Obsessive compulsive disorder (OCD) is defined by recurring and unwanted obsessive thoughts that result in compulsive behaviors. The compulsive behaviors become rituals that must be followed in order to temporarily control the disturbing thoughts. If the person with OCD is your child then many of the steps here are valid, but you must take control regardless of their denial. Adults need the benefit of time and understanding that enables them to face the problem.
Instructions
1. Respect the denial. You can't force help upon an adult who doesn't acknowledge their need. Realize there are many reasons for denial that probably contribute to the overall problem. He may not understand why he is compelled to follow rituals and be disturbed that he can't control his thoughts and behaviors. He may be worried about stigma or rejection. He could be frightened about all the "what ifs."
2. Learn about OCD. The only way you'll be equipped to help is to learn all that you can about OCD. The first thing you need to know is that OCD is an anxiety disorder. The compulsive behaviors exist for one purpose and that's to minimize anxiety.
3. Consult a mental health professional. People with OCD frequently try to include others, especially family members, in their compulsive rituals. It is important to avoid participating. This will be one of your biggest challenges because it is often easier to comply than to say no and face the resulting anger, arguments, and more intense insistence that you join in. It will help to talk with an OCD specialist who can offer guidance about managing these difficult interactions.
4. Remain patient. It is hard to fathom a level of anxiety that is so extreme and causes such distress that he must attempt to control outcomes through compulsive behavior. Realize that no amount of pushing or arguing from you will change what he believes he must do to survive.
5. Educate the person who is in denial. This should be done gradually, with kindness, and without pressure or demands. Give him brochures, books, and links to websites so that he can begin to learn about OCD. As he starts to understand the symptoms, the anxiety behind them, and that there are successful treatments, he may begin to identify his issues. In this way he can leave denial behind and see hope through treatment.
6. Provide support. Always be honest, don't trivialize or sound judgmental. Avoid trying to reason away their rituals, instead discuss their fears and concerns. Talk about what you see and what you've learned about OCD. Reassure him that you will be there for support whether that means making appointments, going with him to the doctor, or simply being available to talk.
7. Encourage him to visit a family physician. A family physician is less threatening than a mental health professional and that is the best first step to take because it is important to rule out medical conditions.
8. Practice self care. This will take time and it is tough to stand by reasonable expectations without pushing too hard. Sometimes the challenging behaviors will be more than you can manage. Be sure to take care of yourself, find time to refresh, take advantage of professional advice, and try to maintain your normal activities.
Tags: compulsive behaviors, about what, family physician, health professional, mental health, mental health professional