What Causes Internal Bleeding In A 1 Year Old Baby Obsessive-Compulsive Disorder Treatment

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Obsessive-Compulsive Disorder Treatment

What causes Obsessive Compulsive Disorder?
There are a number of theories as to what lies beneath this disturbing disorder. One prominent school of thought is that an anxiety disorder develops when children become fearful of their own unconscious impulses and use defense mechanisms to reduce the resulting anxiety. What distinguishes obsessive-compulsive disorder from other anxiety disorders is that the battle between anxiety-provoking internal impulses and anxiety-reducing defense mechanisms is not buried in the unconscious but rather is played out in explicit and dramatic thoughts and actions. The internal impulses usually take the form of obsessive thoughts, and the defenses appear as counter-thoughts or compulsions.

Bridges to Recovery understands the suffering that occurs when an individual has this psychiatric disorder. Residential treatment in our community helps an individual learn to deal with the underlying problems. Individual therapy four times a week and regular visits with our personal psychiatrist are part of our clinical treatment. Learning to recognize the opportunities of time between impulsive thoughts and impulsive behaviors is part of the recovery process.

Excerpt from Macbeth…
Doctor: What is she doing now? Look how she rubs her hands.
Lady: It’s a usual act with her, to seem to wash her hands like that. I have known her to continue in this for a quarter of an hour.
Lady Macbeth: Yet here is a place. Out cursed place! Outside I say!… Yet who would have thought the old man had so much blood in him?” (Macbeth, Act V, Scene 1)

Obsessive-Compulsive Disorder (OCD) is an anxiety disorder characterized by unwanted, distressing and persistent thoughts or ideas. The thoughts feel both intrusive and alien to the people experiencing them. The thought may be offensive because it represents an overtly sexual or aggressive idea, or it may be neutral. Attempts to ignore or resist these thoughts can stir up even more anxiety, and before long they return stronger than ever. In Obsessive Compulsive Disorder, obsessions are more than just thoughts; rather, they are impulses to do some disturbing deed. Those who suffer from obsessive-compulsive disorder rarely act out their hostile or sexual fantasies, but they live in fear that they will. They are fully aware that their thoughts are excessive and inappropriate, yet they are experienced as disgusting and painful.

Excerpt from Spitzer
“He now spent hours each night ‘rehashing’ the day’s events, especially interactions with friends and teachers, endlessly getting ‘correct’ in his mind any and all regrets. He compared the process to playing a video of each event over and over in his mind, asking himself if he had behaved properly and telling himself that he had done his best, or had said the right thing some step along the way. He would do this while sitting at his desk, presumably studying; and that was not unusual; for him to look at the clock after such a period of rumination and note that, to his surprise, two or three hours have passed” (Spitzer et al., 1981, pp. 20-21)

Compulsive actions are another component of this disabling syndrome. These are repetitive actions that an individual feels compelled to perform without understanding why. If you’ve ever gone on vacation and come home to check whether you locked the front door or left the oven on, then you may have some insight into the relationship between obsessive thought and compulsive action. The behaviors, or “rituals”, are often carried out in the hope of preventing or stopping the unwanted thoughts and reducing anxiety. Mandatory rituals only provide temporary relief, but failing to perform them dramatically increases anxiety. Common sources of anxiety for victims of OCD include being contaminated by germs or dirt, requiring the sufferer to wash repeatedly, incessant doubt requiring the person to check the locks, doors and windows over and over, or a desire for order requiring straightening, the repetition of words, praying or counting. These symptoms cause significant distress and interfere with daily life. OCD sufferers often notice that their behavior is excessive or irrational. But they are unable to stop them. This can make the suffering embarrassing and unbearable.

Here is an example that vividly conveys obsessive symptoms and their intimate connection to compulsive actions:
“Shirley K., a twenty-three-year-old housewife, came to the clinic with a complaint of frequent attacks of headaches and dizziness. For the previous three months she had been troubled by recurring thoughts that she might harm her two-year-old son, Saul. , either by poking or choking him [the obsessive thought]. She constantly had to go into his room, touch the baby and feel him breathing to reassure herself that Saul was alive. [the compulsive act]; otherwise, she became unbearably restless. If she were to read a report in the daily newspaper about the murder of a child, she would be alarmed, because it strengthened her fear that she too would act on her impulse. Shirley turned to the interviewer and asked, with desperation, if this meant she was ‘going crazy'” (Goldstein and Palmer, 1975)

No matter how elaborate the complex of obsessive thoughts and compulsive rituals of the sufferer, they do not reduce anxiety. Most people suffering from Obsessive Compulsive Disorder report constant tension and dissatisfaction with their lives, and it is not unusual for this dissatisfaction to blend imperceptibly into feelings of depression.

An example of an interview
Patient: If I heard the word, like, something that had to do with germs or disease, it would be considered something bad, and so I would have things that would go through my mind, like “cross that out and it’ll be fine” hearing that word.
Interviewer: What kind of things?
Patient: Like numbers or words that seemed to be like a protector.
Interviewer: What numbers and words were they?
Patient: It started to be the number 3 and multiples of 3 and then words like “soap and water”, something like that; and then the multiples of 3 got really high, and they would be 124 or something like that. It got really bad then. (Spitzer et al., 1981, p. 137)

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