Big This Week

Recent Posts

Tuesday, 17 October 2017

Living with OCD | Mental Health

Hello everyone! If you didn't know, last week was a week of mental health awareness with Tuesday 10th being #MentalHealthAwarenessDay. The week was dedicated to getting people discussing mental health issues, a time for people to share their own stories of personal struggles and experiences, all aiming to help break down the societal stigma surrounding mental health problems and mental illnesses. It was awesome to see so much positivity on social media over those seven days, as well as all the support that was shown for people It was a nice reminder that there are lots of wonderful, kind-hearted people out there, and it's great to not feel so alone in my own personal struggles. If you're a regular reader of my blog, you'll know that I have generalised anxiety disorder, social anxiety disorder and depression; I'm pretty open on here about how these mental health conditions affect me. However, there's another mental illness that I've battled with for the last four years or so (although the signs were there since my teens) that I don't really talk about, and that's OCD or Obsessive Compulsion Disorder. 

The reason why I've not shared posts about OCD before is because of both the stigma surrounding it and also my own anxiety. I've been too worried about opening up about it, I guess because I feel embarrassed by it and I really shouldn't! I decided last week that I wanted to challenge myself to talk about it on my blog. I did intend for the post to be up sometime last week but my nerves got the better of me. So, today I finally worked myself up into writing about how Obsessive Compulsive Disorder impacts my life, and even though I'm feeling nervous about sharing this, I feel that I need to: for my own recovery, and to help others too! I hope you find this personal post helpful or informative or whatever guys! 

Living with OCD | Mental Health

So what really is OCD? 

Obsessive Compulsive Disorder is a type of anxiety disorder, of which symptoms manifest in two ways, as obsessions and compulsions. Obsessions are basically intrusive thoughts, intense worries that mirror the specific anxieties of an individual with OCD. There are many common types of obsession, including thoughts involving harm of yourself or your loved ones, thoughts surrounding exposure to germs, or disasters happening, or based on your relationships and/or sexual orientation, etc. These thoughts cause those with OCD to have the urge to carry out compulsions; these are physical or mental activities that bring relief to someone dealing with unwanted thoughts. Compulsions are normally repetitive, people find that they have to do the activity several times to deal with the stress and anxiety attributed to their obsessive thoughts. Some examples of compulsions: checking something repeatedly such as a door lock, washing specific body parts, and repeating numbers or words.

There are A LOT of misconceptions when it comes to most mental health problems, with people judging sufferers and assuming things about them and their conditions based on these misconceptions. For Obsessive Compulsive Disorder, this is definitely the case! People think that it is all about cleaning, about liking to keep neat and tidy. This misconception is actually based on some truth, as having anxiety surrounding germs and exposure to diseases are very common symptoms of OCD. However, just because someone is very into cleanliness does not mean that they have a mental illness. People saying 'omg I'm so OCD' is very frustrating for people living the condition; it just undermines the severity of it and further perpetuates stigma. Due to these misconceptions, it makes it very hard for people living with OCD to open up about it. Even I have been told that I don't have OCD because I'm not tidy enough! It's ridiculous! Events like Mental Health Awareness Day are crucial because they help to provide people with information about the reality of mental health problems, and this is why I think sharing personal stories is really important. It's certainly tough to hit that publish button, but it can be so beneficial to your recovery if you talk about it and get things out in the open that you may have bottled up. Have you ever blogged about your mental health? How did you feel afterwards? You should be very proud of yourself if you did! 


Living with OCD | Mental Health


 OCD & Me

This part of today's post was the most challenging to write for me, just because I've not talked about these symptoms with many people and as I mentioned earlier, I have a lot of feelings of embarassment when it comes to my OCD. However, talking about how conditions affect you is what enables others to understand and relate, and get a glimpse into the reality of living with mental illness so I'm going to try my best to articulate how Obsessive Compulsive Disorder impacts my everyday life. I just wanted to note that not everyone with OCD will experience the same symptoms as me, and that there are so many types of OCD all steming from a variety of different fears and anxieties, I'm just discussing how it affects me personally. 

Repeatedly checking things...  

One of my most frequent symptoms is the need to constantly re-check things, to read them over and over. Whenever I write a message to or email someone, I have to repeatedly proof read what I've written to convince myself that it definitely makes sense, that there are no spelling errors and that I come across in the right way. I also do this whenever I write a card or letter to someone too. Basically anything involving one-on-one correspondance with someone is a stressor for me, unless I am very close to the person but even then, there are times when I still need to do this with them too.

This may not sound like an issue, but it's the amount of times that I need to read something that is problematic, and all of the intrusive thoughts that I get surrounding my need to do it. All of my insecurities about coming across like I'm stupid or something are what drives this obsession. It has gotten me to the point many times where it has taken me hours, sometimes days, to write or reply to a message. I have a few times gotten such intense anxiety that I have reopened letters and cards that I've already checked and thus sealed, because I have convinced myself that I must be wrong and that there's a mistake. I constantly seek reassurance whenever I have to do these things, by getting someone else to check over what I've written, to avoid the intrusive thoughts occuring. Needing reassurance is a big element of all of my mental illness combined and I'm sure that I annoy all of my loved ones with my constant asking them for approval. 

Hoarding...  

This is probably the second most well-known symptom of Obsessive Compulsive Disorder. You have all probably watched at least one show or documentary before about an extreme hoarder so you'll be familiar with how difficult it can be for people who hoard to get rid of their belongings, no matter how useless they seem to onlookers. There are lots of reasons why people collect too many possessions until they are eventually overrun with them. These obsessions to hoard items may stem from a trauma in their lives which makes them feel the need to store things to use in the future; they may also become emotionally attached to the things they own and these are just a couple of examples. 

I have always had a hard time throwing things away. I get really attached to my possessions, and it makes me worry that people will see me as a materialistic person because of it. I have struggled with depression for most of my life so far and my depression definitely plays into my OCD when it comes to hoarding. Like most people, whenever I get something new it makes me feel good. But because I struggle with my mood as a result of my depression, the happiness that I feel whenever I get something has a real impact on me. I treasure these moments and therefore, I treasure the items associated with these positive feelings on a subconscious level. This makes it so tough for me to part with a lot of my things, even if I know that I don't need them anymore. If I can give them away to someone else, I can usually do that... I like the idea of making someone else happy in the same way that I felt when I got that particular item, but throwing them away to go to waste is just something that I struggle with. I get very worked up about the idea of throwing something away, because of this and also because I think about how the item can be used in the future without me having to re-buy a similar thing some day. 

My intrusive thoughts have gotten me to the point before that I've gone back to the bin bag and taken the item back out again (don't worry guys! I'm not going rummaging through the household bin. When I throw things away, I put them in my bedroom paper bin or into a carrier bag). When it comes to things that have a face too so plushies or keyrings of cute characters and such, I can't bring myself to discard them and the idea makes me pretty upset. To help me overcome this symptom, I like to do clear out's in the company of others so that I can get the answers to my internal questions, and then be encouraged that I don't need to keep something. At the moment, we are in the process of decorating and I will soon have my own bedroom finally so this symptom is being very challenged as I try to organise all of my possessions that have been stored away in boxes and cupboards ever since before I moved away to attend university. My OCD is being really tested and I'm trying my best to not keep items that I really don't have any use for. Wish me luck! 

Living with OCD | Mental Health
 
(I hope I'm not boring you too much everyone! If you managed to make it though my post so far guys, well done haha!

Ordering & Symmetry... 

This is one of those many symptoms that have so many misconceptions surrounding it. Through tv shows and movies depicting OCD, we are shown many characters with this mental health problem having their house ordered to perfection, and whenever something is moved it causes them a lot of distress. This is not necessarily wrong, because there are people who's OCD makes the order of their possessions very important to their mental well-being. It is only a problem that this has now become one of those stereotypical indicators of OCD and the various other symptoms seem to be unheard of in popular media. I am personally one of those messy organised people, where my bedroom, etc., may appear cluttered to someone else but for me, everything is ordered and I know where to find something if I need it. Having to share a bedroom all of my life so far has probably had something to do with this, nonetheless my things are not stored with precision. 

So is ordering something that affects me when it comes to OCD? Yes, it is. I have mentioned before on my blog that I am a very fussy eater, but this is not just because of what I like to eat. I also have a problem with how my food is ordered on the plate, if certain types of food are touching one another, if the juices of something come into contact with something else on the plate.... it can get pretty ridiculous how stressed I get if things go wrong with my meal. I will often not eat something if it has touched something that I didn't want it to, and this probably makes me sound so silly but yeah it's a thing that has always affected me. I have gotten better with this as I've gotten older but it still makes eating out a stressor. 

As for symmetry, this obsession for me manifests itself in the form of dermatillomania. If you've not heard of this condition before, it's a type of Obsessive Compulsive Disorder that causes sufferers to obsess over perceived imprefections on their skin to the point that they will try to remove them. Dermatillomania is also known as Excoriation Disorder, more commonly referred to as skin picking disorder. I don't want to go into too much detail here, but I shared a post all about living with skin picking disorder last year on Mental Health Awareness Day that you can read here. How this condition relates to symmetry is that I can't cope with my skin not being smooth or having any lumps or bumps. I have had this condition since my early teens but over time as my mental illness worsened so did the dermatillomania. It's a form of self harm thats very difficult to stop, but I'm working on it :)

Fear of Contamination... 

This obsession is unquestionably the most iconic symptom of OCD. Whenever Obsessive Compulsive Disorder is represented, whether it's in the media or thoroughout society, repetitive hand-washing is always the picture of this mental illness. This depiction of OCD probably derived from the original psychological observations of the condition from back when science wasn't as advanced as it is today and so only the most visual symptoms may have been categorised. Hand-washing is a very common compulsion, and I myself repeatedly perform this ritual whenever my fear of contamination is triggered. Whereas many people with Obsessive Compulsive Disorder have anxieties routed in fear of germs or disease-causing pathogens, mine is caused by fear of chemical exposure. This is one of the symptoms of my own mental health that I am most embarrassed by, because I know how irrational my obsessions can seem to others :(

You may be wondering what exactly I mean by chemical exposure. Essentially anything that is a hazardous chemical, e.g. household cleaning products, is a stressor for me. As a consequence, I cannot touch certain things with my bare hands (batteries, bleach bottles and such). If I have to use something like nail polish remover, I panic about getting the chemicals off of my hands afterwards and I will continously wash them. Often I will do this until they are sore and red. However most of the time, I am still convinced that the chemicals are not washed away and then I am scared to touch my face or put my fingers near my eyes because I get intrustive thoughts that I'm going to blind myself or irritate my skin and whatnot. I also cannot make food or drinks for other people most of the time because I get thoughts telling me that I might harm them by exposing them to whatever dangerous chemicals and/or germs that I've come into contact with. I know rationally that this won't happen but at the time, the threat is very real to me. 


Living with OCD | Mental Health

Intrustive Thoughts & Compulsion 'Rituals'...

The final symptom that I wanted to discuss with you all is the worst one in my opinion; I've saved the worst 'til last! It is the worst one for me because of how much it impacts my daily life and causes me the most amount of distress. I've mentioned intrustive thoughts several times throughout today's post, because it's these kinds of thoughts that contribute to the obsessions experienced by those with OCD but I wanted to explain what an intrustive thought actually is. Some of our thoughts are involuntary, our brain filled with all of its memories of our past experiences, of our phobias, the things that make us uncomfortable or angry, initiates thoughts without our control in response to our surroundings, to sensory inputs and stimuli. Everyone gets intrustive thoughts from time to time. Let me think of an example... have you ever been out and about and suddenly thought to yourself 'everyone is watching me' even thought you've not seen anyone look at you at all... that's an intrustive thought. Or, you've been sitting in your room chilling and feeling perfectly fine then suddenly you think about that one time that you embarassed yourself in front of someone. This thought seemingly came out of nowhere, because it was an intrustive thought. 

Well, for people with a mental health problem, these types of thoughts occur very regularly, a lot of time everyday. They are hard to ignore, sometimes it's almost impossible to distract yourself from them and try to focus your mind on something else. They can be very debilitating, especially when the thoughts are about past traumatic experiences or about your insecurities. With OCD, you experience these a lot! They are what usually cause you to have to carry out a compulsion, in order to relieve some of your anxiety and thus make the intrustive thoughts go away. Sometimes you can preform an activity several times and you still can't calm down, and this is where 'rituals' can develop. Rituals are compulsions that involve repeated sets of actions, whether it's washing your hands in a specific routine or counting a particular way. My own rituals involve both counting and touching specific items. I have no idea why this sequence of actions helps me, but if I don't do it whenever I get a very intense thought, I get very agitated. 

It is very crippling to have to live with this symptom of Obsessive Compulsive Disorder, as intrustive thoughts hit me at the most random of times and it sucks! I can be having a fabulous time and suddenly, a thought or an image comes to mine for no reason and stress sets in. Sometimes these thoughts are caused by an association, so I will see or hear something and ping! I think of something horrible. It can be very hard to deal with them in public places when I can't preform my little anxiety-relieving ritual. I have had to make an excuse to leave a room when I'm with friends because something has triggered my OCD.For example, I have been watching the news with people before and a tragedy of some kind had been reported. Everyone starts discussing how horrible it would be to experience it, so obviously I start thinking about that too and then I panic that because I've thought about it, it's going to somehow happen. I then try to ignore my thoughts but my anxiety is too high and I have a mighty need to go perform a compulsive behaviour to help me calm down again. I can't believe that I'm sharing about this, because it's so embarassing to me, eeek! >.<


Working Towards Recovery

I'm going to end this post on a more positive note :) When I talk about recovery, this does not mean that something heals, that it goes away as the word would suggest. Like in the case of some physical health conditions, which go into a state of recovery, where symptoms are pretty much gone but they could come back at anytime... this is what recovery of mental illness is referring to. Being recovered from a mental health condition means being at a point where you are experiencing less intense symptoms, where you are able to function more and have healthy coping mechanisms in place to help you keep those symptoms at bay. 

I am in the process of working towards a place of recovery with all of my mental illnesses and I'm still on the journey. It will be a while until I am where I hope to be, but in the meantime I am setting myself little goals to help me manage things along the way. When it comes to my OCD, I have already noticed so many little improvements and so I hope that one day I can share an update with you all on how things have changed. I hope that my post today has been an insightful one, that it has been interesting and I haven't gotten carried away with my writing, haha! If you've found my post helpful, please let me know in the comments. Have a lovely day guys!

Thankyou for reading!
 

You can find out more information about Obsessive Compulsive Disorder over on the Mind UK Mental Health website. They are a fabulous charity!

Share:

Monday, 10 October 2016

World Mental Health Day: Understanding Dermatillomania | Blogtober

CONTENT/TRIGGER WARNING: Discussion of Skin Picking, Self Harm.

You may have noticed via social media that today is World Mental Health Day, a day for education, for spreading awareness and sharing support for those who suffer with mental illness. It is also a reminder that we should all look after our mental well-being and not be afraid to seek any help when our mental health is affecting our daily lives. For a while now, I have wanted to share a side of my mental illnesses that I don't talk about. Taking the step to discuss dermatillomania with you all was a tough one. I want to thank all of my fellow bloggers who have shared about their personal struggles with mental health; they have inspired me to find the courage to talk about my own experiences. Three posts that I found the most inspiring are by Leah from x Love Leah x, by Sarah from Sarah in Wonderland & by Nicole from Thrifty Vintage Fashion. Thankyou lovelies So today, since it's Mental Health Day, I thought it was time to take this step and share with you all about what it's like to live with Dermatillomania. I hope that this post can help remind others that are not alone and inspire people to be unashamed about their mental illness. Stay Strong! 

World Mental Health Day, Dermatillomania,

 What is Dermatillomania? 

I wanted to start off my post by explaining what dermatillomania is, as it's one of those conditions that is not talked about often and is largely unheard of. It is also a mental health condition that is often misunderstood and undermined, with people saying things like 'oh just a bit of skin picking? Everyone does that'. So many mental illnesses are undermined like this and this needs to stop! Events like World Mental Health Day are dedicated to spreading awareness about mental illnesses and working towards breaking the stigma and lack of understanding society has about them. 

So, Dermatillomania, also known as Excoriation Disorder or Skin Picking Disorder (SPD), is a mental health condition where the sufferer feels overwhelmingly compelled to pick at their skin. It is considered as a type of Obsessive Compulsive Disorder (OCD) as it is an 'impulse controlled disorder' - Anxiety UK. People with dermatillomania will repeatedly pick at areas on their skin, in an attempt to remove both visible blemishes, such as spots, moles, insect bites, etc., and also blemishes that are viewed by them as imperfections or irregulaties, which very often can only be seen by the sufferer. This can result in wounds, scarring and tissue damage. Those who struggle with the condition will often pick almost ritualistically, focusing on certain areas of their body, with the face, back, legs and scalp being some of the most common areas. 

The compulsion to pick is often so strong that people with dermatillomania will pick at their skin without even realising they are doing it. It is a disorder closely linked with depression and anxiety, and sufferers feel a relief from stress after picking. Additionally, it is viewed by some professionals as a form of self harm, as it is used as a way to relieve stress by self-injury. 

World Mental Health Day, Dermatillomania,

Dermatillomania & Me 

I have struggled with the urge to pick at my skin for the last ten years. It began with the onset of my depression in my early teens. It makes me embarassed to say this, but I found enjoyment almost out of picking at any blemishes I found on my skin... spots, lumps and bumps, scabs, any little part of my skin that wasn't smooth would get picked at. When I had finished picking at the area, I felt a lot more content, even though I had just left behind a sore, open wound. As I got older and went through difficult times, my depression grew in severity and I developed anxiety disorder (although I had always seen that coming because of the way I was, the way I felt in certain situations, etc). The deeper into my depression I got, the more the urge to pick at my skin increased. I now wasn't only picking at visible spots and such as I had done at 14, I would spend time searching for the tiniest 'imperfection' and would sometimes repeat this for hours at a time. If I developed a scab as a result of my picking, I couldn't fight the urge to pick at that too, no matter how much it hurt. 

During the time I was studying for my degree, my mental health reached an all time low. I had never yet sought help for my anxiety or depression, I guess because I was scared about telling people and I just had so many reasons that where making me anxious, keeping me held back. This is around the time when my dermatillomania really worsened. I would find myself picking and I hadn't even known that I was doing it, almost like I was completely dissociating. It was scary! I also began picking as a way to distract myself from my overthinking and intrusive thoughts. These thoughts kept me awake for hours at night, ruminating over and over every detail of my life, and it was overwhelming. It seemed that the only way to find solace during these times was to concentrate on the pain that my picking caused :( It got so bad that I was waking up in the morning with dried blood all over my hands and fingernails, stains on my bedding. This is so difficult to write, knowing that people are going to read it. It makes me feel embarrassed and it really shouldn't! I'm hoping that others keep sharing their own stories and the stigma that influences these feelings of embarrassment will no longer impact us. 

I pick most frequently on my scalp and at the top of my back, but no part of my body is safe from these compulsions. It is something that I still currently live with, and it gets worse when I'm having bad mental health days or when I'm feeling really stressed. I'm currently taking medication and having psychological therapy for my mental illnesses so I am working the best I can right now towards recovery. I'm going to end this post with some ways that those who struggle from skin picking disorder can try to help stop their compulsions. 



Managing Dermatillomania 

There are lots of ways that can help you work on your dermatillomania and your urges to pick at your skin. As well as using my own suggestions, I have sourced ideas from various websites so I will list some of them at the end of the post. I hope these are helpful to any of my readers who struggle with this condition, too.

• I find it personally helpful to keep my nails cut short, which can be annoying if you want to have long nails that you can paint, but it is something that is a necessity for me. 
Keep your hands occupied until your urge to pick stops. This can be achieved by doing some sort of hobby, like knitting, painting, colouring, whatever you like to do, but you can also play with a toy to keep your hands busy. There's these great little toys called 'Twiddle Toys' or 'Fidget Toys' that are really helpful for this, google them :)  
• Some people find it helpful to wear clothing that covers up their skin as much as possible to help them resist the urge to pick. This doesn't help me though but it's worth a try. 
Wearing gloves can be a good way to stop, as this can make it difficult to pick at your skin.
• I've heard that another good way of managing dermatillomania is to apply skin care products, such as moisturiser, whenever you get the urge to pick. This way you are concentrating positivity on your skin and distracting the urge to pick. 
Squeezing a stress ball or a cushion can be useful.
• I found that keeping my hands occupied was not always enough because I still had the urge to pick and I started a habit of rubbing my fingers together instead which caused my fingers to become sore and inflammed so I bought some cheap rubbers/erasers and picked them whenever I felt the need to pick my skin. I have also done this with some cheap blue tack.
•And finally, it is important to seek help from professionals if your dermatillomania is getting bad, CBT or Cognitive Behavioural Therapy is the most common treatment to help treat most types of OCD as well as antidepressant medication

(Sources: NHS website, Derma Support Network, Anxiety UK).

Thankyou for reading! 

 

 Do you struggle with a mental health condition? Please let me know if you find this post helpful :) 

Some related posts:


Share:
Blog Design Created by pipdig