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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 12 of 12. This is the beginning of the thread.
Posted by parkscat on September 30, 2006, at 9:26:44
Anyone out there suffer from OCD without outward rituals? Pure mind games without compulsions?
Posted by SLS on September 30, 2006, at 10:03:43
In reply to OCD, posted by parkscat on September 30, 2006, at 9:26:44
> Anyone out there suffer from OCD without outward rituals? Pure mind games without compulsions?
Can you elaborate on what are "mind games" for you?
I'm sure people here could relate better if you were to be a little more specific.
- Scott
Posted by Phillipa on September 30, 2006, at 10:34:40
In reply to Re: OCD, posted by SLS on September 30, 2006, at 10:03:43
Like adding numbers in your head for control of anxiety? Love Phillipa
Posted by fca on September 30, 2006, at 11:20:49
In reply to Re: OCD, posted by Phillipa on September 30, 2006, at 10:34:40
absolutely, it is called pure obsessive compulsive disorder--there is disagreement among experts as to whether there really is such a thing as pure obsessive thinking I have obsessions minus external compulsions and as far as I know no particular internal compulsions. It is somewhat academic as the treatment is the same--CBT and ERP plus SSRIs or possibly some of the TCAs if not responsive to the SSRI. fca
Posted by Meri-Tuuli on September 30, 2006, at 11:29:01
In reply to Re: OCD, posted by fca on September 30, 2006, at 11:20:49
Whats ERP? And can you give an example of pure OCD or whatever it is you called it....I've discovered I have some form of minor OCD - I rinse all my crockery before I use it, even through it was prefectly clean beforehand - and it was me who washed it really really well to begin with! I know its slightly crazy....
Is OCD related to GAD in anyway? I usually have a fear that something really bad is about to happen, so I tend to try and control this by, eg rinsing my crockery again or washing my hands or throwing food away I think is 'contaminated' -even through probably its prefectly safe.
Sigh.
Posted by SLS on September 30, 2006, at 12:03:27
In reply to Re: OCD, posted by fca on September 30, 2006, at 11:20:49
> absolutely, it is called pure obsessive compulsive disorder--there is disagreement among experts as to whether there really is such a thing as pure obsessive thinking I have obsessions minus external compulsions and as far as I know no particular internal compulsions. It is somewhat academic as the treatment is the same--CBT and ERP plus SSRIs or possibly some of the TCAs if not responsive to the SSRI. fca
Yeah. Anafranil is the bomb.
I read recently that CBT-ERP isn't so effective. CBT alone was fine. I know nothing about it, though.
- Scott
Posted by SLS on September 30, 2006, at 12:13:19
In reply to Re: OCD, posted by SLS on September 30, 2006, at 12:03:27
> > absolutely, it is called pure obsessive compulsive disorder--there is disagreement among experts as to whether there really is such a thing as pure obsessive thinking I have obsessions minus external compulsions and as far as I know no particular internal compulsions. It is somewhat academic as the treatment is the same--CBT and ERP plus SSRIs or possibly some of the TCAs if not responsive to the SSRI. fca
>
> Yeah. Anafranil is the bomb.
>
> I read recently that CBT-ERP isn't so effective. CBT alone was fine. I know nothing about it, though.Now I can't find the articles. There were two clinical studies that I ran across just yesterday. In trying to find them, though, I had the opportunity to skim through lots of information affirming the utility of CBT-ERP for OCD, including a persuasive post by fca.
http://www.dr-bob.org/babble/20060919/msgs/687487.html
- Scott
Posted by Meri-Tuuli on September 30, 2006, at 12:42:44
In reply to Re: OCD, posted by SLS on September 30, 2006, at 12:13:19
OMG!
>One of the most esteemed CBT/ERP therapists in the country will lick the bottom of his shoe during the first session of persons presenting with contamination fears.
No way!!!! I just read Scott's link to fca's post about ERB or whatever it was called. I think I need to get myself some of that! Sadly through, therapy seems to be rather a poor cousin in these parts... well the UK at least!
Kind regards
Meri
Posted by fca on September 30, 2006, at 14:21:19
In reply to Re: OCD, posted by Meri-Tuuli on September 30, 2006, at 12:42:44
Yes, he does lick the bottom of his shoe and stick his hand in the toilet (when appropriate) Scott, many thanks for posting the link. Meri, actually CBT and ERP is available in the UK as it is the "best practice" endorsed by the NHS. The problem, I understand, is that the waiting time for outpt appointments can be from 6 months to 2 years depending on which Trust serves you. I frequently travel to the UK (I will be there in 2 weeks) and do some comsulting on emergency MH services. Thanks again Scott.
PS all "pure OCD" means is that there are no external behavioral rituals (compulsions) though there maybe mental rituals which are in fact behavioral compulsions (counting, etc.) I tend to just have intrusive and repetitive thoughts (obsessive) which wax and wane. My Best fca
Posted by Meri-Tuuli on September 30, 2006, at 15:52:52
In reply to Re: OCD, posted by fca on September 30, 2006, at 14:21:19
>"best practice" endorsed by the NHS
Yes, in theory, sadly 6 months seems to be quite quick:
Mental health services 'failing':
http://news.bbc.co.uk/2/hi/health/5389864.stm
Anyway I live in Finland now (I'm half finnish-no jokes!) and I have an 'mental health care' appointment in a week and a half. Its through the student health services here, a sort of NHS for students. I have no idea what its going to be like, what the person who is seeing me is qualified in, or anything like that. They simply list the number along with the ones for doctors and dentists appointments. That in itself is better than in the UK! And I only have to wait about two weeks for an appointment and its free.
Hopefully they'll have heard of CBT - or at least know someone who has!
Kind regards
Posted by tizza on October 1, 2006, at 4:40:04
In reply to Re: OCD, posted by Meri-Tuuli on September 30, 2006, at 15:52:52
Luvox is good for ocd, it's a SSRI and works well. I can't remember what anafranil did for me it was too long ago.
Posted by parkscat on October 4, 2006, at 12:54:58
In reply to Re: OCD, posted by tizza on October 1, 2006, at 4:40:04
OCD thoughts without outward actions. No number counting or things like that. Just arguments going on in my head about thoughts that pop up from no where and feel like I am wanting to think them. They go against my beliefs and my morals. They are the oppisite from what I want to be thinking but they feel more a part of me than life itself.
This is the end of the thread.
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