Latest / Spotlight English: Advanced / Obsessive-Compulsive Disorder (Advanced Program)
Transcript
- 0:03Speaker 1: Welcome to Spotlight Advanced. I'm Roger Basseck.
- 0:06Speaker 2: And I'm Gillian Woodward. Spotlight uses a special English method
- 0:11Speaker 2: of broadcasting. It is easier for people to understand no
- 0:16Speaker 2: matter where in the world they live.
- 0:28Speaker 1: The boy was afraid that creatures from another planet were
- 0:31Speaker 1: going to take over his mind. He had been reading
- 0:34Speaker 1: a book for older children called Animorphs. In the book,
- 0:39Speaker 1: these creatures called yerks could climb into a person's ear.
- 0:44Speaker 1: The yerks could control a person's movement, but the person
- 0:48Speaker 1: would still be aware inside. He would watch as the
- 0:52Speaker 1: yerks moved his body. He could not control his own
- 0:56Speaker 1: body's movements.
- 0:58Speaker 2: This idea was so troubling to the boy that he
- 1:02Speaker 2: started to feel his ears for the creatures. He knew
- 1:06Speaker 2: that yiks did not exist. He understood the difference between
- 1:10Speaker 2: a story world and the real world, but he was afraid.
- 1:14Speaker 2: Whenever he thought about the yeks. His fear went away
- 1:19Speaker 2: only if he put his fingers in his ears to
- 1:22Speaker 2: make sure the yorks were not there. As time went on,
- 1:26Speaker 2: he had to check many times each day before the
- 1:30Speaker 2: fear went away. Some days it got so bad his
- 1:34Speaker 2: ears bled.
- 1:36Speaker 1: This young boy had obsessive, compulsive disorder or OCD. OCD
- 1:42Speaker 1: is a disease of the mind. It is characterized by looping,
- 1:47Speaker 1: fearful thoughts, and repeated actions. Looping is a pattern of
- 1:51Speaker 1: fearful thoughts. Sufferers often feel trapped. They feel caught in
- 1:57Speaker 1: a repeating loop or series of thoughts and behaviors, But
- 2:02Speaker 1: there is hope for people who have OCD. Today's spotlight
- 2:07Speaker 1: is on obsessive compulsive disorder.
- 2:12Speaker 2: When most people use the phrase OCD in English, they
- 2:16Speaker 2: are not talking about the real obsessive compulsive disorder. When
- 2:21Speaker 2: they say someone is OCD, they mean someone is neat
- 2:24Speaker 2: or likes to clean. Often, a person called OCD may
- 2:28Speaker 2: be embarrassed by particular actions, but this person does not
- 2:33Speaker 2: truly have obsessive compulsive disorder. However, a person with a
- 2:38Speaker 2: real OCD diagnosis may sometimes feel the need to be
- 2:42Speaker 2: neat or clean.
- 2:47Speaker 1: The truth is that OCD is a difficult disease to
- 2:50Speaker 1: talk about. Each OCD sufferer has two different symptoms, obsessions
- 2:56Speaker 1: and compulsions. An obsession is a thought or series of
- 3:00Speaker 1: thoughts that a person with OCD cannot get rid of
- 3:04Speaker 1: or stop thinking about. A compulsion is an action that
- 3:09Speaker 1: person feels forced to do obsessions cause compulsions, and compulsions
- 3:14Speaker 1: reinforce and continue obsessive behavior.
- 3:18Speaker 2: OCD affects each individual in different ways. Like the boy
- 3:23Speaker 2: from the introduction, an OCD sufferer may have the need
- 3:27Speaker 2: to check something over and over again. He may clean
- 3:31Speaker 2: obsessively because he fears the dirt will make him sick.
- 3:35Speaker 2: He may avoid crowds because he is afraid he will
- 3:38Speaker 2: hurt someone. He may pull his hair until the skin
- 3:42Speaker 2: has turned red and clumps of hair are in his hands.
- 3:46Speaker 2: He may visit his place of worship over and over again,
- 3:50Speaker 2: afraid he has done something that will anger his God.
- 3:54Speaker 2: He may do all of these things or only one
- 3:57Speaker 2: of these, hour after hour after hour, day after day
- 4:01Speaker 2: after day.
- 4:06Speaker 1: These are outer signs of OCD behavior. This is what
- 4:10Speaker 1: most people see, but the disorder is best described as
- 4:14Speaker 1: a process that takes place in the mind.
- 4:19Speaker 2: Each obsession starts with a random thought. Most people have
- 4:24Speaker 2: thoughts like these. Strange ideas appear in the mind that
- 4:28Speaker 2: might be troubling. Most people dismiss these thoughts without thinking
- 4:32Speaker 2: about these too much, but a person with OCD is
- 4:36Speaker 2: not able to forget these thoughts. These ideas cause fear.
- 4:41Speaker 2: The more she tries to push the thoughts away. The
- 4:45Speaker 2: more these thoughts will appear. She may think that there
- 4:49Speaker 2: must be something wrong with her because she is having
- 4:52Speaker 2: these thoughts.
- 4:55Speaker 1: A compulsion is a way to get rid of the
- 4:57Speaker 1: fear of these thoughts. It is a way to do
- 5:00Speaker 1: something to control in OCD sufferer's fears. But compulsions do
- 5:05Speaker 1: not stop the fear from returning. Instead, acting to get
- 5:10Speaker 1: rid of the fear caused by the obsessive thought teaches
- 5:13Speaker 1: the brain that there really is something to fear. When
- 5:17Speaker 1: the thought comes back, the sufferer performs the compulsion again
- 5:21Speaker 1: to make the fear go away, but over time he
- 5:24Speaker 1: will need more compulsive actions before the fear goes away.
- 5:28Speaker 1: The fearful thoughts keep coming back. The more he tries
- 5:32Speaker 1: to get rid of them, the worse these thoughts become.
- 5:37Speaker 2: Dr Christopher Pittinger is the director of the Yale School
- 5:40Speaker 2: of Medicine's OCD Research Office. He told National Public Radio, all.
- 5:48Speaker 3: Of us get thoughts like this, all of us do
- 5:51Speaker 3: things to control our fears. OCD is when those get
- 5:55Speaker 3: to such a point that they start to take over.
- 5:59Speaker 3: It is there these thoughts get in the way of
- 6:01Speaker 3: people's ability to live their lives.
- 6:08Speaker 1: There are many different ways that OCD shows itself. It
- 6:11Speaker 1: will be a little different for each person who suffers
- 6:14Speaker 1: from it. One of the most common but often misunderstood
- 6:17Speaker 1: OCD experiences is having obsessive thoughts about harm.
- 6:23Speaker 2: Matt has OCD and suffers from this issue. When he
- 6:27Speaker 2: was twelve, he saw a knife on the kitchen table.
- 6:31Speaker 2: He wondered if he was going to use it to
- 6:33Speaker 2: harm himself. He went to the train station, but he
- 6:37Speaker 2: would avoid going near the train. He was afraid he
- 6:41Speaker 2: would jump in front of the train. He told the conversation, I.
- 6:47Speaker 3: Did not feel like I wanted to kill myself.
- 6:50Speaker 1: I really enjoyed my life.
- 6:52Speaker 2: I just had an intense fear of doing something to
- 6:55Speaker 2: hurt myself.
- 6:58Speaker 1: Matt's thoughts are normal for someone's so from OCD. The
- 7:02Speaker 1: fears he has often have little to do with reality,
- 7:06Speaker 1: but the fear makes him question himself. He does not
- 7:10Speaker 1: want to hurt himself, but what if there is something
- 7:13Speaker 1: in him that does something out of his control. What
- 7:17Speaker 1: if he reaches out and grabs the knife without knowing it.
- 7:22Speaker 2: These obsessions can be truly destructive. Combined with untreated compulsions,
- 7:28Speaker 2: the disorder can ruin a person's life. The World Health
- 7:33Speaker 2: Organization lists OCD as one of the most disabling diseases
- 7:39Speaker 2: in the world. OCD can also lead to other mental disorders,
- 7:45Speaker 2: like depression.
- 7:50Speaker 1: But having OCD is not the end. Many people have
- 7:54Speaker 1: OCD and live successful lives. John Bunyan was an English writer.
- 8:00Speaker 1: His obsessive compulsive disorder drove him to write the book
- 8:04Speaker 1: The Pilgrim's Progress. This Christian book is one of the
- 8:08Speaker 1: greatest examples of English literature from the seventeenth century. It
- 8:13Speaker 1: remains a favorite book of many readers today. David Beckham,
- 8:18Speaker 1: one of the most decorated football players in the world,
- 8:20Speaker 1: has OCD. He obsessively cleans and organizes his home while
- 8:25Speaker 1: the rest of his family is asleep. American celebrities Katy
- 8:29Speaker 1: Perry and Lena Dunham also suffer from the condition. The
- 8:34Speaker 1: International OCD Foundation estimates that one hundred and fifty to
- 8:39Speaker 1: two hundred million people worldwide suffer from OCD.
- 8:44Speaker 2: The good news about OCD is that it is treatable.
- 8:48Speaker 2: Different medications can reduce fears and obsessive behaviors. Mental health
- 8:55Speaker 2: providers and therapists are trained to help reduce compulsions. One
- 9:01Speaker 2: helpful resource for OCD is called exposure and response therapy
- 9:06Speaker 2: or ERP. In ERP, a therapist exposes an OCD sufferer
- 9:13Speaker 2: to situations that trigger obsessive thoughts. The OCD patient will
- 9:20Speaker 2: want to react to perform the compulsion, but the patient
- 9:25Speaker 2: should not. ERP means not reacting to fear until the
- 9:31Speaker 2: fear goes away.
- 9:34Speaker 1: ERP teaches that obsessions are just thoughts. These thoughts do
- 9:38Speaker 1: not mean anything more than other thoughts. The fear that
- 9:42Speaker 1: follows does not make those thoughts any more important. Not
- 9:46Speaker 1: reacting to these fears teaches the body that the thought
- 9:49Speaker 1: is not worth fearing. This is called response prevention. Tracy
- 9:54Speaker 1: Ibraheim works with n OCD, a provider of OCD treatment.
- 9:59Speaker 4: She said, the important thing about response prevention is not
- 10:05Speaker 4: escaping the obsession. You are not trying to escape or act.
- 10:10Speaker 4: Acting tends to be compulsive. Response prevention can be as
- 10:15Speaker 4: simple as not doing anything. You just let the obsession live,
- 10:21Speaker 4: see that it is there, and not judge it.
- 10:25Speaker 2: OCD never really goes away. In moments of stress, a
- 10:30Speaker 2: sufferer often falls back on acting compulsively, but she can
- 10:35Speaker 2: learn to be better. She can know that the world
- 10:39Speaker 2: of obsessions is not worth fearing.
- 10:48Speaker 1: Mental illness can be both good and bad. Do you
- 10:52Speaker 1: know anyone with mental illness? How does this person struggle
- 10:55Speaker 1: with it? How does it affect this person's life? How
- 10:59Speaker 1: many you offer support and encouragement to someone with mental illness.
- 11:04Speaker 1: You can leave a comment on our website at www
- 11:07Speaker 1: dot Spotlight English dot com. You can also find us
- 11:11Speaker 1: on YouTube, Facebook, TikTok, and x. You can also get
- 11:15Speaker 1: our programs delivered directly to your Android or Apple device
- 11:18Speaker 1: through our free official Spotlight English app.
- 11:22Speaker 2: The writer of this program was Dan Christman. The producer
- 11:26Speaker 2: was mitchyo Ozarki. The voices you heard were from the
- 11:30Speaker 2: United States and the United Kingdom. All quotes were adapted
- 11:35Speaker 2: for this program and voiced by Spotlight. This program is
- 11:40Speaker 2: called Obsessive Compulsive Disorder.
- 11:44Speaker 1: We hope you can join us again for the next
- 11:46Speaker 1: Spotlight Advanced program. Goodbye well