Re:The terrible 'what if': how OCD makes every day a matter ...
by fatbird on Thursday August 09, 2018 @11:12AM
(#17724838)
What 193 is describing isn't a conversion of discomfort to fear, it's an a-rational pattern of behaviour that's independent of discomfort or fear.
Orwell talked about reinforcing effects: "A man may drink because he is failing, then become all the more a failure because he drinks." OCD as a form of anxiety is about a sufferer having taught themselves to behaviourally self-medicate. And just like most forms of addictive self-medication, it becomes a reinforcing effect that's somewhat independent of any real objective cause.
CBT and other behavioural approaches to therapy try (with measurable success) to interrupt that self-reinforcing behavioural effect. Many here are talking about somewhat obsessively checking things, and they're describing it perfectly: "did I check? I'll check again just to make sure", which grants a moment of relief from the anxiety; give it a few minutes, and the anxiety returns, forcing another hit of reassurance to be sought. OCD is an extreme form of addiction to this cycle.
Orwell talked about reinforcing effects: "A man may drink because he is failing, then become all the more a failure because he drinks." OCD as a form of anxiety is about a sufferer having taught themselves to behaviourally self-medicate. And just like most forms of addictive self-medication, it becomes a reinforcing effect that's somewhat independent of any real objective cause.
CBT and other behavioural approaches to therapy try (with measurable success) to interrupt that self-reinforcing behavioural effect. Many here are talking about somewhat obsessively checking things, and they're describing it perfectly: "did I check? I'll check again just to make sure", which grants a moment of relief from the anxiety; give it a few minutes, and the anxiety returns, forcing another hit of reassurance to be sought. OCD is an extreme form of addiction to this cycle.