How Does “Pure O” Develop?
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- Опубліковано 27 лип 2024
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Purely obsessional OCD, often called ‘Pure O,’ is a form of OCD in which a person experiences primarily intrusive or unwanted thoughts without performing outward compulsions or rituals.
For a long time, Pure O has been seen as a type of OCD that has been more difficult to treat than others. However, in my experience, people with Pure O almost always engage in compulsions, they are usually just less noticeable to others, especially if you don’t know what to look for. Most compulsions are unseen compulsions, such as mental rituals like mental checking, rumination, or other mental distraction techniques.
People with Pure O will also engage in different, often subtle, physical compulsions, such as avoidance, checking, and reassurance seeking.
So in this episode, I discuss how ‘Pure O OCD’ develops, and I also offer some examples of different compulsions that people engage in.
About Matthew Codde:
Matthew Codde LCSW has worked in the field of mental health for over a decade and maintains a specific passion for helping others take their lives back from OCD & Anxiety-Related Disorders. Matt maintains the firm belief that recovery from OCD & Anxiety is absolutely possible, despite what others may proclaim. By utilizing various programs and digital resources, his company, Restored Minds, has helped thousands of people learn the proper evidence-based techniques needed to find freedom from OCD & Anxiety and go on to live fulfilling lives.
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The worst part is the feeling afterwards an episode of pure O. You feel down realising that you wasted so much time on an useless unreal thought. This eventually brings down your motivation to do some productive work. Very frustrating. Good explanation.
I suffer with what is nicknamed "Pure O". When I was at my worst I would spend between 5 and 8 hours a day doing compulsions and no one would be able to tell. I'd look like I was watching a film with my husband but I was actually going over and over compulsions in my head. Or I'd be at work and look like I'm studying a report but again I'd be in my head doing compulsions. At that time, no one knew I suffered with OCD, even my husband. Even now, my husband is the only person who knows. It's quite a lonely experience that you can be suffering so much and it can barely be noticable to the outside world.
thank you for sharing. i'm so sorry and i understand you.
Trying to focus on this video and being bombarded with intrusive thoughts 😂 still early in my recovery journey, appreciate all your help!
Thank you for not making me feel alone in this
You are not alone, Emily.
Thank you for the knowledge. I am nearly 18 and I have had OCD for around 5 years, but these last 6 months have been the only really difficult time. I use to have many rituals and require verbal assurance, but it has developed into HOCD. I have been suffering with intrusive thoughts for a while now, these last 6 months have been very difficult for me, but I have optimism for the future. I suffer with HOCD and am now accepting what I have and realising that I can still live with it! Sometimes I have an impulse which feels real, but yet I know its not and I get into a spiral in my head. But opening up to people has definitely helped my journey so far.
You got this!!!
Hey, it's been a very long time but I was just curious, how are you doing now? Has the OCD left?
This was really helpful. Thank you!!!
I feel like I need constant reassurance for the smallest things. About a few weeks ago I was driving with my mother, and I saw a stop sign that was in a weird place. The location of the stop sign threw me off while I was driving, and I asked my mother in a panicked way “do I stop? Do I stop? Do I stop? Do I stop?” I obviously knew that a stop sign meant to stop, but I wasn’t sure if I still had to stop because of the location of the stop sign. It threw me off. My mother then told me “yes, it’s a stop sign, Julissa, you need to stop.” My reassurance seeking sometimes makes my family and people around me think I’m stupid, but I know I’m not. I already know what I should do, but sometimes I need to know if I am right. Do you think this is a sign of OCD or no? I hope you answer, and thank you for your time (:
Absolutely!! I have pure o and do this quite frequently lol.
Beautiful Video, Thank You Sir .. God Bless You .. Arjun ..
Very helpful thank you!
Thank you I’m returning to this after a few years due to a spike in OCD but in different theme.
It sucks thst u have to tell a person everythibg that gies on in ur mind. U feel guilty if u dont
I'm confident to say my husband has Pure O and he's not even diagnosed (yet). But he LEGITIMATELY fits every single criteria. I will also say that even I don't necessarily think giving up praying about it is good BUT my husband can pray about it when he doesn't feel this absolute urge to. I still want him and I to run to Jesus for everything but he must get better
With all due respect, jesus won't do shit, don't take him to church, take him to a psychiatrist.
@@itachiedits5920 that was rude. I never said he wasn't gonna go to a counselor. Ultimately God is the one that gives and takes away. So He can use the counselor as a huge help, but Jesus is the ultimate healer so it's His decision in the end. Not a world that just relies on counselors to fix everything. Think of how ridiculous that is. That a set of trained individuals could fix everything. That's quite literally impossible
@@michelleeriksen6816 that's what we've got, god doesn't exist, it' just an imaginary reassurance people created in order to make them feel better, you may disagree or deeply think that I am wrong, but you were deluded into that religion, yes, it may make you feel better but not because GOD exists, but only because YOU think he exists, you would have felt the same thing if u were born as a muslim, god doesn't exist whatsoever.
@@itachiedits5920 You aren’t “born” into religion lmao. I’m not religious and talking about christianity can be a little bit uncomfortable for me so I don’t know if you feel the same way but it’s no excuse to be so rude. I understand that you probably had good intent but whether god(s) or anything like it exists is not truly known by any human being. I’m glad OP is still going to see a doctor though, I’m wishing the best for your husband.
@@tioraidh-tux dude think of how ridiculous it is to rather trust a being with no evidence of ever existing than PROFESSIONALS. I mean, if God were real why doesn't it mention the dinosaurs and evolution, or do you not believe in that either? All animals MUST be inbred if Noah only took two of each. If God were real HOW DO WE HAVE DIFFERENT RACES IF ADAM AND EVE WERE WHITE
I understand how it develops but I want to learn that is the thought theme or topic changes ? After pure o develop from one topic is it then change to another topic and can keep going it's process from there ???? please someone answer this question please.
It all depends on one’s personal history and stress triggers. Sometimes it can be one specific topic that the sufferer dwells on for months or it could be a smaller one that only lasts a day, week, or etc. It can be interchangeable and it all depends on certain triggers and stuff. Best of luck!
It all depends on one’s personal history and stress triggers. Sometimes it can be one specific topic that the sufferer dwells on for months or it could be a smaller one that only lasts a day, week, or etc. It can be interchangeable and it all depends on certain triggers and stuff. Best of luck!
@@allisonslocum6948 yep
Can pure o be temporary??????
If mental blocking, thought suppression, and though replacement are all mental compulsions, then what can you do to get over the intrusive thoughts?
You shpuldn't even be trying to get rid of these thoughts
To get rid of intrusive thoughts you have to stop caring about stopping them
Bcoz it is not the thoughts that are the problem it is your reaction to these thoughts
Recovery seeks to only remove the anxiety associated with the thoughts not the thoughts themselves
But don't worry when you remove the anxiety associated with the thoughts they will definetly decrease in frequency and impact
This just surfaced. It's extremely debilitating. This has helped, but my question is ... if though blocking or having that internal conversation to try and calm yourself ( didn't work bc that became incessant for days/nights) then how do you get rid of it.
There is no way to get rid of Pure O. Medications can help lessen symptoms and psychotherapy and certain forms of CBT is supposed to be very impactful including ERP
I had really bad pure o, and believe me, it is possible to get better. But you have to work on it, of course. The way I felt it, I would compare it to taking a drug - (never took, it is just a metaphor) - the more you believe in those thoughts and let them "control" you, the more means you feed them, and the more power they have. I say it is like a drug, because at least in my case, the more compulsions I made, more I needed to make. So I did the opposite. First I replaced the compulsions with prayer (well, in my case the worse thoughts were of a religious nature, so it made sense), but it can be only some self reassuring talk (I did this too) that is not always the same or fix, so it does not become a compulsion, but it has the effect to calm you down - something like for example - these thoughts are not true, you are a good person, etc whatever fits the thoughts you might have. That was first. Then, with time, I just did not leave the anxiety to take over, anymore, but tried to dissicate the thoughts in the sense of going to logic, instead of fear (not as a compulsion, rather just to challenge them and find the real logic behind them, so little by little I would not believe in them anymore). The wonderful thing is that once you do not believe in them anymore, they basically loose their power and with time they dissappear because the only thing that keeps them coming back is your fear, guilt, negative feelings, or anxiety if you want (so you have them less and less frequent and less and less strong, and even if they appear, when they do, they are just thoughts that anyone can have, but you do not do any compulsions on them anymore, or only for a second and just shake them off easier remembering they are only thoughts, since you are not scared anymore, of course this is little by little). Until you reach this point you have to be strong and refrain from doing the compulsions when you need to, even if you "die" to do the compulsion, and instead reassure yourself in a healthy way. (Sometimes you will "fall" it is normal, just get back up). That is why i compare them with drug addiction - the more you consume, the more you need. The moment your body begins to heal and desintoxicate, the urge of consuming or the side effects of not consuming, gets better. First you need a less stronger drug to get you through the worse need to consume (self reassuring, healthy and logic thoughts that do not become compulsions, that with time you will not need anymore.) I hope it helps. That was my process going through some really difficult Pure O. It took years to completely heal, and yes, a lot of faith (if you believe in God, praying will not harm, I believe in God, though I am not a classic religious person, more spiritual). Also what i did observe is that sometimes I still tend to get worse compulsions (not religious anymore, but whenever I feel guilty about something sometimes, very seldom, I could get spiraling), when i am hungry or tired etc. So I try to avoid the situation, if I begin spiraling and I know I am hungry I just go and eat, after I eat the thoughts usually loose power, my mind was just not thinking straight. It is also good to try to stop just when you feel you are gonna become obssesed and spiral, just before you go there, it is usually easier if you catch yourself in time and if you can (this tends to be easier with time). Anyway, right now I have very little compulsions, sometimes even without intrusive thoughts, just when I do not feel comfortable, if I feel guilty, or with very little intrusive thoughts. The main themes I used to have obssesions on, I do not have them anymore. Whatever obssesions I might have sometimes, I do try to stop on time. There are people who say there is no healing or complete healing of OCD, but I am really sure complete healing exists. It may be a matter of time, but I think that all is possible. I am super sure there is a complete cure to it. If I came this far, you can do it too, anyone can do it. I do personally believe I got help from God, but still I did do a lot of work, but you may not believe in this and still be able to heal. The brain that created the problem can heal itself. If you have the problem, you have the solution. The worse thing is to believe there is no hope. I hope this large testimony will help in some way. Regards.
Funny thing I did not even watch the video yet, I see he also talks about (from your message) self calming thoughts. So, to be more specific - as I explained before I would try not to transform it into a compulsion in itself and also what worked for me also was being with other people, doing activities, spending very little time alone, having no alcohol (it just made things worse) when I was at my worse OCD crisis, it helped a lot with zooming out, and with the process I explained. The most important thing, try to avoid the compulsion. It is going to be nightmare first, I will not lie, really-really hard, sometimes you will "fall" and make the compulsion, you will still have compulsions for a while (the goal it is not to obsess about not having compulsions :)))), just to little by little get better at it, be kind and compassionate to yourself) just get back on track. Thought supression, I yet have to watch the video, but, if it is what I read about, it is tricky, and it did not work a lot for me. What worked was the logic as explained before and sometimes trying to distract myself with other people, the reassurance self-talk, etc. I did also have someone I talked to that helped me a lot during a good period of time, through the worse moments or crisis, but the process I talked about I had to figure it out as the one that was constantly with myself was me. He helped me (in my case it was a priest) I am forever grateful, but as I used to say, only I was on my mind (and God :)))), ) only me could really understand me and know what I was going through, so I had to find a solution, i had to find a way back to health. I do not know what kind of thoughts you have, so you would have to adapt and try something that makes sense and that works for your kind of thoughts. You have to find what works for you, but I hope it helps. And remember, nothing of the thoughts that bother you are really real. (Another tip that just came, writing them down can also help, I did this and it helped clearing them up, in whatever formula helps you). Take care!
Pure o is so hurting and need so much to do erp for geting rid of it