Just want help with my urges

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She practices in New York City. We conceptualize OCD as a biologically based mental health disorder whereby a person experiences intrusive unwelcome thoughts obsessions and engages in rituals compulsions to get rid of the anxiety or any uncomfortable feeling associated with these thoughts. Often overlooked in conceptualizing OCD are the physical sensations that folks may focus on, rather than a primary disturbing thought. There is usually an accompanying obsession that is disturbing, but the patient may be unaware of it.

For example, I have treated patients whose primary OCD symptom is experiencing the frequent urge to urinate. One of my patients, a graduate student in his late twenties, was referred to me after visiting medical doctors including urologists to determine the cause of his urge to repeatedly empty his bladder throughout the day and also during the night. This patient woke up many times, felt the urge to urinate, and then would get out of bed to use the bathroom.

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He became so sleep deprived that he was having difficulty functioning productively during the day and was in danger of dropping out of graduate school. His medical doctors could not find any physical cause for these symptoms. After my evaluation I suggested that he was suffering from OCD. However, this patient had a difficult time believing that.

In this case, the patient needed to experience the uncomfortable physical sensations of feeling the need to urinate and not run to the bathroom to relieve himself. At night, when he woke up, he would need to stay in bed with that uncomfortable sensation. In addition to feeling physical discomfort, he needed to experience the anxiety generated by his thought the obsession that he might indeed wet the bed.

Sometimes he would delay the compulsion to get up for as long as possible, but would eventually get up. We established a schedule of times he was permitted to urinate and modified this schedule as he was able to tolerate greater discomfort. We did this for urges he felt during the day, as well as nighttime.

By doing this, his use of the bathroom was predetermined and was not dictated by OCD, and therefore urination was no longer a compulsion. Other physical sensations can manifest as symptoms that an OCD patient might present with and be very disturbed by. Or OCD can revolve around becoming hyper aware of natural bodily processes, such as breathing, swallowing or walking.

But by doing so, the natural course of these automatic functions is inhibited and they can find themselves creating a situation in which their compulsions are actually creating difficulty with breathing, walking and swallowing. If you can accept uncomfortable physical sensations, as well as intrusive unwelcome thoughts, without doing anything to mitigate them, you Just want help with my urges on your way to conquering OCD!

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Just want help with my urges

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