Acceptance

Acceptance. We have all heard the word over and over again. This word can often can be brought up in a tough situation. When we lose a loved one we may be asked to accept the truth that they have passed. We all handle grief differently. Losing a loved one, a job, our independence, a pet, a friendship, etc. These situations can all lead to a time of grieving. It can often seem like we are always grieving about something! No matter how hard we wish this were not the fact, we often get knocked back down to earth with the idea of trying to accept a certain outcome. We often don’t want to accept this and it’s easier to stay in denial or use distractions to cope so we don’t have to face what has happened. With all the atrocities in our world, it’s not hard to see how this can easily become a form of survival. With support, love, and time, we can often find some relief in our grieving. Obviously everyones support system can look different or some unfortunately may be nonexistent. Often we see grief support groups offered in the community which is a great thing. Not everyone is blessed with a supportive group of family and friends. The good news is that these situations may start out as gut wrenching but can often lead to a new friendship or to a recharge of a past relationship with a family member. Even those who may not reach out in a tough life situation may be left with a new awareness or breakthrough in their own life. It hurts like hell but can often lead to a new beginning. With grief often comes depression. Sometimes this can be symptoms of depression that were brought on with a loss or maybe the depression was already there. When we are dealing with a behavioral health difficulty like OCD, depression, anxiety, etc, another blow to our lives can sometimes seem like too much to bear. We also know that depression can often go hand in hand with OCD, Anxiety, chronic pain, etc. When we are dealing with emotional struggles in our daily lives, another loss can feel like someone took a sledgehammer to our chest. Our minds and hearts become a sea of emotions and pain. The tears and loneliness can become an everyday occurrence. When dealing with depression or symptoms of grief, we can often feel like we are completely alone. It’s common to often feel alone when dealing with depression. Even if we are surrounded by people who care about us, it’s easy to feel like you are isolated on an island with no rescue in sight.

Again, acceptance is often suggested when someone is dealing with a loss or seeking assistance for some emotional support. This could be from a therapy situation or in a substance abuse support group. As brutal as it can feel, the process of accepting something can be a freeing experience. It gives us a starting point. There is obviously nothing we can do to change anything in our past, whether that was 3 seconds ago or 3 years ago. All we have is now, sounds cliche, but it’s reality. No one is promised an hour from now. If we accept this, it may help our struggles seem more manageable. The 12 step groups often talk about “one day at a time.” Acceptance Commitment Therapy and Dialectical Behavioral Therapy both offer a key component of “mindfulness” in their techniques. Jon Kabit Zinn is a world authority on mindfulness. He defines mindfulness as: “awareness that arises through paying attention in a particular way, on purpose, in the present moment, non judgementally.” This can lead to acceptance. No matter how difficult the moment, if we can accept the moment for what it is, we might have an easier path to what we want to achieve. Often what we want to achieve is more peace of mind, more happiness, less pain, more focus, etc. Mindfulness can show us that no matter what we are dealing with, that paying attention in the moment, and attempting to stay neutral about our thoughts, can help us feel more in control of a situation. We can often train our minds to look at our thoughts as “good” or “bad”. Maybe “lucky,” or “okay”, or “sinful.” Mindfulness teaching often suggests to look at thoughts as neutral, not good or bad, just as thoughts. ACT therapy techniques suggest being mindful of our thoughts, and once again, just noticing them, not reacting to or trying to fix them. This is one of many areas where Exposure and Response Prevention as well as Acceptance Commitment Therapy have been helpful for OCD symptoms. They share the common suggestion to notice the thoughts or obsessions and not participate in rituals. We can’t stop our thoughts from coming but we do have power in what we choose to do with these thoughts. If we are caught in the ugly grip of OCD or another behavioral health issue, its easy to feel helpless about our reactions to our thoughts. We all have thoughts that may scare us at times. A lot of individuals may have a certain “quirky” thing they do with the shirts in their closet or have a “lucky” tune they sing before a stressful situation. What separates these people from those diagnosed with true OCD, is the intensity and amount of time spent on obsessions, compulsions, rituals, etc.  Someone may feel that it is good “luck” to put their left shoe on first. This person puts the left one on first every morning for “luck” and goes on about their day. A person with OCD could be caught in this same situation for hours trying to get those shoes on “just right” and in a special order. Mindfulness can help put a distance between us and our thoughts. We often hear in OCD circles that we are not our thoughts, we are not the OCD, OCD is something we have but we are not the person it tries to suggest we are. This is especially true when dealing with OCD symptoms of a violent nature. E.g.- the mom who cannot leave the house because she is afraid that she will do something awful to her neighbor on the way to pick up her kids at school. OCD symtoms try to tell us that we will do these awful things, but it’s the OCD. In ACT therapy they suggest to “look at thoughts, not from thoughts.” An example would be placing our thoughts or images in our mind onto clouds. We can visualize this and put these thoughts, words, or images on the clouds and watch them float away. Once again, it puts distance between us and our thoughts, because again, we are not out thoughts. Just as if someone is doing Exposure Response Prevention to work on their OCD. They can place themselves in a situation on purpose that raises their anxiety. By not giving into the rituals, and being in the moment, we can find some more flexibility in our minds and see that the anxiety will eventually come down on its own.We can just notice what our brain is asking us to do, check, count, ask, pray, doubt, wash, etc. We can notice these thoughts and images in our minds, and again we don’t have to respond to the demands of the OCD. This is great news! There is hope, truly!

Acceptance can be a great thing, and it can also knock us to our knees. The good news is that it can be a great building block to better days ahead. Life can obviously be very difficult. If you are ever having any thoughts of harming yourself, please, please, reach out to someone. Hang in there.

Jeremy Rudd           

 

 

The “fix” is Not in

Human beings often want to “fix” what ails them. It’s our nature. If we have a headache we might take an aspirin. If we have car trouble we might call a mechanic or try to “fix” it ourselves. Chances are the aspirin and the mechanic could be helpful. With OCD, we are often left with a different situation. With endless obsessions and compulsions, we often try to “fix” the situation by doing compulsions only to find the OCD continuing to grow. If we are obsessing about something happening to a family member because of a thought we had, we might then try to “fix” the situation by touching a doorknob 8 times. This may or may not lower our anxiety for a brief moment but then the OCD will rear its ugly head somewhere else or even keep us stuck with the doorknob. If we touch that doorknob “just right”, or say that specific prayer a certain amount of times, then we can feel better about the situation and make it “okay.” Sound familiar? We know that this does not work, maybe for a brief moment we think that the compulsions gave us a break, but once again the cycle continues. Research shows that “talk therapy” is usually not helpful for OCD. We can “talk” about OCD for days, however discussing why it happened or where it came from usually won’t have any positive effect on our symptoms. We will always have OCD, but the good news is that the symptoms can be decreased significantly and often managed through the help of Exposure and Response Prevention. An example of this would be putting ourselves in an anxious situation on purpose, knowing that our OCD and anxiety symptoms will be increased. That is the Exposure. The Prevention part of this technique would be withholding from the compulsions. Over time, by continuing to place ourselves in these situations on purpose, and by attempting to withhold from the compulsions, we can see ourselves less bothered by the OCD symptoms. It’s often helpful to have a therapist to work with that is trained in Exposure and Response Prevention. As we know, OCD is often fueled by doubt. Living with uncertainty is actually what we want to strive for, because in reality, life is uncertain. It doesn’t make sense at first because we may have tried for months or years to “fix” our doubts or obsessions by taking part in our rituals or compulsions. We often think that this can make us feel “certain” that we or the situation is “okay” for the moment. How soon we see that this is only temporary. We see that being present with the Obsessions and not trying to “fix” them is where we could find some freedom from this stuff. Let’s say for a moment that OCD is a big bully. If we are in the bully’s presence, and we stop giving into the bully’s demands, we often see it can be less and less bothersome to us. As we know, OCD symptoms can pop up anywhere. Our daily lives can become one big exposure, and this is more good news by the way. It can be scary at first, but over time we can see how putting ourselves or our thoughts into these situations on purpose can be helpful. By withholding from our compulsions or rituals we continue to starve out the OCD.

Trying to figure out why we have OCD or what caused it may be tempting when an individual is first diagnosed but it often just leads to more useless rumination. Again, we have seen this used in “talk therapy” and is rarely helpful for OCD. A Cognitive Behavioral Therapy approach and Exposure Response Prevention has been shown to be the most effective at treating OCD. We try to “fix” OCD by no longer trying to “fix” it with compulsions and rituals. We purposely raise our anxiety levels to slowly see that our anxiety will come down on its own without our compulsions and rituals. Just like with the bully example, we can acknowledge that the bully or OCD is there, but if we stop giving into the demands, they often float off into the background. Seeing the thoughts in a more accepting way, without trying to fight them or “fix” them, will eventually give them less power over us.

Jeremy Rudd