The SECRET Thoughts That Drive OCD: Appraisals | Dr. Rami Nader

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  • Опубліковано 4 гру 2024
  • Obsessive Compulsive Disorder (OCD) can be a scary condition, characterized by unwanted, intrusive thoughts and obsessions that a person responds to by engaging in compulsive behaviours to try and neutralize the anxiety and distress caused by the obsessions. However, these attempts at neutralizing or reducing the distress triggered by the obsessions often leads to feeding back into the obsessive thoughts, causing the OCD spiral to continue. What is often missing from the understanding of Obsessive Compulsive Disorder is that everyone gets these types of random, intrusive thoughts, similar to the thoughts that people experience in OCD. The difference is, in OCD, the person interprets the thoughts in a way that makes the thought feel more scary or dangerous, leading anxiety and distress. The interpretation of the intrusive thoughts is what we call appraisals and these appraisals are the secret, typically unknown thoughts that really fuel the OCD engine. The four main appraisals that drive Obsessive Compulsive Disorder are: overimportance of thoughts; overestimations of danger; an inflated sense of responsibility; and a need for certainty and control over thoughts. It is important to understand how these appraisals and interpretations of obsessions can lead to anxiety and compulsive behaviours aimed at neutralizing the anxiety because, once you are aware of the appraisals, you can begin to challenge the meaning and importance that you place on the intrusive thoughts. Future videos will discuss ways of challenging each of the common appraisals in OCD.
    Watch all of my videos for free at: www.psychologyvideos.ca
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    For more information about the North Shore Stress and Anxiety Clinic, visit: www.nssac.ca
    DISCLAIMER: The videos provided here on this UA-cam Channel are for informational use only. The video content provided is not intended to be a substitute for professional advice, diagnosis, or treatment. These videos do not establish a psychologist/client relationship. Always seek the advice of your doctor or mental health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read or seen on this channel. Dr. Rami Nader assumes no duty to correct or update the video content nor to resolve or clarify any inconsistent information that may be a part of the video content. Reliance on any content is solely at the viewer’s risk. Dr. Rami Nader hereby disclaims any and all liability to any party for any direct, indirect, implied, punitive, special, incidental or other consequential damages arising directly or indirectly from any use of the said video content, which is provided as is, and without warranties.
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КОМЕНТАРІ • 32

  • @elenora67
    @elenora67 2 роки тому +3

    Your videos are so amazing they explain things so perfectly and your calmness is also so helpful for those of us who are super stressed. I keep referencing your videos when I start panicking over my issues. I’ve been sharing your videos I hope your channel blows up so more people can find this help!!!!

    • @DrRamiNader
      @DrRamiNader  2 роки тому

      Hi Almira - thank you for your kind words and support of the channel. I am excited to see the channel growing and you can help by liking, sharing and commenting on the videos and encouraging others to do so as well. I think it's important information to get out to the world and I'm glad to see that the reach is growing further and further over time.

  • @domingoateo1277
    @domingoateo1277 Рік тому

    This train of logic matches perfectly with the anxieties of managing life in remission of substance use disorder. I detest the traditional twelve step models, which has left me on my own to deal with my problem through my own research for the last four years. I have concluded on my own that following OCD measures, mostly through externalization, plus realizing why have I have them, allows me to control my intrusive thoughts and euphoric recalls.
    Have you considered publishing a comparison between the two areas of study? I have no medical training but only my own experience, but when I share it with others in remission, it makes a great deal of sense to them as well.
    I'm enjoying your channel. Thanks!

    • @DrRamiNader
      @DrRamiNader  Рік тому

      Thanks for your insights - I'd never thought about that comparison before.

  • @mohitsorout4133
    @mohitsorout4133 8 місяців тому

    Good job sir

  • @christopherdamien2248
    @christopherdamien2248 3 роки тому

    Very illuminating. Thank you for this.

    • @DrRamiNader
      @DrRamiNader  3 роки тому

      Hi Christopher - glad you found it helpful. I am going to be posting follow-up videos discussing these appraisals in more detail in the future, so please keep an eye out for those.

    • @christopherdamien2248
      @christopherdamien2248 3 роки тому

      @@DrRamiNader Yes, definitely. I will certainly want to hear you address the issue of appraisals in your follow-up videos. Very helpful!

  • @cj5056
    @cj5056 3 роки тому

    You are great a sequencing and outlining what you are explaining. Your example jarred me a bit but now I’ll remember your example. Thank you again for sharing your knowledge.

    • @DrRamiNader
      @DrRamiNader  3 роки тому

      You're very welcome. Glad you found it useful!

  • @DevashishPatel86
    @DevashishPatel86 3 роки тому

    I have been diagnosed with GAD, and I don't understand why certain thoughts trip me into endless thought loops, while others don't. These appraisals between thoughts and corresponding anxiety makes so much sense and the 4 categories are indeed the ones that usually trip me. Thank you for helping me understand myself a little better. I am definitely looking forward to the other videos in this series and how I can break the negative appraisals into positive ones.

    • @DrRamiNader
      @DrRamiNader  3 роки тому +1

      Glad you found the video helpful and please keep an eye out for the videos on challenging these appraisals in the coming months. Thanks for supporting the channel!

    • @luminexd8273
      @luminexd8273 3 роки тому

      Same here bro
      I have same problem 🤗

  • @salvatorefolisi3102
    @salvatorefolisi3102 7 місяців тому

    Great explication of negative appraisals. Overestimation of danger and inflated sense of responsibility resonated most with me. Can you link the video wherein you discuss how to mediate these appraisals? Thanks!

    • @DrRamiNader
      @DrRamiNader  7 місяців тому

      I never got around to making those videos, but they are on my list.

  • @jayde7412
    @jayde7412 3 роки тому

    Hi, Dr. Nader
    You're saying when you don't believe these negative thoughts, or entertain them in a negative way they tend not to disturb you as much. In your case, the negative thought you had about daughter didn't affect you because you didn't let that thought define you as a horrible person so it didn't stick. Like you said it's all about the appraisal. Thank you so much. I really enjoyed this video!!

    • @DrRamiNader
      @DrRamiNader  3 роки тому

      Glad you found the video helpful. The appraisal is everything.

  • @alexeygalizdra7827
    @alexeygalizdra7827 2 роки тому

    Thanks for the video! An example of you carrying your daughter is very elaboate :)
    Is there any good theory explaining the root causes of these unwanted thoughts that pop seemingly randomly in the head except for the unconscious mind seeping through? Also, is it possible for a person to actually manifest its behaviour in accordance with their obsessive thoughts (i.e., a person who is terrified by a thought of harming a relative will actually harm them). I would highly appreciate if you point me to further readings. Thanks!

    • @DrRamiNader
      @DrRamiNader  2 роки тому +1

      Hi Alexey - thank you for your comment and I'm glad you found the video helpful. In terms of why people have these types of thoughts, the reality is that everyone has these types of thoughts - so it's not abnormal. What's abnormal is the meaning that a person gives to the thoughts. In terms of whether these thoughts can actually manifest in behavior, this is called thought-action fusion and these thoughts in OCD do not lead to the type of feared behaviors that a person is fearful of. I will be making more videos on challenging these appraisals in OCD and specifically addressing thought-action fusion, so please keep an eye out for those.

  • @petew5029
    @petew5029 3 роки тому

    I have been diagnosed with GAD because I worry and have panic attacks but it has never been suggested that I have OCD. This seems odd as your OCD videos so closely describe my experience. One thing not covered in your video is that I have recurring thoughts which make me doubt whether something I know I have done actually happened e.g did I really sign an important document or did I send an email to the correct person. It is not uncommon for me to log on to work emails at 3 am or during films etc to check as I cannot thinking about it until I do. Thank you for another excellent video

    • @DrRamiNader
      @DrRamiNader  3 роки тому

      Hi Pete - the worries and doubts in OCD can be similar to worries and doubts in GAD. The difference tends to be that worries in OCD are ego-dystonic (they go against how the person views or thinks about themselves and the person finds them repugnant or counter to their self-view), whereas the worries in GAD are ego-syntonic (the worries are consistent with how the person views or understands themselves).

    • @petew5029
      @petew5029 3 роки тому

      @@DrRamiNader Thank you that is very interesting. My worries relate to my fear of failure and perfectionist tendencies so that makes perfect sense

  • @KR256-5
    @KR256-5 Рік тому

    So Dr.Rami do i need to do ERP for the rest of my life?or all these can end for good coz sometimes i get rid of ERPs also, what's your reply on this Dr????

  • @ravigoyal3942
    @ravigoyal3942 3 роки тому

    When will you be making these videos on the appraisals please

    • @DrRamiNader
      @DrRamiNader  3 роки тому

      Hi Ravi - I'll probably get to them in the first half of next year. They are on my list of topics, I just haven't had a chance to get to them yet.

    • @ravigoyal3942
      @ravigoyal3942 3 роки тому

      Thank you sir

    • @ravigoyal3942
      @ravigoyal3942 2 роки тому

      @@DrRamiNader hi Dr Rami any idea when you will do a video on these appraisals please

    • @DrRamiNader
      @DrRamiNader  2 роки тому +1

      Sorry, I don't have a specific date yet. I haven't done them, but have them on my list.

  • @ocdmuktjivan8323
    @ocdmuktjivan8323 3 роки тому

    I am indian please help ocd suffrer

    • @DrRamiNader
      @DrRamiNader  3 роки тому

      I would encourage you to take a look at some of the other videos I have posted about OCD: Obsessive Compulsive Disorder (OCD): ua-cam.com/play/PLG_XiSJeP3s0iFYcSP6oQHjEUJOQkNzMM.html I hope you find them helpful.