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October 3rd
I have to
laugh at myself as I have just gone over the last entries in September
ready for publication. I know of course that I do ramble on a bit but I
had not realised quite how much and by the time I had finished checking
the new entries from September 20th until today I most certainly had
brain fog merely reading my own lengthy renditions :-) I think
that I am in fact rather addicted to bloging and against my better
judgment seem unable to resist the compulsion to keep writing. I often
try to occupy myself with other aspects of my website and the computer
in general, (I am trying to complete an on line computer graphics
course), and get on with my artwork but I feel the strong
compulsion just to write about my experiences and waffle on and on and
on... I can't
even turn to other writing for my website!
I have of course made this
declaration before but I will try to limit my input here as it can be
quite overwhelming. I considered in fact not publishing all those
lengthy entries but felt rather depressed by the thought of deleting
them because of the huge amount of time involved in completing them. I
have an obsession with wasting time and would feel every uneasy indeed
if I were to destroy all the work of the last couple of weeks. And
besides no one is obliged to read any or it. You can just read
bits and pieces or none at all!
I am also concerned that my
writing literally appears to be rambling and confused. However this
reflects the way I am right now. My thinking is confused and
unorganised, scattered all over the place if you like and my writing
appears to show this. So if nothing else my waffling reflects the mind of
a person suffering with severe OCD who is at her wits end as life
appears to be becoming increasing more overwhelmingly difficult. This is the
way I am. My writing even if confused is an indication of the way
I am right now. It is for the most part not contrived, at least the personal
stuff, so it may appear muddled - in fact all of what I write may appear muddled and
unorganised.
I will make another resolve to
concentrate my energies and attention else where on my website and make
only perhaps one or two entries each week. I would like to work on
giving a new look to my website, altering the format and layout and this
will take a good deal of time, time I will not have if I continue to
write quite so much.
Just a reminder. I would very
much like to include the writings of other OCD sufferers and any one
with an anxiety disorder - particularly anyone with one of the other
disorders included on this website such as specific phobias, panic attacks,
anorexia nervosa, agoraphobia, OCSDs and so on. Tell fellow sufferers,
carers and professionals and any interested others what it is
like to sufferer with an anxiety disorder by sending in your story
concerning you're experiences or any other writing relating to the
disorders included upon this website. .
I would also be most grateful
please also for artistic contributions to display on this website. If you are an
artist, a photographer, a writer or, anything else please send in
examples of your work to display in the
gallery
section of this website.
October 5th
I have been wondering lately why I seem to have so many obsessions
concerning my writing. I have had of course problems with writing
something others will read, letters, e-mail and so on since.......well
since forever, at least since OCD became a problem. However in recent
months this problem has increased. I will not go again into details, if
you have read my writings either here in my blog or else where on my
website you will know of the difficulties to which I refer. The answer
is of course obvious; my difficulties have increased in proportion to
the amount I write and the importance my writing has in my life. Writing
is more important to me now than it was say fifteen years ago when the
most I would write would be the occasional letter. The frightening thing
is that it often appears that your OCD changes over the years, adapting
itself to inflict the most damage with in your life. If you have OCD I
am sure you have noticed this tendency. If you have not been aware of
this happening consider this possibility and keep it in mind so as not
to allow OCD to take from you the things that mean something to you. It
will take away everything you do in life from the inconsequential to the
important, your relationships, your religion, your life’s goals, your
friendships, pastimes, pleasures and even your livelihood ...well the
list is endless. OCD seems to focus its attentions on whatever means
something to you. The obsessions and compulsions home in and shape
themselves to thwart all your endeavours.
Consider if you do not write very much and all your communication was
by telephone than you would not of course be tormented by thoughts
concerning writing. If you were an atheist and had no religious thoughts
at all you would probably not be not be plagued with blasphemous
thoughts. In the middle ages OCD probably manifested more as religious
scrupulosity rather than contamination OCD. The connection between germs
and disease having not been made, at least in the way it is now, so
contamination issues were not I would imagine a symptom of OCD. Although
one might have washed ones hands in a symbolic way to cleanse one of
ones perceived sins. And this of course is done today in many religions.
The fact that OCD changes to fit in with whatever means the most to you
in life is the reason why this illness is indeed so destructive to your
life’s endeavours, your peace of mind, your ability to function and to
be happy. It is as though it almost has a life of it’s own and in times
past OCD was most likely considered the result of demonic possession.
Indeed where are times in my life, particularly in the beginning when my
OCD become full blown, that I did indeed considered that I was possessed
by a demon. Maybe this consideration was not an entirely serious one,
nonetheless the idea most certainly occurred to me quite often
particularly as at the time my main OCD manifestations were religious.
Even if I were not possessed in a religious sense I also gave
some credence to the possibility that I was influenced by an incorporeal
enmity, a being who has evolved beyond the need for a physical body, a
being who could enter ones mind and influence ones thoughts. On occasion
now many years after receiving a diagnosis of OCD still I give some
thought to such considerations due to the pervasive and intrusive nature
of OCD thoughts which seem as though they are somehow fed into your brain. Yes perhaps I read and watch too much science fiction
and fantasy and well...... yes I do. However despite the unlikelihood of either of the above considerations,
whether demons and incorporeal beings, at times because of the intrusive
nature of these awful thoughts which fuelled the fear filled compulsions it most certainly felt
as though I was invaded by an outside influence rather than from forces
from within, in other words my aberrant mind,
If you have OCD you know only
too well what I mean and one can well understand why in times past such
illnesses could easily be thought of as the result of possession. And
yes OCD most certainly makes you feels as though your mind is not your
own, and nor are
these thoughts yours as they are just so awful, so abhorrent, so
tortuous and consume your life with such fear and anxiety that you have
little room for much else. They do not feel a part of you, they' re
unwanted, intrusive and ceaseless in their persistence and you may well
feel at times as though your mind is indeed under siege from the
constant onslaught and you may well believe that you re under attack
from an emery from without rather than from within.
OCD thoughts are very powerful indeed and not easy to resist and you
should not feel a failure or weak because you are not at this time able
to resist them. Many people in our society simply do not understand how
real such thoughts are to us and how we feel such fears, as for
instance: someone may die if I do not wash my hands, if I think a certain
thought it will bring about harm to another person, if I do not avoid an
unlucky number a loved one may die and so on and on and on, the
list of possible torments is endless and different for each individual
sufferer. Neither do non sufferers understand the horror of being plagued by such overwhelming and powerful
intrusive thoughts which invade your mind against your volition or how powerless
you feel you are to prevent their incursion or ignore their tireless
persistency. Such unwanted and abhorrent thoughts may consist of
blasphemous thoughts, thoughts of harming, sexual thoughts and so on. I
will never forget the day when I had the first blasphemous thought and
how overwhelmingly dreadful it was, how real and how sick it made me, sick
with utter dread and fear for the perceived and dire consequences which
may result from such a heinous thought. Even today now as I think back
to that time, even though my religious beliefs have changed, still
this thought has enormous power and as I write about it here I struggle
to prevent it once again entering my mind. No one knows the feelings of fear
which come upon me, anxieties of
becoming contaminated well up inside if for instance, a dog touches me, licks me, the dread is felt to the
pit of my stomach, the fear leaps to my throat. The overwhelming fear is
not possible to describe along with the sadness as OCD takes away your
life, your ability to really fully involve yourself self in for example religion
and
your ability to have contact with animals: I love animals and would love
to pat a dog or stroke a cat. And these two example are but a few of the
many ways OCD has spoilt my life taking away simply pleasures and
pursuits others take so for granted. The list now for me seems endless and if
you have read my memoir and other writings you will know how pervasive
OCD has
been and continues to be and as sufferers we need to be ever diligent
for OCD as it intrudes upon our endeavours.
Knowing now the nature of the beast does to some extent help me to be
more mindful what is and what is not OCD, nonetheless it is not easy
to thwart OCD's constant attempts to ruin your life. People think that now
you know it is an illness that you can than take no notice of the awful
intrusive thoughts and the compulsions that accompany them. I only wish
it were as easy as that. For me personally such thoughts still overwhelm
me and seem very real and it is by no means an easy matter to ignore
them, the thoughts return again and again, one gets no peace. And yes I
know I appear weak and often I capitulate just to get some peace knowing
however that the more you give in the stronger, more frequent and more
persistent the thoughts will be.
But you should not be discouraged with the right support and modern
medical intervention there is hope now for many OCDers to lead a more normal
life. Often I worry about all the negative stuff I write but unfortunately
this is the way my illnesses manifests right now, and of course this blog
must reflect this but this does not mean you will be this way. Like all
illnesses OCD manifests in varying degrees in each individual. Also
improvements have been made in treating the disorder and things are more
hopeful now that when I first presented with OCD. Moreover I think it is
all a matter of support, encouragement and intensive therapy which sadly
is not always available for many reasons, OCDers need constant
encouragement and support and often resources are not available. It is a
difficult struggle and for me personally one that I cannot win alone, at
least not for now but I never give up I have always tried, I have
struggled with OCD for years, it has not won every time and I have
controlled it, maybe not for long but it has nonetheless not always had
it’s own way. Each day I try to at least do something that is worthwhile
and of value to myself and others and I hope that despite the negativity
of many of my entries here and other writings that at least by sharing
my experiences I may in some way help to improve public awareness. And
by no means is my case as severe as many, indeed OCD can be extremely
incapacitating so if you are reading this and have a loved one who is
incapacitated by OCD do not think less of him or her, it is difficult
illness to overcome and the thoughts are so real and not easy to ignore
and may be right now impossible. Consider that sufferers of OCD do not
want to be this way. No most certainly not. Often I long to be just like
everyone else, it is not easy to watch your life pass by as though you
are merely an observer standing on the periphery of existence unable to
completely participate and have a meaningful life.
October 8th
Without health life is
not life; it is only a state of langour and suffering - an image of
death.
Buddha
Some days you really feel so low so depressed and hopeless and this
morning I really feel so sick and tired of my miserable existence. I
woke early as usual before 4am, my body also as usual aches like hell, I
feel exhausted and depressed. I feel old and in pain and know this is
going to be it for the rest of my life there is no point in going to the
doctor he can do nothing. The pain is I believe fibromyalgia but the doctors
will not give it a name and want to prescribe serotonin reuptake
inhibitors which for reasons I have explained before and will not bore
you with again do not agree with me.
It is Monday morning and although I do not now go to work I still get
that horrid sinking feeling of despair as the week begins, another round
of unhappiness with little or no pleasure and nothing much to look
forward to. Last night I was watching a film, it matters not which one,
as usual it was not about anything very positive, they never are they,
no wonder a lot of people feel depressed these days it’s all the
negativity with which we are presented all the time. But most films
regardless of the story line show people going about their business
living their daily lives. And for a moment I felt a pang of deep regret,
I envy them the normal people who can live their lives free from the torment of mental aberration. I realised as I do from time to
time just how I do not have such freedom or take much of an active part in
life, even in everyday mundane and common place uneventful life. Normal life does not exist for me. It is a concept
alien to me, my whole day is contrived, organised, my OCD pervades most
of my life, my entire existence is effected by it in one way or another
and there is little time
for anything much in the way of enjoyment. What is enjoyment anyhow, I
can’t say, I can't recall such feelings or emotions it has been so very
long. I mean how the hell can you enjoy yourself when you are tormented
by fearful anxiety provoking OCD thoughts and your every movement is
dictated by them to some extent. Now that it is so entrenched most of
the time I do not realise just how enslaved I have become by my thoughts
and my
aberrant mind except on the occasions when I get these kind
of wake up calls when for a time the reality of my situation seems to
come to the fore and I am jolted from my complacency, apathy and
acceptance.
Yes acceptance. How many of us are like this, on some level we have
accepted our lives as restrained and confined as they are and somehow we
live in this tight periphery of existence to such an extent that we
are out of touch with our feelings and sometimes we are not even aware
of the profundity of our depression, the extent of our apathy and the
degree of our anxiety. Not that you have consciously made up your
mind to accept your lot, no this acceptance was entirely automatic and
until you have analysed your situation you had not realised you had
accepted it and become accustomed to it. Maybe this does not describe
your situation I know, we are all different and during our lives our OCD
will change and your attitude towards it may alter also.
I cannot go out alone not that I want to I am not happy being alone but
I would perhaps like the freedom to go out if necessary without fear. It
would be great to go out with or without another person and not be anxious for
even accompanied I am of course still fearful but better able to cope
than I would be alone. I will only go out with my husband and no one
else and this must be rather a strain for him although he never
complains. I am never relaxed always anxious
worrying about contamination, careful not to brush past people, watching where I walk, careful not to walk
in anything on the pavement which may cause me to discard my shoes - it
I had any of course. It is now October and still I am in my sandals I
have nothing else to wear I have been unable to go and buy any shoes, I just
can’t get it together to do so. Partly due to my OCD I have to be clean,
OCD clean which as sufferers know is not the same as clean for everyone
else and also my life seems so crowded out with one thing and another that I have
not had the time. I have no tights either I simply can’t cope with the
process of buying any since becoming rather over weight it is difficult
to buy tights that fit, larger sizes are designed for tall people, the
perverse logic of manufacturers who assume that because you might need
more room across the waist and hips you are about seven feel tall! Yes a slight exaggeration maybe but really are they so unaware of the epidemic
of overweight or obese people and assume you' re tall if you need extra
inches round your waist! In fact buying
cloths is so difficult now because of one thing and another that I
rarely bother until necessity dictates. I have to
buy everything now without trying on; because of my OCD I would feel
that no matter how much I had washed prior to going to the shop I would
somehow contaminate the garment and I would than have to buy it so there
is no point in trying it on is there? Besides it is so difficult for me
to cope with going into a shop to select cloths, tights or whatever or even
get my prescription filled for that matter as my sensitivity to noise is really hyper
now and as I have lamented before you can't go nowhere without having your
senses assaulted with intrusive music and endless announcements blaring.
I walk into a shop I can't think, I am on the verge of screaming
sometimes, this is no exaggeration. My whole body becomes tense I can’t
think straight and all I want is to go home. You know there are times
now when I begin to wish I was deaf. But the odd thing is strange as
this may seem I cannot hear voices so well as I once did and would have
considered that perhaps I am losing my hearing if it were not for the fact
that my senses regarding other noises including low frequency sounds have
become heightened.
The general clamour of the city is truly overwhelming, people walk at
break neck speed, barge their way through thinking they have some God
given right to walk right through everyone else and everyone will move
out of their way. Why are people always racing about, it is crazy, it
drives me crazy. Everything now drives me crazy and there is little
pleasure in going to such places.
Than you have to be always mindful of dogs, people who seem to think it
does not matter if their dog jumps all over a stranger, a person of whom
they know nothing, it seems never to occur to them that this person
might be phobic, allergic or would simply rather not have their
cloths cleaned after some thoughtless dog owner has allowed their dog to
jump all over any one and everyone. And besides do they really think
that their dog enjoys being dragged about on a lead through crowded
streets, it will probably from time to time gets it’s paws trodden on.
Do they think it likes being left outside in the cold and the rain tied
to a post or left in a car on a hot sunny day with the windows closed.
Why do people bring dogs into towns ? Neither the dogs nor I appreciate
it.
So there are big issues concerning my OCD the above are merely a few
examples it is indeed difficult and sometimes impossible to do almost
anything without at least a concerted effort and an Herculean struggle.
Furthermore my psychical maladies make life difficult, it is not easy
coping with OCD and that is an understatement but the addition of
headaches, migraines and general aches and pains and muscular stiffness
certainly add to the mix of misery. Maybe some people have the
wherewithal to transcend such difficulties but quite frankly I am
feeling very overwhelmed of late and my ability to function is
declining. I know it is only a coincidence but whenever I need to go out
there it is again another headache either a tension headache or a
migraine, perhaps both. Yes I know it is not always the way of it but
oftentimes it appears to be. This morning we have to go out for our son
he is not able to drive and in his state of stress probably never will.
I had to put him off last week with yes you guessed it a headache so
here I am yet again with another headache. I did not have one on
Saturday or Sunday when it would not have been such a problem. I hate to
disappoint him yet again. I feel so guilty, no it is not my fault but
rather like over responsibility discussed or rather rambled about at great
length in the previous entry, guilt is part and parcel of having OCD.
These days all of this is so frustrating and I get angry really angry,
the struggle with life seems so pervasive and there is never any
respite or any sanctuary from all my woes.
This morning I am having a really good moan I know but some days it is
like that you really feel as though you cannot take anymore. In between
all this rambling I have been trying to complete a section of my
on-inline course for photo editing. Sometimes it helps to swap around
and do different things or perhaps it is just my ADD, whatever I swap
and change. The software for the course has finally loaded up, over the
past few weeks the programme has simply not loaded, more frustration and
I have to admit that my enthusiasm has waned. This is also due to the
fact that I cannot concentrate or absorb the information presented. This
morning it seems it is more difficult that usual, already I feel
exhausted, it is now 6.45. there is like a tightness right across my
forehead and I have brain fog and I cannot think straight, in the test I
got only one answer correct out of a total of four. I am beginning to
feel that my stress is taking everything away from me as my ability to
focus and concentrate, comprehend and absorb information is declining,
in fact this morning it is impossible! And remember it all well....... I
can’t recall one thing, not one single thing it is as though I have not
learnt a thing. The course however it has to be said is not very clear
or comprehensive one is presented with a bunch of facts such as this and
that tool has this and that effect, several such snippets of information
is provided before you get to have a quick try yourself and than a bunch
of questions asking you which tool does which task and of course I
haven't a clue. Learning computer programmes often boils down to memory, it is matter of
learning which tool does what , which button to click , which selection
upon which menu and so on and if your memory is not functioning...... well you
‘re lost. And if you re stressed you cannot concentrate and the more you
try the more brain fog you get and as a consequence of course you cannot
recall anything.
Well I must stop now I have that headache mentioned earlier and it is
not going to go away and will drive me crazy not knowing if dare go out
or
will it turn into a migraine. I really get so weary sometimes of it all.
10.30
Just now I came across an old letter of my mother’s written some fifteen
years or more ago, reading it brought back long forgotten memories and I
missed her. My mother died in 1991, I was sad when she died, I am sad
when anyone dies but I have to be honest I rarely actually miss her -
well until today that is. We were never close and in my early adulthood
she for reasons I never understood seemed to rejected me for years. There
was some vague reconciliation of sorts although I never knew why she
seemed to turn against me and not wish to see me. After which there was
constant tension between us and I never again had any real kind of
normal relationship with my mother. I dreaded talking to her on the
phone and our visits become more and more strained but in this letter
she had wanted to she me and expressed concern that she would never see
me again. I do not know if I saw her again after receiving this letter,
it is not dated. She was killed in a car accident on the weekend that my
husband, son and I were supposed to be going to visit her. I had
postponed it for a week later, having just returned from holiday I did
not feel I could cope with a visit with my mother who was always
difficult and often hostile and aggressive. But reading this letter I
missed her terribly she seemed different in her letters and I wondered
why she could not be like that when I spoke with her on the phone or
visited her. There are many things now I would like to share with my
mother and until today I had not realised in fact just how much I think
about her and my father despite the way things turned out and her
attitude towards me. Both my parents are dead now my father died in 1978
and today my heart aches for them and also my only sibling my younger
sister who died two years ago at only 51 years of age. To tomorrow she
would have been 54 and I miss her so much we shared so many things,
confidences that we shared with no one else. Often I have so many things
to tell my sister and it is than that I miss her more than any other
times for you see it is at this time that I know she is no longer here
and I cannot live in the kind of denial that I have lived in on and off
since her death, and that bit of emptiness in my heart gets bigger. I
thought we would grow old together she and I both so fearful of death
and aging, both so afraid and fearful of life each with our crippling
anxieties. I partly regretted reading that letter it made me depressed
and I wished that things could be different. I can change nothing I
know, but this is of no consolation.
October 11th
- Our highest duty
as human beings is to search out a means whereby beings may
be freed from all kinds of suffering and unsatisfactory
experience.
HH Dalai Lama
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My heart goes out to the people
of Pakistan another dreadful tragedy for suffering humanity the loss of
life is appalling and I could cry as I feel such misery profoundly.
It is not easy to imagine the scale of such a tragedy, the fear and
anxiety and the sorrow of bereavement for those who survived.
Survivors may not have lost their lives but their lives are forever
effected and will never again be the same. Loss of loved ones,
homes, livelihoods, security; all within moments lives are tragically
changed. There seems so much suffering recently and you feel so lost and
helpless as there is little ordinary people can do.
Again with this tragedy I feel
guilt for all my recent complaining as often I get so involved, so
enmeshed and trapped within my own suffering that I am less mindful of
the immense and overwhelming suffering which in some way or another is
the lot of every living being, I feel so ashamed when such events occur.
I will not say such traumatic events make me transcend my own rather
inconsequential suffering - at least inconsequential in comparison to
the suffering of countless thousands to day and every day - rather such events
compound my own suffering as I feel the misery and hopelessness of
others. I do not think that one can truly be happy when others sufferer,
other people and indeed other creatures. Today I am tearful reminded yet
again this morning of the horror of suffering for the people of Pakistan
as news bulletins tell me than over 20,000 people are dead, two and a
half million are homeless and the suffering may increase still further
with the treat of disease. All of which will be compounded by the
unimaginable emotional suffering.
Here are a couple of links if
you wish to help
DEC Welcome to the
Disasters Emergency Committee
Mercy Corps - Pakistan Earthquake, Central American Flooding, Hurricane
Katrina
Today I hope to go to the
cathedral with my husband son and brother in law to light a candle in
remembrance of my sister, today would have been her birthday and on such
anniversaries one misses a loved one more keenly. The pain of this loss
is hard and increases with time as I believe does any loss as the future
during which you expected to be with this person is irrevocably altered
and you remind yourself as I have just done now and did yesterday how
old that person would have been, what they would have been like and what
we want to share with them. Often when visiting all the lovely
scenic and interesting places in our locality I wish she were still here
so that I could have shared the peaceful beauty of these places
that would have bought some peace to her troubled soul as they do mine
despite all my maladie
Buddhist Prayer for Peace
May all beings everywhere plagued
with sufferings of body and mind
quickly be freed from their illnesses.
May those frightened cease to be afraid,
and may those bound be free.
May the powerless find power,
and may people think of befriending one another.
May those who find themselves in trackless, fearful wilderness--
the children, the aged, the unprotected--
be guarded by beneficial celestials,
and may they swiftly attain Buddhahood.
October 12th
I gained a small modicum of comfort from our visit to the Cathedral
yesterday to light a candle for my sister. I did not think that I would
but often such rituals can bring us some peace. This small ritual of
lighting a candle as a symbol of remembrance on my sister’s birthday
made me feel closer to her in this very ancient and atmospheric place.
It matters not what ones religion is or even if one has any religion at
all, positive rituals of this kind help us cope with some of the
unhappiness of our lives, suffering that every creature who lives
endures from time to time. I have said before that I do not belong to
any religion but choose whatever beliefs and practices from any faith
that appeals to me and helps me live my life in the here and now. And
today this simple ritual did that although it bought with it some
sadness and thinking about it today I feel a great sense of loss and
miss her terribly more than I can say and on a level not easy to
describe as words seem so inadequate. I do not know what I believe if
anything concerning an after life as I have lived in fear of death all
my life right from early childhood and most of my OCD is motivated by
such fears, fears that I may not exist after death. Nonetheless I hope
that something of my being transcends death and that on some level of
awareness my sister was there with us. She like me feared death , maybe
not for the same reasons I will not elaborate as such is morbid and
really serves little purpose and I have most likely mentioned my
sister’s fears elsewhere in my writings and today I really feel rather
fragile to go into such detail and awaken my own sadness and fears.
OCD is an illnesses which is in its way ritualistic and the compulsions
are referred to in medical terms as rituals and consequently one might
think that all ritualistic behaviours are negative and should be
avoided. Perhaps this is the case if one is practicing such rituals
because of feelings of fear or for superstitious reasons, fearing harm if
one does not or to divert a tragedy. For instance when my religious OCD
was very severe I lived in the grip of superstitious dread and among
many such obsessions and compulsions I had the ritual every day of
reading from the bible before I went to sleep, I did not want to do this
but had the superstitious fear that if I did not some dire consequence
would befall me or a loved one. If such rituals are done in apprehension
they should be avoided. But If you find that rituals such as the candle
lighting above
bring comfort than why not, there can be no harm and we know don't we
after so many years of suffering how to tell the difference. If whatever
rituals or religious practice is undertaken willingly and brings comfort
and is not practiced in a superstitious way it is okay and can actually
help. Perhaps it is the need for more positive ritual in our lives that
is lacking as such needs, even if we do not realise it, are innate to some
extent in everyone, most people practice certain rituals that bring
comfort. It is not the ritual it is the thinking behind it. If you have
to perform any ritual because you re afraid not to do so or you feel
guilty you should be aware of this and avoid getting enmeshed and
embroiled in such behaviours which will take over your life as they did
mine and continue to do today.
October 14th
I thought I would share with
you today some photographs which you may use as desk top wall paper.
I know this has nothing to do with OCD but it's nice to think about
other things from time to time because if you dwell on your illnesses
they can become so overwhelming. OCD is a very pervasive disorder and
can take over you entire life, and even now just trying to write this
and sort out the photographs for publication I am beset by OCD thoughts
and compulsions, so it for me never goes away. Nonetheless sometimes you
have to try to carry on and try to do something positive, even if it
takes for ever to accomplish and complete something because you 're
hindered by your OCD thoughts and compulsions.
The photographs below were
taken recently in Cumbria on Alston Moor. Lick on the thumb nail
to see a larger image. To acquire the images sized for desk top wall
paper click on John's wallpaper link:
Johns Photograph Download page Sky.
October 15th
All beings hate pains;
therefore one should not kill them. This is the quintessence of
wisdom: not to kill anything.
Sutrakritanga
(Jainism)
I have contaminated my best winter coat, the one I feel most
comfortable in. I had to use a public toilet. You know how cramped
those cubicles are you can barely turn round and someone had left a
pile of screwed up toilet paper on a shelf and I accidentally
brushed past it as I bent forward to put paper on the seat the way I
always do to avoid contact with the seat. I was so mad with whoever
had left it there. I had no way of knowing if it is just screwed up
paper or if it had been used to... well you know don‘t you, your OCD
imagines the worst. It looked like just crunched up paper, the
toilet roll had not been properly placed in the holder, whoever
cleans the toilets just couldn't be bothered to unstick the seal and
the paper may have simply been the result of the previous users
attempts to unravel it. But I don't know do I? I just couldn’t wear
my coat, no not for a minute and immediately took it off, turned it
inside out so as not to contaminate anything else and I than had to
complete the rest of my journey and the outing without a coat! I
could have it cleaned you might suggest but no this brings it’s own
problems: firstly I do not feel dry cleaning removes contamination,
at least my OCD does not see it this way. I never feel something has
been decontaminated unless it is cleaned with running water, just
using cleaning fluids, disinfectant and so on does not still my OCD’s
insistence that germs still remain if it is not treated with running
water. The second dilemma is one which even fellow OCDers
may consider strange and perhaps incongruous with OCD, although
those of us who have suffered for long know only too well that OCD
does not necessarily follow logic and some of our behaviours may
seem at variance to others.
Now I hope that what I say will not feed anyone else's OCD but this
can of course happen with any obsession even the more common place
ones, nonetheless the following is an idea that you may not have
considered. However it might be an idea that you may not even care
about as each individual's OCD seems set to manifest according to
that person’s likes and dislikes, their world view, religion,
philosophy and so on. OCD centres it’s torment around anything which
means a lot to you and what you believe and feel strongly about, Now
I do not like harming any creature with the exception of course of
bacteria and viruses. Now there are microscopic living creatures which exist
everywhere as I am sure most of us realise, they ‘re not disease
carrying organisms but nonetheless they exist virtually anywhere and
this can include soft furnishings and cloths such as a winter coat
that is not washed regularly as say a dress or a shirt is - my
winter coat is the type of style and cloth that can only be dry
cleaned. I have
concern about killing such tiny creatures which makes it difficult
to have my coat cleaned. I know according to western culture this
may seem ludicrous but for me it is a relevant consideration as I am
not bound by culture despite what a psychologist suggested many
years ago albeit with the best of intentions to try and get me
to ignore obsessions and extreme behaviours which are not related to our culture. My
concern about other creatures on such a level of existence,
creatures which we are only aware of on a microscopic level, however
is an issue which I am not entirely sure is borne of OCD or
not. As you may have read in my memoir and elsewhere I believe that
all creatures have an equal right to life and that all life is
precious. So notwithstanding the inappropriateness of my thinking or
otherwise - at least according to the perceptive of most of us who
live in the west - it is my philosophical belief not to cause harm
to any being. Whether or not I would consider taking it this far if
it were not for my OCD I do not know as this is for me a very grey
area.
It is difficult for me to explain this problem in so many words but
the crux of the matter is I cannot have my coat cleaned. However over the top this may seem
to others it is nonetheless not an easy matter to ignore this
dilemma and what to me is an ethical issue any more than are my
other more usual contamination issues. Neither is it any easier to
ignore because of my confusion about the matter not
knowing whether this rather extreme view is really me or my OCD. For
you see because I have OCD I am not entirely sure were this extreme
view is coming from but I genuinely feel it is part of my beliefs
for there are religions such as Jainism which believe that all life
is of equal importance and practitioners of this religion go to
extreme lengths to avoid killing any creature, extreme in relation
to western standards were little regard is given to the lives of
other creatures with which we share this world. For instance a Jain
will not eat root vegetables as this causes harm to the tiny
creatures that exist on the roots.
I believe that it is fine to uphold such difficult beliefs and just
because they' re unusual or not in line with your culture you should
not automatically dismiss them or invalidate them by telling
yourself that it is your OCD or allowing others to tell you that it
is your OCD. But like everything else OCD will confuse the issue and
you can end up doubting yourself and your motives, and any beliefs
whether unusual or mundane OCD will turn them into a misery of doubt
and indecision. Many years ago I had a GP who was a Jain
practitioner, now he functioned quite normally and it was not until
many many years had passed that I knew that he had such strong and
rather difficult beliefs. And yes difficult beliefs to uphold particularly in our
modern society where our cultural beliefs teach us to consider that
all life on this planet is here for our sole convenience to use and
sadly abuse as we see fit. For the most part such beliefs are so
ingrained that most people give them little thought whatsoever. So such
beliefs can be upheld without detriment to ones life unless of
course you have OCD and it is this that makes such beliefs difficult
particularly if you have evolved such beliefs over time and you can
doubt what if such beliefs are coming from you or your OCD.
Basically I believe that it for me is right to do my utmost to
preserve the life of any creature as far as is possible and as long
as I feel comfortable doing so than this is okay no matter how
extreme my behaviours appear to others however to reiterate OCD does
confuse the issue. For instance if it were not for my OCD I would
probably not feel that the coat needs to be cleaned in the first
place and I would not therefore be exhausting my mind with such
ruminations.
Therefore even before deciding if it is appropriate to clean my coat
and ignore such considerations, I would also first need to ask
myself the question: is it in fact necessary to clean my coat, would
a non OCD person send their coat to the cleaners in such circumstances. One of the
greatest difficulties with the OCD is that a lot of the time we do
not know what is normal and what is not and before we can even
consider taking our courage into our own hands and confronting our
OCD we do need to know what is normal behaviour in such instances
and what is not and for me over the years it has become increasingly
more difficult to answer that question.
The crux of the matter
concerning the coat is really does it need to be cleaned? Well the problem is I don’t know. Yes it would help if I did
but even hygiene can be a matter of perspective in some instances and
in grey areas such as this perhaps you need help from another person
although of course rather like the problem with anxieties about
killing tiny creatures it is in some ways yet again all a matter of
perspective. I rather think that a normal person would have taken
little notice in the first place that they had been in contact with the tissues
and if they had they most likely would assume that the screwed up tissues were just that,
screwed up tissues and even if they had felt uncomfortable they may
have gone home and rubbed on a little disinfectant. In fact by the
time they had gone home they would have most likely forgotten the
whole incident . But after all
these years I cannot genuinely talk myself into doing the normal
thing because I do not know without reoccurring doubts quite what
the normal thing to do is in this instance there is always the nagging
voice of OCD
I felt awkward telling you about my dilemma concerning harming such
creatures. Why I am ashamed of the way I think in this regard I do
not know. Just because I have OCD it does not mean that I am not
entitled to such opinions, neither does it mean that because such
opinions are extreme for people of our culture that I can easily cast them
aside or set aside the obsessions and compulsions that centred around such
beliefs any more easily than I can dismiss the other obsessions and compulsions that
centre upon every other facet of my personality.
OCD is a complex illnesses and it will have you thinking that you
have no control over your mind and it will make you feel as you do
not know entirely who you are, what part of you is the real you the
person nature or God or whatever intended you to be.
October 16th
If I look out of my window there is quite a view, not a spectacular
view or anything but a pleasant view nonetheless of fields and in
the very far distance I can just make out the Durham Dales. In the
winter when snow settles on the hills it is indeed quite pretty and
today there is a haze as the day is warm for October and sunny and
if you were sitting here on the end of the couch right in front of
the window you could well imagine that this was an ideal place to
live. And yes it would be if it were not for the noise from the
factory and the constant drone of traffic which passes by, even on a
Sunday there is little peace from its relentless passing, rather like
a river which runs its course to the sea it never stops but only
eases from time to time. I can just about bear the sound of the
traffic although lately it is beginning to get on my nerves. I have
lived near a
main road now for at least twenty five years, most of these in Sussex
but now I am finding that I am hypersensitive to noise and the issue
with the factory seems in some way to have accentuated this but this
is a coincidence perhaps as other sensory problems have also become an
issue or at least a bigger issue for I have always had such problems
to a degree.
They do not work a nightshift on four evenings each week but
as those of you who have read my blog will know that for nearly two
years I have been driven crazy by a constant low frequency hum which
most others either do not hear or care nothing about. Now this
tortuous noise appears not to happen quite as often as it did and
dare I say it I have not heard it for some time. But there has been
another noise, a
noise I cannot explain that in the quietness of the night when there
is no bother from the nightshift can be heard by.... well by myself
only it would seem as no one else appears to hear it. Last week I
had a couple of nights when it was dead quiet except for the very
infrequent passing of traffic for the first time since we have been
here and I had hopes that this noise of which I do not know the
origin has stopped. I do not think it has anything to do with the
factory for when I open the window on the nights when they are not
working I cannot hear this noise as it seems not to come from the
outside. Yet it is not in my head it is not tinnitus. Sometimes I wonder if I am losing
my mind - well if you have read all my writings on this website and
you do not have OCD you may probably think that I have already lost
my mind:-).
Also in the last few days there has been this unpleasant smell like
rotting vegetables. That is the nearest description I can make, as
with the noise no one else seems to be able to smell it. Either my
senses have become heightened or I am having auditory and olfactory
hallucinations if such are impossible.
In addition I am barely able to wear my cloths as they feel so
uncomfortable, itchy, tight, I fidget and can't find anything I feel
comfortable in and I am irritated to distraction and can't wear
clothing that hitherto had been okay, not even synthetics!
As I have mentioned before I could have Aspergers syndrome, a
mild form of autism and sensory hypersensitivity seems to be a
symptom of autism at least in some people but there is another
disorder, isn't there always, called sensory integration dysfunction
SID Sensory
integration International FAQ Center which can occur on its own
or as part of several conditions including all types of autism, in
fact a significant number of people with Aspergers syndrome report
having some if not all of the symptoms. If my psychiatrist knew I was looking round for
solutions and finding new causes for these strange problems he would
strongly advice me against so doing. Yet I am simply looking for
parts of the puzzle, I want to know what is
happening to me as my sensory mechanisms seem to have gone into
overdrive, much like when as a child I would scream in the
street. I can barely cope anymore with crowded cities and towns,
being touched, the sensation of certain materials next to my skin,
crowded
shops, blaring music, any music, too much talking, too much
information and trying to do more than one thing at a time. I feel
so overwhelmed the least noise, the least smell, more than one or two
people at a time, loud voices all drive me crazy.
I think there is a connection between OCD and autism I believe many
people with OCD have some form of autism and are on the autistic
spectrum be it high functioning autism or aspergers or simply
autistic traits. Yes I know that
autists have obsessive compulsive tendencies inasmuch there is often
a fixation upon a certain interest and interests are limited to one
or two areas only such as computers and transport but this as we all
know is not the same thing as the obsessions and compulsions of OCD.
Yes autists do have OCD symptoms and that is of course my whole
point. You can I believe have OCD with autism; you can be autistic
with full bloom OCD or you can have OCD and autistic traits or be
somewhere on the autistic spectrum. You can be autistic and suffer
from OCD the same as you can be anything else such as deaf and
suffer with OCD, diabetic and sufferer with OCD... well you get the
point I am sure. Although if you have OCD you are more likely
perhaps to have autism co morbid with your OCD or autistic traits
than perhaps the rest of the population. It is my opinion, and not
only mine the connection has of course been made by many others
although information here on the net seems sparse, that there is a
relationship between OCD and autism. It is most certainly my opinion
from personal experience that many people with OCD have autistic
traits even if they do not have fill blown autism . Many people with
OCD will have an autistic child, and my son has recently been
diagnosed with Aspergers syndrome. Someone with autism most likely
will have a least one first degree relative with some kind of
OCD. One of the questions asked when psychologists make an
assessment is whether or not there is anyone in the family with OCD.
You should not
consider the extremes of autism only, for instance the portrayal of
an autistic savant in the Rain Man this type of autism is rare.
Autism it is a very pervasive illness and manifests quite
differently and people are able to cope at different levels and to
different degrees. Some manage to live independently and many are
able to exploit their special interests or talents and abilities
while others will need a life time of care. I am not expert on
autism and my not have my facts straight if you re interested than click
the links below for a more authorities accounts.
The National Autistic Society
- Home
Oasis: Asperger Syndrome
Two very informative personal
websites for autism and aspergers syndrome
Welcome to AS-IF...
Asperger Syndrome Information and Features
Wendy
Lawson's Home Page..
I am of the opinion that if
OCD is to be overcome or made more manageable the presence of co
morbid conditions such as autism or the existence of traits of other
conditions need to be taken into consideration. For mental health
problems a more holistic approach is required no illness can be
successfully treated in isolation. Moreover sufferers need to be
aware of the possibility that they may be effected by such
conditions as such knowledge often helps us to come to terms with
some of our inexplicable behaviours and perceptions which do not
appear to fit in with the primary condition, which for me of course
is OCD, and which may make us feel even out of place with fellow
sufferers. Such awareness helps us see our place within the
world in order to feel less isolated by what we can can only call
our idiosyncrasies which separate us from others leaving us
feeling so very alone when in fact we are not as there are others
just like us. If we feel we are different and rather as though no
matter were we live or what we do or with whom we associate we simply do not feel that we fit in,
well we need to know
why. My son tells me he felt much better knowing he has Aspergers as
it helps to answer many of the questions concerning some of the
difficulties he has been facing in his life
If you have any views on the
matter please contact me if you wish to share them
October 17th
Men are not against you;
they are merely for themselves.
Gene Fowler
One of the most difficult things about having this noise nuisance
other than the noise of course is the uncomfortable feeling that
right there in the very place that I live right within line of my
vision each time that I look out of the window are people who do not
give a dam about how much misery they are causing by the noise they
are making throughout the night. Sometimes that more than the noise
makes me feel sick inside. I look out the window now and I can see
this factory lit up like a Christmas tree a reminder of the misery
to come tonight and I am angry so angry. In addition to sleep
deprivation it makes me depressed just looking at the dam place and
I can’t live here anymore. I cannot imagine doing something knowing
that what I was doing was causing detriment to other people day in
and day out or rather night in and night out .I guess that is
because I have OCD or is it who knows, I like to think that I am a
decent person and would not cause harm unknowingly even if I did not
have OCD. But lets face it most people with OCD are ethical, moral,
mindful of the needs of others, over responsible and scrupulous and
riddled with a hypersensitive conscience. I cannot imagine my
conscience allowing me to even contemplate doing serious harm to
another. I have thoughts you bet I have thoughts particularly when
my health has deteriorated because of the thoughtless and selfish actions of
others in the last five or six years and this includes this factory
and the noise and yes I have nasty thoughts but that is as far as it
goes. But I am angry sooooooo angry.
I am sick and tired of waking each morning feeling so awful, sick
inside with the misery of depression and anxiety, that familiar lump
in my throat and that sickening dread of hopelessness. Yes such
seems over dramatic but it nonetheless is true I cannot begin to
explain to you that dreadful feeling in my stomach and the strange
surging sensation which rises to my throat. Yes indeed there are not
words to describe just how awful I feel. Yes of course all of this
is not entirely connected to the noise problem but it along with all
the problems that have besieged us since moving here is having a
devastating effected upon my health. I cannot concentrate, my memory is
poor and sometimes I really do not know if I am coming or going and
am confused and rather out of it. I know of course that they are not
making noise just to make my life miserable but they are nonetheless
continuing to do so regardless of the effect that it is having not
only upon me but also upon my neighbours who finally now are
complaining. The environmental department are supposed to be having a
meeting with the management, but it has been a month since we
complained and others complained before that and I do not hold out
much hope that anything will be done as it would need the
intervention of a court as there appears to be no laws preventing
them from going exactly what they like.
Yesterday was a glorious warm sunny day and we went out into the
countryside but when I returned home to this awful place I could
hardly bear it and feel as though I just now want to be elsewhere. I
would live in a potting shed just to be in the peace and quiet and
the splendour of the hills and mountains of the Lake district, the
Yorkshire dales, the Northumbrian hills anywhere remote and peaceful
where you can look out of your window and see the hills and tress
where everything is green and all you can hear are the birds singing
and sheep bleating rather than grey buildings and the rumble of
machinery. Yes as I have said we do have rather a pretty view from
the living room window but if I look to the side I can see that
factory and even if I could not I know it’s there.
Yes we are within reasonable travelling distance of some really
tranquil and scenic places and I am grateful to be able to get away
for a while even if it is only for a day but than I have to return
here and face the unhappiness. It is not only the problem with the
factory but it is all the unhappiness the whole situation . After
living somewhere as time passes it is as though all your misery and
unhappiness becomes embedded within walls, the floors, the very foundations of your
home. It is rather like some kind of bad vibe, for want of a better
word, that one emanates with ones misery
that seems to remain and accentuate the continuing unhappiness,
which is sadly the lot of those who suffer with OCD in general, but
for those of us who suffer with severe OCD which has become
compounded with other unhappiness this is even more so. And indeed
this of course is the case with anyone who sufferers from any of the
disorders on this website or any mental health problem. It is as though your
suffering leaves an imprint and this imprint is added to and
compounded, it feels tangible in the air, in the very atmosphere of your
home. When you wake in the morning to the same familiar room no
matter who much you change it around that feeling is there heavy
and pervasive as your unhappiness accumulates and greets you upon
waking. The darker mornings of winter accentuate this feeling. Yes it
does help to change things around but after a while they too become
familiar and until you can contend with the reasons for you
suffering nothing much really changes on a permanent basis
October 18th
Further to the entry of October 16th concerning the relationship
between OCD and autism. Just as a matter of interest I wonder how
many have noticed that the character Adrian Monk from the TV series
Monk the detective with OCD and other anxiety disorders also has
autistic traits or indeed out right Aspergers syndrome. Whoever has
done the research and is responsible for the script has included
symptoms of autism, particularly Aspergers syndrome, among the many
characteristics of Adrian Monk. Which rather confirms my belief that
in some cases theses conditions manifest together in a significant
number of sufferers and not only OCD but also with other anxiety
disorders. If you think about the character of
Monk he is just presented as he is, as far as I am aware there is no
mention as to what disorder he suffers from, at least not in so many
words; OCD is never mentioned nor are any of the other neuroses
specifically identified in any way, only his behaviours are featured
as Monk is represented simply as an all round neurotic. Monk has
many neuroses, OCD is the most prominent along with a variety
phobias including claustrophobia, (fear of confined spaces)
Acrophobia ( fear of heights) Ophidiophobia (fears of snakes) and
many more specific phobias no doubt will be revealed as the series
progresses.
Here in the UK the BBC seems only to show the occasional
couple of episodes every few weeks or even months apart, a pity
really as I think personally it is a great TV programme, not just
because it is about a person with OCD but it is simply a good
detective programme. The violence is kept to a minimum, there are no
gruesome scenes, it is not morbid and depressing as so many police
series are nowadays particularly here in the UK. Rather it is in the
tradition of the older style detectives such as Colombo and as such
is good entertainment for everyone. Furthermore it makes me laugh at
myself and that can only be a good thing right ? And before someone
says it takes the Mickey out of neurotics and is not therefore PC.
the program also portrays the more painful side of such disorders
and in my opinion increases awareness and as such is surely
beneficial , anyway I digress.
Now has anyone noticed how many of Monks characteristics and
behaviours are not related to OCD or any other anxiety disorder as
such, they are in fact autistic behaviours most closely
representative of Aspergers syndrome.
Consider the episode in New York in the hotel were Monk is
distracted by noises which no one else can hear, a symptom of
sensory integration dysfunction a diagnostic criterion for autism.
Consider the episode in which the power station was bombed here
Monk's social ineptness and inability to communicate is highlighted
in no uncertain terms as he refers to a pile of categorised cards
which he uses as prompts to help with a telephone conversation with
a women he hopes to date. Such inability to communicate and socially
integrate is another diagnostic criterion of people on the autistic
spectrum. Social ineptitude is not a symptom of OCD. Also in the
same episode his ability to recall a phone number after hearing it
only once demonstrates his remarkable recall such is another diagnostic criterion
for autistic spectrum disorders particularly Aspergers syndrome. Again this is not a symptom of OCD.
Generally Monk lacks empathy and social skills his nurse Sharona
often tells him he is being selfish. Often he appears to lack
emotion another characteristic of autists who may find if difficult
to express emotions. People on the autistic spectrum including
Aspergers syndrome, which of all the categories of autism most
closely resembles the behaviour depicted by the character of Monk,
have emotions just like anyone else but the emotional response may
not always be the same as that of a neurotypical * as autists lack the
ability to express such emotion by body language and facial
expression. Moreover the emotions of Aspergers syndrome sufferers
may be precipitated by different circumstances than neurotypicals; what may produce an emotional response from a
neurotypical may
not do so for a person with Aspergers syndrome or other autistic
spectrum disorder and vice versa.
There are also examples of Monks eidetic/photographic memory another
characteristic of Aspergers syndrome which usually relates to the
primary special interest, in the case of Monk his detective work.
One of the best examples of this is in the first episode when after
glancing at a board with hundreds of coloured pins he knocks them
down accidentally after which he picks them up and places them back
accurately in the correct positions.
Other characteristics of Monk which are more indicative of
Aspergers syndrome than OCD are is encyclopaedic type knowable of
obscure subjects, his attention to detail, although this is
characteristic of OCD also, his remarkable observational skills the
way in which he notices things that others do not and his ability to
solves puzzles all point to him being an Aspie (an affectionate term
for anyone with aspergers syndrome} as well as an Obsessive
compulsive, a phobic and a sufferer of a number of other anxiety
disorders.
*
Neurotypical: a neurotypical is a person whose neurological
development is typical, a normal person according to the perception
of most people. For a fuller explanation visit Wikipedia's website
Neurotypical
- Wikipedia, the free encyclopedia
USA Network Monk
October 19th
I have recently come across an interesting article concerning the
connection between intractable anorexia nervosa and autism. A
leading expert Professor Christopher Gillberg, believes that autism
may be the reason why some anorexics are unresponsive to treatment
in severe and intractable cases of the condition in women and
undiagnosed autism
may be a factor in the low recovery rates for sufferers of this
eating disorder. The same also applies to men, Prof Gillberg
believes that autism is in fact behind most cases of male anorexia
nervosa; about 10 percent of the 1.1 million sufferers of anorexia
nervosa in the UK are men. Men however are more likely to receive a
diagnosis of autism than are women, in fact as much as four times as
likely. He believes that autism may go undiagnosed in women which
may result in the unsuccessful treatment of anorexia nervosa. Professor Gillberg believes that the incidence of autism has been overlooked
in women as their autistic traits may present differently than they
present in men. Usually the special interest preoccupation
characteristic of autism presents mostly as an interest in technical
things such as computers and transport which for the most part is
more male orientated, Prof Gillberg suggests that women may instead
be more interested in collecting information upon people than
things. In other words autism may be under diagnosed because it
manifests differently in females.
Prof Gillberg states: "Autism may be behind many
cases of anorexia nervosa. A girl may be withdrawn and uncommunicative,
without attracting attention, but when she develops a calorie
fixation it becomes a serious problem. He goes on to suggest that:
"Counting calories may be a manifestation of autism.
Professor Gillberg believes that anorexia nervosa in a small number
of women has become completely entrenched and intractable because
the underlying condition of autism has not been recognised. He
believes that treatment for anorexics with autism needs to be
different than treatment for a neurotypical *
which is ineffective due to the complications which arise when the
sufferer has autism. It is therefore imperative that women and girls
are correctly diagnosed concerning the possibility of the presence
of an autistic spectrum disorder.
For more information please
read the following article
.Undetected
autism in women manifests as anorexia nervosa
The above confirms for me my
conviction that it is essential that all co morbid disorders are
correctly diagnosed, recognised and treated. It is of detriment and
hinders the successful treatment of any condition if all other
conditions are not taken into account and in the case of anorexia
nervosa the life of the sufferer may well be in jeopardy if
coexisting disorders are not considered when treatment is undertaken.
Consider: Approximately five percent of anorexia nervosa sufferers
die from complications of the disorder and only forty per cent make a full
recovery.
This research also answers for
me a number of questions concerning my late sister who suffered with
intractable anorexia nervosa along with agoraphobia, panic disorder
and I now believe she may possibly have suffered with or had traits
of Aspergers syndrome. No I have not come to this conclusion merely
by reading the above article but I have done so as a result of my
increasing awareness over the years concerning the possibility that
I have some mild form of autism or have significant autistic traits. This
possibility appears even more likely since my son recently received
a diagnosis of Aspergers syndrome, a condition believed to be
genetic. Autism, anorexia nervosa, OCD and indeed other
anxiety disorders seem related. I believe as stated previously that
sufferers of OCD and other anxiety disorders, anorexia nervosa and
indeed other eating disorders are more likely to be somewhere on the
autistic spectrum or have significant autistic traits than perhaps
the general population.
My sister's anorexia nervosa
was indeed resistant to treatment although she had therapy as
patient at a day hospital and made a mild recovery. I use the term
mild recovery because in my opinion her weight gain was
insignificant and it was obvious that this weight gain was reached
with great difficulty and resistance and I knew any improvement would not be sustained. If I recall
her target weight was only six and a half stones and although she
was small boned and less than five feet tall this seemed to me to be
rather a low weight target for a middle aged women. She resisted all
the way, she was torn apart by her need to be well and her
overwhelming desire or obsession to be thin, she feared putting on
weight and every ounce of increased weight felt felt like a stone.
My sister was a fanatical
obsessive calorie counter, every single calorie was calculated. If
she had the choice of two products and one was more expensive than
the other but contained one or two calories less she would buy the
more expensive choice just to save one of two calories despite the
fact that her finances were very limited. Lynda lived on a diet of
salad and cottage cheese even on Christmas day she would sit down to
cottage cheese and lettuce. She occasionally ate other things but in
minute quantities assessing the calorific values meticulously. If
her special foods were not available she became concerned and
anxious. A great part of her waking life and her thinking processes
centred round her weight and her diet. Despite warnings from
concerned relatives concerning her health and the possible detriment
to her heart Lynda persisted with her obsession with food. She had a
congenital heart condition and I believe this was made worse by her
anorexia nervosa.
Was the fact that my sister's
intractable anorexia nervosa due to the possibility that the condition
manifested in the first place and became untreatable because she may have been autistic, and had this been
correctly diagnosed would she have had a better chance of recovery? I
will of course never know but I suspect she may have been autistic most
likely aspergers syndrome or at least had autistic traits for
reasons I have previously stated. She like my son and myself had
social integration difficulties, her conversations with non family
members often appeared contrived and awkward as though she like me had a
rehearsed repertoire of learned responses to certain social situations,
planned responses to anticipated conversations. She was very intelligent
but hindered by social ineptness. She was shy at school
and unable to mix successfully with her peers, she had few friends. She
also had sensory problems with a hypersensitivity to noise and crowds.
Also my sister had obsessive and limited highly focused interests in the
manner described in the diagnostic criteria for autistic spectrum
disorders. Her interest were not however technical or related to any of
the interests usually associated with autists such as computers and
transport . I recall a keen preoccupation with all things Scottish,
another was Egyptology
this again would
change to another interest as time went on. Such intense
preoccupations are typical of autists and also the fact that such
preoccupations changed is yet another indication of the possible
presence of some type of autistic
spectrum disorder including aspergers. Towards the end of her life she
was very intensively occupied with patchwork a consuming obsession of
which she lived and breathed alongside sadly the less positive
preoccupation with weight and calories. Her patchwork is intricate
detailed and meticulous. I recall how she told me that she become
irritated if she were interrupted from her work as is often the case
when autists are by necessity forced to leave even for a time their
involvement in their special interest.
To see Lynda's patchwork click
Lynda Johnson: Patchwork/quilting and Teddies
Also a short biographical
account Lynda's Story
Now please keep in mind that my
comments on this blog particualry pertaining to autism may not be
entirely accurate I am no expert and anyone interested is strongly
advised to visit the websites included earlier in this month's blog.
As you know I am considering the possibilty that I may have some form of
mild autism or significant autistic traits. Please keep in mind that for
the most part this blog is a journal and as such represents my thoughts
concerning issues within my life and in this case my attempts to find
out why I have the probolems that I have and along the way I am sharing
with you my progress or otherwise in unreaveling the enigma of my mental
illness as it effects me.I have a number of co morbid condtions in
addtion to my OCD and as such these effect my OCD and my ability to
improve my condtion. I also believe that all co morbid condtions need to
be considered in order to obtain the optimum benefit from therapy. At
this point in my thinking and validated to a small extent by others I
believe that many sufferers of OCD are likely to have some form of
autism or have autistic traits and the thoughts I share with you here
are my attemps to find out one way or another whether or not this this
is a possibilty and if it is does it apply to me. Sometimes I
seriously consider the possibilty while at other times I think no way
this is me. But autism is a very complex and varied disorder. I always
hesitate to use the word disorder or illness when referring to autism as
there are those who do not consider that it is an illness as such but
rather it is a neurological variation, however that is another issue for
another time perhaps.
My son is of the opinion that yes I am indeed
autistic to a degree and so is his my husband his father.
The problem is for me personally is that most of my symptoms for want of
a better word are the negative aspects of autism such as social
ineptitude, hypersensitivity, adherence to ridged routines, organisation
difficulties, preoccupation with limited interests and so on while the
positive facets such as an exceptional memory or mathematical skills are
lacking. And of course the lack of empathy, a diagnostic criterion of
autism does not really apply to me or does it? I only have empathy for
people who suffer, I have no empathy for people who are happy, contented,
excited or display any other emotion of which I do not personally feel.
I am compiling a symptom list in the event I finally decide to pay for
an assessment and I will share this with you here. A psychologist may
well tell me I am obsessing and have as my mother used to say a bee in
my bonnet. However my assumptions may be entirely valid and my
doubts borne of my lack of confidence and my ability to know when what I
am considering is a valid assumption and not an obsession. As I have
said before it is often so difficult to know what thoughts are yours and
what thoughts are borne of ones OCD. Eventually the only way to find out
conclusively will be for me to pay privately for an asessment.
Nonetheless whatever the
outcome of any assessment for me personally I will most likely continue
to consider the possibilty of a relationship between autism and OCD as
the two condtions seem to occur with in the same families. Moreover
regardless of whether I meet the criteria for a formal diagnosis the
fact will remain, and that is: I most certainly have traits of autism.
The link below has information
which I have found very helpful indeed in understanding Aspergers
syndrome, it is a personal website created by a person diagnosed with
Aspergers Syndrome.
AS-IF (asperger
information) - Diagnosis - Criteria
October 22rd
The deplorable mania of
doubt exhausts me. I doubt about everything, even my doubts.
Gustave Flaubert
Again I am having such
difficulty publishing I have lost count how many times I have checked
the above entries. They will never be perfect, never! I do have a
problem writing and make mistakes and I can reread over and over, check
check check and still I may not see these mistakes until weeks later if
at all! Moreover I will never be satisfied about the content
either, should I have said this or that, is the entry
misleading, is the information incorrect, have I said something to cause
harm; just lately my repertoire of worries concerning what I write seems
to have grown and continues to grow as more and more negative thoughts
intrude as such thoughts do with increasingly regularity for those of us
who suffer with OCD. I worry that my writing has deteriorated and it
does not make sense when I read it back to edit it and sometimes I do
not understand what I have written, it appears muddled and less well
organised. But whatever is wrong with my writing it reflects my state of
mind right now and results from my OCD and the way it thwarts every
endeavour and confuses your mind with doubts ad anxieties until you do
not know if you're coming or going. I want to continue with this
website and this journal so please bear with me if sometimes what I have
written seems confused and does not make sense. Sometimes a mistake is
noticeable but I simply cannot corrected it and replace it as an
alterative seems not to present itself to my rather brain fogged mind
and finally I have to leave it as it is even though the anxieties born
of my dislike of imperfections torment me. This occurs with long
sentences that I can't seem to shorten or insert punctuation to make
them less convoluted. I have to accept such imperfections rather than
give up this endeavour all together. I am sure that if you are sufferer
of OCD you will understand.
October 24th
Knowledge is power.
Francis Bacon
Fear is, I believe, a
most effective tool in destroying the soul of an individual--and the
soul of a people.
Anwar el- Sadat
Sometimes I feel so depressed I never think that I will ever again feel
anything else. I have some feelings of depression constantly even if it
is low grade if you know what I mean, I believe this type of depression
is called Dysthymia. However there are times when my depression goes
much deeper, when it is more profound and hangs with a sickening heavy
and pervasive sensation and I feel completely hopeless and wonder if
life will ever really be worth living. The torment of misery is
relentless and not always in an obvious way that I can write down in
order to clearly explain to you what makes me feel so sick with
depression. But in a way I guess it is unrealistic to think that I should not
be depressed, it would be unreasonable really wouldn’t it not to be
depressed when your mind is not your own, when you‘re tormented by
intrusive unwanted thoughts, thoughts of causing harm, blasphemous
thoughts, thoughts of death and illness, guilty thoughts over trifling
matters, thoughts that make you feel you are contaminated, thoughts that
make you anxious and afraid, thoughts which make you check over and over
your written work fearing causing harm to family, strangers, other
creatures. It would be silly to ever think that you could be happy when
your life is filled with fear; fear that prevents you travelling even to
the bottom of the street alone, fears that prevents you having a foreign
holiday, going to a restaurant - is the food contaminated, will I
contaminate the food, am I clean - fears of dogs, of rabies, of noise,
of people, talking to people, fears of social situations including
fears of joining groups, classes for education, meeting a potential
friend, parties; fears of becoming ill, fearful of death, fearful of
life, fearful of failure, of dying knowing I have never lived, fearful of
being alone, of being in crowds... well I could go on but if you have read
my memoir and other writings you know
of my fears and you have some idea now just how disabling they are and how my life has been severely limited by
them. Just lately I feel as though my misery will never end and nothing
good will ever happen. Since my OCD became full-blown in my early
twenties there have been few times in my life that have been free from
fear and anxiety, from obsessions and compulsions and from chronic worry and
depression. How as I am getting older my situation seems ever more
hopeless
I feel now more hopeless than I have ever done in my entire life even
though there have been many other times when my OCD was extremely severe.
But in the past I felt more hopeful and I planned to be well, thought
about being well and made efforts to be well. But in recent years I have
rather given up and simply muddle through somehow living round my OCD
mainly by avoiding triggers rather than confronting them. And in recent
years I have felt little motivation to even try as I have received so
little in the way of real therapy now for many many years. I cannot take meds they
make my headaches worse at least Prozac did and I am now just too scared
to try the newer variations and other than that I have received no
therapy as such other than visits from various CPNs and an occasional
visit to a psychiatrist. I am not sure what
the role of a CPN is for I have never received any structured therapy
merely just random discussions of symptoms with the occasional
suggestion or two.
I really just want to be well before ... well before it is too late. I
want to wake one morning and not feel depressed and consumed by anxiety
plagued by tormenting thoughts and dread of the day to come. I want to
feel that life is worth living and I am not just hanging on because I
fear the alternative. But the chances of that all changing seem on this
dark wet and gloomy day to be very remote indeed. Moreover it is not
possible for me to be happy when others are not How can I be happy when
my husband is depressed. He shows little emotion, rarely complains and
tells me he is happy here, but I see the situation differently. He is not
the same person he was before his employer sold the business to a
relative who ran it to the ground, went into liquidation after making
his employees lives' a misery with changes in working conditions and
finally making my husband redundant after twenty seven years with the
same firm. And to add insult to injury after all the liquidation
processes my husband received only £50 for all those years of service to the
business. And not one word from his former employer of twenty five
years, not one phone call even from this man whom he thought of as a friend and
who indeed was most helpful to me throughout my illness. Now
however totally
ignores my husband except for the same clone like Christmas card written
with no personal comment merely best wishes from ........ Yes it is
evitable for him to feel depressed and anxious about the future.
Now my son has Aspergers syndrome, is depressed and stressed and I fear
he is on the verge of suffering with an eating disorder. I do not think
he will ever work again and although he is keeping his website up and
running he is not now well enough to pursue self employment by selling
his artwork. He tells me he is now just too depressed to paint and
paints only in odd and infrequent spurts. Sadly he seems to spend more
of his time obsessing about food and may be heading for a new kind of
eating disorder not yet fully recognised called Orthorexia Nervosa, an
obsession with eating health food to extreme levels which goes beyond
the normal and indeed fashionable trend to eat healthy and instead
becomes an all consuming obsession resulting in vitamin deficiency,
weight loss and in extreme cases death. I will discuss in another entry
my concerns as time goes on and whether or not my worries are founded.
But after reading the above research concerning connections between
severe anorexia nervosa and the possibility that in intractable cases
this eating disorder, and probably others including Orthorexia nervosa,
are
connected to or are precipitated by autism. Again my psychiatrist would
frown on my looking for a diagnosis and solutions on the net but
knowledge is power so the saying goes and knowledge is awareness and
awareness is vital in the battle against all illness including mental
illness and more particularly against the encroachment of eating
disorders where the sufferer is at risk of death and where the
unfortunate sufferer often has less or even no insight as to what is
happening. This was to some extent the case with my sister. Yes she knew
she was anorectic she knew her behaviour was not normal, at least she
said she did but nonetheless on a subconscious level she seemed to lack
any real insight and often rationalised her low weight as being entirely
normal.
If you are interested in
dysthmia or orthoexia nervosa please refer to the following external
links
Orthorexia Home
Page
Orthorexia Nervosa
Dysthymia.
October 25th
What a day I really feel as though I am losing it as the saying goes. I
feel as though sometimes the whole universe was designed to bring about
my unending torment. Today we were supposed to go the Yorkshire Dales,
my husband, my brother-in-law and I. But it was raining hard, torrential
persistent. I felt really quite ill this morning, my aches and pains
quite prominent and a gnawing headache seemed to spread over my head,
down my neck and shoulders and I felt so utterly depressed. The thought
of going out in weather like this was difficult enough without the
headaches and the aching limbs, muscles and joints which remind me every
time that I move that I have a problem of which I do not anticipate a cure
or even any relief, a problem that is getting worse. Moreover I was
profoundly depressed with that pervasive and heavy melancholy which
feels like a sickness. You know it is not easy to consider others or
even ones self when one feels so ill and tired and sick with misery. Yes indeed misery is the only way to accurately describe depression,
utter pervasive misery. No such statements are not in the least over
dramatic, your whole being is burdened as though an enormous weight
bears you down and the whole world is mantled in a shroud of gloom and
negativity. Mornings are not a good time for me as the burden of
depression weighs more heavily, my stress is heightened and the
delusional fearful aspect of OCD plays tricks on my mind. This is for me
the worst time of the day during which I can make few rational decisions,
if indeed I make any rational decisions ever. Yes sometimes I wonder if
anything I do is not in some way influenced by OCD.
The lock in the car door is broken the key will not fit, this happed on
Thursday when we were eighteen miles away from home. And now today we
have planned to be over forty five miles away in a rather remote area.
Yes the car can be entered by the other door but it makes me anxious:
what if we are out and cannot get back into the car as the key will not
now fit the lock on the remaining door. Unlikely but when you re a chronic
worrier and catastrophise all the time such problems become huge and the
likelihood of such worries becoming a reality seems more a likely
possibility, it virtually becomes a foregone conclusion and in
your minds eye the scene and circumstances of your fears plays an
imaginary video tape of the worrying scenario. So I am sacred of getting
marooned in the middle of nowhere, getting a migraine and not being able
to return home stranded in torrential rain, even floods. Today I am too ill
to cope with the torment of such worries. You know no one really
understands just how frightening it is to get a migraine. Unless you
have suffered a migraine you have no idea about the intensity of the pain,
or just how pervasive it is and how it consumes you and renders you
incapable of functioning. It is unlike any other pain that I have
experienced. And since being subject to increasingly frequent attacks I
live in dread of being stranded without my medication or being in a
position where it is impossible for me to take my medication which is
administered as a suppository.
Today I could not put myself in such
jeopardy - at least in theory but in such cases theory often becomes
fact an inevitable occurrence distorted according to my mind. This is
the way my mind works, the thoughts are real as indeed the possibility
of such events occurring is of course a reality albeit unlikely, at least
concerning the key not fitting the second door. As a result of such
exaggerated and negative thinking I am getting increasing
more fearful of being out anywhere but in this rather dubious situation
the thought was indeed more terrible. I am ill and... well today I could not
face the thought of coping with all that anxiety, all that fear welling
up inside. Most people who feel as ill as I do on many occasions would
in any case simply not go and they would cancel the arrangement, this is
normal or is it. The problem with OCD is you do not know what is normal,
you have a "voice" in your head telling you one thing one minute and
another the next all of which no matter what you do will be wrong and
regardless of your decision or the outcome you will end up feeling
afraid or feeling guilty or regretting you took whatever action you did.
I was too fearful and felt too ill to go yet if I did not go I would be
tormented all day by doubts that I had in fact made the correct decision
and indeed all week and when it came to going again I would worry should similar difficulties arise; if I cancelled all the week I
would worry that when it was time to go again I would get another
headache. There is no peace with OCD you are dammed it you do dammed if
you do not.
Moreover I do not like changing plans. In a general terms I do not like
sudden changes but in a more OCD way I have fears concerning what I
think of as changing fate and therefore worry about dire circumstances
occurring as a result as they did when my mother was killed. She would
not have been in the accident if we had not changed our plans to visit.
So for these reasons it is traumatic. Yes seriously I go through hell if
I have to initiate a change of plan. If my husband or son changes the
plans than that is okay, it is than not my responsibly and I would feel
anxious if I objected to such a change in plans as that would than
transfer the responsibility back to me and this would than appear to me
as though I had changed fate. So if they change plans it is not my
responsibility and I can breath a sigh of relief.
.But neither my husband nor my son are able to change plans, my husband
simply appears not to think or consider that at times it is necessary to
change arrangements or routines if it is appropriate to do so. Therefore
it is always left to me to make such decisions but of course this
causes a lot of anxiety for me. I can drop hints and even make obvious
statements like: I feel really ill today, my headaches is quite bad, I
am frightened of being marooned in the middle of no where and so on
and it seems not to sink in and neither my husband nor my son will take
the initiative.. My husband too is not well, none of us are functioning
normally at all. There are problems with my husband that I will share with you
another time but suffice it to say none of us are good at changing plans
or having our routine disrupted. So here we are sitting in the car park
at my brother-in-laws apartments. I feel really ill, I am very
depressed, the weather outside looks like a monsoon with no signs of
letting up and my husband is totally oblivious to it all, the adverse
weather, my headaches, fears and so on not to mention possible problems arising
from my disabled brother-in-law who would be also in dire straits if we
got stuck somewhere. Okay none of this might happen, most likely the key
will continue to open the other door, my headache might even improve and
might not turn into a migraine ( it actually did improve later), and the
rain might stop and we may not be stranded in a deluge of rain
surrounded by flood water with me in agony with a migraine. Yes of
course none of this might happen and we may have a good day out despite
the rain but when you have OCD you cannot quite see it that way and your
fears become reality they 're like prophecies of impending doom as the
fearful scenarios are played before your minds eye over and over and the
intrusive whispering of OCD make the whole situation a possibility.
We continue to sit there for some time immobilised by indecision. I feel
angry: why can't he make the decision after all he will feel no guilt or
suffer anxiety with worrying thoughts that he has changed fate by doing
so. So there is some arguing, sadly I do get so irritated even though I know my
husband now has problems of his own I expect him to support me and to
know surely after all this time that I can’t cope and all I want is for
him to make the decision not to go, but he doesn’t, he can’t for reasons
I will discuss another time. Suffice it to say after this argument we
cancelled. It had of course been my decision and now I would be left
with the anxieties I have mentioned and also the guilt. I felt so
dreadfully guilty I knew my brother-in-law was keen to go and I felt as
though I had let everyone down but I am ill and sometimes I think that
no one really understands this at all despite that fact that they tell
me otherwise. But such rationale does not mitigate the feelings of guilt and the
torment that continued all day. The sad thing was in hindsight we could
have gone the rain eased off along with my headache and now my tormented mind had me believe
that all my previous thinking had been entirely irrational, and that
once again I had given in to this irrationality and had become enmeshed
and driven by my delusional thinking, distortions of reality which are
more profound in the early hours of the day, such thinking compounded my
guilty. But who knows no one knows if a decision is the correct one but
few would have had such a time making a decision and few would analyse
either the situation or the possible ramifications in quite the same way
or feel quite profoundly such feelings of guilt and remorse but they do
not have OCD do they.
October 26th
Today is my brother-in-law’s 70th birthday there is party at the
apartments where he lives, we have been invited . Now as you know social
situations are for me difficult to say the least and for my son also, he
in particular dreaded this function. We knew no one except my brother-in
-law, it would be an ordeal with my social integration problems but in
addition there is of course my sensitivity |