If you are not a registered member of our community, please click here to register...

 Home Message Boards Health Guide Join for Free Testimonials About Us
Search
   
  


PDA

View Full Version : For those of you doing CBT and ERP...


 

 

 
Rsspro18
02-14-2004, 12:57 PM
What are some of the types of anxiety you feel when you engage in response prevention? For example when you don't do your compulsions, or for mental rituals, when you flood the thought or don't change it. What are some of the anxiety or distressing symptoms, feelings, or thoughts like?

I usually get this very weird on edge feeling like things just aren't right. I also sometimes get intense anxiety attacks or panic attacks sometimes, which might feature difficultly breathing, gagging, lightheadedness, etc. and of course I worry that whatever I am trying to prevent or am worried about will happen. It (The anxiety) subsides eventually but it's tough sometimes. Just wondering how other people do with it.

Sponsor
 



Porto guy
02-14-2004, 02:01 PM
What are some of the types of anxiety you feel when you engage in response prevention? For example when you don't do your compulsions, or for mental rituals, when you flood the thought or don't change it. What are some of the anxiety or distressing symptoms, feelings, or thoughts like?

I usually get this very weird on edge feeling like things just aren't right. I also sometimes get intense anxiety attacks or panic attacks sometimes, which might feature difficultly breathing, gagging, lightheadedness, etc. and of course I worry that whatever I am trying to prevent or am worried about will happen. It (The anxiety) subsides eventually but it's tough sometimes. Just wondering how other people do with it.

I have 2 types of obcessions/compulsions: The ones that I feel hard to quit and the ones that I just CANT quit. The ones of the first type give me the feeling you described "things just aren`t right, confusion...The ones I cant quit...well...If I have to travel for 1 day n cant do those I just get the feeling that everything is ruined and that I ve losted part of my life forever! Bad like that. Only to think I may have to stop doing it someday makes me get very depresed(even a bit suicidal)...so I avoid doing it. Fortunetely I can usuly avoid those thoughts, but I have to mantein my head busy(with more rituals) in order to. :eek:

Im in no therapy but felt like answering anyway, hope u dont mind. :angel:

fm5
02-14-2004, 03:09 PM
I usually get this very weird on edge feeling like things just aren't right. I also sometimes get intense anxiety attacks or panic attacks sometimes, which might feature difficultly breathing, gagging, lightheadedness, etc. and of course I worry that whatever I am trying to prevent or am worried about will happen. It (The anxiety) subsides eventually but it's tough sometimes. Just wondering how other people do with it.

Actually your symptoms are quite normal when doing response prevention. Eventually they too will go away. It may take months though, but it is well worth it.

billy7772
02-15-2004, 10:24 AM
I usually get this very weird on edge feeling like things just aren't right. I also sometimes get intense anxiety attacks or panic attacks sometimes, which might feature difficultly breathing, gagging, lightheadedness, etc. and of course I worry that whatever I am trying to prevent or am worried about will happen. It (The anxiety) subsides eventually but it's tough sometimes. Just wondering how other people do with it.

Actually your symptoms are quite normal when doing response prevention. Eventually they too will go away. It may take months though, but it is well worth it.

I agree with fm5 :) My symptoms were exactly like you describe during response prevention but like fm5 states they subsided over time and the effort was well worth it :bouncing:
I would also emphasize (like my group leader emphasized) that you need to do the other exercises in CBT too and not just the response prevention ones. I found countering my thoughts in the TEA form to be extremely useful as once I began to counter all the thoughts I caught during response prevention my progress accellerated!

Good luck Rsspro and stick with it :angel:

Billy

fm5
02-15-2004, 03:18 PM
I found countering my thoughts in the TEA form to be extremely useful as once I began to counter all the thoughts I caught during response prevention my progress accellerated!

Question: What is TEA and can you give an example? Just wondering. Maybe it is something I can also do if I am not already doing it.

billy7772
02-17-2004, 03:47 PM
I found countering my thoughts in the TEA form to be extremely useful as once I began to counter all the thoughts I caught during response prevention my progress accellerated!

Question: What is TEA and can you give an example? Just wondering. Maybe it is something I can also do if I am not already doing it.

Hi fm5-

The TEA form is, to me, the most powerful tool in CBT. It stands for Thought-Error-Analysis or Answer. You simply take a piece of paper and make three separate columns (two wide ones and one skinny one in the middle) then write your upsetting thoughts down in the first column, Identify the thinking errors you are making in those thoughts in the skinny column and then analyze or answer them with more rational thoughts in the final column.
Here's an example without all the columns:
I've just left my house and as I'm driving away I begin to suspect that I left the burner on the stove on and then have the thought "My house is gonna burn down" Now normally this thought forces me to turn back and make sure the burner is off, but instead I whip out my TEA form :) So I would write that thought down ("My house is gonna burn down") in the first column and then identify the common thinking errors in the second column, in this case they would be: Jumping to Conclusions and Blowing Things Out of Proportion.
Finally in the thrid column I answer this with a more objective thought like: "I have had this same thought before and gone back and the burner has always been off when I've gone back to check. Besides even if I did leave it on the odds of it causing the house to burn down are very small and thinking this way just makes me more anxious and upset."
If you're not already using this exercise I strongly suggest you start as I think it has helped me more than any other tool in CBT.

Take care and keep in touch!

Billy

fm5
02-17-2004, 03:54 PM
Thanks Billy! I have never heard of this technique. I will give it a try.

billy7772
02-17-2004, 04:09 PM
Thanks Billy! I have never heard of this technique. I will give it a try.

fm5-
I think you will be very glad you did :angel: I'm surprised you have not heard of this before as I consider it the key element in my CBT induced recovery.... Go to the library or pick up a copy of "Been There, Done That? Do This! by Sam Obitz as it is a quick read and has all the thinking errors listed and desribed along with examples of the TEA-form. It's my favorite introductory book on CBT and I recommend it all the time. Take care and keep me posted on your progress :wave:

Billy

girl_up_town
02-18-2004, 08:34 PM
Billy. Hi there. Can you tell me if its any good for people with the purely obsessional OCD, with mainly worrying about harm, and that type of thing. I don't have any compulsions but am interested in the techniques, and methods they may suggest in the book ...

Cheers

Flutegirl7
02-19-2004, 07:10 AM
Girl_Up_Town,

I think the book "The Imp of the Mind" by Lee Baer would be really good for your type of OCD - he talks about the techniques, methods, etc. It's specifically for people with "intrusive thoughts" kind of OCD.

~ Monika

billy7772
02-20-2004, 06:50 PM
Billy. Hi there. Can you tell me if its any good for people with the purely obsessional OCD, with mainly worrying about harm, and that type of thing. I don't have any compulsions but am interested in the techniques, and methods they may suggest in the book ...

Cheers

Hi Girl_up_town :wave:

Yes definitely, but remember you have to work at using the tools in CBT for it to be effective. When I first learned them I thought they were too simplistic and would never work, but I am happy to report I was wrong :eek:
They are basically exercises that teach you how to counter the obsessional thoughts with ones that are more accurate and realistic. I like the Obitz book as an introductory book best because it was written by a guy who suffered from serious anxiety problems and writes it from a sufferers point of view so it is easy to identify with.
The TEA form is in my opinion the best and most effective exercise in CBT, but I think the exercise for putting things back into perspective may help you even more. They work great together too :angel:
Hope this is helpful and keep in touch and let me know how you are doing?

Billy





Site owned and operated by HealthBoards.com (TM)
Copyright and Terms of Use © 1998-2009 HealthBoards.com (TM) All rights reserved.
Do not copy or redistribute in any form!