OCD example for health.
You get a pain, lump or some sort of ‘symptom’ that triggers your brain into thinking “that’s weird, feels painful, never had that before… I read something a few weeks ago about ***** cancer…No, its not that, I’m too young”
A few days later it happens again (the pain or trigger) – your radar is on full alert and the same thoughts go through your head, you feel highly anxious (this helps serve as proof to you there is something serious wrong). You reassure yourself by googling, reading random things on the internet, asking people what they think, following people on instagram. This serves to put more doubt and ideas in your head , so you start focussing on where the pain may be and looking for other symptoms like tiredness, lack of appetite etc. When you are looking for the symptoms, you find them and they almost feel like proof that something is wrong. This leads to you to keep looking for reassurance or you might start actively avoiding situations that may trigger these thoughts (maybe a tv programme has a cancer storyline – so you avoid it). Seeking reassurance and avoidance are classic behaviours which serve to fuel the anxiety. You may have rituals that make you feel safe (one of mine was when I was out running I would race to the next lamppost before a car came and if I beat it I wouldn’t have cancer). The problem with avoidance is that you are inadvertently telling yourself there IS something to worry about, because as much as you might try to not focus on it (avoidance) you are actually focussing on it by actively avoiding it. Hope that makes sense?
This cycle continues, you feel worse with anxiety which keeps getting fuelled with the constant ‘what ifs’, reassurance seeking, avoidance and other behaviours you might do to try and make yourself feel better (you might change your diet for example). It can start to take over your life and really interfere with relationships etc.
The exposure and response prevention therapy works in a way that re-trains your behaviour and thought processes.
You learn to tolerate the anxiety and the thoughts that provoke the anxiety by not engaging in and resisting the urge to do any of the behaviours – googling, asking for reassurance, going to the doctors, changing diet etc . Anxiety will peak, but will eventually subside. If you do this enough, you will be able to respond to triggers in a more reasonable way (like someone without OCD does). OCD makes you lose perspective.
OCD really plays on the element of doubt and a need to be 100% certain, which we can never be. It’s so hard to accept this, but once you can accept it becomes easier. One of the things I found very hard to overcome was the idea that I couldn’t have absolute certainty. The other thing that is hard is when your fears seem reasonable and there is potential for something to be seriously wrong… I would always question the results of tests, professional advice. Again over-estimating the danger is a typical feature of OCD.
I have rambled on a lot here, but I hope it helps. The way OCD functions is very similar in everyone – the difference is the triggers and exact behaviours you undertake. If I haven’t mentioned anything above that is exactly as you experience health anxiety / OCD, it’s not because it’s not part of it, it’s because it is slightly different for everyone.