Cognitive Behavioral Strategies

Lynne S. Gots, Ph.D.
Licensed Psychologist

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Don’t Bow Down to OCD

By Lynne Gots, posted on November 14th, 2016.

OCD is a tyrant. It will control you with threats of the most horrific consequences if you don’t follow its commands.

“Don’t touch that or you’ll get sick and die.”

Go back and check the stove five…no, ten…no, fifteen times or the apartment building will burn down and it will be your fault.”

“Don’t hug your niece. If you put your hand in the wrong place, she’ll be scarred for life.”

“That bump you felt while you were driving was a body. The police will arrest you for a hit-and-run and you’ll go to jail for the rest of your life.”

“You had a bad thought while you were in church. If you don’t repeat the prayer the right way, you’ll go to hell for eternity.”

Who wouldn’t be terrified by such thoughts? They may seem preposterous to people who don’t suffer from OCD, but to those who do, they’re grimly familiar.

To break free from OCD, you have to refuse to follow its orders. Its demands are unreasonable. You may think you can appease it to arrive at an uneasy truce. But unless you say no to the rituals, OCD will keep escalating its requirements and make you its prisoner.

So you have to stand firm. Push back. Do the opposite.

Terrifying? Yes! But it’s a tactic—called “response prevention”—that works.

In his book, Stopping the Noise in Your Head: the New Way to Overcome Anxiety and Worry, psychologist Reid Wilson outlines specific steps you can take to break free from the tyranny of anxiety. One of the messages he drives home is that OCD worries are NOT ABOUT THE CONTENT despite what  OCD is brainwashing you into believing.

So if you’re doing rituals to protect yourself from contamination, repugnant or blasphemous thoughts, or the risk of being responsible for harming others, you can shift your perspective instead of blindly following OCD’s orders. Don’t try to convince yourself you’re protecting yourself from the content of your fears; instead, remind yourself you’re doing compulsive behaviors to eliminate doubt about something that feels threatening.

Practice moving towards those feelings of uncertainty, and you’ll be on your way to freeing yourself from the stranglehold of OCD.




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Posted in Obsessive Compulsive Disorder |

How to Stick with Meditation

By Lynne Gots, posted on August 7th, 2016.

Eating your vegetables, getting enough sleep, exercising regularly, drinking in moderation…all habits we know are good for our health but aren’t always easy to cultivate.

Meditation is another good-for-you practice whose benefits have been touted by neuroscientists and spiritual practitioners alike. But it’s hard to do and even harder to incorporate into a busy life.

Here are some suggestions for making meditation a habit.

1. Start slow.

Many of the mindfulness-based therapy protocols, such as MBSR, call for 45 minutes of daily practice. Transcendental Meditation (TM) requires its adherents to commit to 20 minutes twice a day. Those daunting time demands discourage many people from even getting started.

The good news is that practicing mindfulness meditation for as little as 8 hours can be beneficial, as Dr. Amishi Jha of the University of Miami found in a series of studies with a group of very time-crunched subjects: active-duty military personnel.

I recommend beginning with 5 minutes a day of a formal meditation exercise. If you can manage twice a day, better yet. Add in some informal mindfulness practice each day—such as brushing your teeth, showering, or washing the dishes with your full, focused attention—and you’ll be off to a good start.

2. Be consistent.

Try to practice every day. Knowing you only have to put in five minutes makes it more manageable. You don’t have to meditate at the same time every day but, as with any other habit, you might find it easier to remember to do if it’s part of your daily routine.

3. Let go of expectations.

Mindfulness means observing without judging. Forget about trying to “empty your mind” or achieve a state of calm. Many people give up on meditating because they find it hard not to think. In fact, “not thinking” is an impossible state of mind to achieve. With practice, however, you can learn not to let your thoughts intrude—to have them playing in the background like a TV with the volume turned low and not get caught up in the show.

Because the benefits of meditation—such as increased focus and decreased emotional reactivity—aren’t immediately apparent and take time to build, it’s especially hard to stick with it. But the research provides ample incentive to give it a try. And if you follow my advice, it may, with time, become an important part of your day.

 

 

 

 

 




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Posted in Acceptance and Mindfulness |

Social Media Use Linked to Depression

By Lynne Gots, posted on May 22nd, 2016.

Stuck inside the last couple of days due to the relentless rain and an enforced period of recovery from extensive oral surgery, I’ve whiled away the time on my iPad. I’m finally tired of solving on-line crossword puzzles, researching recipes for soup, binge-watching entire Netflix series, and looking on Facebook at the amazing trips my friends have been taking. Lying around  isn’t my strong suit, and it’s got me feeling a little down (plus, the dreary weather doesn’t help—how can anyone live cheerfully in Seattle?).

So I searched online for ideas I could use in a blog post, and I came upon a recently published study—certainly not the first, but perhaps the largest and most comprehensive—linking social-media use to depression in young adults. The University of Pittsburgh researchers found a correlation between the amount of time spent on a broad range of social media outlets and depression. Among the 1,787 US subjects ages 19 through 32 sampled, participants who checked social media most frequently throughout the week and those who spent the most total time on social media throughout the day had 2.7 times and 1.7 times the rate of depression, respectively.

My first thought, as any well-trained student of research methodology would wonder, was “Is the depression a cause or consequence of social media use?”

The researchers addressed this question. They speculated that “people who already are depressed” may be “turning to social media to fill a void.” But they also pointed out that exposure to social media might cause depression by contributing to envy towards others who appear to be happier and more successful. It also could increase the risk of so-called “Internet addiction” and cypher-bullying, both of which have been linked to depression. And there could be an interactive effect, with people prone to depression withdrawing and spending more time on social media and then feeling more depressed as a result.

One more possibility particularly hit home for me. Engaging in essentially meaningless activities on social media (and on the Internet, in general) can negatively affect mood by creating a sense of “time wasted.”

Four days of doing nothing have made me feel like a sloth. I’d hoped–unrealistically, l now realize–to clean out closets, plant my garden, and read two professional books I haven’t had time to crack open. Alas, the weather and my physical condition haven’t cooperated.

So I’m writing a blog post. Makes me feel less sluggish and a tad more productive. And tomorrow, if it ever stops raining, I think I’ll feel up to making a trip to the garden center. Anything to get me away from my electronic devices.

 

 

 

 

 




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Posted in Depression |

This blog is intended solely for the purpose of entertainment and education. All remarks are meant as general information and should not be taken as personal diagnostic or therapeutic advice. If you choose to comment on a post, please do not include any information that could identify you as a patient or potential patient. Also, please refrain from making any testimonials about me or my practice, as my professional code of ethics does not permit me to publish such statements. Comments that I deem inappropriate for this forum will not be published.

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