Archive for the ‘depression’ Category

OCD; A Basic Introduction.

Saturday, March 5th, 2011
 OCD. An Introduction:
 
 
 Obsessive Compulsive Disorder (OCD) is an anxiety disorder affecting anywhere between one to three percent of the general population. OCD is a psychiatric brain disorder or can otherwise be described as a neurobiological disorder of the brain characterised by obsessions and/or compulsions however it is generally recognised that a person with OCD will suffer both obsessions and compulsions which can lead to extremes of anxiety. Never-the-less, there are treatments available today (which can at least improve our lives) even in cases that are severe or full blown. How do I know? I am a former sufferer of severe OCD which lasted many years and I have experienced battles of OCD and related problems, however I have also experienced what is involved in overcoming or improving relentless and severe symptoms of OCD. Contrary to my early beliefs, symptoms of this disorder can indeed be minimised to a large degree in where the sufferer can lead a much improved or relatively normal life.
 
 Checklist:
 
 * OCD is a disorder characterised by obsessions and/or compulsions (usually both).
 
* OCD is truly recognised as brain disorder (Ref. TTSR).
 
* OCD can be effectively managed (at least improved).
 
Other relevant notes are as follows:
 
* An essential feature of OCD is that obsessions or compulsions are bad enough (severe enough) to be time consuming (at least 1 hour per day).
 
* OCD is non-psychotic.
 
* A person with OCD does not lose touch with reality.
 
 

  A video describing symptoms of OCD and diagnostic criteria:

Bibliography :
Myers, D.G. 1999, Exploring Psychology, Fourth Edition, Worth Publishers Inc., New York.
Osborn, I. M.D. 1998, Tormenting Thoughts and Secret Rituals, First Edition, Pantheon Books, New York.
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Thank you for visiting www.depressionmentalhealth.com, a free self-help web-site to help you or somebody you know to manage mental health issues.

Paul :-)

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OCD; What is it?

Monday, February 28th, 2011

OCD; What is it?

What is OCD? The first thing many people think about is it’s that ‘thing’ that some people have when they keep washing their hands. Well, from my experience, this could be answered as “yes”, but it is somewhat stereotypical and one can can certainly suffer OCD without these hand-washing rituals. Even though this is a classic symptom, one may have hunderds of other obsessions and compulsions other than this which can be extremely anxiety provoking and very distressing. This is only one of thousands of possible obsessions and compulsions attached to this disorder. Some people may even have a nasty case of OCD, yet not face an intense struggle with this particular compulsive act (hand-washing) and the obsessions attached to it. Later on, I would like to give some descriptions and examples of obsessions and compulsions.
As in any disorder, there are different levels of severity, and OCD can manifest itself in many, many ways. It may be one the easiest disorders for psychiatrists to actually diagnose, yet the context of OCD is extremely misunderstood (by the general public). Regardless of such misunderstandings and so-forth about this mysterious disorder, I would like to share my own personal insights into many facets of OCD as I have personally lived decades with this disorder and I hope that my insights will not only relate to others who are battling this awful disorder in their own lives, but also in the hope that people may somewhat benefit from reading this and be able to apply some strategies/ideas in their own personal lives whether it be facing the challenge of overcoming OCD or any other related problems that this disorder is so often connected or related to.

OCD in its severe form is a seriously disabling and crippling disorder, but it may not necessarily remain that way for the rest of the sufferer’s life. Nevertheless, OCD is recognised as one of the most misunderstood of any mental disorders. Apparently, Sigmund Freud admitted that OCD baffled him.

Throughout this site I will explain from my own perspective as a former sufferer of severe to extreme OCD (clinical diagnosis) what obsessions are, what compulsions are, the nature of this disorder, the prognosis of recovery and much, much more. I have an awareness of misunderstandings and myths about this disorder and throughout this site, it is intended that OCD can be explained from the reality of it and how it really is in the hope that others may understand OCD much better and perhaps that sufferers of this cruel disorder may find some comfort and hope that OCD can be managed.

So what is it? A very basic definition could be:
A debilitating disease characterised by recurrent, intrusive and totally unwanted thoughts which can cause immense anxiety and/or also characterised by ritualistic and totally irrational and repetitive behaviours or mental compulsions which one feels compelled to perform (Ref. AAI).

This is a very basic and general description. A more comprehensive description could be as follows:
A psychiatric brain disorder (neurotic/anxiety disorder) which can manifest itself through multitudes of obsessions and compulsions causing possible extremes of anxiety. OCD is characterised by uncontrollable, intrusive, recurrent, inappropriate and totally unwanted obsessive thoughts/ideas causing possible extremes of distress (the distress as a result of obsessions/compulsions). Obsessive thoughts/ideas can ofter be followed by either behavioural or mental rituals performed in accordance with the attempt to minimise the distress of the obsessive thoughts/ideas. Obsessions and/or compulsions interfere (possibly highly significantly and even to a disabling point) with daily, social and work related activities. The sufferer recognises that their thoughts do not make any sense, but do not lose touch with reality (Ref…added soon……)

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Obsessions.

Sunday, February 27th, 2011

Obsessions:

Introduction.

Perhaps you can identify with the following. Can you imagine doing something as simple as making a cup of tea, but wondering a hundred times or more if you put sugar or even water in it? Obsessions are thoughts or ideas which penetrate the foreground of the minds of its sufferers in which these thoughts or ideas are unable to be quenched or suppressed (stopped) and where the sufferer knows thay are not normal. Obsessions pierce the consciousnes and despite huge efforts to get rid of them, they just seem to remain. Obsessions are thoughts or ideas which have four (4) main characteristics. They are invasive or intrusive, recurrent, inappropriate and totally unwanted. The word ‘obsession’ seems to have a very different meaning in general society or public than what it does cliniacally speaking. Obsessions are thoughts in the mind that swamp and consume the sufferer in where they return again and again and again. As a former sufferer of severe OCD I used to wonder (or even believe) that I was a freak. Maybe you do too. I thought I was quirky. How could any normal person have such ‘stupid’ thoughts that keep coming back again and again? Maybe you question your sanity; I know I certainly did. Maybe you might think you are weird. I certainly thought I was (to say the least). So, is a person who is consumed by obsessions weird or quirky? Certainly NOT! In fact, people with OCD are quite normal. It is the fact that the brain sends faulty messages which all get ‘mixed-up’ as to what leads to obsessions and compulsions. There is nothing so bizarre about a person with OCD and anybody can have or experience intrusive thoughts, however a person with OCD has trouble controlling them.

The word ‘obsession’ comes from the words ‘to besiege’ (Ref. TTSR) and besiege means to surround somebody or something in large numbers in that it is unpleasant or annoying. Obsessions can be extremely unpleasant and can also be infuriating and incredibly frustrating to the sufferer. So, from the word ‘besiege’ we get the word “obsession’ and it clearly relates to surrounding or attacking something, or in the case of OCD of course it is a person. A person is attacked by obsessions; thoughts and ideas which come unwelcomed to the mind and in large numbers (hence, one of the properties of obsessions is that they are intrusive and another property of obsessions is that they are recurrent). Think of an army with a never-ending supply of troops which attack relentlessly and in huge numbers. A person flooded with obsessions could be likened to as an enemy like this who attacks again and again and doesn’t know how to stop or surrender.

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Obsessions are recurrent and intrusive and this may not seem so strange to those who do not have or understand OCD. With OCD, it is the brain which shoots faulty messages and basically a person with OCD does not have an ability to process information in a normal or usual way (left untreated). Anyone can question whether they have put sugar in their tea or wonder if they remembered to turn the stove or oven off (among thousands and thousands of other hypothetical situations) or indeed even have thoughts that can be inappropriate such as stepping in front of an oncoming train, but a person without OCD has an ability to rationally process such thoughts and dismiss them. Obsessions are NOT easily dismissed by sufferers of OCD and it is due to ‘conflict’ in the brain (brain chemistry) in that it misfires. (More information about processes of the brain will be added later) :-)

Because the brain misfires, obsessions just seem to remain or can in fact even come back stronger. As mentioned, obsessions are recurrent and intrusive. They can be very inappropriate also, but also an important facet of obsessions is that they are 100% unwanted. They are of a different nature to addictions and other problems that people can have. Obsessions are ALWAYS unwelcomed and they bring no pleasure or relief what-so-ever.

Checklist:

Obsessions are-
* Recurrent
* Intrusive
* Inappropriate
* Unwanted.

What types of things (thoughts and ideas) do sufferers of OCD have then in relation to obsessions? Obsessions come in different forms as per the content or theme of the thoughts or ideas. Different types of obsessions include obsessions relatimng to:

* Contamination or filth
* Aggression or harm
* Lustful or sexual obsessions
* Blasphemy
* Pathological doubt
* Disgust with bodily finctions or waste
* Symmetry or order
* Need for reassurance
* Thinking specific images, words, nonsensical phrases, numbers or sounds.
(Ref…PA….)

This topic will be expanded on much more in future posts :-)

For now, here is something a little different to obsessions :-)

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All the best for now,

Paul.

Some Points of Relevance Surrounding OCD

Saturday, February 26th, 2011

Some Points of Relevance Surrounding OCD:

It is quite common knowledge that many people with any particular anxiety disorder will go on to develop depression. So, with OCD how many people will develop depression ? This would be approximately 70 to 80%. Approximately 30 percent could go on to develop a major depressive disorder (Ref. TTSR). Some other points of relevance with OCD are as follows:
* Can depression cause OCD? For a long time, it was thought that OCD developed as a consequence of depression. Now though, in the vast majority of cases, depression FOLLOWS as a complication of OCD. Also, it is believed that these two disorders have a different neurobiological cause. Depression is the most common complication of OCD, and approximately two thirds of people with OCD suffer a significant case of depression at some point in their lives (Ref. TTSR).
* Can OCD be diagnosed easily? Yes, but please be very careful or cautious about self-diagnosis. We have fully trained people for this. Much has been discovered and learnt about OCD since the 1970s, and particularly in the last fifteen years or so. Yet it is still a very misunderstood disorder amidst the general public.
* Do all people with OCD show both obsessions and compulsions? The majority of people with OCD will exhibit both obsessions and compulsions, while only a few will exhibit only one or the other.
* Are people with OCD aware that their behaviour is abnormal? Generally yes, if not they may have another co-existing disorder or illness. They are well aware that their behaviour is irrational. However, as their is generally a great fear that other people may think they are “mad”, people with OCD can master a disguise of symptoms and in turn it can contribute to their reluctance to seek treatment.
* What can be commonly confused with OCD? Many things can be confused with OCD such as “perfectionist traits”, OCPD (Obsessive Compulsive Personality Disorder), phobias, addictions, and the loose usage of the words “obsession” or “obsessive” in general society in comparison to obsessions in a clinical recognition. The difference and so-forth of these points of relevance will be discussed on future blogs.
 
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Bibliography :
Osborn, I. M.D. 1998, Tormenting Thoughts and Secret Rituals, First Edition, Pantheon Books, New York.

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