|
|
|
Health
Matters,
author's name withheld
Living
with obsessive-compulsive disorder
I have obsessive-compulsive disorder (OCD). Ive had this disorder
in one form or another, to one degree or another, for as long as I can
remember.
Im now seventy-one years old and want to offer some understanding
of what living with OCD has been like for me. I want my family to better
realize that some of my behaviors that have seemed so unusual, bizarre
really, were beyond my control.
I also want the people out there in the world who have OCD to know that
they are not as alone as they feel. There are many who are afflicted
with this disease, a disease that totally defies logic.
According to statistics from the Obsessive Compulsive Foundation, there
are more than five million people who suffer from obsessive-compulsive
disorder in the United States. As individuals, we dont readily
know if we have this disorder. In many cases, Im sure that its
because people with OCD dont want others to know that theyre
afflicted with a disorder that carries a stigma.
Everyone wants to be normal, and OCD is anything but normal.
OCD can surface in many forms, and can range from mild intermittent
episodes to those that literally take over ones life every day.
I think Ive run the gamut of intensity and duration of obsessive-compulsive
occurrences during my life.
OCD can present itself in different ways. One person may hoard the most
useless of things and be unable to get rid of them; another might have
an overwhelming fear of germs and spend hour after hour every day washing
his or her hands. Someone else may be plagued constantly with sexual
thoughts that wont go away, and this, unfortunately, can lead
to inappropriate touching of other people. Some people are overtaken
by religious preoccupations that result in checking, checking and more
checking with clergymen or others.
All OCD sufferers have a common theme to their disorders: an obsessive
thought surfaces in their minds, then a compulsion to rid the mind of
the thought can be so strong that the sufferer feels totally unable
to control it.
Accompanying all this chaos of the mind can be depression so severe
that one can barely get out of bed, let alone tend to the needs of daily
living. Anxiety can surface to such a degree that one feels unable to
function, sometimes even when no obsessive thought is present. This
can make absolutely no sense to anyone not familiar with OCD, and doesnt
make sense to the person afflicted with the disorder.
There is no logic with OCD. The sad part is that when the compulsive
act is performed to rid the mind of the obsessive thought, another obsessive
thought can surface almost immediately, and round and round things go.
My obsession has been an irrational preoccupation with religion. Ive
yet to find a clergyman who can understand me and the interpretations,
fears, obsessions and compulsions Ive attached to my faith. Beneath
all this turmoil, I know that there is a loving God, but things become
so difficult that its hard to keep that thought in mind.
Ive made hundreds of phone calls to clergymen, even to some not
of my religion. I must have totally exhausted some of these people.
Ive called many other people and places thinking that I had to
make restitution for something, had to inform someone that something
was morally wrong, ad infinitum. Ive managed to get myself into
some pretty embarrassing situations and encounters along the way.
Ive often thought that if my OCD were of a different nature (for
instance, a fear of germs) that I could get on top of that. Of course,
thats foolish thinking; the person with the fear of germs would
likely think he or she could conquer what I have.
Many people ask about treatment for the disorder. Ive seen a multitude
of psychiatrists, psychologists and therapists over the years. One therapist,
who used cognitive behavioral therapy, did help me considerably, and
one of the medications that Im now on does help somewhat.
As for the cure I was looking for, I pretty much know now, that, at
least for me, there isnt one. Each person has to find what works
best for him or her. For me, its taking my medications, avoiding
stress and trying to put some fun into my life.
Stress really gets OCD going for me, and even if things that I do, or
dont do, sometimes seem selfish on my part, I have to avoid anything
stressful as much as I can. Avoiding stress is very hard for someone
with obsessive-compulsive disorder, because the disorder carries so
much stress in itself.
OCD has been very hard on my family, particularly on my husband. My
family has had to work around Mother, and that isnt
easy or pleasant for them, but its the way it has to be and somehow
they manage. I try not to talk too much about my disorder around them,
and they know that I love them very much in spite of the chaos running
through my mind.
I have found, after reading about obsessive-compulsive disorder, and
from my own experiences through the years, that tremendous anxiety can
accompany an obsessive thought, but it does not last forever, even if
the ritual is not performed. Often, the ritual just triggers another
episode, and the person is off again in a nearly unbearable state.
It probably sounds like my life has been nothing but upheaval. This
isnt true. My husband and I have raised six successful children,
and we have many wonderful grandchildren. We have a nice home and are
fine financially. I earned a bachelors degree from college at
age thirty-four and later earned a masters degree.
I retired from teaching at age fifty-eight and did substitute teaching
during the ensuing years. I still sub at various area schools occasionally.
I had to take several months of medical leave many years ago because
of my OCD, but I was able to go back to teaching full-time.
When Im subbing at a school, Im never bothered with obsessive-compulsive
disorder, perhaps because Im busy and really enjoy what Im
doing. Ive had very few problems with either children or parents,
and have been able to find something to like in every child Ive
taught (admittedly this has sometimes been a challenge).
If I do have a really bad day, and something is expected of me that
I cannot do, I back out. Its usually better to force oneself to
get up and get at it, if it is at all possible, because usually it helps.
Sometimes that seems to be an impossibility.
Little seemed to be known about OCD years ago; at least it wasnt
talked about much. Todays medical theories lean heavily toward
a lack of the brain chemical serotonin in people afflicted with this
disorder.
Selective serotonin reuptake inhibitors (SSRIs) often are prescribed
for OCD patients. These medications, combined with behavioral therapy,
have helped many people. Its important, when seeking a therapist,
to know if he or she practices cognitive behavioral therapy, and if
the therapist is comfortable treating OCD.
There is evidence, too, that OCD runs in families. I believe this. I
have a very large extended family, and Ive seen this illness or
something similar surface in quite a few family members.
I guess were at least partly a product of the genetic make-up
we inherit. Most of my family seems to have been spared this disease
and have lead pretty normal lives.
Ill likely have OCD for the rest of my life. At my age, I cant
see it just going away. However, in spite of all the ups
and downs this disorder has caused me, Ive lived a fairly productive
life, perhaps more so than some people without OCD.
I once watched a television special on obsessive-compulsive disorder,
and it mentioned that the brains of people with this affliction show
differences from normal brains. I dont know enough about that
to make any knowledgeable comments.
However, Ive left instructions with one of my children that, upon
my death, I want the Harvard School of Medicine to be contacted to find
out if it would be interested in having my brain as an organ donation
for OCD research.
I want to assure OCD sufferers that they are not alone. Many know exactly
what obsessive-compulsive disorder is and what its like to have
it in our lives.
Name withheld
|