Aug 2 2010

What Is Obsessive Compulsive Disorder (OCD)?

I don't remember if I did that or not...

I don't remember if I did that or not...

OCD is a type of anxiety disorder that involves intrusive, uncontrollable thoughts and fears that can eventually take over the person’s life. Although to others the OCD sufferer may seem paranoid or even psychotic, in most cases the person realizes their thoughts and actions are irrational, making them feel even more alienated from those around them. It’s one of the more common mental illnesses, diagnosed nearly as often as asthma and diabetes. It’s important to note that OCD is different from other compulsive behaviors like overeating, gambling or sex addiction, where the person derives at least some short-term pleasure from the behavior. OCD sufferers get no pleasure or satisfaction from their behavior, yet they find it impossible to stop. OCD sufferers may also be diagnosed with conditions like Asperger syndrome, bulimia, social anxiety disorder, Tourette syndrome or major depressive disorder, among others.

It’s believed to have biological roots, and has been associated with abnormalities with the neurotransmitter serotonin, which is thought to have a role in how the brain regulates anxiety. This sort of imbalance of serotonin may be related to abnormal brain development; it’s suspected that children who have had a Group A streptococcal infection may be more prone to OCD later in life.

What Are OCD’s Symptoms?

OCD manifests itself in a set of compulsive behaviors that give the person “relief” from their anxieties. A typical person with OCD might be preoccupied with disease, God, the Devil or germs, all things that can cause tension and give the person the feeling that their life can never proceed as normal. Other obsessions might involve dirt and contamination; the person may be frightened or apprehensive about things like household chemicals, pets, newsprint, radioactivity, and of course their own bodily secretions or excrement.

Others have sexual obsessions that they can never be rid of, or may be extremely averse to sex. An OCD sufferer knows that their thoughts, behaviors and habits are out of step with the rest of the world, which just feeds their anxieties and doubts even more.

Typical obsessive behaviors or rituals might include:

· Skin picking

· Hair plucking

· Counting, which can come into play by counting specific things (such as footsteps or floor tiles) or counting specific ways (odd or even numbers, for instance)

· Hand washing or showering

· Throat clearing or verbal tics

· Behaviors that are preoccupied with order, such as putting items in a straight line, touching objects a set number of times, turning lights on and off, stepping on only a certain color of floor tile, checking that their car is locked several times over before leaving it, or only walking up or down a flight of stairs in a certain fashion (i.e. always starting and ending on the same foot)

How did it come to this?

How did it come to this?

Hoarding

Hoarding is an offshoot of OCD that has come to the public eye in recent months with hoarding-related TV shows. Hoarders might think that inanimate objects (teddy bears, documents, electronic devices, anything) are sentient beings with thoughts and emotions. In other cases, hoarders might never be able to break associations between those objects and a person or a past phase of their lives, and hang onto them as “mementos” or “keepsakes.” Often this might be linked to the trauma of a death or divorce. Nonetheless, hoarding can be just as destructive and just as crippling as any other form of OCD.

Management And Treatment

The first line of treatment for OCD has always been psychotherapy (and in some cases, dynamic psychotherapy). Newer therapies, though, have involved behavioral modification and medication. Behavioral modification for OCD might involve “exposure and ritual prevention,” where the person gradually is conditioned to let go of the anxiety associated with neglecting to go through their ritual behavior. The person might touch something only mildly “contaminated,” or might check the lock on their house only once when leaving, rather than going back and rechecking it. From there, the person is habituated to tolerate their anxiety in increments (touching something a little more “contaminated,” not checking a lock at all or only washing their hands once instead of repeatedly).

Other behavioral work has concentrated on “associative splitting” to reduce obsessive thoughts. It’s a concept that encourages neutral or positive associations in the network of OCD-related anxieties. For instance, a person who is obsessed with fire meaning “danger” or “destruction” might instead be steered towards thinking of fire as fireworks, fireflies, fireplaces, candlelight dinners, campfires or other pleasant associations.

The brain chemistry involved with OCD suggests using SSRI type drugs (selective serotonin reuptake inhibitors) such as paroxetine, fluoxetine, escitalopram or tricyclic antidepressants such as clomipramine. SSRI’s block excess serotonin from being directed back into the original neuron that released it; instead, they bind serotonin to receptors of nearby neurons, sending chemical signals that can help head off anxiety and obsessive thinking. Some newer-generation antipsychotics have been found useful in treating OCD; paradoxically, some of these drugs have been seen to cause obsessive-compulsive symptoms in patients who didn’t have OCD before.

Some experimental drug treatments have been observed to act on serotonin and neurotransmitters:

· The naturally occurring sugar inositol

· Vitamin and mineral supplements (some believe that nutritional deficiencies contribute to OCD)

· Opioids such as morphine and synthetics such as tramadol. It’s not clear exactly how these work, but they sometimes rapidly alleviate OCD symptoms

· Psychedelics such as LSD and peyote

· Nicotine treatment (again, the jury is still out on this one)

· Anticholinergics, to head off the anti-dopaminergic effects of choline

Will I ever be myself again?

Will I ever be myself again?

Although there is still a lot of research to be done on OCD, the last several years have seen significant advances. Medical science has gone a long way towards understanding the biological roots of OCD; between treating the root causes and readjusting the behaviors of the OCD sufferer, many with OCD (and many with related anxiety disorders) have been able to go back to leading a fairly normal, routine life again.


Jun 1 2010

Why swearing makes you feel better

Do you really wanna know what I think?

Do you really wanna know what I think?

It may be hard to believe, but those dirty words you’ve been told all your life are bad are actually good for you.  Ever stub your toe and let loose with a barrage of cussing that would make a sailor blush?  Ever cut your finger and immediately unleash a demonic onslaught of curse words that would make your mother cry?  A recent study suggests that because of the link between curse words and emotional response, the release of dropping an F-bomb might just help you cope with pain better.  It turns out, it might even ease pain to let loose with curse words when you’re wounded.

Brought about by one of the researchers noticing that his wife let loose with long bursts of cussing during childbirth, he was interested in learning if such utterances actually helped ease the pain of birthing a baby.

Scientists gathered a group of study participants and formulated an experiment to seek answers to just that question.  The study was conducted by asking participants to write down five words they might use after striking their thumb with a hammer.  Of these five words, people who used their favorite pejorative as a mantra after receiving a painful stimulus (holding their hands in icy water for as long as possible) were able to withstand that pain for a greater length of time.  Not only were they able to withstand pain for a longer time, but they reported decreased perception of pain.  They were not able to take the painful stimulus as long while repeating a more benign word than their cuss word of choice.

I am so tired of repeating myself!

I am so tired of repeating myself!

The study also found that women are more affected by the release offered by cussing than men, showing elevated heart rates more often than men.  Women indicated a larger drop in perceived pain after experiments with holding their hands in cold water and cussing.  This is believed to be because of the fact that in general, women curse less.  Also, the study seems to indicate that cussing might signal the start of a flight-or-fight response in women, raising endorphins and heart-rate, allowing women to be able to tolerate or ignore pain better.

From a scientific standpoint, swearing is a fascinating subject that is certain to be studied more.  Its benefit for pain relief and tolerance open a number of doors towards lessening the need for pharmacological aids, for one thing.  From a strictly moral standpoint, however, it doesn’t seem that cussing is going to become the norm any time soon.

The connection between cursing and pain relief is certainly unclear, and many more studies will be required before researchers fully understand the phenomenon.  It also raises questions such as why do we curse?  When did it start?  Why is it socially unacceptable, and has it ever been acceptable?  Certainly, researchers are discovering that curse words, as opposed to “normal” words, are capable of eliciting responses from the right, emotional side of the brain.  According to the scientists, the emotional response brought about by cursing is certainly worth further exploration.


Apr 20 2010

10 ways your mind tricks you into wasting money

I need to make sure I have everything covered

Making sure I have everything covered

You started the year off with the best of intentions. You had proven strategies to save money. Plans to cut back, trim down and save were made. By now, you should have a tidy bundle of rainy day money. Whether you were saving for a trip, a down payment or just ‘emergency’ funds, by now you are probably looking at your finances and thinking: “Where did I go wrong?” The truth is you sabotaged yourself even if you do not yet realize it. Sit down and take an honest look at your spending over the past few months and you will probably notice some ‘mind tricks’ you played on yourself. In short, you brain has fooled you into wasting money.

As an adult, you probably disagree – after all, you have full control over your mind, or do you? The human mind is a funny thing. No matter how smart we are, sometimes our perception is skewed just enough to muddle our thinking. Never has this been truer than when it comes to affairs of the mind. The mind plays lots of tricks on us, but ten stands out as particularly cunning.

1.  The Supersize Mentality: The advent of the concept of ‘supersizing’ may have been little more than a ploy by the fast food industry to get an extra buck out of us, but the phenomenon has grown rampant throughout the entire market. Say you are legitimately in need of a new television. You have settled on a respectable 36 inch flat screen with a good reputation. Upon arriving at the store, cleverly displayed right next to your first pick is a gorgeous 42 inch television. Suddenly you find yourself thinking: “it doesn’t cost that much more. Really, I’d be foolish not to get the bigger television. It’s such a deal.” The truth is, while you were prepared to spend say $300 on a television, supersizing it for an extra $60 seems like a drop in the bucket.

It wouldn't hurt to see what they have

It wouldn't hurt to see what they have

2.  Gotta Get It: I don’t know if it is an off shoot of keeping up with the Joneses or not, but today there are tons of things that we simply must have. A bigger television, smaller computer, faster phone…the list goes on and on. Think about the last time you visited a friend or family member who had recently made a new purchase. It probably started right then, that voice in the back of your head “I really should upgrade my computer – and Bobby got such a great deal.” What is really going on here is plain and simple envy. Your best bud gets a new toy and suddenly you need one too – even if you really don’t.

3.  It’s All About The Package: You need internet service for your new home, so you do the logical thing and call up the cable company and have chat. 20 minutes later, you have signed up for internet service, a land-line and 137 HD channels – all for $60.00/month (plus taxes and all that other stuff). Only problem is, you don’t have an HD television (yet) and rely solely on your cell phone for chatting. Problem is, the package is such a deal that you just can’t pass it up. Cut out the package spending and instead only pay for services you actually need right now – you can upgrade later!

4.  Of Course I Will: Gym memberships, CD clubs and more are a great idea and not a waste of money – if you use them. Unfortunately, our brains seem to have the ability to convince us that we will indeed make it to the gym 6 days a week for an hour, even though our schedule is already so crammed full that we have to remind ourselves to eat. Avoid long term contract commitments – it may cost a little more to do a one month trial, but at least you will be able to decide if you will really use the membership.

5.  But I Forgot: Everybody makes mistakes. You buy the wrong size jeans, a scratched cd or a toaster that doesn’t toast. You package it back up, you put it next to the door and then find it next year in the closet under the boots you bought three years ago but never wore because they were too small. Don’t waste money by forgetting to return something or by not completing a rebate form.

6.  Bulk Stores – Us ‘real’ shoppers know just how cheap bulk stores can be. 10 gallons of mayo for only $7.00??? It is a steal! Unfortunately, we often end up throwing away lots of the stuff we buy in bulk – it spoils or we get sick of it before we can use it all. Shop bulk stores wisely.

I just love the smell of money

I just love the smell of money

7.  It Can Be Fixed: We often believe that by spending a bit of money we can fix a possession and make it work for us. Cars are a prime example, but today computers and electronics rank high as well. Unfortunately, we often end up spending so much money at the repair shop that it actually makes sense to just buy new. Don’t let your mind convince you that you can’t part with an old possession.

8.  Reality Doesn’t Apply: Whether it is the influence of the digital age or simple ill placed optimism, we often find ourselves thinking that reality just doesn’t apply to us. Somehow, someway things will work themselves out so putting ourselves in the red for that killer trip to Cancun is ok. After all, it will sort itself out. NOT!!

9.  We Are Delusional: How many times have you gone to the store and bought something that you hope makes you look thinner, hotter or younger – even though it does none of those things? The 35 year old housewife shopping at Express for an outfit she will never wear is simply just wasting money in the hope that she will look and feel better about herself.

10.  We Are Too Polite: Every time you receive a bill that isn’t quite what you expected, you should put up a fight. Unfortunately, many of us simply don’t. Whether we are afraid to make a scene or just don’t want to rock the boat, we often simply accept that extra $5 on our cell phone bill each month. Don’t forget to stand up for yourself.


Mar 25 2010

Using mental discipline to lose weight

think_lose_weight_2

Having time for one self

The quickest way to start losing weight is to start believing that you can. It takes mental discipline as well as a healthy diet and exercise to lose weight and keep it off. Achieving mental discipline is not as hard as one might think and you can start right away. Discipline is defined as “the ability to do the right thing even when no one is watching”. Mental discipline could then be defined as “the ability to control your thoughts when you’re not thinking”. Using mental discipline to lose weight is the ability to stay strong in a moment of weakness. Unfortunately, moments of weakness occur rather frequently when dieting. Imagine that your diet has been quite successful and your target weight is seemingly reachable in less time than previously imagined. Suddenly, just when success is in sight, a weekend from hell occurs and before you know it, you’ve skipped two workouts and consumed every Little Debbie and Pringle in sight, and when no one was watching, you secretly ordered take-out.

healthy-diet-losing-weight-800X800

I need to lose weight

Having a strong sense of mental discipline may prevent that disaster from ever occurring. Occasionally we will give ourselves the green light to be bad. Then we make promises to ourselves such as working out harder during the next workout or skipping lunch or dinner, which is extremely unhealthy. Having mental discipline keeps your mind strong and your willpower in tact when you are consistently challenged during the course of a day. By properly programming your mind, you become able to override and overcome ingrained eating habits, and your energy level will naturally increase because you’ve stuck to a healthier diet. Skipping workouts is less likely to occur as well; in fact you’re likely to start looking forward to them.

tp-happy-lose-weight

I am finally reaching my weight goal

Create a vision of yourself having already lost the weight you feel you need to lose. Think about what you are wearing. Think about how you would feel. Confident? Ready for anything? Train yourself to think of this vision when you wake up, then keep the vision on your mind when you are in the shower, as you get ready for work. Think about this vision on your bus ride or drive into the office. After a couple of days, it becomes natural and easy. Remember, a belief is nothing more than a series of thoughts. It won’t be long before you start believing this vision is an attainable version of you! Suddenly, eating healthy is easy and working out is no longer the chore it once seemed. Achieving mental discipline will stop the sabotage from occurring and losing weight will no longer be the proposed chance of failure it once was. If you have decided that losing weight is your goal, and you want it bad enough, you must first believe that you can lose weight. Most people program themselves for failure not even realizing it. With mental discipline, and a strong desire to succeed, anyone can lose weight, and keep it off.