{"id":18467,"date":"2021-02-04T10:00:04","date_gmt":"2021-02-04T15:00:04","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=18467"},"modified":"2021-02-02T12:57:07","modified_gmt":"2021-02-02T17:57:07","slug":"living-with-ocd","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/living-with-ocd\/","title":{"rendered":"Controlling the uncontrollable: Living with OCD during a pandemic"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">Earlier last year, when the COVID-19 stay-at-home orders went into place, I started video chatting with my 8- and 10-year-old grandsons. Each week, they would take turns reading stories out loud. The youngest, reading picture books, would frequently stop to turn the book around and show me the pictures. It gave me a feeling of being there, together, through this.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">As someone with mild obsessive-compulsive disorder (OCD), these weekly calls served two purposes. It was an intimacy we didn\u2019t normally have time for because of my busy schedule. But even more, it allayed my irrational fears as I was able to <\/span><i><span style=\"font-weight: 400;\">see<\/span><\/i><span style=\"font-weight: 400;\"> each of the boys and know that they were healthy and well during an uncertain time.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">During one of these calls, my daughter chimed in, commenting on how well I was facing the pandemic emotionally, \u201cMom, you were <\/span><i><span style=\"font-weight: 400;\">made<\/span><\/i><span style=\"font-weight: 400;\"> for a pandemic!\u201d she joked. In a sense, she\u2019s correct. I\u2019ve worked from home for years. Unlike those who were suddenly thrust into the <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/pandemic-parenting\/\"><span style=\"font-weight: 400;\">foreign territory of working from home<\/span><\/a><span style=\"font-weight: 400;\">, I had learned to put structures in place to help me stay on track when unmotivated, as well as to stop when overworking.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Not much changed for me in that regard so the isolation and staying at home felt normal. As someone living with OCD, though, the lack of control a pandemic brings left me open for worsening symptoms. My compulsions aren\u2019t visible, but that doesn\u2019t make them any less painful. Rather than washing hands, or exhibiting other <\/span><i><span style=\"font-weight: 400;\">visibly<\/span><\/i><span style=\"font-weight: 400;\"> repetitive behaviors, I have a tendency for counting in my mind and avoiding what I consider frightening situations\u2014and with that, come the obsessive thoughts.\u00a0<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Understanding OCD<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">I have had obsessive inclinations as long as I can remember. I spent years worrying at night about my children, unable to sleep until I visualized each of them in a protective bubble. At the grocery store, I kept a running tally in my head of what I was spending on groceries. I thought I was doing it to make sure I stayed within a budget\u2014and that may have been how it started\u2014but it became a soothing technique to keep myself from feeling anxiety in public.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Along the way, a fear of driving on the highway turned into a phobia. I stopped doing it entirely and instead went out of my way to take only side roads. I obsessed about what <\/span><i><span style=\"font-weight: 400;\">might<\/span><\/i><span style=\"font-weight: 400;\"> happen, such as a deer running in front of the car, a tire blowing out, or any number of possible\u2014yet uncontrollable\u2014events. The only way I felt I could overcome this obsessive thinking was to avoid driving on the highway at all.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Obsessions, and the subsequent self-soothing compulsions, are common. As many as 1 in 40 adults and 1 in 100 children in the U.S. have OCD, according to the Anxiety and Depression Association of American (<\/span><a href=\"https:\/\/adaa.org\/understanding-anxiety\/obsessive-compulsive-disorder-ocd\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">ADAA<\/span><\/a><span style=\"font-weight: 400;\">). The obsessions include unwanted thoughts, images, and urges. These are followed by compulsions: behaviors a person feels a need to perform to ease the distress or anxiety caused by these thoughts.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Anxieties intensify when people with OCD are unable to control their environments and the symptoms manifest in a myriad of ways, from handwashing to a need to organize cans in the grocery store, explains <\/span><a href=\"https:\/\/lindnercenterofhope.org\/clinicians\/shana-feibel-m-d-2\/\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">Shana Feibel<\/span><\/a><span style=\"font-weight: 400;\">, DO, staff psychiatrist at <\/span><span style=\"font-weight: 400;\">Lindner Center of HOPE. But many people\u2019s obsessions and compulsions don\u2019t derail their daily life. \u201cA lot of people with OCD &#8230; spend time doing their rituals,\u201d Dr. Feibel says. \u201cThey get through their day and it doesn\u2019t impair their functioning.\u201d<\/span><\/p>\n<p><b>RELATED: <\/b><a href=\"https:\/\/www.singlecare.com\/blog\/news\/ocd-statistics\/\"><b>OCD statistics<\/b><\/a><\/p>\n<h2><span style=\"font-weight: 400;\">Recognizing symptoms of OCD<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">I was functional and able to get through my days until a traumatic experience led me to realize I was more than \u201cjust\u201d obsessive. It started with a case of undiagnosed appendicitis that led to a ruptured appendix, seven days in the hospital, and surgery a month later. After I was released from the hospital, my obsessions increased and my soothing techniques weren\u2019t working. It was the first time I became conscious that my symptoms were excessive. I reached out to a therapist.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Like me, not everyone with OCD is aware that their obsessions and compulsions are not the norm. It\u2019s only when they interfere with a daily routine that they become noticeable, a potential problem to seek treatment for.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">According to the<\/span> <a href=\"https:\/\/www.nimh.nih.gov\/health\/topics\/obsessive-compulsive-disorder-ocd\/index.shtml\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">National Institute of Mental Health<\/span><\/a><span style=\"font-weight: 400;\">, common obsessions include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Intrusive thoughts or images such as a fear of contamination or germs<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Needing things symmetrical and orderly<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Aggressive thoughts about losing control and harming yourself or others\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Unwanted forbidden, or taboo, thoughts<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">The repetitive behaviors that follow these thoughts in an attempt to reduce anxiety\u2014the compulsions\u2014can include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Counting<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Checking (e.g., doors are locked, stove is turned off)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Cleaning<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Organizing<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Following a strict routine<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">These are common examples, but obsessions and compulsions vary.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Treating my OCD<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">My therapist specialized in cognitive behavioral therapy (CBT). It\u2019s a type of talk therapy that works to redirect unhelpful patterns of thinking and behavior. We worked on exposure and response prevention (ERP), a technique that gradually introduces the stimuli that causes anxiety to induce the maladaptive response. It\u2019s considered a <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6343408\/\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">first-line treatment<\/span><\/a><span style=\"font-weight: 400;\"> for OCD and can help to regulate the central nervous system (CNS), says Roseann Capanna-Hodge, Ed.D., psychologist, pediatric mental health expert, and founder <\/span><span style=\"font-weight: 400;\">of The Global Institute of Children\u2019s Mental Health<\/span><span style=\"font-weight: 400;\">. It teaches you to talk back to anxiety and depression. It reinforces that it\u2019s a behavior that can be unlearned, rather than a neurotransmitter that\u2019s out of your control.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In my case, driving was triggering my symptoms\u2014a breathless feeling that left me thinking I might pass out while behind the wheel. ERP gradually helped me experience driving regularly and safely, so that it began to feel more normal, and I felt less overly-stimulated. This process is called habituation, and it helped me get my obsessions under control.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cIt\u2019s a rigid and methodical therapy to unwind that learned behavior, to break the OCD loop,\u201d explains Capanna-Hodge. \u201cOCD always starts with anxiety. Say someone is worried if they went near the knives drawer that they would harm someone. The more they avoid it, the more the obsession actually feeds itself. Without therapy, they might not have the ability to expose themselves to that and say, \u2018This is ridiculous.\u2019 and thereby break the cycle.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In addition to CBT, other treatment options include medications to reduce symptoms, and a self-care regimen that includes quality rest, a nutritious diet, and exercise to relieve stress. The best treatment plans involve a combination of all of these methods.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">During therapy, I realized that facing my fears\u2014and more importantly in my case, realizing that it was more a fear of \u201cwhat if\u201d than \u201cwhat is\u201d\u2014brought me ease simply by repetition and getting acclimated to a situation.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">This was all before the pandemic, of course. I spent a year with my therapist and while stressful events like a global pandemic can bring on symptoms, I\u2019ve continued to make progress.<\/span><\/p>\n<p><b>RELATED: <\/b><a href=\"https:\/\/www.singlecare.com\/conditions\/ocd-treatment-and-medications\"><b>Learn more about OCD treatments and medications<\/b><\/a><\/p>\n<h2><span style=\"font-weight: 400;\">Living with OCD during the COVID-19 pandemic<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Although I fared well (and still am) staying at home except for weekly trips to the post office and grocery store, the fear of the virus has at times led to obsessive thinking, which often leads to compulsive cleaning and organizing. I also obsessively worry that all this time staying at home may make me start fearing leaving the house. I force myself to make weekly excursions to keep from isolating too much and developing a new phobia.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">I\u2019m grateful that germs aren\u2019t part of my obsessions, but I do have to keep an eye on my driving anxiety. While I was seeing the therapist, at one point, frustrated that I couldn\u2019t <\/span><i><span style=\"font-weight: 400;\">think<\/span><\/i><span style=\"font-weight: 400;\"> my way out of the anxiety, he exclaimed, \u201cBut your thinking IS the problem!\u201d That was probably the most important thing he said to me in our year of counseling.\u00a0 Music helps me get out of my head and stop obsessive thinking. I turn soothing music down low while working, utilize meditation apps, such as Insight Timer, to stop my thinking and help me sleep, and have music playing in the car to distract my thoughts.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">To get through this uncontrollable time and keep anxiety low, I\u2019ve implemented a few measures that help me cope:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Cooking helps me to transition from working to down time and stokes my creativity.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Exercising relieves some stress. I started taking daily walks and also joined an online dance class.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Scheduling weekly video chats lets me feel a sense of connection to friends, family, and colleagues.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Limiting doom scrolling and reading the news helps me keep things in perspective.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Using teletherapy allows me to stay on top of my symptoms.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Apparently, I\u2019m not alone in my success during COVID-19. Many OCD patients are faring well in the midst of this real, unambiguous crisis, according to the <\/span><a href=\"https:\/\/medicine.yale.edu\/news-article\/23571\/\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">Yale School of Medicine<\/span><\/a><span style=\"font-weight: 400;\">. It turns out that it\u2019s more difficult to handle the uncertainty of normal day-to-day life\u2014when danger is low\u2014than an actual pandemic.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Poet Archibald MacLeish said, &#8220;There is only one thing more painful than learning from experience, and that is not learning from experience.&#8221; As I look back on this year, I think about this quote. The things I&#8217;ve been through, and the work I&#8217;ve done to understand myself has helped me navigate this pandemic.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Earlier last year, when the COVID-19 stay-at-home orders went into place, I started video chatting with my 8- and 10-year-old grandsons. Each week, they would take turns reading stories out loud. The youngest, reading picture books, would frequently stop to turn the book around and show me the pictures. It gave me a feeling of [&hellip;]<\/p>\n","protected":false},"author":94,"featured_media":18584,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[8318],"tags":[14636,450],"coauthors":[20600],"class_list":["post-18467","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-community","tag-coronavirus","tag-mental-health","wpautop"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Living with OCD during a pandemic: Controlling the uncontrollable<\/title>\n<meta name=\"description\" content=\"1 in 40 adults are living with OCD in the U.S., and the COVID-19 pandemic has affected their conditions. 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