Latest / Becoming Anchored / Becoming Anchored S4E2: Navigating Mental Compulsions with Jenna Overbaugh
Transcript
- 0:01Lauren: Hey guys, welcome back to the coming anchored podcast.
- 0:04We're really excited that you're here with us today.
- 0:07Before we jump into our content, a couple of things.
- 0:09So I'm Lauren Jackson, one of the hosts here, and this is Laura Dineen,
- 0:13one of our other wonderful hosts.
- 0:15We have a really special and exciting guest today.
- 0:18So we'll introduce her in just a minute.
- 0:21Just a quick disclaimer.
- 0:22So this podcast is for informational purposes only.
- 0:24So it's not meant to be your therapy.
- 0:27If you find that as you're listening to our content today that you might
- 0:30benefit from therapy, reach out to someone local who's licensed.
- 0:33If you're local to us, please feel free to reach out to us here at Anchored.
- 0:38We're located in Brentwood, Tennessee.
- 0:39We work with all kinds of populations.
- 0:41We, primarily treat eating disorders at an outpatient level.
- 0:45We see grief, anxiety, trauma all through the lifespan.
- 0:48We love what we do.
- 0:49We've really enjoyed doing this podcast and connecting with,
- 0:53with you guys in a different way.
- 0:54So welcome.
- 0:56Laura: Thanks Lauren.
- 0:56Yeah.
- 0:57If you're new to the becoming anchored podcasts, we really are about
- 0:59two different things on the show.
- 1:01First and foremost, Lauren and I talk a lot about our real life experiences.
- 1:05So we go through pain and suffering.
- 1:07We also go through share joy and we are here to share about those on the show.
- 1:11And then we also have the amazing gift of sitting with clients.
- 1:14We absolutely love, love, love what we do on a daily basis.
- 1:17So we get to share some of our nuggets of wisdom, hopefully with, you know, You all
- 1:37and yeah, without further ado, I would love to introduce
- 1:40you all to Jenna Overbaugh.
- 1:41She is an anxiety and OCD expert.
- 1:44I have followed her content for a while and randomly like cold called in air
- 1:49quotation, like cold emailed her last or maybe a couple of weeks ago and was like,
- 1:53Hey Jenna, do you want to be on the show?
- 1:54And she readily agreed.
- 1:55So thank you so much for your time today.
- 1:57Jenna: Yeah, I'm super excited.
- 1:58I love everything that you guys do and super excited to
- 2:02be part of the chat today.
- 2:04Laura: Yeah.
- 2:04So we were talking before we started recording today.
- 2:07I know that Jenna could share about many different things and many
- 2:10different topics, but we really wanted to talk more about the concepts of
- 2:15mental review and mental rehearsing.
- 2:17So when I've introduced those concepts to clients, they maybe
- 2:21have never heard of it before.
- 2:23And they also are like, just really eager to learn specific strategies
- 2:28for really resisting those urges to mentally review or mentally rehearse.
- 2:33And so Jenna, I would love to hear from you.
- 2:35What does that look like in clients or in individuals as a whole?
- 2:40Jenna: So I think this is not just an OCD or anxiety specific construct, right?
- 2:45I think as humans in general, we all do this from time to time.
- 2:49We all tend to, you know, Get lost in our heads you know,
- 2:53re replay old conversations.
- 2:55If we feel like we might've offended somebody or acted awkward or said
- 2:58something silly on, and, or we tend to prepare overly in a way that's
- 3:03not necessarily proportionate to the outcome of that conversation, you
- 3:06know, things like interviews, right?
- 3:08We're trying to kind of prepare for those things.
- 3:10If you're going on a first date, you're trying to prepare for those things.
- 3:13Your wedding vows, right?
- 3:14Like these are all things that.
- 3:16When it's done in a way that's functional and proportionate to the
- 3:20outcome of that event, it works fine.
- 3:23So these behaviors in and of themselves are not necessarily the problem, and
- 3:26they're not necessarily just an OCD thing.
- 3:28It's a human trait.
- 3:30It's a human quality and behavior that we all do.
- 3:33But obviously when it comes to obsessive compulsive disorder and anxiety, it feels
- 3:37like we're no longer in control of that.
- 3:39We're no longer doing it because we want to or because we feel
- 3:43like it's beneficial for us.
- 3:44We're doing it because we feel like we have to.
- 3:46And if we don't something bad is going to happen and it just happens way too
- 3:49frequently and it's out of our, it feels like it's out of our control.
- 3:52And it can feel so tricky because these are obviously non
- 3:55observable behaviors, right?
- 3:56So this is not like hand washing or checking or asking for reassurance And so
- 4:01we feel Like oh my gosh, I do this thing.
- 4:04I've always done this thing I've done this thing since I was a kid and then
- 4:07as soon as you have a label to it Maybe you see the label on the internet or on
- 4:10tiktok or a therapist says it to you You have this label of like mental rehearsing
- 4:15or mental review and it's like, Oh my gosh, everything clicks into place.
- 4:18And that's like such a validating experience to somebody to have
- 4:22this really strange experience where you feel like it's just you.
- 4:25And then suddenly you have this term for it.
- 4:26There's just something very comforting and validating about that.
- 4:29So yes, it could be called mentally reviewing, meaning like kind of
- 4:33going old, going past overpassing.
- 4:35thinking about past situations, conversations, how things happened.
- 4:39Basically just trying to reiterate or review or relive something
- 4:45that happened in the past.
- 4:46It could be a conversation.
- 4:47It could be a driving route.
- 4:48It could be really anything just limited only by your imagination.
- 4:52But you're going backwards into the past kind of trying to reconstruct
- 4:55something or some things that have happened or that didn't happen.
- 4:59And then the same thing could happen just in the future, right?
- 5:02It's kind of this.
- 5:03dysfunctional no longer helpful, almost preparation, but turned haywire.
- 5:10Sometimes it can be more of like a, almost like a daydreaming or
- 5:13like a fantasy type of thing.
- 5:15But in either case, right?
- 5:16Like it's avoidance of the here and now.
- 5:18It's avoidance of maybe potentially uncertainty.
- 5:21Avoidance of letting go in some situations, avoidance
- 5:24of some type of discomfort.
- 5:26And those are just our ways of trying to cope with those things in the
- 5:30moment, trying to go back into the past, trying to go back and, you know,
- 5:33trying to go forward into the future.
- 5:35And so it can look a lot of different ways to a lot of different people, but.
- 5:39It's a really big struggle and people struggle with it so much
- 5:41because it's unobservable because it feels like it's happening.
- 5:45So automatically and there's a lot of different kind of sequences
- 5:48like awareness, attention, engagement that we can break down.
- 5:52Essentially, it feels like it's really out of someone's control and it might be
- 5:55to some degree initially, but they can definitely practice They can definitely
- 5:59become more disciplined in catching it and redirecting it but unless you get into
- 6:03the nitty gritty of those skills, it feels like your brain is just Taking control
- 6:08and like you are a prisoner to your own brain, which is obviously a really
- 6:13Laura: yeah, absolutely.
- 6:14So you highlighted this a little bit, but if we really start with the why
- 6:18around like why people do this, right?
- 6:22So I think this like self compa it invites in like a shared humanity, a self
- 6:26compassion lens of like, Hey, you're not the only one that He either has done this
- 6:33historically or is doing this right now.
- 6:36I think there is so much like validation, like you're talking about in that.
- 6:40So you mentioned a couple of different things just to recap, right?
- 6:43So it's avoidance.
- 6:44You said of the present moment, it's a way to cope maybe with some type of perceived
- 6:50threat or some type of uncertainty.
- 6:53What are other reasons that people like do these two behaviors?
- 6:56Yeah.
- 6:59Jenna: compulsions in general, which mentally reviewing and mentally preparing
- 7:03are two examples, but rumination really is just any mentally engaging with a thought
- 7:09that can mean a lot of different things.
- 7:11It can be even simply just paying attention to a thought for someone.
- 7:14Just simply paying attention to a thought can in and of itself be compulsive and
- 7:18perpetuate the anxiety cycle so under the umbrella of rumination, I think of it
- 7:22as just like any mental engagement with a thought like holding it around and so
- 7:26I think when it comes to understanding why we do these compulsions in the
- 7:29first place because there's always a function There's always a reason why
- 7:33we're doing them and I think first to backtrack you have to understand because
- 7:39so many people out there are probably listening and they're like You You
- 7:41know, but this isn't within my control.
- 7:43Like these things are just happening to me.
- 7:45I think the very foundation first that people need to understand is that there's
- 7:48a difference between a thought and there's a difference between thinking, right?
- 7:52So there's a thought and then there's thinking and a thought is something that
- 7:56just happens to you It's like if I ask you what your favorite ice cream is You might
- 8:01just have like a vision that comes to mind or a certain flavor that comes to mind.
- 8:05Mine just pops into my mind.
- 8:06It's cookie dough.
- 8:06It's chocolate chip cookie dough.
- 8:08I didn't like have to dig for that information.
- 8:10I didn't have to like really consider it too much or dig into
- 8:14the mental files in my brain.
- 8:16It just came to me, right?
- 8:17As opposed to thinking is where we almost kind of like latch onto this thought and
- 8:22we put it under this microscope for one reason or another and we analyze it from
- 8:26different scenarios and we're looking at it from all these different viewpoints
- 8:29and vantage points for some reason and there's a lot of reasons why So when I
- 8:36think of mental compulsions, I think of us like holding on to something or holding
- 8:40on to something for some reason, Dr.
- 8:42Mako Greenberg who is an expert when it comes to mental compulsions.
- 8:45I love his stuff.
- 8:47He referenced it as being like holding onto a basketball.
- 8:50Like, when you are doing any of these behaviors, when you are
- 8:54doing a mental compulsion, when you are mentally reviewing, when
- 8:56you are mentally preparing, you are holding on to something.
- 9:00Whether that is the need for control, the avoidance of uncomfortable
- 9:04emotions, the, the allure and the pursuit of certainty, the allure
- 9:08and the pursuit of closure, right?
- 9:10There's something that you're holding on to.
- 9:12And in order to, you know, let go of that, you're going to have to stop.
- 9:16You're going to have to let go of whatever it is that you're holding
- 9:19on to, whether that is difficulty handling acceptance, right?
- 9:23The refusal of acceptance or, you know, I don't want to experience
- 9:26this uncomfortable emotion.
- 9:28I don't want to feel sadness.
- 9:29I don't want to feel ashamed.
- 9:30I don't want to feel uncomfortable, whatever it is.
- 9:32So I think the reasons why and the justifications for why we continue doing
- 9:37these compulsions can range from anything.
- 9:39Like I just feel like I need to know if I continue to go back into
- 9:43my memory and try to piece together the puzzle, then I'll figure it out.
- 9:47I think a lot of times people especially with this like mental planning or this
- 9:51mental rehearsing type of behavior for the future They think that it's beneficial
- 9:54for them Like if they don't rehearse it then they're gonna mess up or if they
- 10:00don't rehearse it something bad will happen They think it keeps them safe.
- 10:03Somehow.
- 10:04They think it key it protects them somehow And maybe potentially in small doses in
- 10:08the beginning it did, but it has clearly become so much of an opposite issue.
- 10:13Like it has become so clearly not helpful and in some ways can be even detrimental.
- 10:18Right.
- 10:19Like overly preparing for a date.
- 10:20You, you know, you prepare so much for the date and you're so anxious about the
- 10:24date that suddenly you go on the first date and you're not yourself at all.
- 10:27And they're not so.
- 10:28seeing the best, most authentic version of you.
- 10:30And you're just like recreating all of these kind of inauthentic
- 10:33statements and questions that you've rehearsed or not you.
- 10:36Right.
- 10:37So it can really easily backfire, but to really simply answer your question,
- 10:41I think justifications that are really common for people are like, it keeps
- 10:44me safe, it helps me problem solve.
- 10:46It prevents bad things from happening.
- 10:48I won't be comfortable unless I figure this out.
- 10:52I can't move on with my day unless I figure it out Like I need to go back into
- 10:56my mind and just I need I just need to know that I didn't offend that person I
- 10:59need to go back and remember what it was that I said to that person so that I can
- 11:03move on with my day I can't move on with my day unless I know And that's all of
- 11:07the things that we're trying to pursue as we're engaging in these behaviors.
- 11:13Lauren: You mentioned Dr.
- 11:15Greenberg, and he talks a lot about core fear.
- 11:18And so I'm wondering too, if that, if that is, you know, a big reason why
- 11:23we can find ourselves doing, doing these compulsions and engaging in
- 11:27these future or historical ways of thinking is to protect us from maybe
- 11:31what, whatever that core fear is that
- 11:35don't want to come true, right?
- 11:36We don't want it to happen.
- 11:38Jenna: right.
- 11:38I, if anyone's familiar with my work, I am not a big fan of the subtypes at all.
- 11:43We kind of talked about that a little bit before.
- 11:45But I, I, I mean, as much as I love it because it brings people
- 11:48into the community, right?
- 11:49Back to what I was saying, as far as, you know, the validation and
- 11:52they really connect with this concept or connect with this term, like
- 11:55religious OCD or just write OCD, right?
- 11:58They kind of see that online or on the internet and they're
- 12:01like, Oh my gosh, that's me.
- 12:02I never knew that OCD could be that way.
- 12:04So I love, I love the subtypes for that reason.
- 12:07But beyond that, I really wish it would be more directed towards the
- 12:11core fear as far as our approach to treatment and our approach to recovery.
- 12:14Because I visualize recovery as and and like treatment in general and our
- 12:19practices in recovery It's kind of like an onion And on the outside, we have this
- 12:24like very superficial subtype, right?
- 12:26Very superficially, it could be contamination OCD, but that's
- 12:30not actually what it is that we're trying to treat, right?
- 12:33I think people think that like, they think that they're, they think that
- 12:37their house is dirty and that's the problem, or they think that germs
- 12:40are bad and that's the problem.
- 12:42And if they could just fix their relationship with germs, then they'd
- 12:44be okay, or the germs could just go away, then it would be fine.
- 12:47But as we continue to like pull the layers off of that onion,
- 12:51we get a little bit deeper.
- 12:52And we realized like, Hey, it's not actually just about contamination.
- 12:55It's actually about responsibility because you're so, you're not just
- 12:59afraid of being irresponsible with germs.
- 13:02You're also fearful of being irresponsible when it comes to driving.
- 13:06You're fearful of being irresponsible at your job.
- 13:09Right.
- 13:10And then suddenly we start to attack fear of responsibility or
- 13:13fear of irresponsibility, right?
- 13:15And like the consequences of that, and you can get deeper and deeper, like
- 13:18what's so bad about being irresponsible?
- 13:20What means I'm a bad person?
- 13:21Or it means that I would be isolated from society because I'd be alone forever.
- 13:25And then you could ask more and more questions, go deeper and deeper and
- 13:28peel off those layers of the onion.
- 13:30Like, well, what's so bad about that?
- 13:31And what's so bad about being isolated from your family?
- 13:34You could get deeper and deeper.
- 13:35I think we all have core fears and I would take it even a step further to
- 13:39say that we all have the universal core fear of I'm afraid I can't handle that
- 13:46Laura: Mm
- 13:47Jenna: like regardless of what avenue you're coming to I think of it all
- 13:50like branches of a tree like at the very very tips of the tree the
- 13:54leaves are like the subtypes you get a little bit deeper into the branch
- 13:58of the tree And it's the core fears.
- 14:00I think that the root of pretty much all of it is this
- 14:03fear that we can't handle it.
- 14:05And I try to incorporate that into my approach to treatment too.
- 14:08Like that's what it is that I want my clients and my students to target is
- 14:12the fear that they can't handle it.
- 14:14Cause I think if we can target that fear, like everything else gets better.
- 14:18Right.
- 14:19So.
- 14:20I think the core fears are great.
- 14:21I think we all have several of them, but if we were to truly get
- 14:24down even further and deeper and dig even deeper into that onion, it
- 14:28would probably all come back down to this fear that I can't handle that.
- 14:32Laura: hmm.
- 14:33Lauren: Yeah.
- 14:33That's really interesting, because I know that, I mean, I've heard
- 14:36from Several of my clients.
- 14:37And when I even think about just myself, I hear, you know, some common
- 14:42core fears being, I'm, I'm afraid of, you know, being alone for forever.
- 14:46I'm afraid of not being good enough or, and, and it sounds like in your work,
- 14:53what, what even feels deeper than that, like you said, kind of universally is
- 14:56like, and if those things come true, if I am alone, then I can't handle that.
- 15:02Is what is what.
- 15:04Yeah.
- 15:04Yeah.
- 15:04That's really interesting.
- 15:05And I, I can imagine even just as our listeners are listening that
- 15:09probably there's a lot of head nods,
- 15:12Jenna: Yeah.
- 15:13Well, and think about like, to me, recovery is all about self efficacy.
- 15:17So self efficacy, I know you guys might know what it is, but to the
- 15:20listeners, it's just your belief in your ability to do difficult or new things.
- 15:24And you are obviously like born with some tendency toward on a spectrum of self
- 15:30efficacy, like very low self efficacy, meaning I don't believe in my ability
- 15:34to get through hard things whatsoever.
- 15:35Like I can't do that new challenging thing at all.
- 15:39And versus the opposite end, which is like, yeah, bring it.
- 15:41Like I'll get through it.
- 15:42It's fine.
- 15:43You're born to kind of some propensity to be somewhere on that
- 15:47spectrum, but obviously environment plays such a big role too.
- 15:50I think, I think OCD treatment, especially is all about getting
- 15:53people to have as strong and resilient of a self efficacy as possible.
- 15:58Think about it.
- 15:58Like if they can really build that self efficacy, it doesn't matter If in a
- 16:02month from then or two years from now, a stressful life situation happens,
- 16:06maybe they have a separation or a job loss or a pandemic happens or OCD just
- 16:11does its whack a mole stuff, right?
- 16:13And then a trigger comes up.
- 16:14It's not going to matter because if they have the core skills of being
- 16:17able to rely on themselves and be resilient and rely on that self
- 16:21efficacy that no matter what happens, I'm going to find a way through it.
- 16:25I'm going to figure it out.
- 16:26Then it, then everything else doesn't seem so awful.
- 16:30Lauren: Hmm.
- 16:31Laura: Yeah.
- 16:32Gosh, I love this.
- 16:33And I Yeah, I was actually just talking to my husband about this a few months
- 16:38ago because this is actually in full transparency been part of my story
- 16:42in terms of my quickness to forget.
- 16:46the difficult things that I've been through.
- 16:48And I think we see this quite often in our clients and my even acknowledgement
- 16:52of my own resiliency throughout my story.
- 16:56And so I think as humans, this is also part of the human
- 17:00condition at times, right?
- 17:01Is when we are going through pain or suffering, we maybe are more quick
- 17:05to forget all of the hard things that we've already overcome or art, all
- 17:09of the obstacles that we've already been through along with the belief
- 17:12of like, okay, I got this and I can.
- 17:15I can do this hard thing that's in front of me.
- 17:18And I think a lot of our clients struggle with that too.
- 17:21So starting to point that out in our clients, starting, I think just
- 17:24reminding ourselves lovingly, like all of the things that we've been through
- 17:27that have been hard, all of the times when maybe we've been afraid and have
- 17:32moved through that helpfully, I think can be helpful reminders as well.
- 17:36Jenna: For sure.
- 17:37Like, like absolutely reminding them that yes, everything up until this point, like
- 17:41you were here, you were listening to this.
- 17:43Like you have gotten through everything that you have ever thought
- 17:46that you would never get through.
- 17:47Like you're here, you're breathing, you're listening to this.
- 17:50You're here.
- 17:51You've done it.
- 17:51It might not have been pretty.
- 17:52It might not have been comfortable.
- 17:54It might've really, really sucked, but you're here.
- 17:56Like you are alive.
- 17:57And one thing.
- 17:59That really was kind of like a light bulb moment for me when I was really
- 18:03struggling with postpartum OCD.
- 18:05Now, probably six, five and a half years ago, my son's seven.
- 18:07Now I was always, I, I had this huge fear as many parents do
- 18:12that he would die before me.
- 18:14He's my only one, not that that makes a difference, but he was my only child.
- 18:19And I just was obviously so in love with him.
- 18:21Like, I love him so much.
- 18:22And I just, I was like, Oh my gosh, like what if he dies before me?
- 18:25Like
- 18:25if we're shooting more accident, he gets sick.
- 18:28Like there's so many things that can obviously happen.
- 18:31And I would spend a relentless amount of time and effort, like researching.
- 18:35And I, in our OCD delusion, sometimes like we think that we
- 18:39can actually figure this stuff out.
- 18:40Like if we actually Google it enough or think about it enough, like we
- 18:44can figure out the un figureoutable.
- 18:46And obviously there's nothing that I could ever figure out to like calculate,
- 18:50like how my son would die and to make sure he wouldn't die before me.
- 18:53But I don't know in the depths of my like Craze, I thought that yeah, I just
- 18:57need to look it up a little bit more and then i'll figure it out and my core
- 19:00fear with that as I teach my clients so much is like that Oh my gosh, if he
- 19:04dies, I wouldn't be able to handle that Like I wouldn't be able to tolerate that
- 19:07if he dies before me I wouldn't be able to handle that and like I would just be
- 19:12in this like endless state of mourning and I Had visions of myself like just
- 19:17sobbing uncontrollably unable to breathe like just hating my life forever You And
- 19:22I just wouldn't be able to tolerate it.
- 19:24Like I would end up hurting myself or like ending my own life because I was
- 19:28just that sad and it dawned on me like God forbid that ever happened Like I ever
- 19:33got the phone call that something happened or I ever saw it like My life would
- 19:38go on like i'm not saying that I would like it I'm, not saying that it would be
- 19:42wouldn't that it would be pleasant I'm, not saying that I would ever be able to
- 19:45like fill that hole in my heart But I would I would have no choice but to hang
- 19:49up the phone Like I would have no choice but to continue to take a couple breaths.
- 19:54Like, I would have no choice to, at some point, go to the bathroom.
- 19:58Like,
- 20:00it's not like I would do it with a smile on my face, right?
- 20:02But like, life does go on after a tragedy.
- 20:06Like, life does.
- 20:08It has to, right?
- 20:09Like it has to.
- 20:11And yeah, just this like realization that like, oh my gosh, like, yeah, God
- 20:15forbid I ever do get that phone call.
- 20:17I am going to have to put the phone down.
- 20:18Like, it's not like my life is just going to be over and I'm like, my soul is
- 20:22going to get sucked into this black hole and like, I'm going to be eviscerated.
- 20:26Right?
- 20:26Like I'm going to have to put the phone down.
- 20:29I'm going to have to like, turn around and like, take a step forward.
- 20:32Right?
- 20:33Like we are, that is life.
- 20:35And so.
- 20:36You know, bad things happen, awful tragic things happen, and you've
- 20:40gotten through everything and you will get through everything.
- 20:42You will.
- 20:42It's, it's not, it's, it's making amends with the fact that
- 20:45it's not going to be pretty.
- 20:46It's not going to be like this unicorn life that you probably all want.
- 20:50But there's beauty in that too.
- 20:52There's beauty along with the tragedy.
- 20:54Laura: Yeah.
- 20:55Yeah.
- 20:56Well, and I think to the piece here, that's really important to highlight for
- 20:59our listeners is had you kept Googling all the different scenarios or, you know,
- 21:05thinking about all the possibilities of what could happen with your son
- 21:09that robs you of like the present day experiences that you could have been
- 21:15spending your time doing with them.
- 21:17Right.
- 21:17And so I think that's like where we want to look at the consequences of.
- 21:22you know, circling back to what we started with right of the mental compulsions.
- 21:25So we're talking more about the mental piece, right?
- 21:27But of doing whatever we're doing that gets in the way
- 21:30of us, like living our life.
- 21:32And I think that can be a really hard but fruitful conversation for a lot
- 21:37of our clients of like, just that recognition of like, Hey, what I'm
- 21:40doing is not working for me anymore.
- 21:43Jenna: I think a lot of people say that they're there, but they're not there.
- 21:46Like, I think a lot of people, especially when it comes to
- 21:49more mental compulsions, right?
- 21:50Like it's maybe not as overtly consequential as hand washing because,
- 21:55you know, hand washing obviously takes a lot of time and you know,
- 21:59maybe like your hands get raw.
- 22:01It's not as physical, obviously as maybe going and checking something.
- 22:05It's not maybe as expensive as some other rituals might be like going
- 22:09to the doctor numerous times, but.
- 22:11There's a cost to everything, like, I always tell my students, I always
- 22:14tell my clients, there's no such thing as free lunches when it comes to OCD.
- 22:18Like, you don't get to just do a compulsion, including the
- 22:20mental ones, without a cost.
- 22:22Like, at the very least, the cost of you doing a compulsion, including going
- 22:26back into your memory to try to figure this thing out, and including, like,
- 22:29effortfully constructing all these fake imagined scenarios to try to protect
- 22:34yourself, like, Those come with costs, and at the very least, the cost is that
- 22:40you've just made it stronger and made it harder for you to resist it for next time.
- 22:43Like, that is the minimum cost.
- 22:45The maximum cost could be, like me, I was so stuck in my head for the
- 22:49first two years of my son's life.
- 22:50I look at pictures now, and I can't remember, like, a single thing.
- 22:53I can't remember a single thing.
- 22:55I see us, I will see us, like, where he's blowing out his candles on his birthday
- 23:00and instead of, like, Being full of love.
- 23:02I'm like, this is his last birthday.
- 23:04Like this is going to be the, I know that this is the last
- 23:06Christmas that we're going to have because for sure he's going to die.
- 23:09And like, I, I like got into that, right?
- 23:11Like I, I didn't just allow that thought to come and go and say, Oh yeah, I
- 23:14see that thought back to Christmas.
- 23:17It's like, Oh my gosh, like what if this is his last Christmas?
- 23:19Like, Oh my gosh, like I have to make it the best Christmas possible.
- 23:22I have to remember everything.
- 23:23I have to take all the pictures because he's for sure going to die.
- 23:26This is for sure his last Christmas.
- 23:27Like so yeah, there's always a.
- 23:30And it's really easy to just say like, Oh yeah, like it's going to help me.
- 23:33Like, I feel like I need to figure this out.
- 23:34I can't move on until I figure it out because it doesn't feel like
- 23:37there's a cost associated with it.
- 23:38There's no such thing as free lunch.
- 23:40There's always a cost and the cost accrues, right?
- 23:42Like the cost accrues essentially like you start missing like little
- 23:46fleeting moments with your family.
- 23:48Eventually two years is going to go by and you're like not going
- 23:51to have any recollection of it.
- 23:52And it's going to feel really, really hard to get out of that.
- 23:55Lauren: Yeah.
- 23:56Well, I think that's like you guys were saying, why that psychoeducation, I
- 23:59guess with the clients is so important around, Hey, the, every time you do
- 24:03this behavior, this compulsion there, you're re it's reinforcing that the need
- 24:08for it, you are telling your, you're telling yourself, you're telling your
- 24:12brain that you need it's the only thing that's going to help you feel okay.
- 24:16And so that I love that self efficacy piece of like, of, of strengthening
- 24:20that and, and almost reminding, reminding ourselves that we can do, you.
- 24:25hard things.
- 24:26So yeah, that like reinforcement piece just feels important to, to
- 24:29help the clients understand like how that kind of cycle works.
- 24:36Laura: Yeah.
- 24:36Yeah.
- 24:37Yeah.
- 24:37And we've mentioned a couple different like strategies, obviously the psycho
- 24:41education, the insight and awareness around what we're actually afraid
- 24:44of, and even that like universal fear that we've talked about you know,
- 24:49Jenna, what else do you recommend to clients and our listeners as far as
- 24:53like practical takeaways for today's episodes of how they can really start?
- 24:57Like, you know, my hope, even after listening to this episode would be that
- 25:00they can start practicing some of the things that we're talking about today.
- 25:05Jenna: So many come to mind, but the, I mean, the very salient one
- 25:08in my mind is always, I feel very strongly that even if your obsessions
- 25:16come in the form of an image, right?
- 25:18A lot of times OCD comes in the form of a thought like, what if I do that?
- 25:21Or, Oh my gosh, what if I get sick?
- 25:23My husband has the stomach flu right now and I, not that anyone enjoys being
- 25:27sick, but I particularly am fearful of being sick and My first thought was
- 25:31like, oh my gosh, what if I get it?
- 25:32What if I get it?
- 25:33Even if you Don't have these like very obvious.
- 25:36What if thoughts or these?
- 25:37What if questions come up even if they come in the form of an urge or
- 25:41a feeling or an impulse or an image?
- 25:44Chances are there's a question embedded in there somewhere so even if you are
- 25:49driving over the bridge and you have this image of you just like swerving
- 25:52the car or this like Impulse this like unwanted ego dystonic impulse or urge
- 25:56to kind of like swerve off the bridge You There's still a question there.
- 25:59It's why did I have that thought?
- 26:01And would I ever do something like that?
- 26:03Or what if I did something like that?
- 26:04Right.
- 26:05It could be all of those.
- 26:05It could be one of those.
- 26:07Let's take another example.
- 26:09Because of people are always like, Oh, well, what about like groinal
- 26:12responses when it comes to pedophilic OCD or sexual orientation OCD?
- 26:15I don't have what if thoughts, I don't have questions.
- 26:18I just get this groinal response.
- 26:20Well, you get the groinal response, which is a natural body experience,
- 26:24but then you start to have an intrusive question about that.
- 26:27You start to wonder like, what does that mean about me?
- 26:29Why did I experience that?
- 26:31Did I enjoy that?
- 26:32So there's always questions.
- 26:35Your job.
- 26:36In recovery, if you want your life back, and if you want to start to take control
- 26:40again, is to not answer those questions.
- 26:44I think recovery boils and having a happy life, honestly, like it boils
- 26:48down to not answering those questions.
- 26:51Laura: Yeah.
- 26:51Yeah.
- 26:53Jenna: that come up after that.
- 26:53Well, how do I know what's an OCD question versus what's a real question?
- 26:56Don't answer that question either.
- 26:59Is that OCD or is it not?
- 27:00I'm not answering that question either.
- 27:01Like the amount of times that I like remind myself every day or
- 27:07say to myself in some form or fashion, I'm not answering that.
- 27:10Like it's multiple, right?
- 27:12It's even on a good day, it's probably 10 to 15 times.
- 27:16Right?
- 27:16I'm not, I'm not answering that.
- 27:18That's not my problem.
- 27:19I'm not answering that.
- 27:20I'm not answering that.
- 27:20I'm not answering that.
- 27:21So my best advice would be to really like listen for the question, like
- 27:27keep your ears open for the question that OCD or anxiety is asking of you.
- 27:32And it is your job to not answer those questions because
- 27:34that's where the compulsion is.
- 27:37That's where the mental ritual is.
- 27:39That's where the mental review comes in.
- 27:40That's where the mental rehearsing comes in.
- 27:42You know, Oh my gosh, first date.
- 27:44What if I say something stupid?
- 27:45What if they don't like me?
- 27:46That's the question.
- 27:47Your job is to not answer that question.
- 27:49Oh my gosh.
- 27:50Did I, did I hit someone with my car?
- 27:52That's the question.
- 27:53Your job is to not answer that question.
- 27:56And And by like going back into the past, like we've been talking about
- 28:00by going into the future, like we've been talking about, that's your effort.
- 28:03That's your analytical effort.
- 28:05And it takes effort.
- 28:07It's that's your analytical effort to answer those questions.
- 28:10Your only job is to not answer the question.
- 28:13Laura: Yeah.
- 28:14And that would be, you know, like we're, you know, talking about therapeutically
- 28:18that exposure work of like, I'm going to resist the urge to problem
- 28:21solve or to not answer the question.
- 28:23And what I tell my clients is like, yeah, if we're on the side of the
- 28:25road and you know, we need to call AAA because we have a flat tire, that's
- 28:29really different than the problem solving that you're talking about that
- 28:33is unhelpful to us in our recovery.
- 28:36Yeah.
- 28:37Jenna: solving is different from what it is that we're talking about here, right?
- 28:40Problem solving involves action.
- 28:42Problem solving involves solutions.
- 28:45Problem solving involves trial and error, right?
- 28:48Like.
- 28:49Problem solving is not stagnant.
- 28:51Problem solving involves maybe a little bit of thinking as far as
- 28:55like, okay, what are my options?
- 28:57You know, plan a plan B kind of all those things.
- 29:00And then evaluating those things and then taking action, right?
- 29:05Mental compulsions and rumination, it's just a revolving door of thought.
- 29:08Like, you're not solving anything by thinking about it.
- 29:11In fact, I would argue that it's avoidance of problem solving.
- 29:13It's, it's thinking.
- 29:15I believe there's even research to show that like, ruminating and
- 29:18thinking about the problem It activates certain elements in certain parts of
- 29:22your brain that make you think that you're solving the problem, but you're
- 29:25not actually solving the problem.
- 29:27So it like kind of satisfies.
- 29:28It's like a nice little appetizer.
- 29:29Like it makes you think that you're solving the problem, but it's not.
- 29:33It's like Splenda, right?
- 29:34Like it, it, your body thinks that it's sugar, but it's not right.
- 29:39Like it's not.
- 29:40So you actually have to solve the problem.
- 29:42You actually have to take action.
- 29:44Laura: Yeah.
- 29:45Yeah.
- 29:46That's great feedback.
- 29:47So really just challenging our listeners to not answer the,
- 29:50to listen for the question.
- 29:51That was the first piece of feedback you gave and then to, to not answer it.
- 29:54Yeah.
- 29:55I love
- 29:55Jenna: Anticipate it feeling uncomfortable.
- 29:57Like I always try to put myself in the position of people who are listening and
- 30:00they're like, Oh my gosh, but I can't like, that would be so uncomfortable.
- 30:02Yeah.
- 30:03Like that's the point.
- 30:04You're going to have a secondary wave of questions.
- 30:08Like, well, what if something happens if you don't answer this question?
- 30:11Like, well, what if that's an actual legitimate thought and it's not upset?
- 30:13Like.
- 30:14You have to be relentless be relentless in not answering these questions for a
- 30:19day Like literally just go go wild like just go wild for a day and just like see
- 30:26what happens I guarantee I could guarantee You'll wake up and be like, oh my gosh,
- 30:31I can't believe that i'm still here.
- 30:32Like i'm still alive and nothing bad happened It's crazy
- 30:36Lauren: Mm hmm.
- 30:37It's
- 30:38Laura: Yeah.
- 30:39I love it.
- 30:39It's like, yeah, it's going to be uncomfortable.
- 30:41It's going to be hard.
- 30:42We're not here to say that those things aren't true.
- 30:44Right.
- 30:45It's going to be uncomfortable.
- 30:46And I think this is also tapping into that concept of willingness, right?
- 30:49Like, what are we willing to do
- 30:51to get
- 30:52Jenna: one way or the other like And being uncomfortable when you resist
- 30:58doing something that you've typically done, that's not an OCD centric concept.
- 31:03Like I always share this little backstory.
- 31:06Like I used to be a pack a day smoker, like 15 years ago, I used
- 31:09to smoke a pack of cigarettes a day.
- 31:11I used to be a naughty, naughty girl.
- 31:13And all of a sudden I got sick one day.
- 31:15I decided that I might as well just stop.
- 31:17Like I'm never going to go another day without smoking again.
- 31:20So I might as well just quit.
- 31:21That was all, that was also very hard, right?
- 31:24Like I had cravings.
- 31:26I w I had to be in places that I normally would smoke like my
- 31:30car and with other friends, like at parties, like out and about.
- 31:35Right.
- 31:35And like, I had those urges.
- 31:36It wasn't like, I just decided to stop smoking and like, Oh yeah, I
- 31:40never experienced a craving again.
- 31:41Like we sometimes get so into the OCD recovery and it be, as soon as it becomes
- 31:46uncomfortable, we're like, Oh, that's a red, that's a red flag, uncomfortable.
- 31:50That means I'm doing something wrong.
- 31:51That means this is an OCD.
- 31:52And it's like, what other habit change do any of you do?
- 31:56That's not a little bit uncomfortable at first.
- 31:58Lauren: hmm.
- 31:59Laura: Absolutely.
- 32:00Jenna: Like, like any beha any behavior change, any habit change that you enact,
- 32:06you're gonna lose your patience for it.
- 32:08You're gonna wonder if it's worth it.
- 32:10You're gonna question it.
- 32:11It's not gonna feel enjoyable at first.
- 32:13Like I, that's one thing that is like equally frustrating for me and, but, but
- 32:18also like evokes a lot of passion for me.
- 32:19It's like, this is behavior change.
- 32:22Like this is, this is habit change.
- 32:25And we get so frustrated when it doesn't work immediately, but like no
- 32:29behavior change ever happens that way.
- 32:31You have to do the hard work.
- 32:33You have to get in those repetitions.
- 32:35You have to keep showing up and follow the plan, not follow your emotions.
- 32:39That's another probably really practical strategy that I would
- 32:41recommend is like follow the plan.
- 32:43Don't follow your emotions.
- 32:44Don't follow your feelings, follow the plan.
- 32:46And eventually everything else will catch up.
- 32:49Laura: Yeah.
- 32:50Yeah.
- 32:51So I feel like you've already assigned the homework, right?
- 32:54Listen for the question.
- 32:55Don't answer the question.
- 32:57Follow the plan, the recovery plan.
- 32:59Yeah.
- 32:59Gosh.
- 33:00Thank you so much for your time today in this conversation, Jenna.
- 33:03It's just been lovely to chat with you and get to know you a
- 33:05little bit more on today's show.
- 33:07Jenna: you.
- 33:09Laura: Yeah.
- 33:10So, okay.
- 33:10You've kind of already answered the homework question, right?
- 33:14So if you would like to leave Our listeners with more homework or an
- 33:19affirmation, feel free to do that.
- 33:21Jenna: A really simple affirmation for me is, and it's just so
- 33:25simple, is I can breathe here.
- 33:29And that just really reminds me that, like, it's gonna be
- 33:32hard one way or the other.
- 33:33Like, to go and do those compulsions would feel easy at first, and it might make me
- 33:38temporarily feel better, but the long term consequences of that, and feeling like my
- 33:42life is getting smaller and smaller, Like I can't breathe in that, in that life.
- 33:47Like I, there's no way for me to live.
- 33:49Like I, I lose, I lose my identity.
- 33:52I lose valuable, valuable parts of myself.
- 33:54And I feel like I can't breathe when I'm doing compulsions.
- 33:57Right.
- 33:58And so in the times where it feels hard to not give into compulsions, I at least
- 34:03remind myself, like I can breathe here.
- 34:05It's, it might be hard, but I can at least breathe here.
- 34:09And so that is something that really pulls me through on the tough days.
- 34:12Like it's hard, but it's also going to be hard the other way.
- 34:16And I can at least breathe here.
- 34:18Like that really pulls me through.
- 34:21Laura: Yeah.
- 34:22I love that so much.
- 34:24Well, how can our listeners find you and anything that you want to tell
- 34:27us more about or any offerings you
- 34:28Jenna: Yeah, so I mo mostly am on Instagram at Jenna dot Augh, and then
- 34:33my website is jenna augh lpc.com.
- 34:36I have a podcast.
- 34:37It's called All the Hard Things.
- 34:38I have some merch.
- 34:39Speaking of affirmations, I just came out recently with like, I had
- 34:42a cool little affirmation deck.
- 34:43I'll show you guys here.
- 34:45Lauren: Oh, cool.
- 34:46Jenna: Yeah, like these awesome little cards.
- 34:48There's 35 of them with all like custom little illustrations to go along with it.
- 34:52This one says being uncomfortable in the short term is worth having freedom
- 34:56in the long run, which is like very similar to what we just kind of talked
- 34:58about comes with a nice little stand.
- 35:00So I have it like right by my desk.
- 35:02They can fit in your pocket for if you like the affirmations and those
- 35:05nice little quick grounding reminders.
- 35:07That's all good.
- 35:08But.
- 35:09Lots of resources, free videos, PDFs on my website, lots of good stuff for you guys.
- 35:13And I'll make sure that I get you some links too, if that's helpful.
- 35:16Lauren: Cool.
- 35:18Laura: That sounds amazing.
- 35:19Well, thank you again, Jenna.
- 35:20And thank you all for listening to the becoming anchored podcast.
- 35:23We'll see you next time.
- 35:24Jenna: Thank you.
- 35:26Laura: Bye.