Obsessive-Compulsive Disorder (OCD)

[@RinconesAlicia]

I am so glad I stumbled across your videos. They are not only detailed and informative, but they aren't BORING! For that alone I am grateful. Your communication is excellent sir!

[@DrRamiNader]

Thank you for your kind words. I'm glad you have found the videos helpful!

[@Zoidberg60606]

Dr. Rami Nader is a really great communicator. Thank you so much for putting these videos out for free! This is very useful to understanding OCD in it's debt.

[@Zgembo121]

Very informative talk. Also the speaker is very emphatic

[@tonyfuri9693]

Zgembo121 Daniel L amen. You’re so right ? I also can’t stop checking and cleaning things. I’m going nuts. I’m on Prozac but it doesn’t really solve the behavior aspect of it. I feel like the kid in this video. What do I do? Why does everything have to be military clean. Why can’t I enjoy life and leave everything medium clean. It always has to be top notch clean. Any advise pleaseeee. Help this OCD white boy 😂

[@JoeJoe-vm9si]

Thank you for this talk Dr Nader. What an eye opener. Helped me tremendously just hearing it.

[@DrRamiNader]

Hi Joe - I am pleased that you found the video helpful. I have posted other videos and will be posting more videos on OCD in the coming weeks and you can find there here: kzbin.info/aero/PLG_XiSJeP3s0iFYcSP6oQHjEUJOQkNzMM Hope you find them helpful.

[@peterswerial6251]

This is easily the best video & resource about OCD I have ever seen. (I suffered from heavy OCD and got mostly cured.)

[@owlcowl]

What were the most effective treatments for your condition?

[@FromThe3021]

You get your whole place in order. That includes your car, workspace, anywhere and everywhere you inhabit. Then you just maintain it as a standard or pay someone to.

[@dearprudence2260]

What I've heard from suffers of this ailment is that they are entirely aware that both obsessional rumination and the compulsive practices which must follow are not 'correct' thought, they feel entirely unable to stop or even to change their thinking or behavior. When quizzed upon a particular trail of thought, it makes the cognitive approach something of a challenge when told that their explanation of events which is causing them so much anxiety, is logical, it is however not reasonable. So it's important to know, these two words are NOT interchangeable.

[@consmercado3843]

I agree i am aware of the stupid urge to repeat but yes its difficult to stop even though a normal person would just do it once then move on.

[@HIGHLANDER_ONLY_ONE]

So true. I know if my son's shoes aren't put together neatly, and just so, he'll may get into an accident and die. I know it's not logical, however I am so TERRIFIED of the tiny chance it may happened, because I didn't take the time to do it for him - he DESERVES better. He IS important to me, so I NEED to do it, and do it NOW! When I question myself, debating of I should fo it or not, because it's "crazy" talk, or I'm too busy, I get a SURGE of ANXIETY, and CONSUMED with GUILT, and that could last all day!!! The sad thing is, I thought that it was normal, and that everybody were like me...

[@maryamaboulnaja4197]

Thank you so much for the extensive details and examples which made the lecture more helpful than anything I have watched

[@DrRamiNader]

Hi Maryam - you're very welcome. Glad you found the video helpful.

[@playersto5]

Exposure therapy is effective against the less "severe" OCD thoughts. It is an inadequate treatment for eg incest, abuse, killing your family etc etc. As the thoughts usually stay with you for the rest of your life, but will cause less anxiety/depression after ET. It also matters how long the disease has been developing. For example, in my case, I have been thinking that my dad planned to kill me one night while I was sleeping. I had these thoughts from when I was around 14/15 until I moved out of the house when I was 24 years old. I blocked my bedroom doors every single night. I have had thoughts that my mother abused me when I was little and then tried to damage my brain so that I would not remember this. This is only a tiny fraction of what I have struggled with, it has ruined large parts of my life, I was under treatment already when I was 7 years old, but was taken out of treatment. I sought help when I was around 19 years old and was misdiagnosed with bipolar disorder. I already said at the time that I had thoughts of killing my family, but that it was the last thing I could have ever done! I was told by the psychiatrist that if this was true, then I had to be admitted to a closed psychiatric ward. I told him it was not true and it was a "sick" joke. Since that day, I told no one about my thoughts and thought I was an evil person! It is only now in recent years that I found information about this disorder. I was completely paralyzed when I realized that what I was experiencing was a serious brain disease, which has been overlooked for the past 30 years. Recent research shows that the brain of people with OCD operates in a different way. Information channels in the brain that transmit information to connection points for processing do not operate normally. Information that is completely absurd and unrealistic is not cut off. (inhibitory functioning) The information is further processed as possible important information. There are no limits to how catastrophic the scenario your brain can design and for the person experiencing it, it really feels as if it is real even if one realizes that it is not real. Thus, enormous anxiety and panic arises and one has to get away, perform compulsive etc etc. For the past 20 years I have documented some of the pain, with pictures and video, I thought I was a terrible evil person and was so scared that someone would find out. I was wrongly medicated for almost 15 years while the OCD continued to develop. It's only in the last 6 months things have started to get better. I now use 150mg Clomipramine and 60mg Vyvanse, which has given me a whole new start.

[@DrRamiNader]

Thank you for sharing your experience. The one point I don't necessarily agree with is the notion of "less severe" OCD thoughts, because the severity of the thoughts is very subjective and idiosyncratic. For example, for someone who is very religious, blasphemous thoughts could feel like the most severe or awful thoughts anyone could ever have. Whereas for some who's not religious, those thoughts aren't severe at all. The severity of the content of the thoughts is highly individual.

[@playersto5]

@@DrRamiNader Thank you for pointing this out, I so far partly agree with you.

[@yeahright6021]

@@playersto5 Thank you for this insightful comment, it really put things in to perspective. Sorry you had to go through all that but I’m happy you found the right help today 🙏 Do you mind if ask why vyvanse? Is it also to treat the OCD or is it for something else? I’ve also started to look into m ADHD medications as an alternative treatment for OCD, would love to know. Take care!

[@coreyanderson1457]

This is an excellent description of defined OCD and real life OCD. Thanks so much!

[@DrRamiNader]

I'm glad you found it helpful.

[@Gaariel]

27:00 (ERP)Exposure and response prevention; 55:12 (CBT) Cognitive Behavioral Therapy; 30:00 Grafic

[@DrRamiNader]

Just to give you a heads up - I'll be posting new videos explaining ERP and CBT techniques for OCD in the coming months, so keep an eye out for them if you are interested in learning more about this.

[@Gaariel]

@@DrRamiNader Yes, ill keep my eye on it. Thx!!

[@AnneFlint-m4i]

Really FANTASTIC video. Thank you for all the HELPFUL TEACHINGS and recommended resources!!! MUCH APPRECIATED!!! THANKS AGAIN. 🙋🏻‍♀️☀️

[@DrRamiNader]

You're very welcome. Glad you found it helpful!

[@IreneCausey]

Evening Dr. Nader, thank you for this, I sure learned a lot as this was very informative and gives a clear picture of OCD etc. I am thankful our instructor (In class for my AODA Certificate) made this a requirement to watch. Take Care,

[@DrRamiNader]

Thank you for your kind words. Glad you found it helpful!

[@jayatipalsokar6139]

Helped me get such a good grip on OCD. Loved the lecture!

[@DrRamiNader]

Glad you found it useful. I plan to do more videos on OCD in the future, so keep an eye out for those.

[@FromThe3021]

Thank you so much, my speaker died but I caught your slides. It's comforting to know there are like minded people out there who are comfortable sharing truths. The percentages on the house fire slide are amazing, very helpful and reassuring to be able think things through. It helps put things into perspective. Are they just average figures that capture all circumstances? With dropping a baby down the stairs and knocking over an elderly person scenarios, I can see how those would be similar to calculate very but if you stabbed one instead and hit bone, then lit the house fire, wouldn't your chances of getting caught go up significantly? You never hear, oh, she didn't want to stand there and suffer burning to death so she took her own life stabbing herself a total of 67 times. I guess if you think it through you could be alright. Maybe she done that before drinking 8 litres of water with the plans to just walk out unscathed. But accidentally drank the petrol out of the fridge? Who knows, it's a weird world out there.

[@anewme5140]

Very well explained! I really enjoyed listening to your presentation about OCD!

[@DrRamiNader]

Thank you for your kind words. I'm glad you found the video helpful.

[@amyspears8163]

I have refractory OCD...IT SUCKS. I haven't watch the video yet, but I hope to glean something from it. My OCD is constantly telling me to kill myself. I don't think people understand how bad it gets. I've lost my family because OCD is the monster between me and other people.

[@HIGHLANDER_ONLY_ONE]

So true. I know if my son's shoes aren't put together neatly, and just so, he'll may get into an accident and die. I know it's not logical, however I am so TERRIFIED of the tiny chance it may happened, because I didn't take the time to do it for him - he DESERVES better. He IS important to me, so I NEED to do it, and do it NOW! When I question myself, debating of I should fo it or not, because it's "crazy" talk, or I'm too busy, I get a SURGE of ANXIETY, and CONSUMED with GUILT, and that could last all day!!! The sad thing is, I thought that it was normal, and that everybody were like me... I didn't know I had OCD 😥

[@DrRamiNader]

Awareness is the key first step in making change. Good luck!

[@consmercado3843]

Yes i have ocd but now i can actually manage the urge even without medication. I remember back then i failed a subject in college because I'm always late because i can't stop taking a shower over and over again. Its a difficult disorder especially if you experience it for the first time. And its not joke. But in my experience as u grow old u gain some will power to resist and forget the urge.

[@DrRamiNader]

You're absolutely right - the key is to resist the urge to engage in the compulsion in response to the intrusive thought.

[@jd9512]

Thank you I had been battling with my OCD for 15 years. I will now control it.

[@DrRamiNader]

Hi Juan - I'm glad you found the video helpful.

[@kanakpatel3614]

Hi! This are just a thought. Don't make such such thoughts real. U have identified yourself with such thought. So stop making this type of thought and don't believe in such thought because they are not real. Now whenever such type of thought came then don't do what thought tells u to do. Just observe the thought without reacting to it and u will see that if u dont react to the the thought then after sometime the thought will go away. Just don't believe in the thought and don't make this thought real. Always have positive thinking because what u think that u become so if u want positive changes in your life then think positive thoughts only.

[@vijaybhaskar7034]

Good one, very informative

[@sarahep5702]

Super interesting !!! Thank you so much!

[@M4nh4_.4hm3d]

your videos are amazing

[@DrRamiNader]

Thank you for your kind and encouraging words.

[@bhagyashrikasare]

Please forward the pathophysiology of ocd

[@ocdhealingaffirmations]

Very nice talk, thank you so much for sharing this...

[@DrRamiNader]

Thank you for your kind words - I'm glad you found it helpful.

[@DrewPicklesTheDark]

I had a friend with OCD. His compulsion was hand washing. He would every ten minutes, nearly down to the second, stop what he was doing, no matter what it was, and go wash his hands. He over time managed to shift his compulsion so his life was more manageable, last I knew he shifted from frequent hand washing, to long drawn out washing sessions, but with a much lower frequency. So he would wash his hands for like 3-5 minutes straight (I am sure he had a sweet spot that felt perfect, but idk the exact time), however the frequency at which he washed them was much closer to an average person, so he was able to plan things much better and could do things that took longer than 10 minutes without getting anxious. I'm not sure how it is now, he moved away and, despite the topic never really bothering him, it's not one I bring up when chatting.

[@almiramirza1080]

idk if this is ocd or but. but when someone else cleans my room i feel like no its not so clean so i start touching and arranging everything again. but i dont wash my hands abt 20 times but yes i wash my hands face feet alot 4-6 times. if something in the kitchen is not at its place i get anxiety and i keep thinking abt it. until i get there and put it back idk it happens often. i guess am slightly there... someone please tell me!

[@ryarya3291]

Hi Dr Nader, is OCD a symptom of underlying psychological unresolved issues or it is a biological disease? Thx

[@DrRamiNader]

There are many different models and theories to explain OCD. I view it as a series of maladaptive behaviors and thoughts aimed at suppressing intrusive thoughts that a person finds upsetting. I'll be doing OCD specific videos in the future.

[@ryarya3291]

Please do, my daughter has OCD and had CBT treatment, it helped a bit . She is on medication now but her thoughts keep racing. That’s why I thought if there’s something lying beneath the OCD

[@ryanjackson3539]

I know I need to talk to a professional but I'm curious what kind and what you would call what I do. Someone said its OCD but anyways when ever I'm around people in public or even with family and friends it's like I cant stop thinking they other people are saying bad things about me or making fun of me. Also if I'm in a store and it starts to get busy with people every were I feel like I have having a panic attack and a overlord from all the people thinking things of me. What would you call this? What type of help should I go see?

[@zefyralen7923]

Well from what i can gather according to CBT i would say that your selfsteem is low thus making your mind assume that like you everybody is looking down on you, not only that but your belief system could be unbalanced. What i mean by that is that you have some beliefs that are causing you harm, selfdestructive beliefs in a way, they can really mess up how well you feel outside of your home or maybe even when you are alone in your home. Do seek professional help for that a cognitive therapist. I hope you got better or that you may seek help.

[@glamzone7660]

I want to ask what u mean by synchrocity and castrophizing in pure o Actually i have a very intrunsive thought related to internet usage I cant explain But i have constant fear of something That if i do this or bad will happn With me or family I have questions Q If i have constant fear of something of worring for hours Will that happrn Q Do ocd realted to synchrocity What is the meaning of synchrocity ocd and castrophizing Plz

[@DrRamiNader]

Hello - I don't know what synchrocity is and don't know what that term means. Catastophizing is making a small issue seem like it is much worse or more significant as it is. Essentially, making a mountain out of a mole hill. Taking something small and seeing it as much bigger than it is. If you think about something bad happening a lot, it won't make it happen - we call that thought action fusion, and it's one of the things that can drive OCD. However, thoughts cannot affect the world without action. So just thinking about something can't make it happen. I hope that answers your questions.

[@stephanieturner5931]

Maybe we should tell the people who keep saying “your thoughts manifest your reality” to be more cautious in their message.

[@DrRamiNader]

Agreed - it's something called "thought-action fusion" and it's a logical and psychological fallacy. I'll be doing more videos about this in the future.

[@Egyptianslang539]

Okay i have extremme obssessive thoughts specially lately i ended up taking. Measures of my face because i am fraid to have a skinny face on an obssesive way i do things irrational even if i decided to be health i go stream i keep thinkong about thw things that bother me all the day sometimes when i am asleep ! But i do not care about cleaning it is almost all about me and how i look and how if i did not take care about myself o could hurt myself or i take care alot about myself and make a life style change i could effect myself then it will be my fault

[@DrRamiNader]

Contamination concerns are only one example of obsessions, there are lots of others including need for symmetry, doing things just right, religious obsessions. Obsessions around aspects of personal appearance can be a part of OCD and/or Body Dysmorphic Disorder.

[@Egyptianslang539]

So it is not ocd you mean it can be just obssessive thoughts ? Becauace it started to really ruin my life and my calminess i am always anxious and sad and depressed like i am in prison or something butvi have to do that i have like some breaks i mean i can have sometime that i am thoughtkess and calm but it does not last alot to be hittin' by another thought ! I also have a specific way to sleep otgerwise i can not sleep i have to enter the bathroom before i sleep the last one in the house unless i can't ! I hope you can explain to me what is this because i am not able to go to a doctor right now on my own and i don wanna make my parents worried

[@DrRamiNader]

@@Egyptianslang539 I cannot provide a diagnosis over the internet. To be clear however, OCD consists of obsessive thoughts and compulsions in response to the obsessive thoughts.

[@Egyptianslang539]

Thank u for answering so i have to go to a doctor and make some tests !

[@xiad7686]

But how this Exposure therapy works with religious OCD, where the patient gets the blasphemous thoughts and he is not at all to say or think at all about those thoughts which results with committing a sin

[@DrRamiNader]

For obsessions without compulsive behaviors, there are other approaches that rely primarily on challenging the beliefs about the nature of the obsessive thoughts themselves.

[@triciaosullivan6582]

Would low dose naltrexone work for ocd, I've read that it might.

[@DrRamiNader]

Hi Tricia - I don't know about that. As a psychologist, medications aren't something I specialize in.

[@triciaosullivan6582]

@@DrRamiNader Thank you for your answer, but imagine if it did , how great that would be for everyone with ocd.

[@rejiroselinwinston5623]

Is there only 3 pills worldwide for ocd problem ??please reply

[@DrRamiNader]

There are many different medications for OCD, but medications are not my are of expertise.

[@rejiroselinwinston5623]

@@DrRamiNader thank u sir

[@DrRamiNader]

@@rejiroselinwinston5623 You are welcome.

[@mdmujammel3417]

Plz sir this all video ans bangla dubbing take me😢😢🙏🙏🙏🙏🙏

[@mdmujammel3417]

আমি ইংলিশ বুজি না,,তাই এই ভিডিও র বাংলা সারাংশ সমাদান টা কমেন্ট এ দিয়ে দিন,, আমি Ocd তে আক্রান্ত 😭

[@annajkr6606]

“I’ve been looking at your crotch”.

[@DrRamiNader]

It's one of my favorite therapy moments :)

[@Angela-po7cr]

you go in and out of the house you get late for work obsessing on safety and security, how can i make sure safety first, you should do one when your a wreck and OCD, the overspun hun, i never have any desire to mess with anyone that i am not attracked to and prefer to get it right when i do and have someone who loves me and values me as that and forever, which if that is just not a thing then i dont want it, we annoy people, they want to drop kick us out, we talk too much, your making OCD sound like a perferted person, that is not even it at all, sick, your talking like fantasy stuff, this is real stuff, real life things, excessive sensitivity to all things, they arent bad, your making it sound that way, its so different in what area it hits for each person, one may be relationships and complusive to do and cant get out of it very easy, its not to be made into stupidity, these are real issues, like someone cooking for me, i want to be completely safe, kitchen and bathroom clean but not excessive...counting colors and numbers in patterns or separated orgainized as such, subjects can trigger a run thru the house panick, or sexual arousal disorder if that is one some get, badgering self too hard on self, annoying others they team together against the talkative OCD going on and on, the drop kick happens, rudeness from others as not understood. i have completely different in different area's checking alot on house safety, its a making sure over and over, gotta make sure, intensity

[@emmydream5802]

Very clear and informative lecture. I will not double check this comment.

[@DrRamiNader]

Thank you for your kind words. I am planning on adding more videos in the coming months, so I hope you will find them helpful as well.

[@zakariyakhalaf8151]

i have this shit it sucks