

417 How to Fall Asleep (with OCD and Anxiety)
12 snips Jan 13, 2025
In this insightful discussion, Sue Chuddy, a licensed clinical social worker specializing in OCD and anxiety treatment, shares her expertise on overcoming sleep disturbances linked to anxiety. They examine effective pre-bedtime exposure exercises and creative coping strategies, like planning a unique 90th birthday celebration, to manage anxiety. The conversation highlights the intricate relationship between OCD, perfectionism, and sleep issues, offering practical strategies such as scheduling worry time and employing Cognitive Behavioral Therapy for Insomnia to reclaim restful nights.
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OCD and Sleep Disturbances
- OCD significantly impacts sleep, with 40-70% of individuals experiencing disturbances.
- Several factors contribute, including fewer distractions at night, increased fatigue, and heightened rumination.
Intrusive Thoughts and Insomnia
- Intrusive thoughts related to perfectionism, just-rightness, harm, and safety significantly worsen OCD-related insomnia.
- Existential and relationship-focused obsessions also contribute to nighttime rumination.
Differentiating Sleep Problems
- Differentiate typical sleep problems from OCD-driven ones by noting obsessions and compulsions.
- General sleep issues lack the intense fear and compulsive behaviors associated with OCD.