More than fifty years ago, science has been of great help in treating mental disorders. However, even therapies oriented to traditional approaches often continue to limit progress in patients. Obsessions are a current clinical issue of the adult, adolescent, and modern child, although they exist in comorbidity with many other disorders. Obsessive Compulsive Disorder is a true tyranny of the absurd that many therapists are afraid to treat. A problem is based on a recurrence of reactions to a difficulty that could not be solved. So, you try to solve a difficulty so many times in the same way that the solution becomes inefficient; being the very recurrence of the application of that solution attempted in the real psychological problem.
Finding the most suitable therapeutic solutions is sometimes not so simple, worsening the problem and leading from one disorder to another. The Strategic Brief Therapy proposed by Giorgio Nardone describes the fact of treating disorders from therapeutic solutions and not from causes; using a methodology that is based on the fact that the solutions often explain the problem at source and not the other way around. Thus, this specialist has experimented with real cases from a model of applied research in direct therapy; testing different solutions with the same problems in a case-patient and then the same solution to different cases. Obsessive-compulsive disorder has been studied from many approaches, but this new method takes the patient out of a laboratory and leaves aside stimuli to analyze their compulsions in their own contexts through therapeutic methods strategically. In this way, the patient’s recurrent reactions to the different dysfunctional attempted solutions most common in this disorder are observed and try to unlock this vicious circle and break the pattern. The first curious observation of the OCD case is the paradigmatic way of explaining Attempted Solutions (SI), where it is the recurrent solution that becomes the problem.
Instructions for Treating Obsessive Compulsive Disorder with EBIT
For example, a person is afraid of catching Covid-19; Then start thinking a lot about all possible ways to avoid contagion. Not coming into contact with contagious agents becomes a vital priority for the individual with obsessive-compulsive disorder with fear of infections. This also leads them to have at hand everything necessary to treat themselves if they were to be infected despite their preventions. Therefore, the patient will try to sanitize excessively; However, putting all this into practice, the phobia increases much more. In such a way that the problem is no longer the fear of contagion (the original phobia) but the compulsion to wash that they can no longer stop putting into practice. Consequently, a person with phobia towards viruses, seeks to reduce their minting in the extreme sanitation of their body and the environment where they are. This greatly reduces your state of stress, fear and anxiety; But this solution to their fear, that compulsion for cleanliness is so great that it becomes uncontrollable. Now, what is the difference between an obsessive person and an obsessive-compulsive person? obsessive people will always try to be in control of things and the more they try to have control the more frequently they will lose it. On the other hand, the obsessive compulsive tries to defend himself from his own phobia, looking for solutions that apparently work for him; He finds that they work so well that they simply become addicted to them, of that action and he cannot stop practicing it. They then create compulsive rituals as a way to control their phobia. Compulsive rituals can intensify an obsession problem so much that it is almost useless to be able to change your original idea of the fear that torments you. Simply because their rituals have become the oxygen to live under control. For this reason, it is understood that the solution tried to the fear of contagion becomes the real problem for the patient. According to G. Nardone, if the SI is unlocked; That is, stop covering the phobia with the compulsive ritual, and if you manage to suppress the ritual, you will be eliminating the phobia at the same time. This magical effect is impressive, but it works, since the initial consequence has evolved and if you directly treat the origin without attacking the ritual you will not be achieving anything.
There are many therapeutic variants to treat these cases. In addition, there are many types of compulsions. The disorder, in all its forms, can be built on strange compulsion very easily, but it is a bit complicated to give them up voluntarily. Therefore, we can all become obsessive compulsives, but we can also all free ourselves from it. Although OCD is seen as the most difficult to cure, because from the minimum symptomatology it is often confused with psychotic disorder by many therapists. This is because it can alter their perception of reality, as in schizophrenics.
What do you need to treat obsessive compulsive disorder with TBE?
The first thing you need to do is analyze your recurring behavior patterns. If you notice that they have become ritualized to the point of becoming compulsions, you must accept that you have a problem. Second, it is important to seek help from a specialist. Initially, a clinical psychologist can help you a lot. Subsequently, the psychologist can refer you to a psychiatrist if the case warrants it. Finally, have patience and discipline, fulfilling the pre-inscriptions of the specialist.
The phobia can become so great that people can see the symbol of their terror anywhere, even if it is not. This does not mean that he suffers from delusions, it means that he is a serious OCD. Antidepressantsoften intensify the problem. Therefore, it is best to initially use alternative therapies such as EBT before the disorder progresses to other, worse disorders. If you think you suffer from a ritualized compulsion and it is affecting your quality of life, do not hesitate to seek therapeutic help, but try to overcome your fears without medication. Try that the therapies are psychological based on the rupture of the IS so that from small changes in your daily habits modify the sequence and the pattern gradually changes. You must be patient with yourself
. Breaking the vicious cycleof compulsion as SI is the main action that the therapist must put into practice in cases of OC
You have to find a way through small changes in habits to prove to yourself that it is not the compulsion that rules, but that you are the one who makes the decisions.
It is also usually effective to apply counter-rituals. This consists of repeating the same ritual about five times. For example, if to sleep you need to check all the electrical appliances to verify that they are disconnected, you should check them about five times at the same time. If you don’t want to do it 5 times on the same day then avoid compulsion; Also, you will repeat
, I will do it 5 times neither once more nor once less to feel that you are controlling the situation. If you are a teenager, you have to take into account that your solutions tried to stop compulsions must go hand in hand withfamily therapy, because your parents have a great impact on the appearance or disappearance of symptoms. Parents generally assume a pathological complementarity
, which complicates the intervention quite a bit. Finally, it is always advisable to consult a therapist, who analyzes your medical history and communication model, which strategy fits the most appropriate protocol for your specific needs.