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#as an OCD haver I lean a lot on stuff like the CBT methods used in ERP
butchspace · 4 months
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Hello, I am going to discuss my thoughts on content/trigger warnings as someone living with OCD. I am absolutely open to good faith engagement and discussion on this topic.
Having some thoughts on the idea that adding trigger warnings somehow ultimately harms the person with the trigger. They absolutely can create an easy tool to obsessively control your access to the topics/to avoid them, but I’ve always felt it should be the potentially triggered person’s decision on what they were ready to do about it. Uncontrolled exposure is just as capable of causing obsession as is avoidance, in my opinion.
I think of the (terrible telephone retelling of a) case I heard about while discovering recounts of actual lived experiences with OCD.
—The following example discusses intrusive thoughts about domestic violence.—
A woman had an obsession with being was afraid of hitting her boyfriend. Her compulsion was that she would have to hold her arms stiffly by her side. She recognized this as OCD and sought exposure response prevention. Her therapist told her to try and ignore the compulsion, or potentially do the opposite. The woman became so obsessed with healing she forced herself to keep her hands away from her sides (almost obsessively) and constantly checked whether or not she “still wanted to hit him.” In the end, the ERP just became entangled with her obsessions.
It takes so much strength to face these types of problems and practice the mindfulness and grace with yourself to recognize it. It’s something you really need to be ready for because it’s going to take a lot of effort to do the hard thing when the easy thing is right there.
How can we claim it’s best to “force” exposure on someone else? How can we go around vigilante therapising people we have deemed too ill to do it on their own (or just be left alone)?
This is not to say that anyone is bad if they can’t or don’t want to tag things. More just my thoughts about how pushback against that idea can swing too hard into trying to prove not tagging was morality correct.
Some articles that articulate so much of my experience with OCD:
Having No Cure for OCD Is the Cure
Help! I Have OCD About What’s OCD
In the spirit of bodily autonomy, I think we all deserve agency in our lives no matter how “incompetent” other people may think we are. When you’re ready, you’re ready. There’s no healing to be had sitting around thinking you’re broken or lazy or whatever for not being ready to change. We all owe each other the kindness to do what we can in good faith, too.
I started doing too much table setting in the tags, so I’ll put it under a read more, lol.
I recognize that this isn’t very radically (in the abolition vs reform sense) anti-psychiatry, and I do have a complicated relationship with that idea. I recognize that I have a good deal of privilege (particularly among people with more stigmatized/less understood “disorders”) but this framework is the only one I’ve ever been able to access that gives me any insight into myself at all. That isn’t something everyone can afford to do in several senses.
As a physically disabled person, I just connect my experiences with chronic illness and mental illness (which I think can fall under the umbrella of chronic on its own) more and more these days. What truly was the difference between not being able to do something out of pain versus anxiety? Our brains are organs, too. Our thoughts are chemical and hormonal, too.
One of the fondest memories I have of coming to terms with disability was explaining my experience with an autoimmune condition to a bipolar friend, and he replied that we were “chronic illness buddies.” And I felt so understood as someone who has suffered with various types of anxieties for their entire waking life.
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