Pensamentos escravizantes, TOC e ansiedade
No Transtorno Obsessivo Compulsivo o sujeito se vê atormentado por pensamentos obsessivos e comportamentos compulsivos. Vamos pensar num exemplo. A pessoa tem um pensamento de que está com as mãos sujas. Ela, então, lava suas mãos. No entanto, o mesmo pensamento logo volta a sua cabeça. A pessoa tenta dialogar consigo mesma lembrando-se que acabou de lavar as mãos, mas seu pensamento automático é insensível a razão, dizendo para ela que as mãos ainda estão sujas. Vem ansiedade e aflição com a ideia de estar com as mãos sujas, contaminadas. Na ânsia de aliviar este sofrimento, surgem as compulsões – rituais e comportamentos repetidos – que tentam aliviar a tensão e ansiedade trazidos pelo pensamento obsessivo. Neste processo a pessoa pode sentir-se compelida a lavar suas mãos 20 vezes, por exemplo, sempre sendo recapturada pelos pensamentos intrusivos que insistem na sujeira…
Há um ciclo básico no qual uma preocupação (pensamento obsessivo) gera ansiedade (emoção), e o sujeito se sente “compelido” a aliviar esta tensão emocional através de um comportamento (compulsão).
Enquanto não realiza o ato compulsivo há uma vivência de ansiedade e o pensamento se repetindo dentro da cabeça, num intenso tormento. O ato compulsivo traz um alívio passageiro da ansiedade, mas logo os pensamentos obsessivos voltam. Na verdade, a cada vez que se age para aliviar a tensão (como lavar as mãos), reforça-se o ciclo dos pensamentos obsessivos e comportamentos compulsivos.
Qual a saída? A proposta terapêutica que traz melhores resultados consiste em ensinar a pessoa a não aliviar sua ansiedade através de rituais e comportamentos obsessivos. Ao invés disto, aprender a conter o comportamento e suportar níveis maiores de ansiedade.
Como é comum nos Transtornos de Ansiedade, a pessoa com TOC não sabe lidar com a ansiedade que sente. Assim que fica ansiosa, começa a “brigar” com o que sente, ficando aflita por sentir-se daquele modo. A luta interna contra a ansiedade aumenta ainda mais o nível de tensão.
O caminho de recuperação passa por aceitar a ansiedade como um estado desconfortável, mas que pode ser tolerado. Se expondo ao que sente, a pessoa vai se habituando à ansiedade e esta vai perdendo força gradativamente. Como decorrência, os pensamentos obsessivos tendem a se enfraquecer paulatinamente até se extinguir. Isto é possível dentro de um processo estruturado e gradual de exposição e prevenção de resposta.
Aprender a lidar com a ansiedade é um passo essencial para superar as limitações trazidas pelo Transtorno Obsessivo Compulsivo.
Obsessive Compulsive Disorder in the subject finds himself plagued by obsessive thoughts and compulsive behaviors. Let's think of an example. The person has a thought that is with dirty hands. She then wash your hands. However, the same thought soon turns his head. The person tries to talk herself remembering that just wash their hands, but their automatic thought is insensitive to reason, telling her that the hands are still dirty. Comes anxiety and distress at the thought of being with dirty hands, contaminated. Eager to alleviate this suffering, there are compulsions - repetitive behaviors and rituals - trying to ease the tension and anxiety brought by obsessive thinking. In this case the person may feel compelled to wash your hands 20 times, for example, always being recaptured by intrusive thoughts that insist on dirt ...
There is a basic cycle in which a concern (obsessive thought) creates anxiety (emotion), and the subject feels "compelled" to relieve this emotional stress through behavior (compulsion).
While not performing the compulsive act there is an anxiety experience and thought repeating in his head, an intense torment. The compulsive act brings a temporary relief from anxiety, but soon the obsessive thoughts return. In fact, every time we act to relieve stress (such as hand washing), reinforces the cycle of obsessive thoughts and compulsive behaviors.
What is the way out? The therapeutic approach that brings better results is to teach people not to relieve their anxiety through rituals and obsessive behaviors. Instead, learn to contain the behavior and support higher levels of anxiety.
As is common in Anxiety Disorders, the person with OCD can not handle the anxiety you feel. So is anxious, he begins to "fight" against what he feels, getting upset by feeling that way. The internal struggle against anxiety further increases the level of tension.
The recovery path passes through to accept anxiety as an uncomfortable state but which can be tolerated. Exposing yourself to what you feel, the person will get used to anxiety and this will gradually losing strength. As a result, the obsessive thoughts tend to weaken gradually to be extinguished. This is possible within a structured and gradual process of exposure and response prevention.
Learn to deal with anxiety is an essential step to overcome the limitations brought about by Obsessive Compulsive Disorder
Obsessive Compulsive Disorder in the subject finds himself plagued by obsessive thoughts and compulsive behaviors. Let's think of an example. The person has a thought that is with dirty hands. She then wash your hands. However, the same thought soon turns his head. The person tries to talk herself remembering that just wash their hands, but their automatic thought is insensitive to reason, telling her that the hands are still dirty. Comes anxiety and distress at the thought of being with dirty hands, contaminated. Eager to alleviate this suffering, there are compulsions - repetitive behaviors and rituals - trying to ease the tension and anxiety brought by obsessive thinking. In this case the person may feel compelled to wash your hands 20 times, for example, always being recaptured by intrusive thoughts that insist on dirt ...
There is a basic cycle in which a concern (obsessive thought) creates anxiety (emotion), and the subject feels "compelled" to relieve this emotional stress through behavior (compulsion).
While not performing the compulsive act there is an anxiety experience and thought repeating in his head, an intense torment. The compulsive act brings a temporary relief from anxiety, but soon the obsessive thoughts return. In fact, every time we act to relieve stress (such as hand washing), reinforces the cycle of obsessive thoughts and compulsive behaviors.
What is the way out? The therapeutic approach that brings better results is to teach people not to relieve their anxiety through rituals and obsessive behaviors. Instead, learn to contain the behavior and support higher levels of anxiety.
As is common in Anxiety Disorders, the person with OCD can not handle the anxiety you feel. So is anxious, he begins to "fight" against what he feels, getting upset by feeling that way. The internal struggle against anxiety further increases the level of tension.
The recovery path passes through to accept anxiety as an uncomfortable state but which can be tolerated. Exposing yourself to what you feel, the person will get used to anxiety and this will gradually losing strength. As a result, the obsessive thoughts tend to weaken gradually to be extinguished. This is possible within a structured and gradual process of exposure and response prevention.
Learn to deal with anxiety is an essential step to overcome the limitations brought about by Obsessive Compulsive Disorder
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