35. OCD Treatment: What if I'm getting it 'wrong'? Do you worry about doing the treatment 'right'?
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- Опубликовано: 24 окт 2021
- CBT Therapist Katie d'Ath explains how to handle the worries about getting the treatment process 'right'. Katie offers individual therapy but you may also like to check out BetterHelp betterhelp.com/katiedath
Sponsorship received using these links supports Katie's work in helping people overcome OCD.
Apologies for uploading the unedited version!! AH well, I will just have to practice what I preach and leave it there. Just goes to show that even though I didn't check it and a mistake was made it's not the end of the world!
It is amazing to have such an expert of OCD help us through RUclips!! Much love in your direction!! Your explanations are so important and helpful
We are so fortunate to have the opportunity to listen you. Thank you so much.
Thanks a lot for uploading these videos
This is such a life-changing video! Thank you so much! I think this is just the video I needed to see to actually continue my OCD therapy after randomly stopping it. I really do think that OCD about the treatment has plagued me just as much as my OCD itself. So now I know I must let go regarding OCD about the treatment, then I can fix everything! Wow, I'm so grateful! Thank you again so much!
Thanks for sharing this. It's actually remarkably common - just one of OCD's cunning tricks to try and get you to keep engaging with it!!
Hey just wondering how you’re getting on now, cheers
Thank you so much for making videos. You are helping me a lot. Your videos are so important to me, thanks a lot. Seriously.❤️😭
Great video. Thanks alot. Life saver you are
So glad it's helpful
your videos always pop up just when i need them. i started facing my ocd at home about a year ago now, with the help of your videos. I've stumbled pretty hard lately, doing compulsions i hadn't even noticed before, but these videos have been helping me refresh and I've become more confident again in my treatment and exposures :) your advice + a lot of mindfulness and compassion for myself have helped me become more curious and confident in noticing any triggers and facing them, rather than avoidant and insecure. thank you :)
You are so welcome. Thanks for sharing and I'm really happy you are getting on top of it.
Did you also have depression?
Please answer me cause I think I have pure O and depression combined
@@pratibhasrivastava1506 my OCD has definitely caused me to have depressive episodes before, if that's what you mean. I've always dealt with anxiety, depression, and OCD, and they can overlap a lot. :)
Hey I’m just wondering how you’re getting on now, cheers
@@jamesjohnstone1224 hey, thank you for checking in :) i'm doing great, life has its ups and downs but OCD is now just a piece of my life rather than overwhelming it entirely. i have harder days but i have so much experience now that being with my OCD isn't too much of a chore, and most days i barely notice it. letting it be in my life and just accepting/acknowledging my thoughts rather than forcing them away has really changed my life. it's always a practice, but at this point i am an expert in my own OCD and can recognize my patterns with ease and simply keep going with my life rather than giving my thoughts the energy or response they want. thanks for reaching out, it has helped remind me of how far i have come. cheers :)
Thank you so much! I really kept wondering about doing my treatment right, maybe bc of me being a perfectionist? But thank you for this video! This is a good guide for me to move forward
Well this is relieving
Thank you so much!
I want to thank you so much. I couldn't afford therapy but your videos+meds made my life so much better. I can get out of bed now. Brushing my teeth and dressing up isn't frightening anymore. I can go outside again. I fought my life back. Now the only thing that I fear is that it will come back. But anyway, I'm really thankful
You're so welcome - I'm really glad they helped.
Love you so much kaite
Thank you so much ma'am
I've been struggling
May God bless you 🙏
You're very welcome.
Thanks! I guess this can be applied for any situation where OCD attempts to make us second guess ourself, like even in academia.
absolutely!
Thank you so so much!! You are the reason why I'm finally starting to overcome my OCD. 2 years ago I found your videos and was finally able to admit to myself that what I was experiencing was indeed OCD. Your videos have been such a fundamental catalyst and I have been working on myself ever since! So thank you, thank you from the bottom of my heart! I have checking OCD but have been able to overcome many of my compulsions. I am, however, still stuck on studying. I am a sixth year medical student and thus far have been able to pass my exams, but at a very high cost to myself in terms of time and psychological pain (studying becomes an endless cycle of uncertainty and checking!). I was wondering if you could offer any suggestions on the matter, maybe with a new video? This is one of the fields that, despite many attempts, I have not been able to improve.
Hi Scarlett. So glad you found the videos and you've been able to help yourself. Ah the dreaded checking and studying! So all the same principles apply. Deliberate exposures are usually things like deliberately making a mistake, typo, omitting something, skipping a few lines when readying etc. Also ask yourself what is worse, to potentially make a mistake or to definitely keep having OCD?
@@23katied Thank you so so much!! I'll definitely try that😘
Hey just wondering how you’re getting on now, cheers
Thank you Katie for ur informative videos . Unfortunately, there are many people who don't get proper quality treatment for OCD . I myself got under treated for 5 years and that time can never come back . I really hope that someday, ERP treatment is more accessible so that no one suffers in silence .
I couldn't agree more. It's such a shame that so many people suffer for so long without decent treatment - I'm hoping in part that these videos will help to change this.
Thank you doctor:3
You're welcome
Thank you doctor :)
you're welcome
I just found your channel and am truly in awe of what you're doing here. I know you probably get a lot of requests etc but if you were looking for some new ideas, i would love to listen to you talk about the symmetry obsession... Its kinda ruining my life. I dont understand why i have this need for certain things to be in a certain way and have no idea how to stop ( i sometimes adjust stuff for hours because they never seem even enough)
Hi there. I'm going to put symmetry on the list!
I love all your videos and they help me so much! I’d love love to see more ways to do ERP on specific types of OCD more for mental checking -
Can you share some examples of your mental checking ?
@@23katied hey Katie sure , so a lot of the times I mentally checking pretty much when I first wake up - “am I still having that unwanted thought” “does it still make me feel a certain way” “is it still there” . I’ll be occupied for example out with friends then once I get home I do the checking as to wether the thought is still lingering bothering me or if it still makes me feel a certain way!
@@sabrinasaremi3164 UGH. this is describing me right now. i am the exact same.
Boom boom boom ALL me fantastic thankyou, this is why I subscribed
Ha ha I'm glad it made sense to you! Now you know that you are not alone in the way OCD tries to trick you!
thank
Hello, thank you so much for uploading these videos, can I know where and how can I contact you for therapy? Or get more information about the treatments?
I’m trying to treat my ocd myself without treatment. Not complying with my compulsions is causing me to spiral into the worst panic attacks and depression I’ve ever experienced. I fear “treatment” is doing me more harm than good 😭😭
well done - there's no reason why you can't treat your own ocd! Not complying with compulsions is VERY hard and also not anywhere near as effective as doing deliberate exposure to your fears so do make sure you are doing that as you will have much more success that way. But, either way, unfortunately you are likely to have to go through some short term pain when doing your ERP but it's worth it for the long term gain.
Perfect timing. I had a trigger that triggered me.. really thought I should work it out but this has stopped me
Great job!
Thanks so much. Do you think OCD often goes undiagnosed? I've been diagnosed with GAD for over twenty years but your videos make so much more sense, especially explaining why "self talk" or reassuring yourself, doesn't help.
And on a related note, I think "intrusive thoughts" is the wrong term, and we should talk about "intrusive emotional responses to thoughts"!
@@johnbold Yes the average time from onset to diagnosis is around 10 years and often people are diagnosed with anxiety or GAD instead of OCD. Intrusive thoughts is definitely the wrong term - I've just made a video about this!
I've had ocd for over ten years, still haven't been properly diagnosed and have avoided seeking help because of clueless gps referring me to equally clueless psychologists. When I explained my ocd symptoms to a psychologist, she said its anxiety and gets treated the same way (using cbt). Another one said editing my thoughts (replacing a bad thought with a good thought) was a good thing. Frustrating, but I'm determined now to see a ocd specialist because I'm learning from watching Katie's videos that someone with in depth knowledge can make all the difference!
Hi Katie. Thanks for the videos, they have been extremely helpful but I was wondering if you could do a video on the number 13 and some strategies for exposures? My obsessional thoughts tell me that doing things for the 'first time' at 13 past, or 1 o'clock means that I will get bad luck every time I do that thing again. (it almost has got to the point where it has become pure O, as there is no compulsion that can fix this). I also have fear of buying things or doing things at 13 past or choosing things that have a 13 on them (like the price of a product, or a shirt that has 13 on it). My OCD has got very creative, so it would be good to hear your thoughts on some exposures to the number 13! thanks.
Very simply you need to seek out 13s and do it delberately! Do things at 13 past, get a no 13 bus, call a friend 13 times etc etc
Ma'am please make a video on compulsive staring ocd.
It's killing me everyday. 😭
Hi Katie. I suffer from bad pure O and you’re Video’s really helped me a lot. The only thing I am still struggling with is how to not engage with the thoughts. I somehow always end up suppressing my thoughts. Or at least that’s what I think I am doing. It feels automatic and I really don’t know how to stop it. Thank you for sharing your knowledge with us! 🙏 it’s really hard to find an OCD expert where I live.
Do you also have depression?
Please answer me cause I think I have pure O and depression combined
@@pratibhasrivastava1506 yes sadly it often comes together. But I can assure you that the methods mentioned in these Videos work! I feel way better after doing ERP (Exposure and Response Prevention). Sadly Katie isn’t to active on RUclips anymore. But the videos are still valid and work! Good luck!
@@louisstkr9581 I have been doing ERP for last one Month and I definitely feel better...but I still don't feel that I am able to apply my 100 % concentration on my studies like I used to apply before I had ocd that is before I was 15 y old...
@@louisstkr9581 it's only been one month of doing ERP ...so can I get better after doing more and more ERP....can I again apply good smt of concentration?
@@louisstkr9581 thank you for answering
Hello! I have a question, if it is possible, pls answer me. Now I am getting better, but sometimes my OCD increase in these cases I do not try solve as I used to do it before, but I go through of it, kinda a little think about it and start always remind myself that I got through of it. I remind that I did lets say some action, if I didnt solve I would still were siting where I was, but I did action - it means I solved. Or it can be about numbers too, when I solve I keep on mind the number and remind myself.
Hi Maam Katie d’Ath can you talk about Peripheral Vision OCD or Compulsive Staring OCD? This type of OCD has been around 2000s but the community about it is still small.
Thanks to you I'm trying hard to overcome my OCD, which is arithmomania but my problem isn't just the unwelcome thoughts but blaming myself and losing sleep over it. What would you suggest?
Hello i have ocd from past 3+ years. i always had intrusive thoughts or words running in my mind. I tried to ignore them
But now when iam talking with someone or or just replying to thier question these intrusive words come out of my mouth suddenly without me saying them.They come out on their own not with my on will.Can you tell me what should i do to prevent it.(sorry for my bad english. I understand english very little hope you understood 😀)
Hi Katie! In one of your other videos you recommend recording a looptape and listening to it over and over. How long would you recommend listening to this? An hour a day for a week, two hours a day for two weeks etc?
Ok so as with all ERP the guideline is to do it until your levels of discomfort have come down. So if you start playing the recording and you are say 8 out of 10 keep it playing until it is bothering you less - maybe a 3 or 4. It doesn't have to get to a 0! In my experience 5-10 minutes each time is generally enough. Then repeat the exercise daily until it isn't bothering you much when you play it - again doesn't have to be 0..... Generally people I work with might do this for a week or so but as with everything it is different for everyone
Thank you for this! I've been doing ERP at home using online resources since I can't go for therapy right now and there's no OCD specialist available in my area. I've been bothered and fear that my exposures are too extreme and even people without OCD wouldn't do it. I also fear continuing these exposures as a preference after I get used to them, which is unacceptable because again, I'm afraid they're too much. I feel like going to a therapist would provide me reassurance that my exposures are acceptable as they'd approve of them, as I think my OCD has latched onto this. Do these come under the same category as this video, what can I do about all this?
When I work with someone who gets reassurance from the fact we have discussed and agreed the exposures together I will get them to plan and do theri own exposures without telling me.... Ultimately if you do it without any reassurance you are going to be far better off in the long run. Feeling like you are taking risks and learning to tolerate the discomfort of this is essential to overcoming ocd.
See episode 8 it is very helpful
Thanks - that one is the mainstay!
Hi ms dath, I have pure o ocd and am trying your method in previous video which is thinking the thoughts on purpose and agreeing with them and doing the opposite of what ocd would like, e.g agreeing with them. I just have a few questions as I am obsessing about the method, how often do I think these thoughts on purpose? Should I try spend all day thinking these thoughts? Also what do I do when the physical symptoms come up and the feelings of ocd come up, do I just try not respond to them? A huge obsession of mine is about the treatment itself so I've watched this video, but I still have these questions.
So this is tricky to answer as you say you also have an obsession about the treatment so whatever I say is unlikely to give you the reassurance or certainty that your OCD craves. The trick is to take the risk - it's better to get it wrong than worry about getting it right!
I've tried your treatment methods I've also tried mindfulness and cognitive therapy nothing Is helping. I've also tried some psychotherapy. I've given up and my mind is making me do things I don't want to. What am I supposed to do next?
I have been suffering from OCD for years but never diagnosed as such. I have been seeing my psychologist x 33 yrs for depression, anxiety with ADD which was not Dx until 20 yrs. ago.
The OCD has been so severe in the last 3 yrs. and making completing tasks unrelated to what "really needs to be done" that day.
I have finally admitted 😔 to myself and now to my husband that I have it. That's a break through.
Now I need a new psychologist because mine has retired.
Any suggestions 🤔
Thank you so much mam I have one question what happen when ocd patient get pregnant especially women that stress during ocd will effect the child? It is possible to have a healthy child when we have ocd?
I'm having mental health issues and my parents don't believe in mental health so I have been seriously struggling and I had no where else to go
What should I do when something is consistently is bothering me ? Like an environment and it’s illogical and I don’t want to see that
Hi Katie,
I am struggling with harm ocd and other taboo ocd themes.
I am really struggling at the moment as you mention in some previous videos about people can have certain ocd themes and there one session be true.
I saw you comment about someone with hocd and saying they could be gay and ocd doesn’t mean they are not.
So does this mean my harm thoughts and other ocd thoughts could be true then? This is something I would love to hear from you.
I have seen multiple therapists who have diagnosed me with extreme ocd and told me it means they aren’t true but you are saying they can be.
So can people with harm ocd and other ocd taboo themes actually be true then?
This is what has left me quite distressed at the moment as every book I read and every podcast I listen explain that these thoughts are not true.
I have worked with multiple therapists who have all said this means it’s not true and have sat Infront of a board of specialists who have said you have ocd and are not these things but in your videos are you saying these taboo thoughts could be real? Really would be good to hear from.
Thanks for this question it is very important and I will make a video about it as i realise those comments have confused people - but the answer is this - the thoughts are just thoughts and they don't mean anything. Therefore they don't mean you are something and they don't mean you aren't. When you get told (repeatedly) that these thoughts are "not true" you would think that would solve the problem but it doesn't. The trick is to ACT AS IF you believe they are not true and stop trying to get certainty about the content.
What should you do if the exposure therapy becomes reassurance? This has happened to me and I don’t know what to do.
Thanks , i guess u apply this 'guideline' for whenever it says i m doing something wrong?
It would be great if you could do a video on how do you know it’s an OCD thought? Mine are all very generalised.
Hi Alan. No such thing as an OCD thought. Thoughts are just thoughts..... I talk about this in lots of my videos. If you mean how do I know for sure whether to treat it like it's being generated by my OCD then the answer is take the risk of assuming it is and behave as if you believe this - i.e do nothing with the thought! (Easier said than done I know!)
I grew up in a very stupid family background. They always had this way to make the youg kids feel guilty by telling them that there always wrong because they are adults. And they know everything. So at the beginning when i started to view the world logically they used say that im wrong and like used to show a lot of emotions and explaining something bad always. At first i used not take notice but later i started to think what if im wrong. Because they always find a bad reason to explain that im wrong and they always like act like they get a heart attack so that's how my ocd started.
Ma'am you are doing a commendable job.. My case is health ocd.. Are these steps sufficient Or should I prioritize something else to recover fully
(1) Disregarding obsessions
(2) Doing ERP
(3) Do not engage in compulsions
How are you doing now?
Do you also have depression?
Please answer me cause I think I have pure O and depression combined
I don't have depression...
Depression sometimes is co-related with OCD..
Are u on medicines?
@@Drew50034u no I am not
@@Drew50034u thank you for answering
Hey my brother has really bad ocd and doesn’t want help and it’s getting horrible and I was wondering if I can some how message you for some tips to maybe tell him and help
Good vidio 👍👍
Thanks.
Hi Katie, I was just wondering if you’re OCD and anxiety is causing physical pain such as digestive pain, I seem to be experiencing these pains on the left side of my abdomen which feels like gas but it doesn’t seem to go anywhere, it’s been there for months, what would be the solution to this, because this is all I seem to be able to think about.
Hi Ibrahim. It's very common for anxiety to cause strong physical sensations and symptoms.
Im now obsessing i have done "too much ERP" and i am completely desensitised to violent thoughts meaning that I am now more likely to carry them out because they dont scare me like they used to. Lol i hate ocd
Hi ma'am. I'm recently diagnosed with ocd of perfection by a psychiatrist. Everything in my life is either 0% or 100%. There is no in between. My psychiatrist told me to wait for 2-3 months before consulting any psychologist. But i can't wait.
Could you please make a video on ERP for ocd of perfection or just give some tips by replying to this comment.
Hi Seema - yes I will indeed make a video on OCD and perfectionism. In short you can follow all the advice in the videos - firstly work out what it is you fear about doing things not 100%.....
@@23katied Thank you for replying ma'am. I've watched ALL of your videos in last 2 days. Btw it's a fake id, I'm using my mom's id. I'm a 25 years old male pursuing PhD (mathematics). I'm afraid there is no fear or may be I'm not aware of them.
MY PROBLEM- NOT ABLE TO STUDY for 5 years EVEN THOUGH I WANT TO.
HOW IT STARTED - I just love.....yes i LOVE Mathematics since childhood. But in last 5 years first my grades declined slowly and now I'm not able to study at all. Bcz of few years of continuous failures i fear that i won't be able to study maths as i used to. Like you asked what my fear is if don't study 100% is I'll lose my identity, all my teachers, friends relatives knows me as a guy who's brilliant and extraordinary at maths. I will lose my x-factor. I'll lose the thing which made me way better than everyone else in Maths fraternity. Which makes me very stressed and to cope with that stress i indulge my mind in something, like i start watching tv, RUclips or go out and play with my friends, anything expect studying. I still badly wants to study bcz I'll have to start earning money quickly to feed my family but I'm not able to study.
This is my problem, my obsession to study maths is now my fear/anxiety causing thing. I don't know how to tackle this.
Please help ma'am. Give me a starting point.
ADDITIONAL DETAILS- The thing is I got to know I'm suffering from this perfectionism ocd just 1 month ago. Before that i had no idea i was suffering from such ocd. It's now after telling by doctor I'm realising how meticulously i do all my daily chores, studying and basically everything from the time i wake up to the time i sleep. I was doing all things so meticulously Unintentionally. Feels like every minute of my life is under perfectionism's control. After realising I'm able to change my daily chores process easily bcz i've no fears regarding them if i don't do them perfectly. Now i have much more time in my day. But I'm still struggling to study.
Hi Kate, I would love to get in touch with you to know how to receive your services, is there an email or website I can go to find you?
please tell me how to handle this situation... before I even have a thought/feeling/sensation/urge I start to fear the situation which I know may trigger my ocd. And surely then I have the thoughts coz i was already contemplating it. How should I stop fearing the triggers? Whenever am not fearing or preoccupied I find that the same situation doesn't cause any reaction in me. Please help!! My wedding is in a month and i know it's a hugr trigger for me. I don't wanna lose that day to my ocd. I fear that on my wedding day instead of my fiance I'll imagine someone else whom I felt was attractive. My fiance and I have been in a relationship for 14years. I'm from India.
Well as you know the more you try and make something not happen (or you fear it will happen and therefore create resistance to it) the worse it is. My advice would be to do some deliberate exposures where you imagine yourself walking down the isle and seeing someone else you found attractive instead of your fiance. You need to take the sting out of the idea.
@@23katied now that I deliberately imagined it... i don't really feel any attraction anymore. It's so weird. Thanks for this. I needed this advice.
Please do some live Q & A
Good idea - I will try and work out how to do that....
@@23katied thank you so much Mam, and please enable Super chat, while live stream, so the one who want to send some money can send & the one who can't, won't but it will help a lot of people.
Do people act on ocd urges under extreme anxiety. I have a friend who has severe ocd and he don't like to touch people but he will move towards people or when someone sits beside him he will move towards them and touch them because he can't keep his body still. Just wondering trying to help him the best I can but don't know alot about ocd. Thanks
People will perform compulsions when their OCD has been triggered. Hopefully by watching my videos you'll get a good understanding of how OCD works and it would be amazing if you could encourage your friend to watch them too so that they can learn to help themselves as best as possible.
@@23katied and what books do u recommend for ocd urges and intrusive thoughts.
@@ryancole1838 To be honest I would say that our "managing OCD with CBT for Dummies" has the most information about this I've seen in an OCD book but there may be some more out there that others recommend.
thank you so much maam,
HOPELESS MEDICO TRYING TO
you are the reason i still have hope in my condition, I have these strange thoughts of my family members doing it with others like porn stars... its grown so much that it occupies 24*7 like even while eating it randomly pops of and after that i used to spit out the food as i think that food is fused with the thought and its gonna inside me
i,m a medical student who completed my posting with treating people naked and even catheterized urine tubes, but nothing happend then...
U said in ur ERP we have to deibirately expose but maam this is so much disguisting that i cant even try to think also if i did my mind automaticallly replace with good thougts.... I,m suffering like a hell maam plz help me... ...
even while posting this my mind randomly pops that thought of my family member with porn star or random members....its like saying u are posting this while you have this thought so dont post dont post....
plz help me maam eagerly waiting for ur reply maam
Did you also have depression?
Please answer me cause I think I have pure O and depression combined
Thanks，i have learnd much from your content，compare to many other experts，i think you are more influenced by the eastern philosophy。
plz help
Mam, wanna ask you some questions, I think that may really help me.
THat's fine. Feel free to ask and I'll do my best to answer.
Your 8 year Old Video Changed Me a Lot. Hope to Meet You One day 💓. ( Though Don't know where do u live)
From: Bangladesh 🇧🇩♥
Good to see you practice what you preach. For instance, you weren’t concerned about getting the editing right for the first 30 seconds or last 5 seconds of this video..🤣🤣🤣🤣
I was just going to comment the same! Katie is inspiring us all to go with the flow a little more 🙂
HA that is brilliant I totally didn't realise I'd manage to upload the unedited version!!!! Well as you say I will have to practice what I preach and leave it there. Just goes to show that even though I didn't check it and a mistake was made it's not the end of the world!
Hey Katie, is a fear of making someone ill a form of OCD? If so what can be done about it?
Hi Dave. An obsession can have any content at all. Work out what you are doing to avoid having this thought or to avoid the possibility of it coming true and then use this as a basis to start working against the OCD.
Didn’t understand it … Can you give me an ex for someone who has contamination ocd?
1:57
you looks like me?
you ve the same profile picture
and the same proplem
(ocd)
anyway you are Hero👑
save pepole from ocd👑
i ve tried this thing and it is a NIGHTMARE💔🔨
finish what you're doing 👑
you doing good👑
hero👑
0:30
Mam, OCD is ruining my life please help me.
see the videos of this woman
@@diegocuneo9100 I hv watched all the videos bt wanna ask some questions.
@@banz3949 go for specialist if you can. if you not, search in the web information
@@diegocuneo9100 I took treatment for years but those were may be giving wrong meds waa doing reaction and I was to like fully mad and was like to die, somehow I save alive, but left the meds bt OCD is leaving me. Anyway thanks bro for telling me.
(Still it's disturbing while replying 😂😭)
@@banz3949 you go for specialist in toc or just psychiatrisch
You are very beautiful and adorable
Live q ans r time please
I'll see if I can work out how to do that...
Yes please!
can you talk about sexual toc?
Yes I'll make video!