Time Magazine Discusses OCD

I was pleasantly surprised when I opened my Time Magazine this evening and found a writeup on Obsessive Compulsive Disorder. I devoured the article quickly and finished it somewhat unsatisfied. I was happy to receive some new information, but the presentation was lacking some information as well.

The article did broaden my definition of OCD. The article outlined the most common expressions of OCD and listed two that I was unfamiliar with: Relationship Substantiation and Obsessive Hypochondria. (Time Magazine left out "checking" as a common expression of OCD, however.) Time indicates that Relationship Substantiation is "A compulsive search for tiny but disqualifying flaws in a partner or spouse." Also, Time writes that Obsessive Hypochondria goes beyond ordinary hypochondria in that the sufferers will have "what-if" worries about a doctor's misdiagnosis or other medical errors.

Time's discussion of managing OCD seemed to be heavily weighted on Exposure and Response Prevention (ERP) therapy. Other than trying this myself, I've never had any therapist even mention this type of therapy. I don't know if this is an oversight on my therapists' part or on Time's part.

Time also mentioned some up-and-coming biological approaches to combating OCD such as new drugs that decrease secretion of glutamate (a brain chemical that stimulates signalling among neurons) and more invasive treatments with brain-embedded electrodes.

Even though the article was a bit lacking in information, it was worth the read and was a great jumping-off point for more personal research.

OCD and Due Diligence

I'm an engineer by training and, therefore, I'm well aware for the need for due diligence when making decisions and completing projects. My OCD, however, was causing me to take due diligence to an extreme. Rather than completing a satisfactory search for codes and design information I would perform an unending amount research. These checks and rechecks began to degrade my efficiency as well as my quality of life.

One weapon that I developed during cognitive therapy was to determine what a "normal" amount of checking would be and then adhere to the norm. One day my therapist asked, "When normal people write a letter, how often do you think they re-read it for edits?"

I was somewhat put-off by the term "normal people". In actuality, I would check a letter and then recheck a letter more than once, even if I never found anything to edit in the first place. I answered with, "I don't know what "normal people" do. Maybe they will check once?"

I now strive to fulfill the norm, but I still catch myself re-reading twice or more sometimes. I find that I am most successful (in terms of cutting down the number of rechecks) when paying very close attention during my first edit. If I expend a lot of effort and attention on the first check, my brain seems to be satisfied enough with that effort that I will not give into the temptation to read and re-read again.