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Thread: OCD Coping Tips

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    Re: OCD Coping Tips


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    Re: OCD Coping Tips


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    Re: OCD Coping Tips


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    Re: OCD Coping Tips


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    Re: OCD Coping Tips

    Quote Originally Posted by Daniel View Post
    This is a not uncommon postpartum reaction, by the way. Fears of not being able to keep the baby safe get turned into fears that the mother may actually want to harm the baby.

    Of course, the origin of the intrusive and scary thoughts is the exact opposite: How do I keep my baby safe? But like other thoughts, OCD distorts the original worry and transforms it into something much more disturbing and frightening.

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    Re: OCD Coping Tips

    Thank you, @Daniel. This is an excellent series of videos that clearly presents the varieties of OCD, what they mean, and what to do about them,

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    Re: OCD Coping Tips

    Breaking the Curse of Obsessive Thoughts

    The obsessions aren't about the remark you think you shouldn't have made, or the crack in the sidewalk, or about the major you have to declare. It's about your neurons misfiring, your brain getting confused, much like I do when I go near a stove. Your amygdala, belonging to the older, reptilian brain that kept us safe from saber-tooth tigers, got triggered by something and is throwing a tantrum. It's stuck, like the Whinny the Pooh keychain that I had that wouldn't stop playing the annoying theme song. Even when I chucked it into the backyard.

    Therefore, no immediate action is required from you. You don't have to make things right or do anything to reconcile the situation. No behavior or next step is going to save you from the distress because 99 percent of the obsession isn't based in reality as much as it feels like it is.

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    Re: OCD Coping Tips

    "Aliveness and centered spontaneity...is the paradoxical gift waiting to be unwrapped at the core of compulsion."

    ~ Christian R. Komor

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    Re: OCD Coping Tips

    Medications for OCD

    Fluoxetine, fluvoxamine, paroxetine, sertraline, citalopram, and escitalopram are called selective serotonin reuptake inhibitors (SSRIs) because they primarily affect only serotonin. Clomipramine is a nonselective SRI, which means that it affects many other neurotransmitters besides serotonin. For this reason, clomipramine has a more complicated set of side effects than the SSRIs. In general, SSRIs are usually tried first because they are easier for people to tolerate. Although the SSRIs are not used in combination with each other, an SSRI plus clomipramine can sometimes be used together to combat severe symptoms. The usual effective doses of these medications are higher for OCD than they are for other disorders, like depression, which also respond to SRIs...

    Another option is to add another medication as an adjunct to the first. This is usually done if the patient has gotten some improvement from the first medication, but continues to have significant symptoms. There are many choices for adjunct medications, including:

    • Adding clomipramine to an SSRI
    • An anxiety-reducing medication, such as clonazepam, alprazolam or buspirone, in patients with high levels of anxiety
    • A neuroleptic, such as haloperidol or risperidone, especially for people with pathological doubting (a symptom where you do not trust your own senses or need reassurance that you have or haven't done a particular thing), or where tics or thought disorder symptoms are present.
    • Lithium, particularly if big changes in mood are a problem


    ...Laboratory tests are necessary before and during treatment with clomipramine but not with the SSRIs.

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