|The precursor to the MAD Magazine guy.|
Because I have Pure-OCD, it is hard to nail down my compulsions–a problem I've talked about before. It would seem that this sort of OCD requires a different touch when it comes to exposure and response prevention. However, the guidebook my therapist and I are working through is slightly generic when it comes to creating exposures for someone like me. They have one example of a woman who is afraid of her baby. The exposures involve the baby. I don't have a baby. What I have are a bunch of evil thoughts that make me feel sick all the time. The only option for this, according to the book, is to write a script, record it and then listen to it for an hour and a half twice a day. Needless to say, I think that approach needs some fine tuning.
Firstly, listening to the script works okay before it gets monotonous. Now, I know the idea of ERP is to get bored by the stimuli that usually provokes anxiety. That's all well and good, but I'm only getting bored by that one scenario. I basically wrote a script like it was a story happening, so I'll get bored by that one possibility regarding that trigger, but there are myriad others. My thinking is that I need to get a touch more general, no less graphic and add some other stimuli in there. For example, maybe I should write, read and listen to the script during exposures. Maybe I could add triggering sounds or pictures into the mix. I've read some suggestions along these lines and I'm a little overwhelmed. I see my therapist in two days, and I'm sure she will have some ideas. Do any of you?
If you have experience with imaginal exposure for Pure-OCD, I really want to hear from you. Leave a comment below with your thoughts or find me on Twitter. Thanks!