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OCD Core Fears Related to Body-Focused Obsessions & Compulsions (e.g., Swallowing, Breathing, Blinking)

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This post is the second in a series of posts discussing body-focused obsessions and compulsions (aka, sensorimotor, somatosensory, or somatic obsessions and compulsions) in obsessive-compulsive disorder (OCD). This series was inspired by an original article written by Dr. David Keuler for Beyond OCD. You can access Dr. Keuler’s excellent article here. OCD Core Fears Related to Body-Focused Obsessions (also called Sensorimotor or Somatic Obsessions) In Part 1 of this series of posts, I discussed the basic characteristics of body-focused (also termed sensorimotor [Keuler, 2011], somatosensory, or somatic) OCD. This type of OCD is extremely distressing and is associated with hyperawareness of particular bodily processes, urges, or sensations. Obsessions and compulsions often focus on breathing, swallowing, tongue movements, blinking, or other bodily phenomena (Keuler, 2011). In clinical terminology, obsessive-compulsive disorder is a heterogeneous disorder. This means that different people have...

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Sensorimotor OCD Body-Focused Obsessions & Compulsions (Swallowing, Breathing)

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This post is the first in a series of posts discussing body-focused obsessions and compulsions (i.e., sensorimotor obsessions and compulsions) in obsessive-compulsive disorder (OCD). This series was inspired by an original article written by Dr. David Keuler for Beyond OCD. You can access Dr. Keuler’s excellent article here. Body-Focused Obsessions and Compulsions in OCD (sometimes called Sensorimotor, Somatosensory, or Somatic Obsessions/Compulsions) As I have mentioned previously, one particularly distressing symptom of obsessive-compulsive disorder (OCD) can be hyperawareness of particular bodily sensations. Body-focused obsessions (also called sensorimotor obsessions (Keuler, 2011) or somatosensory obsessions) often feel intolerable and typically involve getting your attention “stuck” on thinking about or analyzing particular autonomic processes. Thoughts may become fixated on one’s breathing rate, heart rate, swallowing, blinking, eye “floaters”, or flickering of the visual field (Keuler, 2011). Sufferers frequently label the problem as conscious...

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OCD Treatment (ERP & CBT): Exposure & Cognitive Restructuring

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Question: To what extent would a change of mindset (e.g., changing my expectations for myself) be helpful in recovering from OCD? What is likely to happen if I delay formal treatment with a psychologist and work instead on changing my own mindset? OCD Treatment Components: Cognitive Restructuring + Exposures Regardless of whether or not it occurs in the context of formal psychotherapy, changing your mindset will be a critical component of your recovery. If you do any reading on cognitive behavioral therapy (CBT), you’ll see this referred to as “cognitive restructuring.” Devoting time to challenging and modifying your underlying belief system is essential for fighting OCD, but research on OCD indicates that this process alone will probably be insufficient if it’s not integrated with appropriate exposure-based behavioral strategies (e.g., exposure and response prevention [ERP]). OCD Treatment Delays In general,...

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Pure-O OCD Rituals: Starting Over, Resetting, & Undoing

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Question: It’s hard to describe this, but I feel like every few days I need to mentally “start over” by doing a variety of mental and behavioral rituals. I don’t want to live like this, but I’m afraid that if I undergo treatment and stop my OCD rituals, I won’t be the same person with the same drives. Starting Over, Resetting, & Undoing Compulsions in OCD First, please rest assured that you’re not alone in experiencing these symptoms. Many people with OCD (“Pure-O” or otherwise) refer to them as “starting over” compulsions, “resetting” compulsions, or “undoing” compulsions, which serve the function of returning to a clean mental slate. Sometimes these compulsions consist of particular movements, self-statements, mental activities, or complex rituals with both behavioral and mental components. They are not as common as other types of rituals (e.g., washing,...

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Fear, Doubt, Uncertainty, ERP, & the Monster Under the Bed

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Everyone I know has, at some point, had to deal with the monster under the bed. Some do it with grace. Others falter. I’ve always been clumsy. I can vividly recall many terrified nights from my childhood, when I would lie rigidly in my bed, utterly paralyzed by fear. Afraid to make the slightest movement, to breathe, to call out for my parents…lest I be detected by IT. The pounding of my heart would be so loud in my ears, and my breathing so ragged, that I could swear the entire house could hear me. And yet…no one came to help. The moment would stretch out like taffy. At some point, my raw fear would ever so subtly decline, freeing me up to end the stalemate in one of several ways. Some nights, I would call out for help....

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