People with OCD are trained to thrive during a pandemic, but not in the way you think.
By International OCD Foundation Ambassadors:
Ethan S. Smith, National Ambassador
Kimberley Quinlan, LMFT
Shala Nicely, LPC
During his twenties, Ethan constantly carried thermometers. He took his temperature upwards of one hundred times a day, constantly monitoring his health for the slightest deviation from normal. Without the proper treatment, his insight into his own obsessive-compulsive disorder (OCD) was low. His ability to cope with obsessions, and the anxiety and uncertainty they created, consisted of never-ending compulsions that severely disrupted his life. So much so that he eventually became bedridden and homebound.
Many people believe OCD sufferers to be hand washers, germophobes, and clean freaks. Hypervigilant human scanners perfectly attuned to detect and destroy enemy bacteria and viruses. So who wouldn’t want to be a “little OCD” in the current climate? The ultimate survival tool almost guaranteed to ensure one comes out of this pandemic unscathed!
The truth is, however, that OCD is a painfully debilitating disorder that manifests in a nearly infinite variety of obsessions and compulsions, not just hand washing and being clean. These obsessions and compulsions can consume every waking hour, disrupting one’s entire life to a point of non-functioning. It can be a living hell, and definitely NOT something anyone with the disorder likes or enjoys or anyone without the disorder would want.
In these strange days, one might think those with anxiety disorders and especially with OCD will fare much worse than the average non-germaphobic citizen. While that unfortunately may be true for undiagnosed and/or untreated individuals, we can actually turn to those successfully managing OCD to learn effective skills to cope with anxiety and maintain overall mental health during this COVID-19 pandemic.
certainty, comfort, and control, and through an evidence-based therapy called Exposure
and Response Prevention (ERP), we learn that we don’t have, have never had, any
of these things. We face our fears, tolerate the discomfort instead of engaging
in compulsions, and learn we can LIVE WITH THE UNCERTAINTY. Over and over and
over again until we train our brains to just be ok not being ok. In
time, the anxiety and thoughts dissipate. We act in accordance with our values
despite our concerning thoughts and uncomfortable feelings and reclaim joy in
our lives as a result.
While we all valid reasons to be anxious, the OCD community holds the key to living well in the absence of certainty and the presence of fear. You can use the same skills we use to effectively manage anxiety during these uncertain times:
Accept anxiety instead of wishing it away and making it worse. No one enjoys anxiety and it’s normal to wish you weren’t anxious. But when you label your anxiety as “bad” and try to get rid of it, your brain then misinterprets the anxiety as a problem and dumps more stress chemicals into your body to help you manage this “threat.” The result? You feel more, not less, anxious.
Instead, accept that it’s likely you will continue to feel anxious during the pandemic, and that this is okay. Anxiety is uncomfortable, but it’s not going to hurt you, and if you tell yourself you can handle being anxious, your brain is less likely to get confused and think anxiety is a threat. Accepting anxiety, not being afraid of being afraid, is how to keep it manageable.
Tell yourself you can handle uncertainty, because you can. This situation is scary because there are so many unknowns. But you have huge muscles for tolerating uncertainty already: you drive or ride in a car every day and that’s one of the most dangerous and uncertain activities people do. You willingly accept that uncertainty without even thinking about it! Recognize you have the skills to handle the current uncertainty, too.
Recognize there’s always very little in life that we can control. If we believe we have control over outcomes, we feel a sense of safety and comfort. But it’s unfortunately an illusion. While we have some control of our actions, we have almost no control over results. We can follow guidelines, practice social distancing, etc. but we still may get sick or spread coronavirus to others. Beyond our immediate actions, the outcome is out of our control.
Accepting this lack of control is empowering. Instead of exhausting yourself trying to micromanage everything you do and then blaming yourself when things go wrong, you can turn your focus to what you can do and find freedom in letting go of the rest.
Be self-compassionate. During difficult times, it’s reasonable to experience strong emotions. Not only are we experiencing fear and uncertainty, but we’re also managing sadness, anger, irritability, overwhelm, and stress. While we cannot choose our emotions during the pandemic, we can choose how we respond to them. We can create a hostile psychological environment where we are harsh and critical of ourselves and our feelings, or we can create an environment that is kind and self-compassionate.
Self-compassion is a tool that allows us to meet our emotions, no matter how strong they are, with tenderness and warmth. We can experience fear or uncertainty while also treating ourselves with respect and self-kindness. Using self-compassion, we can become our own support system, a place that is gentle, kind, and safe.
If we want to take self-compassion to a whole new level, we can also become fierce with our practice. Fierce self-compassion is an unrelenting commitment to taking care of ourselves during difficult times, similar to how a papa or momma bear commits to protecting the cubs from threats. Practicing fierce self-compassion during COVID-19 allows us to adopt a radical approach to self-kindness where we commit to being there for ourselves, no matter how severe this pandemic is and or how long it lasts.
Love you guys! Thanks for this. Sharing with everyone, clients, family, and friends.
Thank you so much. There are a lot of people running around like headless chicken. Confused and not knowing what to do. This will definitely help.
Thanks for the tips. If only I could get my husband to read this. He has become so paranoid of everybody because of fear that he’s going to catch the virus. His inability to control everything is making him behave in a way that scares me. I’m afraid of him but I’m also afraid to let anybody know about his behavior.
Hello Regina. Thank you for sharing your story. We are sorry to hear of you and your husband’s struggles. We would encourage you to share this with him or direct him towards our iocdf.org/covid19 page for additional resources. Our Community Support specialist would be more then willing to speak with you and him. Give us a call at (617) 973-5801 or email us at firstname.lastname@example.org.
If you are worried about his symptoms, consider calling NAMI at 1-800-950-NAMI. If you feel unsafe, or are worried for your husband’s safety, please call 911.
Looking forward to connecting with you.
Every time i came from outside i take shaower and wipe my home. I even clean te water tap with soap… everyday i am getting obsessed about touching anything. I even wash every grocery shopping with soap. I have 2 month old baby. Do i need to do this washing?
Great and insightful piece! A great description of ERP, thank you.
(btw it looks like you forgot a word at the beginning of paragraph #6 (“While we all valid reasons”)
Thank you for sharing the tips. One of my friend has contamination and this article will surely help him a lot.
This is such a great article! Thank you
Accepting is the key! I was looking for my solutions and head to this article. Thanks a lot for sharing this helpful post. Although It’s arduous to accept and tell your brain that you are anxious yet paramount to wipe off the confusion.
This article is so insightful. We will never have complete control of Covid-19. There has and always will be a risk of catching Co-Vid-19 and any other contagious virus . Running around fearful and panicked, like chickens with our heads cut off can only lead to more sickness and infection. Chicken Little is a children’s literacy book that speaks accurately to the consequences of panic behavior! I will add it to my Free Little Library.
Compassionate advice, the idea of self care is really galvanizing for individuals at this time, it seems such a simple idea, but so many people fall into the trap of showing up for others but failing to show up for themselves, it just does not dawn on them.
I feel so isolated inside during this time that my OCD and OCPD has been pushed to the wall. I am starting to have physical problems because of it. Lately I’ve had a dream about dying or death every night. For OCD compulsions like checking things, I have learned to tell myself “Don’t do that to yourself!” and am pleased that that works, because I can see it as standing up for myself. That is good, and I hope it might work for someone else! But it’s relatively easy compared to OCPD, the compulsive thinking and lifestyle which seems to actually be working to kill me. It’s not a pleasant thing, and people don’t generally like me (for long anyway). I keep on trying, but have never met a professional who understands it even a bit, and feel ultimately alone with it.
Hi Terry — Thank you for sharing, and I’m so sorry to hear about your struggles. Please contact us at email@example.com so our resource specialist can help you.
hey i need help as well. can u text me from my phone number 631-953-3584?
I learned how to cope with the excitement of the coronavirus. But now I have obsessive thoughts about the missed moments in my life, about what I didn’t get to do as much as I planned this year. I reassure myself that I will be able to do it all next year, but how can I be sure?
hey i need help as well. can u text me from my phone number 631-953-3584?
Hi Vanessa, thank you for your comment. Please contact us at firstname.lastname@example.org or (617) 973-5801 and our resource specialist will assist you.