Obsessive-compulsive disorder (OCD) is a cruel disorder to live with. It involves obsessions, repeated thoughts that cause sometimes-unbearable anxiety. To tame the fierce anxiety and get the thoughts to stop, or at least slow, someone with OCD often performs patterned behavior, or compulsions.
These obsessions and compulsions alone are cruel, but adding to the pain of OCD is the fact that most people with OCD know that the anxiety and fear are disproportionate to the situation and are even rather irrational. They know it intellectually, but the brain goes into freak-out mode anyway. Physical and emotional responses escalate, even when the intellectual part of the brain tries to reason with the anxiety.
The nature of OCD makes treatment difficult and frustrating. That doesn’t mean, however, that OCD can’t be treated. It can. Successfully.
Treatment & Help for OCD
The two treatments that research has shown to be effective for reducing obsessions and compulsions so people can live a full life are medication and a specific type of cognitive-behavioral therapy (CBT) called exposure response prevention (ERP). According to the International OCD Foundation, about 70 percent of people seeking treatment for OCD benefit from medication and/or ERP.
ERP involves exposure to those things (in both your inner- and outer worlds) that trigger anxiety and fear. You face them, experience them, accept their presence and notice the increasing anxiety you feel. The response prevention component involves making a choice, a commitment, to be with the anxiety without engaging in a compulsive behavior in an attempt to relieve the anxiety.
Does ERP sound just a tad intimidating? That’s because it is. It goes against all human instinct to purposely expose yourself to a trigger then choose to do nothing about it. (Well, you’re not doing “nothing.” You’re learning how to face it and reduce the degree to which it bothers you. You’re just not succumbing to your compulsions.)
ERP is done with support, especially at first. Expecting you to expose yourself to a distressing thought, situation, place, object, etc. with no help through it would be as cruel, if not more so, than OCD itself. Support is as important as the exposure and the response prevention components of ERP. (Maybe it should be called SERP or ERPS.)
Why is Support so Important in OCD treatment?
A little story will illustrate the importance of support during ERP treatment. In the book My Life in a Nutshell: A Novel, Brian Cunningham is a man who, while he doesn’t have OCD, suffers from debilitating anxiety. He begins to see a therapist, who mentions that they’ll eventually engage in exposure therapy. A situation arises that makes him decide to try exposure on his own, at a crowded grocery store.
When I pull into Albertson’s I sit in my car for what feels like a long time and just stare at the building. The doors keep sliding open and shut, like a monster’s maw, sucking shoppers in and spitting them out. There are so many people. Before I can leave my vehicle, I have to breathe into one of my paper bags. I have to keep shoving the bag down when people walk close to my car so they don’t see me lamely hyperventilating into a bag. Finally, my breathing approaches normal and I can enter the store. The moment I step inside, I regret attempting this experiment.
Brian has an extensive panic attack that lands him in his therapist’s office for an emergency session. This is part of their conversation:
“You mentioned last time that we’d do exposure therapy and in vivo therapy, so I was trying it and failed.”
Even though everything is liquid, I can see her smile. “We’ll do those things because they are effective, but it’s far too early. We need to take this one small step at a time.”
Brian went out on his own and purposely exposed himself to triggers. This increased his already intense anxiety, and if he had OCD, it would likely have led him to do the compulsions rather than resisting them.
It would be great if everyone with OCD (or with anxiety disorders like Brian) had a therapist constantly with them. Too bad it’s not possible. But wait! Maybe it is.
Enter nOCD into Effective OCD Treatment
nOCD isn’t a therapist, but it is an excellent support and treatment tool for OCD. It’s an app, so it can be with you at all times, whether you use a smartphone or smartwatch.
You create structured, daily ERP plans (this app is yours; OCD is different for everyone, and treatment should be, too). You use proven exposure response prevention therapy to decrease your symptoms, and you use it with your therapist for feedback and support. Your nOCD app also gathers your data so you can see what is working best and what needs adjusting.
nOCD was developed by people with OCD who know what it’s like, who know how obsessive thoughts and anxieties caused by those thoughts as well as by external triggers can severely limit your life. The developers know how the compulsions can be so time-consuming that you miss import things that you really don’t want to miss.
The creators of nOCD know, too, that treatment is possible and that ERP can be successful with the right structure and support. Thus nOCD was born. It’s your mobile treatment and support app to help you live free and well. The cost of the app? Nothing! It’s free in order to give people access to this OCD treatment technology.
Check it out, and download it. Take charge of your treatment! (If Brian Cunningham had had this, he might have been better able to deal with his grocery shopping experience.)