been internalized from social norms, ethics, and values.

which are formed as a result of socialization.

Freud put forth the idea that OCD patients may have a less robust id and ego, coupled with a more pronounced superego.

It is also worth noting that psychosocial factors can play a role in the development of OCD.

For example, changes in one's work or living environment, increased responsibilities, difficult situations, or even a fear of accidents could potentially contribute to such experiences.

It is also thought that certain external factors may play a role in the development of OCD. These include family discord or the loss of a loved one, as well as sudden shock or other forms of distress. It is worth noting that some people without OCD may also experience obsessive thoughts on occasion, although not to the same degree or with the same persistence as those with OCD.

It is possible, however, that these thoughts may become more intense and persistent when influenced by social factors, which could potentially lead to the development of OCD.

If I might make one more suggestion, it would be to consider the role of biology and genetics.

A diagnosis of obsessive-compulsive disorder

It would be beneficial to consider the clinical manifestations of obsessive-compulsive disorder.

1. Obsessive thoughts

1. Obsessive doubt: The patient may experience repeated doubts about the correctness of their own words and deeds, which may then lead to a tendency to compulsively check them.

Such behaviors might also include repeatedly checking whether doors and windows have been properly closed after going out, or whether the address has been written down correctly in a letter.

2. Obsessive ruminations: the patient may find themselves repeatedly thinking about certain aspects of daily life or natural phenomena, attempting to trace them back to their origins.

They may be aware that it is meaningless, yet find it challenging to control. Their thinking may become tangled in issues that lack practical significance, making it difficult for them to find a way out.

It would seem that this particular symptom is more prevalent in adolescents, as evidenced by questions such as "Why is a table called a table and not a chair?"

"Could you please explain why one plus one equals two, but not three?"

3. Obsessive associations: The patient may experience an association between a certain idea or phrase and another idea or phrase that they find difficult to control when they hear or see a certain idea or phrase.

At this point, they may involuntarily associate another idea or phrase.

4. Obsessive recollections: The patient may experience involuntary repetitions of events in their consciousness, despite being aware that this is unnecessary.

However, they are unable to control themselves. Sometimes obsessive thoughts and obsessive doubts can occur simultaneously. When the patient is obsessively thinking, they may doubt that they are remembering incorrectly and feel the need to start from the beginning again, which can increase their anxiety and suffering. Sometimes the patient appears to be in a daze, but in fact they are thinking. If they are interrupted or think that "they are not thinking correctly,"

They may feel the need to start over from the beginning and may display withdrawal behaviors such as irritability and avoiding people out of fear of being disturbed.

5. Obsessive counting: The patient may engage in counting objects of a certain shape, even though they may recognize that it is an unnecessary and involuntary action.

6. Compulsive emotions: This refers to instances where the patient experiences a strong internal urge to act in a certain way, despite knowing it may be inappropriate.

For instance, they may experience concerns about causing harm to others, saying something inappropriate, or behaving in ways that are not aligned with their values. Additionally, they might feel apprehension about being exposed to germs or other contaminants.

7. Compulsive intention: The patient experiences a persistent and compelling urge to perform an action or behavior that may be contrary to their own intentions.

Although the patient may recognize the absurdity of the idea and the unlikelihood of its occurrence, they find themselves unable to resist the internal urge.

As an example, one might consider the situation of walking by a river with a child and having the urge to throw the child into the river.

8. Compulsive opposing ideas: It is not uncommon for patients to experience ideas that may seem contrary to reality.

It is often the case that such thoughts are of something bad that violates the usual moral standards. This can cause the patient to feel nervous, afraid, and uneasy, but it is important to remember that this is not necessarily a definitive indicator.

On occasion, there may be an inclination to express oneself in a less than constructive manner, such as using profanity.

9. Obsessive manifestations: This term is used to describe the repeated presentation of figurative content in the mind, such as genitalia, pornography, and other images.

10. Obsessive thoughts: They are also known as obsessive impulses, which could be described as a powerful internal drive.

These urges can manifest as a sense of compulsion that drives thoughts into action. In some cases, these urges may have harmful consequences.

For instance, one might consider the possibility of engaging in violent acts against one's spouse and children, engaging in destructive behavior, or even acting on inappropriate urges, such as jumping in fast-moving cars.

As an example, one might cite the case of an individual who experiences intense fear and anxiety when they feel the urge to remove their pants in public.

2. Compulsive behavior

It is not uncommon for patients to engage in obsessive behavior as a form of compliance, with the aim of reducing the anxiety caused by obsessive thoughts.

For instance,

1. Obsessive checking: a behavior that some people adopt to help them cope with feelings of anxiety caused by obsessive doubt.

2. Obsessive questioning: OCD patients often have difficulty trusting themselves. In order to dispel doubts or the anxiety caused by excessive thinking,

It may involve questioning others or asking them to repeatedly explain or reassure them, without becoming discouraged.

3. Obsessive cleaning: Some patients may engage in repetitive washing of the hands, bathing, or laundry as a means of reducing concerns about contamination by bacteria or dirt.

Some patients may engage in repetitive handwashing with soap, which can potentially lead to skin irritation and damage. Despite this, they may continue to wash their hands repeatedly.

Otherwise, there is a risk of developing very serious anxiety or worry.

How might we approach the treatment of OCD?

It is important to remember that obsessive-compulsive disorder is primarily about managing the anxiety that is suppressed in the subconscious.

At this time, the severity of the patient's condition and their personality traits are first understood through assessment and diagnosis.

It is often recommended to begin with a course of medication prescribed by the psychiatrist at the hospital.

It may be helpful to consider that an enhanced function of the serotonin (5-HT) system is associated with the onset of the disease.

It seems reasonable to suggest that 5-HT reuptake inhibitors such as clomipramine, fluoxetine and fluvoxamine may have a beneficial effect on OCD.

In addition, it may be beneficial to consider the use of psychological techniques.

There are a number of techniques that are commonly used to treat OCD.

One possible avenue for treatment is cognitive behavioral therapy.

One possible avenue for treatment is psychoanalysis.

I would like to suggest that we consider Morita therapy as an additional option.

One possible approach could be mindfulness training.

In most cases, integrative therapy is the most effective treatment for patients.

The initial phase of treatment typically encompasses approximately twelve sessions, during which cognitive behavioral therapy is employed. The subsequent stages of treatment may involve psychoanalysis.

It is often the case that mindfulness training is provided as part of this process.

The above analysis and suggestions are for your consideration. I am counselor Yao, and I will continue to support and care for you.

Hello! I came across your post about the challenges associated with OCD and some helpful strategies for managing it.

It might be helpful to approach getting rid of OCD by first understanding it, rather than rushing to get rid of it.

It is important to recognize that the presence of OCD may inadvertently reinforce the very behaviors and thoughts that are causing distress.

1. It may be helpful to consider adjusting your attitude towards OCD. OCD has developed over an extended period, and it can be a challenging pattern of thinking that gives rise to obsessive thoughts and distress that may resemble addiction.

2. OCD can also be seen as a series of vicious circles caused by some of their own negative thinking patterns.

If I might offer a simple explanation, compulsions are actions that are taken to force a situation. Attempting to use obsessive thoughts or behaviors to offset anxiety can result in compulsive generalization.

3. It would be beneficial to identify the root of your obsessive thoughts or some behavioral patterns.

It is important to understand that obsessive-compulsive disorder is not formed overnight. This pattern of formation is also caused by some of one's own negative cognitive concepts, some cognitive biases, restrictive beliefs, etc.

For those struggling with OCD, it is important to recognize that both obsessive thoughts and compulsive behaviors must be addressed. It is not helpful to dwell on these thoughts and behaviors.

However, this is akin to breaking an addiction, which requires a period of adjustment. During this time, it is important to engage in constant self-training to optimize compulsive response patterns.

5. In real life, due to various disappointments, we may find ourselves unconsciously weaving an idealized version of the past, which can lead to a tendency to dwell on past events and imagine potential negative outcomes. This can, in turn, contribute to a cycle of compulsive repetition.

If we fail to see this, there is a risk that we may become trapped in the emotional space of compulsions.

6. It could be said that the so-called compulsion is also inseparable from the word "fear".

Could I ask what our instinctive reaction to fear is?

Our natural inclination is to pursue beneficial outcomes and to avoid unfavorable ones. If we are fearful of cats, for instance, we may naturally desire to maintain a safe distance. Similarly, if we are uneasy around dogs, we might choose to avoid them.

I am afraid of socializing, so I tend to avoid it. I am also afraid of talking, so I don't want to talk.

Some of us may be overly cautious due to a fear of making mistakes. Similarly, we might be more suspicious of others because of a fear of being hurt.

It might be helpful to think about fear of some catastrophic consequences in the future as anticipatory fear.

♀ Behind all our fears, all our "what if" thinking, all our worries, all our fears, there is one thing in common: we are all trying to eliminate the reaction of fear, and this is the source of the most challenging aspect of our OCD.

It may be helpful to consider that what we were afraid of in the past is actually a reaction to the connection between our past and future. It is possible that we are afraid that history will repeat itself, which could be interpreted as a fear of the feeling that we experienced in the past.

It would be beneficial to avoid this feeling. Over time, not only has the painful feeling not been avoided, but it has instead led us to become deeply entangled in the quagmire of this neurosis.

♀All the triggers that lead to the formation of our symptoms have a painful memory that is pent up in the depths of our hearts. At that time, we did not have a better way to sort out our emotions from the event that triggered it in the past. Over time, we became resistant, antagonistic, and evasive at the level of that fear, that is, the emotions of fighting and fleeing. We are constantly fighting with our inner fear, constantly trying to avoid it, and this becomes like a chain within us. The trigger of neurosis is just a form of being triggered.

♀ One of our views and concepts, or a behavior, as long as it is repeated a certain number of times, may form a fixed link in the neural circuit in the brain. The brain may then secrete a chemical such as adrenaline, which could lead to a neurotransmitter imbalance and an overreaction within. This could in turn lead to a compulsive reaction.

7. You may find it helpful to practice mindfulness meditation and mindfulness exercises to develop your awareness and scan your body and mind for feelings.

It may be helpful to try to coexist with any feelings we have, including discomfort, rather than rejecting them. This could include anxiety, thoughts, or physical sensations, for example.

It may take some time to recover when you are carried away by the addiction of thoughts.

It may be helpful to let go of the feeling of being forced, rather than fixating on it all the time.

In summary, it is important to recognize that with OCD, it is not helpful to fight the symptoms. Instead, it is more beneficial to accept the symptoms and learn to live with them, rather than rejecting them and trying to push aside the emotional feelings associated with OCD.

It may be helpful to consider ways of disrupting the patterns of thinking and mental interaction associated with obsessive-compulsive disorder. This could involve avoiding engaging in obsessive thoughts and behaviors.

It may be helpful to view acceptance as a way of not fighting your initial anxiety. Obsessions can be seen as a way of trying to relieve anxiety and achieve inner peace, but this can sometimes lead to a cycle of reinforcement and fighting the feelings that arise. Learning to accept your initial anxiety and understand its natural progression can help you let go of the feelings associated with OCD.

I hope this provides some insight and is helpful to you.

Hello. It's clear from your description that you want to change the current situation urgently. Before we discuss this issue, I'd like to give you a big hug to show you that I support you.

You say you "spend a lot of time on OCD" and "it's painful." Let me be clear: the pain of OCD comes largely from "fighting" with it. The more you try to get rid of those recurring behaviors or thoughts, the more frequent they seem to become, and the more you want to get rid of them.

Morita therapy is currently used in addition to drug treatment to treat obsessive-compulsive disorder. The principle is simple: let things take their course and do what needs to be done. This means not having a confrontational attitude towards so-called obsessive behaviors or thoughts. Instead, you must learn to live in harmony with them. Living with the symptoms is like coughing, sneezing, and running a nose when you have a cold.

Let me introduce you to Morita therapy. Also known as Zen therapy or radical natural therapy, Morita therapy was founded by Professor Morita Masuma of Jikei University School of Medicine in Tokyo, Japan, and named "special therapy" for neurosis.

In 1938, his disciples named it "Morita Therapy" after the professor's death.

Morita therapy is the most effective treatment for obsessive-compulsive disorder. Over time, it has been adapted to help people with normal mental health issues. In fact, Morita therapy is a life study.

This is just my opinion, but I think it's worth sharing. I don't know if it's helpful, but I hope it is. Take care of yourself.