Try to get rid of “good habits”-obsessive-compulsive disorder

Mr. Liu is a very attentive person. Every time he goes out, he always checks whether he has all his things with him, and then repeatedly checks whether the door is locked. Before going to bed at night repeatedly check whether the door and window latches are properly inserted, quite meticulous and cautious. Family members, relatives and friends said this is a very good habit and praised him for being a careful “good husband”. But Mr. Liu knew in his heart, “The dumb eats coptis, and there is hardship to tell.”

Because Mr. Liu was too meticulous, he just washed his hands and then washed them again. He always felt that he hadn’t washed them. The door was locked before going to bed, but he checked repeatedly because he was worried. A lot of things were delayed for this. Before going to bed, I can’t help but remember the big and small things of the day, for fear that I didn’t do a bit of it, so I can’t sleep well all night. Even the bad things encountered by colleagues in the unit, just because they are worried about whether they will encounter similar situations, will cause Mr. Liu to worry and insomnia… Mr. Liu is very troubled by this, but he can’t control himself. Stop these thoughts and behaviors that bother you.

What is obsessive-compulsive disorder

At the mental health center, Mr. Liu was diagnosed with obsessive-compulsive disorder. Obsessive-compulsive disorder is mainly manifested in recurring obsessive thoughts and compulsive behaviors, which is a psychological disorder that seriously affects daily life. There are mainly the following manifestations.

Obsessive-compulsive thoughts and intentions that repeatedly appear in the patient’s consciousness in a stereotyped form. Although the patient realizes that these concepts are meaningless and redundant, they try their best to resist, but they cannot control it. Among them, obsessives include obsessive thinking, obsessive appearance, obsessive-compulsive fear, obsessive intention and so on.

Compulsive behaviors are stereotyped behaviors and actions that prevent and reduce anxiety recurring. Compulsive behaviors include forced washing, forced examination, forced questioning, forced counting, forced sorting, forced ritual behavior, and compulsive retardation.

Mr. Liu has both obsessions and compulsive behaviors. To make matters worse, he is always used to remembering and reviewing the things of the day before going to bed, lying in bed thinking about it and unable to sleep, and sometimes even awake at night. After finally getting sleepy, I’m about to get up to work again. He feels very painful.

Sometimes forced habit is a good thing, but when it causes trouble, we have to consider how to get rid of these “good habits”? The following methods can solve Mr. Liu’s problem under the guidance of a psychologist.

Morita Therapy

Proposed by Masama Morita. The core idea is “the desire to live, face reality, conform to nature, and do what we should do”. The original intention is to have the desire to live a positive life, face reality, understand that you will have obsessive thoughts and behaviors, don’t worry about it and force yourself to change; accept yourself, let the flow, divert attention, and do what you should do thing. The original Morita Masama had been troubled by the headache, but he could not detect the cause, and the treatment did not improve. After that, he followed nature and did what he should do, but his headache neurosis improved.

Domestic Zhang Xiangyang, Wu Guiying and others improved it to “endure pain and do what you should do; endure pain and do nothing; look for pain and do what you fear.”

Specifically: (1) Know clearly that you have obsessive thoughts, endure pain, let them exist, and do meaningful activities. (2) Endure the pain of obsessive-compulsive ideas and restrain the associative memories they cause. (3) While doing meaningful activities, look for things that can make you obsessive, anxious and fearful, similar to the exposure therapy described below.

Cognitive behavioral therapy;

1. Exposure response prevention method. For the obsessive behavior that avoids obsessive thinking, strengthen the exposure of the unfavorable factors that you worry about; imply that even if the unfavorable factors occur, it will not produce the undesirable consequences you are worried about. For example, do not wash your hands after gradually touching the doorknobs and handrails; taking a bath before going to bed can change from applying shower gel to just washing with water, starting from washing one arm and not taking a shower before going to bed. In the end, there was no consequence that made me anxious.

2. Thinking blocking method. Once you find that you have obsessive thoughts, you can pick up a book and read it to interrupt your original thinking, or set an alarm clock to distract you.

3. Psychoanalysis therapy. First analyze yourself and understand your heart. Many obsessives are for avoiding unnecessary troubles and fears, which leads to obsessive thoughts. Obsessive-compulsive disorder is more or less conscientious and perfectionist, but many things, including future things, are not necessarily controllable. Do not blame yourself, understand the uncontrollability of things, and tolerate the occurrence of uncertainty.