Managed-care administrators demand that therapists arrive quickly at a precise diagnosis and then proceed upon a course of brief, focused therapy that matches that particular diagnosis. Sounds good. Sounds logical and efficient. But it has
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“It felt good to say those things out loud. It was a relief to free them from my head and expose them to the light.”
― The Man Who Couldn't Stop
― The Man Who Couldn't Stop
“Q. How can I be certain that what I fear will happen will never really happen?
A. Sadly, the answer is you can't be certain! If you suffer from OCD you probably want a 100 percent guarantee that you will never do anything dangerous or that no harm will ever come to you or your family members. Unfortunately, life does not work like this. If I think about it, I know that there is no guarantee that I won't be hit by a car coming home from work today - but somehow my brain automatically accepts the very small chance of this happening and so permits me to go on living my life.
More than two thousand years ago the Buddha (a great psychologist besides being a religious teacher) warned that one of the key things that makes us suffer is that we always want more than we will actually get - whether what we want is material like gold and jewels, or (my addition) in the case of OCD, more certainty than you will ever achieve. Thus the solution the Buddha might have offered you in northern India those thousands of years ago might have been something like this: "To stop suffering you must learn to accept that you will never achieve as much certainty as you want, no matter how much you pursue it; so it is up to you to choose: Either accept this truth and live your life happily, or fight against this truth and continue to suffer."
Let me say it again for emphasis: you will never be certain that you won't act on the urges you have, or that the terrible things you fear will happen will not actually happen - but I can assure you that the odds of these things actually happening are small enough that it is not worth wasting your life trying (in vain) to get 100 percent certainty. Better to trust in yourself, your religious beliefs, or in evolution having prepared us well for surviving in this world.
If evidence from brain studies better helps to convince you this is true, brain imaging studies of OCD sufferers now suggest that there really is something wrong with their "certainty system"; whatever automatically lets someone without OCD feel that things are OK does not function correctly in the OCD sufferer's brain (who then tries to convince himself that everything is OK, eventually becoming tired and frustrated when he cannot use other brain functions to achieve 100 percent certainty).”
― Getting Control (Revised Edition
A. Sadly, the answer is you can't be certain! If you suffer from OCD you probably want a 100 percent guarantee that you will never do anything dangerous or that no harm will ever come to you or your family members. Unfortunately, life does not work like this. If I think about it, I know that there is no guarantee that I won't be hit by a car coming home from work today - but somehow my brain automatically accepts the very small chance of this happening and so permits me to go on living my life.
More than two thousand years ago the Buddha (a great psychologist besides being a religious teacher) warned that one of the key things that makes us suffer is that we always want more than we will actually get - whether what we want is material like gold and jewels, or (my addition) in the case of OCD, more certainty than you will ever achieve. Thus the solution the Buddha might have offered you in northern India those thousands of years ago might have been something like this: "To stop suffering you must learn to accept that you will never achieve as much certainty as you want, no matter how much you pursue it; so it is up to you to choose: Either accept this truth and live your life happily, or fight against this truth and continue to suffer."
Let me say it again for emphasis: you will never be certain that you won't act on the urges you have, or that the terrible things you fear will happen will not actually happen - but I can assure you that the odds of these things actually happening are small enough that it is not worth wasting your life trying (in vain) to get 100 percent certainty. Better to trust in yourself, your religious beliefs, or in evolution having prepared us well for surviving in this world.
If evidence from brain studies better helps to convince you this is true, brain imaging studies of OCD sufferers now suggest that there really is something wrong with their "certainty system"; whatever automatically lets someone without OCD feel that things are OK does not function correctly in the OCD sufferer's brain (who then tries to convince himself that everything is OK, eventually becoming tired and frustrated when he cannot use other brain functions to achieve 100 percent certainty).”
― Getting Control (Revised Edition
“I'm tired of being inside my head. I want to live out here, with you.”
― Mounting the Whale
― Mounting the Whale
“The second I get into a car and we start driving, I imagine a fatal crash to the last detail. When I’m in the liquor store, I imagine a robbery by the time the cashier tells me the total. Every plane ride is an 8-hour movie in my head of me planning what I would say to the stranger on my right if the pilot announced the plane was crashing. I always imagine these scenarios. Family dying. Earthquakes. The earth suddenly falling because gravity left the party. It’s exhausting. Yesterday someone was afraid of me. I was bicycling with Austin and we saw a dead deer on the road. It was so large. Austin nearly fell off his bike when he saw it. Then he looked over at me confused. He asked why I didn't react to it. I told him it was because I’d already imagined one six miles back. There are always two worlds playing in my head at once: what’s in front of me and what could be.”
― The Goodbye Song
― The Goodbye Song
“We must respond to life's most difficult questions by humbly conceding 'I don't know the answer, and that's okay.”
― Relationship OCD: A CBT-Based Guide to Move Beyond Obsessive Doubt, Anxiety, and Fear of Commitment in Romantic Relationships
― Relationship OCD: A CBT-Based Guide to Move Beyond Obsessive Doubt, Anxiety, and Fear of Commitment in Romantic Relationships
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