I had a client with OCD and she would repeatedly lose jobs because she "had to" go home and make sure the stove was off. I got her to check the stove on her way out of the house to work, then take a pic with her phone. It worked quite well, and she only left work 2x in a year because you could see in the photo every knob was set to "off".

@peggygenoway

4 жыл бұрын

@m norton buswell Great idea--what a resourceful way to use a smartphone!

@mgal6234

4 жыл бұрын

Amazing idea!

@NimbusDX

4 жыл бұрын

This is great. Kind of a “Solution-focused Brief Therapy” style strategy. It’s important for clinicians to remember that it’s not always necessary to “get to the root of the problem”. Sometimes, people just need a simple solution to a practical problem.

@gailwestphal1604

4 жыл бұрын

Margaron Aldaire That is brilliant! You amazed me with your creative solution. Brilliant!❣️🤗🕊

@eseesa

4 жыл бұрын

@Peggy Genoway Lots of people with ocd do that. It is a compulsion. It can make the person start to check their cellphone as a new compulsion. Or another new compulsion will arise soon...The Golden standard of ocd treatment is Cbt with ERP. Info at iocdf.org. Hope this is helpful :)

More videos on OCD would be great.

@krenee8640

3 жыл бұрын

Yes

@magyarbluey8406

2 жыл бұрын

And the pills that cure OCD

@bornwithoutconsentobviously

2 жыл бұрын

Definitely agree.

@URL.Handle

11 ай бұрын

Agree

I often think of OCD as a very pure form of anxiety where you are chasing a feeling of satisfaction that never really exists and there has to be some other factor like exhaustion, outside prompting etc. to get you to move on from it. Dr. Grande, fellow psych here - I was wondering where you pull these interesting case studies from! Are they from relevant journals?

@magyarbluey8406

2 жыл бұрын

Your explanation is spot on! Most doctors don't understand but, you actually do.

I finally saw a doctor in my 20s when had to call in for work because I had spent so much time checking the stoves and doors that I knew I couldn't leave that day or I'd be a wreck the whole day. Finally got a medication that's working after about 10 years of different ones. I'm lucky that mine isnt as bad as this mans. I know how it feels and it's like a prison u can't get out of in your own brain.

@ACAshworthCo

3 жыл бұрын

Me too.... stove checking. Now Its checking the iron. My husband helps me snap out.

An interesting case study, Dr. Grande. The strategic therapy for OCD was unusual to say the least. OCD sounds like a nightmare to me.

@ACAshworthCo

3 жыл бұрын

It is.

On a serious note pertaining to the subject, I like hearing about other ppl getting better. When all ur life, or however long (suffering seems eternal) you've been dealing with something that limits your life, and then BOOM! You find a new path, a much brighter path, it's just beautiful. Shouts to "Steven" and the person who gave him the unconventional methods to rid most of his troubles. Sometimes u just gotta have faith, both ways. Great video btw.

I think my mum had this.. she'd check the oven was off so many times... then she'd shake the front door almost off it's hinges to be sure it was locked. May her dear soul RIP ♡

@krystinacathryn9498

4 жыл бұрын

Serendipitous Synchronicity I do exactly the same thing

Thank you, Dr. Grande. Please do a video on autism, i.e. case study, origin, how it's characterized.

Currently interning at a residential setting for OCD treatment. We use Exposure and Response Prevention (ERP) as our primary intervention. Although lots of our framework is also ACT based. Some cognitive restructuring when necessary. But ERP is highly backed in the literature, especially for folks who are severely impacted in functioning. It's a tough therapy-- can feel and seem counter-intuitive, but can be really powerful. I wish more clinicians were trained in ERP!

@PaTroNxMoD

4 жыл бұрын

Yes erp and mindfulness is the only cure for ocd!

@trevorbrown4605

4 жыл бұрын

Katherine Stahl I know you are interning, but are you going to go on and be a counselor? I have OCD myself and would love to be a counselor for people with OCD. It’s just that OCD has held me back from going back to get my Master’s degree. That’s the thing about OCD. You doubt the future and everything around you. It holds you back from doing great things.

@katherinestahl7641

4 жыл бұрын

@@trevorbrown4605 Hi Trevor, Yes, the internship is a part of getting my masters degree in counseling :). I don't have OCD myself though I have my own mental health struggles. I do have a peer who has OCD and is in school with me, and she is interested in working specifically with people with OCD. Many counselors go into the mental health field are attracted to it from their own personal experiences. It gives us a powerful sense of empathy. It is important that all counselors-- not only those that deal with mental illness are actively engaging in self-care practices to manage their own "stuff" (make sure you put on your own oxygen mask before assisting others!). That being said, counselors are only human, and we still struggle too. In my personal opinion the most important thing is that you have done enough work on your own mental health to develop insight, skills, and support to deal with your own stuff proactively so it doesn't interfere in your work with clients. It is not easy for sure-- but it is absolutely possible :)

Love your channel doc because u dont add bias, its just the humble info, ty sir!

One of the more fascinating case studies you have described which I believe shows the creative therapy designed by the therapist for that particular client and his circumstances.

Thank you Dr. Grande. This is a very fascinating case. I am amazed at how flexible the young man became when presented with how to go forward and do the work. I will be watching this video again to listen more carefully.

thank you for helping. understanding Steven was inlightning. depression has to be they key. making promises designed to be giftwrapped for others made me think of my major depressive disorder. but the ocd.part made me think of my scitzotypal. I just have been lucky enough to catch myself doing it way less than Steven.

Love the case study videos. Thanks Dr. G

*learned how to "command" himself...* brilliant. i am really impressed by clinicians who step outside their comfortable modalities, and identify the best tools to help their clients/patients...even if the "tool" is from a different school of thought, or inspired by the symptoms of the client/patient, themselves.

thanks Dr Grande, you covered details I was wondering about but have failed to find reading material on. ***respect**

This is definitely the brightest shirt you have ever worn in your videos, doctor :) Loving your content. Hi from Russia!

Thank you so much for this Dr G. This has been my battle for the majority of my life. Hate talking about it...even thinking about it. This brought a new perspective to my own issues and maybe the promise methodology is something I might try for myself.

Wow, this was really intressting, and I am impressed by the last approach. :-)

Informative, interesting, deep and very well presented.

That was very interesting thank you. It is great to have this channel talking about various disorders with a scientific approach. So many channels discuss these issues but have a religious agenda and they don't actually know that much about the disorders but they know this is a good way to push their religious agenda. I welcome your honest scientific approach.

can't imagine what you could possibly dislike about any of Dr. Grande's videos

I am obsessed with your videos.

Always interesting. Thanks!

A very interesting case! And insightful of the clinician to notice that Steven was able to interrupt his cycles of rituals in response to an external directive from another person. The clinician, it seems, was able to change the locus of control over the compulsive rituals from external to internal. By using the “keeping promises to himself” strategy, it allowed Steven to direct himself to halt the ritual instead of relying on others to direct him. And the sense of accomplishment he gained by keeping these promises he made to himself likely helped to increase his self-esteem and confidence, which likely eased his feelings of depression.

Your analysis is brilliant. I am typical example of OCD. I am in my 70's. Nothing can be done now. I have had a poor quality of life but I have survived.

Authenticity to the self was apparently non-existent with the patient. That would implicate his upbringing especially given the early onset of the symptoms and his need for (and reliance upon) control by other people. When in his developmental process did a normal course of self efficacy and socialization get diverted? He was probably depressed about being socially maldeveloped and the OCD behaviors had him trapped.

Very interesting case study!

Ocd is an individual condition that has some similarities in aspects of the different ranges it encompasses. In this case the therapist used what small successes the client had, I. e. someone giving instruction to stop activity, to build a therapeutic method to redirect the focus, giving the client permission to have ocd that was not to be cured but to cure the feelings as symptoms from ocd the depression that may improve the ocd intensity. The therapist seemed to have an excellent appraisal of the clients behaviour patterns in order to continue with client self awards for less depression and aware of redirecting from ocd when client automatically returned to this. Insightful work from the therapist.

Dr. Grande, Please do more shows on OCD , especially the symptom where you can't drive without thinking you ran over someone. Also- is this the only mental health disorder that it seems "acceptable" for people to make a joke of, calling every odd behavior, or every neat, clean, or careful person OCD? I'm glad there are no such comments here, but I see it a lot, especially on Facebook. As many commenters have said, it's really hard to live with, and it's not funny at all.

@HistoryisAwesome163

2 жыл бұрын

That's called hit and run OCD or a symptom of what's called "responsibility OCD." I deal with this. I hate driving and minimize it insofar as I can. I've had 15-20 minute drives turn into 2-3 hours due to u turns to "check."

I definitely find this video interesting as it relates to the approach utilized in this clients situation-particularly because I have been diagnosed with OCD several years ago. without going into all the details I will have to say that therapy has been hugely beneficial in helping to provide me with tools to help effectively manage my OCD related symptoms and the extreme anxiety that can accompany it. Approximately 5 years ago my anxiety was at such a heighten level that it was beginning to overcome my life and functioning. I don't anticipate I will ever be "cured" though just being able to keep my symptoms in check and live a productive life is obviously a priority goal and hopefully I will continue to improve though I do have to admit I am at a point where as I question if I am at a standstill or not.

I would love to see a video on people who have a cleaning OCD compulsion

Wow this was really interesting!

Would you consider doing a video on how a patient/client can know if their psychologist/therapist is narcissistic and/or taking advantage of them sexually or manipulating them emotionally in order to garner their dependence upon them? Apologies if this has been covered~new sub here. Great content!

Uplifting narrative. I'm no clinician, but the "Distraction" factor jumped out to me the moment Dr. Grande pointed out the Therapist's deliberate inattention to the OCD directly. By focusing on the symptom (Depression), which had it's own identifiable proximate behavioral source (itself a product of the OCD) that could be focused and worked on, the treatment had the effect of increasingly preempting the intrusive thoughts that generated the behavior that more proximately caused the Depression. Basically, to vanquish the intrusive thoughts that were the building blocks of the OCD, the Therapist ignored them. And, with the thought & labor intensive treatment tasks, so too did the Client. ... Ta-Dah!

Oh, god... switches and locks, man. Anything that had only one state or another. Open or closed. On or off. I knew I'd turned them off, or closed and locked them, but I was never sure if they were _completely_ off or closed or locked - like there was a spectrum and it was _totality_ that was difficult to achieve without spending a considerable amount of time repeating the motions. One day I thought to myself "Fuck it. If the house burns down or gets robbed, I will survive. I will get through it." Never had the issue again. Pretty sure there's a delusional component to OCD, like we assume we are important enough to warrant special attention from the universe in the form of increased probability of disaster. Then we have to be extra careful and thorough in our interactions with it.

@brentwilbur

4 жыл бұрын

@M Z - I'm not sure, but a lot of the behaviors began taking shape when I was twenty-one, after a particularly strong panic attack while my girlfriend was in her second trimester. The attack and the pregnancy are not directly related, but I was already in a state of anxiety over the idea of the arrival of a child. It is not an exaggeration to say that the attack lasted for days. That was probably the most emotionally intense single, prolonged experience I have ever had, even to this day. As close as you sound to your dad, it is no wonder that his death would put you in an even more severe and indefinite state of shock. It is also perfectly rational to feel helpless and hopeless when facing the abyss of mortality. That you are still here is a testament to your perseverance. Thank you for sharing your story, M Z.

@brentwilbur

4 жыл бұрын

@M Z - How old were you when he died?

@brentwilbur

4 жыл бұрын

@M Z - You poor, gentle thing. Even though I'm twenty years older than you, you managed your way through disaster unfamiliar to me. I have no idea how I will respond when one of my parents dies. It's terrifying to imagine. No, there's been a significant reduction in my general level of anxiety since... about my mid twenties. It leveled off in my late twenties, early thirties. I do not know if that is as a result simply of aging and physical maturation of the brain, or if I genuinely developed confidence and healthy methods for coping with stress. Probably a little bit of overlap, and definitely other factors of which I am presently unaware. How did it affect your life when your mom changed jobs?

glad you did this topic ..I work with someone with OCD and try to learn more about OCD because I often interact with this person and want to be sensitive to their situation ..I can see how the behavioral symptoms can be so different from person to person

@too_tired_for_this

4 жыл бұрын

Tom E There are also a lot of non-behavioral symptoms that can be debilitating. Most of the people I work with have no idea what goes on inside because I don’t have a lot of compulsions.

@everyday234

4 жыл бұрын

@@too_tired_for_this is it in some way possible or appropriate to ask someone more about their personal specifics with the disorder..I'm on friendly terms with this person at work,,but don't want to invade their territory or cause them discomfort by asking for "details" etc..and in the past I have caused them discomfort simply by touching their desk or etc..I just don't always know what's a problem and what's OK

@too_tired_for_this

4 жыл бұрын

Tom E I would say open ended questions are the key, at least for me. When people ask “how was your day/night/weekend”, and I reply that it was okay or not great, I’m open to people asking me why or asking if there’s something that bothered me. I would also be responsive to someone asking if I had a rough day/night/weekend when I express how tired or overwhelmed I feel. It sounds like with your coworker there are a lot of physical triggers. Maybe it would be okay to ask “do you mind if I... “. I work pretty hard to be open about things, so that people understand why I might overstep boundaries. I work in a shared space, and sometimes I have to tell someone that the reason that I keep moving communal office supplies is that I have ocd and it might not make sense, but it’s something I need to do. They may really not want to share because so many of the symptoms are embarrassing. In that case, just keep building rapport when you can, and they might be inspired to be more forthright with you. I hope that makes sense and helps a bit. ☺️

@everyday234

4 жыл бұрын

@@too_tired_for_this thanks thats very helpful..I appreciate your sharing..she also works in the office..I know some of her sensitive areas..like if I touch her desk she has to quickly get some cleaner and a rag and she hoards stacks of ancient papers on her desk and keeps other stuff about including broken furniture that I'd like to get rid of, but I know she'll be uncomfortable about throwing out such things, and I have heard her mention her OCD and laugh about it sorta explaining her movements etc..so its no secret..I'd like to be as familiar with it as possible because I sometimes socialize with her and want her to be comfortable so I need to know the do's and don'ts as best I can..she's very accomplished.."she's the boss haha"..so its a unique experience for me..everyone on the staff knows about it but none of us ever talk about it .I've worked with her about 4 years, but not in her department directly

@too_tired_for_this

4 жыл бұрын

Tom E I make a lot of jokes about it too, because that’s a socially acceptable way to talk about it these days. Lots of people with ocd are very bright because their minds are always working on things.

Dr. Todd Grande, I am most grateful to you for this session of OCD. I vividly remembery my first repulsion to filth, I was 4 years of age, and just the same obsessed with symmetry, perfection, and petrified of contamination. I am now 57 years of age and diagnosed with severe OCD since the age of 18, and 2 more mental illness. I have tried at least more than 11 different medications, some of these reaching the highest doses.

@kimalonzo2145

3 жыл бұрын

How are you currently?🤔❤

Maybe in this case the OCD was a self-soothing behaviour, an attempt to ease the pain of depression. My impression is that Steve lacked confidence in himself and was compliant to others wishes. He was probably letting others run his life for him, hence the depression. The attention he got from his OCD helped to perpetuate it. His counselor was a genius!

Good video! Just to share a way I helped myself when I could have gotten more compulsive about checking things started questioning if I really was so unsure of myself, and started realizing that I had such deep habits and was so naturally prone to organizing, it would be doubtful the obsession starting in my mind could be possible. This took a while, but it's pretty ingrained now. For example, I'm a TOTAL, "A place for everything and everything in it's place" kind of person, and my keys are Always in my bag, for example, and my bag is always parked right in a certain place when not on my shoulder. Very simple. And over time, I have learned to trust that, even when I'm forgetting where I put something, or if I did something, I did it. It also has helped a lot to quell or allay panic, or get back to normal faster after starting to panic. // Altho I can be repetitious making sure I've locked the car, and then that I've turned off the headlights, sometimes enough times before I leave it that I start thinking, too, about if anyone can see me hesitating a few paces off and returning to peer into the car from different angles to check the lights and lock. And I will unlock and relock it if I'm not being present enough, just so I don't walk home and get into my apartment and wonder if I left the lights on and did not notice the blaring warning after removing the key from the ignition. This is painful, of course. // I'm having a super cute obsession compulsion now though and utilizing my Ness in a fun way! -- I quit coffee and soda, as far as being my main source of caffeine, and switched to black and oolong teas, and some herbals. OK, OK!! I have a thing about Prime Numbers? (I quit smoking 8 years ago and love tracking my prime number days) (I have an excel spreadsheet...) (that I have pored over..) And I have a bunch of teas of different kinds and in alphabetical order in a cute basket where the tea bags stand upright in their packages, and I start with 1, and then 2, 3, 5, 7,11, 13 and so on up to 97; and then I can do a few 23's if I want because I love the number 23 and use it for my "23 game" that I use to get rid of old stuff and things I don't use, and anyway, then I do the numbers going backwards back down to 1, do some 23's, and repeat the whole thing. It's delightful! If I'm not explaining right, it's that I go forward counting from the first tea bag in the basket, and have to drink as part of the game the tea that I land on. When any 1 flavor of tea is exhausted in the basket, then I can replenish all the kinds of tea into the diminished supply in the basket. IAnd I keep a little notepad so I keep track. Do still allow myself a coffee or soda for fun, only one, I can't risk relapsing or my mind WANTING coffee, sweet ummy coffee, or giving my ALL for a cola, and I have one packet of hot chocolate in the basket representing "Coffee" and, if I hit it in the game, I get to make myself a cheap mocha with instant hot chocolate and a heaping teaspoon of instant coffee,,, ahhh.... // I am writing this and it keep spooling and spooling all my little obsessions and compulsions and putting them out all together- I might seem kooky! I guess I'll be glad I found out in my own way about this notion of focusing on completing projects and having self-accomplishments like this person in the case study had. .. I had not written a long comment in a while, so I was due... :)) .. In almost 8 weeks I've had maybe 2 really nice coffees whilst out and about, 2 colas ONLY, and perhaps 10 of those mocha things. I super proud of myself b/c I was a double fister, cola and coffee drinker for years- I'd go to parties with my own soda, and be drinking coffee on the way over, and want coffee while there, I was the worst, I'd go to my bed with a cup of coffee. So this has been really big.

Do more case studies, Dr. Grande! :)

This is a great review! Thank you for making this. It’s very hard for clinicians, and frankly anyone at all even the patient, to look past OCD to find deeper rooted problems. Especially when OCD symptoms are persistent and became an idenitty that a patient structures his life around, morphs from physical to more inward or purely obsessional and coupled with significant trauma or many Comorbid dx, it’s quite likely for a personality disorder to be involved which can explain the general depression and anxiety. While I have a lot of insight, I didn’t realize or accept thatI had bpd and it was my primary dx until the end of my latest 3 month inpatient stay. Psychiatric illness can be quite complicated but recognizing the correct dx can help things slowly fall into place. Unfortunately, this process can take years. Until then, and going forward, main focus of treatment should be subjective distress and level of functioning when patient present tx-resistant and very complex.

I've seen you make lots of videos about psychopathy but I was wondering if you could make one specifically about people with Type One psychopathy at low levels. More specifically how people with this condition manage to cope with living "normal" lives. I believe there is more than enough representation of the extremes of the construct but not enough discussion of the more subtle effects that someone who is high functioning type one might display or utilize. There are plenty of non violent people in the spectrum who use various outlets for what they realize are thoughts and impulses that are not allowed in society. Discussion of this part of the spectrum might allow people in this range to better understand their unique position within the world.

I have fairly severe OCD but not as bad as the guy you're describing. I would say it ultimately comes down to feelings of fear, anxiety, and a lack of control of your life, where OCD rituals are a form of extreme risk aversion. You may have had traumatic experiences in your past, and you may have issues in your current life that you don't know how to deal with, but you can project your fear and anxieties onto the things that you can control, like your stove and light switches, to try to compensate for your emotional anxiety, so that you can feel like you have your life under control and that you're not in any kind of danger. The best way I've found to deal with it is to take it ritual by ritual, to try not doing the ritual for a while, and even though it will feel really uncomfortable at first, you'll eventually learn that not doing the ritual isn't going to blow up in your face and that everything is fine, and after that not doing that particular ritual comes naturally. It's like a heroin addict, when you stop taking heroin you're going to feel withdrawal for a while before it gets better. You have to be willing to suffer a bit in the present to be able to improve the situation in the long term. If you're not willing to make that sacrifice you're not going to be able to improve the behavior. However I don't think that the suffering is necessarily as bad as you might fear that it's going to be. Oh and yeah I've also gone through depression and long term unemployment so yeah I match the profile. I had social phobia in my teenage years. These are all the consequences of a fear based mindset and sheltering yourself from the outside world.

@trevorbrown4605

4 жыл бұрын

And that’s what’s so crazy about OCD. You have anxiety from obsessions, so you perform compulsions to get rid of that anxiety. However, you start the cycle all over again. I do have to agree that OCD is mixed with fear and a feeling of losing control of your life. For example, I had a lot of anxiety in college, so I had many bad days. When I got home, I would have to relieve that anxiety by doing rituals like checking the stove or doors or whatever. I know the process was irrational, but I had to have the feeling of certainty of everything being in order even though my life was falling apart at college. Fast forward to now, I’m doing a lot better. I’ve been going to therapy and practicing mindfulness. I still have OCD, but I can manage it. It has been a rough road, but I can finally see a light at the end of the tunnel.

Comment 84: 2459 views. Insightful video. As I buckle down on doing my diligence, I find many ways to improve my mental health. Thank you, Dr. Grande. 😄😄😄😄😄😄😄 Seeing this video helps me see just another aspect of mental health. 😀😀😀😀😀😀

Let's call em "Steven". My name is Steven and I feel a great connection to "Steven".

Thanks for talking about OCD. As a OCD sufferer myself I highly appreciate it. Could you ever do a talk about somatic or hyperawareness OCD? Also called sensorimotor OCD? Thank you.

Obsessive concerns of contamination: ✔. Existential obsessions: ✔. Question: Is being obsessive about your relationship a thing? If so, ✔! Trying to resolve it though. I can attest to the the negative consequences as well. My rational mind knows better, but emotions don't always submit to reason. It's a lot of work, but Im determined. Thanks Dr. Grande; you have been instrumental on my journey of personal growth.

@alr.3137

4 жыл бұрын

Jesse Doesn't Believe Existential Obsessions are the worst! I have these obsessions about the validity of my feelings I had in situations

Dr Grande! I love your videos but with this one I have to comment. The term pure o (purely obessional) is not really correct because there ARE compulsions following the obsessions : they are called mental compulsions. Also physical avoidance happens often. Hope this is helpful. Keep up the excellent work and wishing you all the best in 2020!🎉

Wow, that’s so interesting. I’m surprised to hear a therapist would avoid discussing the mental illness they’re trying to treat.

Thank you for discussing this 😀😃🙂

I like the theory that people find it either difficult or impossible to keep promises other people ask them to make. It can be really hard for some personality types to stick to that kind of promise. They can also be very conscientious people and it seems possible to me they are through their not completely conscious compulsive behaviours showing themselves and others how conscientious they actually are despite others (those whose promises they didn't keep) thinking they aren't.

Pure O does involve compulsions. The compulsions are mental but give the same feeling of relief.

You are right Dr. G. "Fascinating!". LLAP! 😉 PS. Thank you so much. Im learning & understanding is a great feeling.

WOWSA!!!! Cool case!!! Especially to a veterinarian who has been studying and applying behavior science to solve behavior issues in animals.

Memory issues, obsessions, and also (last but not least): issues of power and control. Like the co-worker who can't stand for a heavy and cumbersome interior door to ever be open, despite people loaded down with merchandise passing back and forth through it constantly throughout the day (many times bumping into one another whenever we arrive at the doorway simultaneously). She has the equally difficult and irrational GM in her corner (who pointedly informed me that her Chief has declared the open door a serious infraction), so that I now fear losing my job over neglecting to close the door for her quickly enough. Until recently complaining about it being open, she would merrily jump out of her chair 50-100 times daily, solely to close that door. She was seated right next to it then (only complained about me leaving it open after she'd moved further away from it and finally felt the strain of all that unnecessary exertion). In her mind (apparently), keeping the door closed helps her to avoid having to interact with shoppers on the other side (despite customer service being one of her job duties). However, the shoppers are then forced to knock on the door for help (which she intentionally ignores). So she has successfully created this monstrous power struggle over "the door", which causes me to work at least twice as hard as necessary in order to maintain productivity. One day, she laughed hilariously at my frustration, and dramatically shaking her head commented sardonically, "That door..." She has such exaggerated feelings about 'the door', I'm seriously afraid of her. Yet I must open (and now close) that heavy door dozens of times throughout the day, just in order to accomplish my job duties. So it's also a sort of double bind for me. I'd heard a rumor that her contract was up in November of this year (i.e. last month), and was so looking forward to her departure. But she's still there, adding to the confusion. She's also a kleptomaniac and extremely secretive and paranoid. Meanwhile, the door's twin on the opposite side of the warehouse remains wide open throughout the day and evidently is no cause of concern for them (despite toddlers and toy poodles frequently escaping through it). But then, that door provides nice cool air for one of the GM's favorites who often sits in front of it (the warehouse being cooled only by huge fans). My job doesn't allow me to sit down ever, except during breaks. I realize I've complained about this before, but it seems to be an ongoing, worsening situation. I have exit plans, but sometimes (i.e. daily) wonder how the heck I'm going to preserve my sanity in the meantime. A weaker person would have cracked long ago and probably quit by now, but I don't have the privilege of doing so. I'm trying to handle it wisely, but the stress is almost unbearable. It accumulates and wears you down. I'm sure I won't escape it without some lasting ill effects from which I will need to heal and recover. Thanks for listening; it helps just to be able to talk about it to people who might understand what it's like to experience such things. Lucky for me, during the day focusing on my work ordinarily keeps my mind preoccupied with more important things. The problem is that this woman and her ilk are so darn distracting and disruptive. Their need for attention and lack of boundaries has no limits. I realize that people skills is important, but I can't give them the professional help that they really need. They've created a situation wherein their problems affect everyone.

It is really interesting that people’s comments here are mostly sincere and I don’t really feel afraid to comment here bc I’m pretty sure I won’t be attacked. literally every other page I look at like wisecrack which is humor so it’s understandable I guess and pages about politics people literally verbally abuse each other and bash each other.

Could you please do an episode on the case of Henry Lee Lucus, "The Confession Killer?" There is a new Netflix documentary series on him, and I'd really like your input on not only his behavior and actions, but on the role of the law enforcement involved, and the reactions of the families of his supposed victims etc. Just a very interesting case that I think a lot of people would enjoy watching presented by you.

@DrGrande

4 жыл бұрын

I'm working on a video about this right now. Thank you for the suggestion!

I suffer from it since I am 16...since I got anxious about existence itself and everything. I did existential relaxation to help pain management in chronic arthritis disease. It helped OCD, but at some point it comes back if I don't do relaxation meditation daily... It still takes maybe up to 30min of my day...i'm 35. Being out of my flat is a lot more relaxing than being inside because I don't have to do checkings over & over again. I will do cognitive - behavioral therapy, although it does not treat the cause, I'm sure it will help.

First time I have heard of strategic therapy. How fascinating! The distraction aspect is something parents commonly do, as pretending food being rejected by a child is really freight on an airplane spoon swooping into their mouths. Or someone deliberately dropping a pen near two people heatedly arguing and then picking it up and asking, "Did one of you drop this"? Distraction or deception? Cementing all the specifics with the super glue of ethics is really appreciated.

I have OCD. It sucks!!!

@kimalonzo2145

3 жыл бұрын

I am so sorry.😑💙

I have mild ‘checking’ OCD. Thankfully I have found a medication that works for me. It took a long time.

Can you a video on managing your personal relationships when you are a therapist? As in, trying not to solve and help everyone person you meet / partners etc.

If you have OCD get into Exposure response prevention therapy and ACT and consider consulting a psych or primary care doctor for medication like SSRI if therapy alone isn’t helping. Those are really the evidenced based treatment approaches. Understand also that many people, doctors and therapists, don’t understand how to treat or accurately diagnose OCD so its good to find people who specialize in OCD treatment.

I get extremely ocd when I am pregnant. Using a woodstove for heat got miserable. I would shut the dampers completely so I could be sure to open them the exact perfect amount. And I would do this like 20 times go upstairs to bed, get all tired and comfortable and have to get BACK UP to go downstairs and do it all over again (quite pregnant, uncomfortable and tired) finally I learned to say (at the stairs) "I shut the dampers and it's perfect, I can go to bed now" loud enough for my husband to hear me so he could reassure me if I did wonder even after saying it at the stairs. It was just torment. I hated it but couldn't stop.

You should do a video on Dermatophagia. I had a nasty infection on my finger because of it and I'm having issues overcoming it.

Ive had OCD for 20 years. I have a similar set of obsessions as mentioned in the video and one thing i did recently was take a road trip with my wife just to get away from it. It was a very changing experience. I returned home with like a 90 percent decrease in my symptoms. Im not going to say im perfect but im a hell of a lot better.

I have ocd. It’s hard to get treatment for pure o, especially if it’s really ingrained. I also have chronic suicidal thoughts. It’s incredibly hard to find help.

@too_tired_for_this

4 жыл бұрын

Judy Lee Thanks. It’s a huge challenge. I keep the hotline and chat line numbers in my phone, and keep up with my therapist. It’s just part of my life, so I have learned ways to take care of myself.

@too_tired_for_this

4 жыл бұрын

Linda A I get turned down for treatment programs because i disclose to them that I have suicidal thoughts and I self harm. That’s considered a huge risk (if I were to follow through with the thoughts, they could be held accountable). People also tend to focus on the suicidal thoughts instead of treating other aspects. I understand that they are concerned about my safety, but it’s something that I’ve lived with for most of my life(at least 30 years).

@too_tired_for_this

4 жыл бұрын

Linda A Thank you. Like I tell my therapist, I’m still here even if I don’t want to be. 👍🏻

@ForeverSweetx3

3 жыл бұрын

I agree... I feel there are not many good psychologist who specialize in Pure O. Also, it wasn't even touched on when I was in college. It's only recently that there's been more exposure of Pure O.

I am not sure if I watched this one yet. I keep having to check your channel out and then check it again. Might you address this in another video? This is me to a wee bit. I check doors a lot. I do not trust my own experience and what reinforces the behavior is when I ignore the impulse to check again to come back and find I didn’t lock the door! Haha. I think it’s within ordinary range as I have a friend who laments he cannot have romantic relationships because he can’t keep commitments due to his regimens which have to be just right.

Thank you

I have OCD. I have symmetry OCD. Can OCD be characterized as an extreme form of perfectionism where anything can lead to anxiety, fear, and distress? Could you be my friend? 🤗😘❤️Your charm is irresistible!!😁 You look energetic.💪 Now, the world can be a nasty crazy place out there, We cannot control what happens but we can use what happens. We have so much reserves of love and support inside us, if we can just remember that in our mind and move on.

Thank you so much 😊 I got diagnosed with OCD and OCP with depression I hope this works for me 😊 but I don't repeatedly check to see if a oven stove is off or anything but I have it sometimes with brushing my teeth and if I'm cooking food I'd want to constantly check my food turn the steaks over and stuff alot to make sure it's not burning and also when I make a coffee or something keep twisting the cap on to make sure it is on??

Very facinating. My neighbor has a strange ritual when he leaves for work. He will walk around the front yard and check the front window of his house. Get in the car and back out of the driveway, pull the car to the curb and stop. Look at the house for a minute, pull the car around the corner and then get out and walk toward the house, stop just to the end of the car, then walk back and get in the car and leave, if he sees me out front he will slightly alter his routine by not stopping the car around the corner and getting out, but slowly pulling around the corner , then driving all the way around the block up the main street and slowly back by the house and then he finally leaves for work...every single day exactly the same routine...its super facinating to watch..it would be so cool to video tape for a case study...a very good example of OCD...

@kimalonzo2145

3 жыл бұрын

Poor man

Yes! OCD. And phobias too please -!!!!

I have a co-worker who checks the car as well. He is really "slow" at work, as he does everything over and over again. After working, walking to his car, coming back, looking if the door is closed, back to his car, checking it from every angle etc. I don't know if he's been diagnosed with anything, but it looks obsessive-compulsive.

good morning 😁Dr.Grande

Dr. What are your thoughts on intrusive thoughts and what can be done..

Thank you for this informative video. Is there any biological, psychosocial and biopsychosocial theory that contributes to obsessive-compulsive disorder Dr Todd?. I find it confusing. Are factors treated as theory or are they separate?

Something worth looking into is vitamin deficiencies. I read that some people with OCD may be lacking with these vitamins. Vitamin D, Vitamin B12 and Zinc.

I would wonder why someone could not just note those issues that bothered them. Car locked at work, 7:55am 12/6/19. Rings removed at work 8:12am 12/6/19 I mean it is still a lot of overhead but you can see that you made a note and you may have better feeling of things that you are not forgetting something for a while.

@RobertEWaters

4 жыл бұрын

Because the obsessions have nothing to do with logic. The anxiety isn't impressed with the fact that it's illogical. It's disconnected from logic. The person can know perfectly well that he locked the car, etc. But his emotions and his bodily reactions continue to tell him otherwise. He's compelled to check in a futile effort to convince his emotions of the fact that he's locked the floor or punched the clock.

@katherinestahl7641

4 жыл бұрын

@@RobertEWaters This. I've also seen this note-taking spiral into a whole new ritual. The client may start by writing down these specific things, and then start to generalize tasks and suddenly a client might be spending hours of their day writing notes in order to try and decrease their anxiety. Note taking in this case can be seen as a safety behavior-- something that is aimed to reduce anxiety in response to a trigger. In OCD treatment, often our goal is actually to help a client tolerate anxiety. Doing behavioral therapies such as Exposure and Response Prevention (ERP) which purposely trigger an obsession in order to help them practice resisting the compulsion. Typically a person will habituate to this anxiety, and experience a decrease. Once they practice this, they learn that they can tolerate the anxiety, and subsequently they anxiety often does decrease. Source: I'm an intern at a residential OCD treatment center

@katherinestahl7641

4 жыл бұрын

@m norton buswell Yes! This is unfortunately something that happens a lot with OCD. We often see patients return after working through one specific obsession, only to return with their OCD having latched to a completely different theme. Oftentimes they have to develop a really amazing level of insight and ability to monitor their thoughts and behaviors before they escalate.

Okay Doctor Grande, it would be nice if you could do a study on Anna Nicole.

Lexapro and Clomiprimine: drugs of choice. Both likely increase serotonin which may have been what the therapist did.

Comment 96: 2955 views. Even though I compulsively check the views and comments. If I don’t do this, it’s NOT like I get excessive fear and anxiety if I do not check it. 321 likes and 3 dislikes. My take on this is to see how important this talk is, and for example if I find 10,000 views in two days time, it’s gratifying when I see progress. Also I find doing this helps me concentrate on regular tasks, so I’m not doing this obsessively even tho I sound like it. It’s a way to relax my mind as I am a musician..@ love to see things rationally....

Comment 126: 4,007 views. Sometimes people only have Obsessions. Cannot be other way around. Thanks for good video....😄😄🌈😄😄😄😄🌈😄😄😄😄😄

Could you do an analysis of the Mr. Robot characters? It seems like every time they introduce a new character, they pluck out a random page from DSM-IV and tell the actor 'you got this disorder'.

Interesting clinician tho! Ocd is difficult to treat.

I used to wash my hands constantly as a child. To the point where I would get up in the middle of meals and wash my hands. My mom had to force me to stop. It didn't really help though cause I just developed skin picking disorder after that. I wish I could find more videos about skin picking.

It's natural to worry a little bit.

I wonder if it applied to my old Uncle, who is literally obsessed with mowing his lawn. In summary, it has a "Kung-Fu technique" on how to mow the grass and he checks with sticks if the cut is equal everywhere by leaning at ground level (A little more and he uses a level..). And he can mow the lawn 5 times a week ...

@sebastienraymond3648

4 жыл бұрын

@m norton buswell lol

This was an interesting case for me. I have severe OCD with Depression and GAD, mine has to do more with numbers and 'pure' thoughts like being scared that I am a terrible person or that I am evil then needing to be assured that I am not evil, having to follow the same path and schedule all the time, picking my hair and nails, biting my skin and counting to make a specific number [mine is 2,3,9,11] in order to stop something bad from happening. I also have problem with contamination like I won't let anyone near my toothbrush or my personal items if someone touches it then I feel like its contaminated and now I need to throw it away and get a brand new one. If I am eating or drinking something, no one can touch it not even my close family like mother and brother, if they do I can no longer touch it because its now contaminated with their germs which comes from all the people they've ever touched and now I'll have those germs and yeah. I find it difficult to also touch people or be touched, thanks to the therapist I had recently who did Cognitive Behavioral Therapy with Exposure therapy I've gotten better at touching others so long as I am the one who starts it and sometimes I can let someone touch my food or drink. Anyways, I thought it was interesting how the therapist chose to ignore the OCD and focus on the depression which in a way ended up helping the OCD. Thank you so much for the interesting video and your own inputs in it!

@vincentkennedymcmahon50

2 жыл бұрын

🤣🤣🤣

Completing a resume is the hardest thing ever.

i have ocd and trust me its will never cure but will be supressed by sheer will. i am 22 and i have had trouble for like more than 8-10 years, when i was kid it was funny for me and ppl thought i was funyy, but it grows and becomes very very very severe. trust me ocd isnt joke and it isnt same as people generally asssume. ocd is different and bizzare person to person. i need to divert a huge amount of consiousness to keep my mind off trigerring an ocd, i have had big hit in my academic life due to this, and now i can say i have supressed my ocd at a point i can call myself normalish. i would like to hint my ocd, and there are more than one, some prominent being perversion, topic of gods, respecting, diseases ... these seem to be my ocds as i have found out. please dont make fun of people suffering through ocd because unlike other stuff, ocd is not treated and has no cure and isnt often taken seriously because it has no physical symptoms other than weird behaviour of people which people think wtf is this guy doing or thinking..... people think and suggest to ocd people like: just dont do it... trust me its not that easy. not even close. ocd is different also becuase atleast for me, like when your pc has running many applications altogether and how it affects cpu usage and ram usage, like that ocd takes a hugee part of my brain continously processing either to satisfy the compulsion or to keep it from trigerring, which in turn causes my concentration to detioriate to null. i have watched movies and anime and so many times i have spent watching an episode of 24min, 60min(random) to complete it. i space out of convos with people needing to ask them, sorry i didnt get that, sorry can u repeat, it has affected my speech and speech synthesis and thinking process by a hugeeee deal. i speak slow and sloppy, not autistic, it makes me think more than one thing at a time, i keep repeating words to my self (a type of ocd out of others i have) and keep saying it till i say it perfectly in my brain and i have spent hours doing this. looking and staring at a spot for hours, why not just give up? its not easy as i said, its real for us, for me some of common reasons might be if i dont get this right or if i dont fulfill this i will die or get a disease or i disrespect something someone or gods, or some thing bad will happen next, these are examples which will not let me off hook and those are real, as real as someone is reading this, its real and it doesnt go away. i can keep taking about this for long but i need to end this here, i would in the end can suggest a few things. ocd is never really gone, your brain will have a part % of it reserved to process this shit 100% of time (i have ocd trigerred in dreams too and have woken up contuning it when i wake) so the only thing that kills ocd is well, let me contradict myself, not to think about it. stop. no im not being like others and i really know what im saying, this is for fellow ocd suffering ppl. trust me will power is only thing that will save you, dont take medication it will make it worse or make other stuff in body worse, will power is what does it. just writing this article trigerred like a million ocds to me, we all know nothing is going to happen, these are all in head and bla bla... its true, will power is one thing you need and, theres another, talking and opening up. you might have seen most ocdic people are comfortable and often happy to share, really, talking about and letting people know really helps this condition, i know its unique but it does. talk and let family and friends know. feel good about yourself and you will supress it. i need to stop so if anyone wants anything can contact me itwilly7@gmail.com

@kimalonzo2145

3 жыл бұрын

How are you doing these days?🤔 i am so sorry you suffer with this condition. I hope you find relief ❤

Hey man, what are your thoughts on this plant medicines based therapy ie psychedelics as a therapeutic tool

@ElizabethGonzalez-jt7ns

3 жыл бұрын

I heard mushrooms 🍄 may help... but I’m not sure. I’ve never tried it.

Comment 20: 619 views. Look forward to hear this..

Even though his theory is weird and doesn't apply to most i think it might apply to me.

I have much to say about this awful disorder that I suffered from for many years. Also still suffer from depression which I believe are two different illnesses, although probably brought about by the same fear trigger or lack of security. In my own experience with OCD, I have discovered the only relief is to surrender to a higher power or God. Whatever, your beliefs are based upon. OCD is almost like an addiction. It is a learned coping mechanism that can be overcome. OCD is fear based, and the compulsion relieves the fear. However, think about relying on a higher power (God), to ensure that you will overcome the fear or that the fear is not real. In other words, a supreme guide providing security and enabling you to accomplish your goals without the need for rituals to relieve the fear. I have also known many individuals who were actually violent or trying to contain a very negative emotion which caused them to repeat checking and so forth. I can say with certainty that OCD is a spiritual battle. Weakened individuals are often prey for these types of disorders due to a lack of faith and security. Faith in God leads to faith in self. No amount of counseling or psychoanalysis has ever helped me, but I can say FAITH and LOVE has great healing ability.

Dr. Grande, Pure O has compulsions. It's all mental compulsions, like praying about the obsession many times, recounting events in your head, repeating mental phrases to cancel out the thought.

@kimalonzo2145

3 жыл бұрын

Are mental compulsions bad?

is there a video about obsessed thinking

PLEASE COMPARE AND CONTRAST OCD AND ADDICTION. I HAVE BOTH AND THE DRIVENNESS SEEMS VERY SIMILAR. THANKS!

Wow. That must have been highly stressful to live like that. :-( Regarding depression being caused by, or aggravated by, the failure to meet one's own expectations and that one one's family, employers, and friends --- I assume this is why autistic people have a high rate of depression

@t5396

4 жыл бұрын

Can you elaborate? Why would someone with autism be predisposed to depression?