Penny Moodie, a writer and OCD advocate, shares her journey with Obsessive Compulsive Disorder, providing valuable insights into its complexities. She discusses common misconceptions, key mechanisms like thought-action fusion, and the impact of OCD from childhood to adulthood. Penny emphasizes the importance of understanding and compassion, while sharing effective strategies such as Exposure and Response Prevention (ERP) and self-compassion practices. She also advocates for open conversations about mental health and offers support resources for those affected by OCD.
Penny Moodie emphasizes the importance of understanding the true nature of OCD, which is often misunderstood by the public as mere organizational habits.
The podcast explores the intersection of OCD with identity issues, particularly during adolescence, revealing how intrusive thoughts can exacerbate symptoms.
ERP therapy is highlighted as an effective treatment for OCD, encouraging individuals to confront fears rather than avoid them to diminish OCD's impact.
Deep dives
Building a Compassionate Inner Voice
Developing a compassionate inner voice is crucial for personal growth and mental health. This involves making commitments to ourselves, such as dedicating time for rest, relief, or simply to slow down. The Calm app serves as a valuable resource by offering a variety of options, including sleep stories, meditations, and stretching exercises. Spending even a few minutes daily to focus on mindfulness can significantly enhance one’s well-being.
Understanding OCD: Definitions and Misconceptions
Obsessive Compulsive Disorder (OCD) is characterized by the presence of obsessions and compulsions, where individuals grapple with intrusive thoughts that cause anxiety. Misconceptions often arise when people use 'OCD' loosely, associating it with being overly tidy or organized, rather than recognizing it as a serious mental health condition. Additionally, compulsions can manifest through avoidance behaviors, such as refraining from certain activities out of fear. Clarity around what constitutes OCD versus common anxiety can reduce stigma and facilitate better understanding.
The Impact of Identity on OCD Experience
The experience of OCD frequently intersects with questions of identity, particularly during adolescence or major life transitions. Individuals may struggle with intrusive thoughts about their sexual orientation or personal values that can cause significant distress. This internal conflict often stems from a desire for certainty regarding one’s identity, exacerbating the OCD symptoms. Understanding that these thoughts are usually ego-dystonic allows individuals to separate their true selves from their intrusive thoughts.
Navigating OCD in Perinatal Period
The perinatal period can trigger heightened OCD symptoms for many individuals, often tied to fears pertaining to their newborn's health and well-being. New parents frequently engage in compulsive behaviors such as excessive reassurance-seeking or catastrophizing possible outcomes due to the overwhelming responsibilities and unknowns. Proactive mental health support during this time is essential to manage anxiety and reduce the exacerbation of OCD. Strategies like seeking therapy and creating support networks can aid in navigating these tumultuous emotions.
The Efficacy of Exposure and Response Prevention Therapy
Exposure and Response Prevention (ERP) therapy emerges as a highly effective treatment for OCD, focusing on confronting fears rather than avoiding them. By deliberately facing anxiety-inducing thoughts without performing compulsive behaviors, individuals can retrain their responses to distress. This process involves creating a structured environment where fears are explored and accepted, rather than reactively managed. Ultimately, ERP allows individuals to diminish the power of OCD over their lives, fostering resilience and healthier coping mechanisms.
This week we speak with Penny Moodie about Obsessive Compulsive Disorder (OCD). Penny is a writer, OCD advocate, and mum of three little people. She is the author of ‘The Joy Thief: How OCD steals your happiness – and how to get it back’ and the co-creator the website soocd.com.au, which is packed with information on OCD and how to get support.
In this episode Penny very generously shares her personal experience with OCD, and she takes us through the ‘why’ of OCD and the strategies and treatment approaches she has found helpful.
We cover:
What is OCD, and crucially, what isn’t OCD?
Some of the key mechanisms of OCD, including thought-action fusion, uncertainty anxiety, the ‘just right’ feeling, and the feedback loop between obsessions and compulsions.
Periods of OCD onset.
Talking to kids about their thoughts.
Penny’s personal experience of OCD throughout her life, including in childhood, her adolescence, and throughout her adulthood, and her path to accurate diagnosis.
OCD in the perinatal period.
Treatment approaches for OCD and strategies that Penny has found useful, including ERP, methods to reframe and manage distressing thoughts, medication, self-compassion practice, and connecting with other people experiencing OCD.
The book Penny mentioned was The Man Who Couldn’t stop, by David Adam.
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