Aug 2 2010

What Is Obsessive Compulsive Disorder (OCD)?

I don't remember if I did that or not...

I don't remember if I did that or not...

OCD is a type of anxiety disorder that involves intrusive, uncontrollable thoughts and fears that can eventually take over the person’s life. Although to others the OCD sufferer may seem paranoid or even psychotic, in most cases the person realizes their thoughts and actions are irrational, making them feel even more alienated from those around them. It’s one of the more common mental illnesses, diagnosed nearly as often as asthma and diabetes. It’s important to note that OCD is different from other compulsive behaviors like overeating, gambling or sex addiction, where the person derives at least some short-term pleasure from the behavior. OCD sufferers get no pleasure or satisfaction from their behavior, yet they find it impossible to stop. OCD sufferers may also be diagnosed with conditions like Asperger syndrome, bulimia, social anxiety disorder, Tourette syndrome or major depressive disorder, among others.

It’s believed to have biological roots, and has been associated with abnormalities with the neurotransmitter serotonin, which is thought to have a role in how the brain regulates anxiety. This sort of imbalance of serotonin may be related to abnormal brain development; it’s suspected that children who have had a Group A streptococcal infection may be more prone to OCD later in life.

What Are OCD’s Symptoms?

OCD manifests itself in a set of compulsive behaviors that give the person “relief” from their anxieties. A typical person with OCD might be preoccupied with disease, God, the Devil or germs, all things that can cause tension and give the person the feeling that their life can never proceed as normal. Other obsessions might involve dirt and contamination; the person may be frightened or apprehensive about things like household chemicals, pets, newsprint, radioactivity, and of course their own bodily secretions or excrement.

Others have sexual obsessions that they can never be rid of, or may be extremely averse to sex. An OCD sufferer knows that their thoughts, behaviors and habits are out of step with the rest of the world, which just feeds their anxieties and doubts even more.

Typical obsessive behaviors or rituals might include:

· Skin picking

· Hair plucking

· Counting, which can come into play by counting specific things (such as footsteps or floor tiles) or counting specific ways (odd or even numbers, for instance)

· Hand washing or showering

· Throat clearing or verbal tics

· Behaviors that are preoccupied with order, such as putting items in a straight line, touching objects a set number of times, turning lights on and off, stepping on only a certain color of floor tile, checking that their car is locked several times over before leaving it, or only walking up or down a flight of stairs in a certain fashion (i.e. always starting and ending on the same foot)

How did it come to this?

How did it come to this?

Hoarding

Hoarding is an offshoot of OCD that has come to the public eye in recent months with hoarding-related TV shows. Hoarders might think that inanimate objects (teddy bears, documents, electronic devices, anything) are sentient beings with thoughts and emotions. In other cases, hoarders might never be able to break associations between those objects and a person or a past phase of their lives, and hang onto them as “mementos” or “keepsakes.” Often this might be linked to the trauma of a death or divorce. Nonetheless, hoarding can be just as destructive and just as crippling as any other form of OCD.

Management And Treatment

The first line of treatment for OCD has always been psychotherapy (and in some cases, dynamic psychotherapy). Newer therapies, though, have involved behavioral modification and medication. Behavioral modification for OCD might involve “exposure and ritual prevention,” where the person gradually is conditioned to let go of the anxiety associated with neglecting to go through their ritual behavior. The person might touch something only mildly “contaminated,” or might check the lock on their house only once when leaving, rather than going back and rechecking it. From there, the person is habituated to tolerate their anxiety in increments (touching something a little more “contaminated,” not checking a lock at all or only washing their hands once instead of repeatedly).

Other behavioral work has concentrated on “associative splitting” to reduce obsessive thoughts. It’s a concept that encourages neutral or positive associations in the network of OCD-related anxieties. For instance, a person who is obsessed with fire meaning “danger” or “destruction” might instead be steered towards thinking of fire as fireworks, fireflies, fireplaces, candlelight dinners, campfires or other pleasant associations.

The brain chemistry involved with OCD suggests using SSRI type drugs (selective serotonin reuptake inhibitors) such as paroxetine, fluoxetine, escitalopram or tricyclic antidepressants such as clomipramine. SSRI’s block excess serotonin from being directed back into the original neuron that released it; instead, they bind serotonin to receptors of nearby neurons, sending chemical signals that can help head off anxiety and obsessive thinking. Some newer-generation antipsychotics have been found useful in treating OCD; paradoxically, some of these drugs have been seen to cause obsessive-compulsive symptoms in patients who didn’t have OCD before.

Some experimental drug treatments have been observed to act on serotonin and neurotransmitters:

· The naturally occurring sugar inositol

· Vitamin and mineral supplements (some believe that nutritional deficiencies contribute to OCD)

· Opioids such as morphine and synthetics such as tramadol. It’s not clear exactly how these work, but they sometimes rapidly alleviate OCD symptoms

· Psychedelics such as LSD and peyote

· Nicotine treatment (again, the jury is still out on this one)

· Anticholinergics, to head off the anti-dopaminergic effects of choline

Will I ever be myself again?

Will I ever be myself again?

Although there is still a lot of research to be done on OCD, the last several years have seen significant advances. Medical science has gone a long way towards understanding the biological roots of OCD; between treating the root causes and readjusting the behaviors of the OCD sufferer, many with OCD (and many with related anxiety disorders) have been able to go back to leading a fairly normal, routine life again.


Jun 17 2010

How your mind can make you fat

Nature is Against You

Nature is Against You

While your mind can be your biggest ally in your struggle to lose weight, it can also sabotage your efforts in ways you might not even know about. It can be quietly working in the background subconsciously, undoing all the good you do consciously. There are a lot of physiological and psychological factors that make us want to eat, and understanding these, and learning how to counteract them are paramount to losing weight.

Before you try any diet, consider the following:

  • Your body is designed to process food efficiently. That means that your body naturally regulates your metabolism to be quick when you have a lot of food, and slow when you don’t have as much.
  • No amount of willpower will make you not want fatty and refined foods. The mind is hardwired by evolution to want these things, because they translate into easy, quick energy. Celery, on the other hand, requires a lot more work for the body to get nutrients from.
  • It’s common to resist physical activity. The mind is telling you not to work out, because it means you will be using up energy to no purpose. Your brain is trying to tell you to save that energy in case you need to hunt, or run from a predator.
  • Cleanse and Flush diets aren’t doing anything that your body is not doing already. We have a liver, kidneys, and a pancreas to flush out toxins for us.
  • The mind closely associates food with comfort, because plentiful food is an indicator of security. It’s common to eat food in order to feel safe and comfortable.
The mind gets its cues from your genes

The mind gets its cues from your genes

Your mind also tends to trick you into eating with hormones and chemicals. A diet high in fatty and highly processed foods works in much the same way a drug might. An injection of, for example, highly refined flours and sugars in a piece of cake will cause your blood sugar to spike, and will also cause a release of Dopamine, which your body translates as a small high. When you come down from that high, you become depressed, which will cause you to want to eat more fatty processed foods in order to get that feeling again. To fight this kind of cycle, willpower alone just won’t cut it. Find a way to remove yourself from these situations. Don’t keep these foods at home, or make it difficult to go get them (for example, by parking your bike behind you car, so that going out to grab fast food will require moving it, or just taking the bike.) You can also fight this by keeping yourself distracted in an activity, like playing a video game, or working on a hobby project.

The mind can tempt you to eat when you don’t need to in several ways. One of the biggest self-defeating culprits is rationalization. It’s that voice in your head that says, “This one piece of candy won’t hurt; you’ve been working out so regularly!” or “Go ahead and have that extra serving of dinner…you did an extra half mile on the treadmill this morning!” And the worst part of rationalization is, that it usually works. Your mind is making you fat, and you don’t even know it.

One way to avoid the rationalization pitfalls (and the guilt that usually accompanies it) is to set more realistic goals for yourself. If you’ve put yourself on a strict diet and exercise regime, for instance, go ahead and build in a few rewards for yourself. Having a predetermined reward as a goal to shoot for sets your mind up to build up towards the end game, to not have to “cheat” to get what it wants anyway. Say you’re on the treadmill for an hour a day, with a limited calorie diet to look forward to every day for the next few months. Try working in a day a month where you get to go off-diet, even just a little, as a reward for the consistent effort you have put in all the other days. If your mind doesn’t feel like it’s cheating, you’ll avoid the guilt that might also be making you fat. Guilty eating as a result of bad work/rewards ratios is as difficult a problem to overcome as the overeating in general. No matter what is at work in your brain putting food in your mouth that is not healthy for you or is making you fat, you can counteract the effects by making more positive decisions on goal-making.

Another hurdle to fairly easily overcome is that of “self-talk.” That’s where you tell yourself negative things like, “You’ll never lose the weight; you’re too fat” or “You can’t do this because you’re worthless.” The mind trick here is to stop the talk in its tracks. If you hear negative talking in your head, you say to yourself, “I would not let a stranger say these things to me, therefore, I do not have permission to say them to myself.” It is positive reinforcement towards your self-image that can play an important role in not only helping you to keep working at your weight loss, but at life in general. A positive mental attitude will help with your confidence and ability to make more healthy decisions for you. If you think that you deserve to feel better and look better, then your chances of making exactly that happen are greatly improved.

Remember, forgive yourself for mistakes, set more realistic goals and don’t let your mind sabotage your good intentions.


May 14 2010

Ten myths about the human brain

mind-brain-electrodes_8903_600x450

I want to remember everything as I get older!

Science continues to expand our understanding of how the brain works. This mysterious organ that drives the entire machine suffers from being greatly misunderstood. Here are ten common misconceptions about the brain that should set you straight.

1. Humans only use 10% of their brain. Perhaps one of the greatest misconceptions of our time, this myth is empirically false. Originating from the idea that perhaps only about 10% of the neurons of the brain are operating at any given moment, but this concept is decidedly different than not using the other 90%. The truth is closer to the idea that we only push ourselves to about 10% of our entire capacity.

2. Video games will damage the brain. In this day and age of video gaming, this myth is also fairly inaccurate. Even though the advent of video gaming is a recent phenomenon and there is not a great deal of study about it, researchers have found the playing video games actually teaches your brain to process information in great amounts and much faster, thus improving brain power.

anger

My brain can only take so much!

3. The bigger the better. There has never been any substantial evidence that the size on one’s brain makes you smarter. Men’s brains are by a rule larger than women’s, thereby debunking this myth immediately. If the brain is not used, it won’t matter what the size.

4. A damaged brain cannot regenerate. Science now has empirical evidence that the brain can engage in neurogenesis, a form of cellular rebuilding, although it’s not guaranteed.

5. Aging leads to a loss of memory. While it is a common condition, it is not a given that age will weaken the ability to remember. An active brain can be exercised with regular thinking and a healthy diet.

6. The brain is riddled with holes. A completely false mythology, referring perhaps instead to the parts of the brain where neurons are not firing.

7. Depression begins in the brain. This is not only a myth but a dangerous one as well. People who believe that depression is just a series of “bad thoughts” can do real harm. Depression is a much more complicated condition caused by any number of reasons. No one decides to be depressed.

leftrightbrain

I never knew all this goes on inside my head.

8. Left Brain, Right Brain. The truth is, no one operates from solely the left or right brain. Some people may be stronger on one side or the other, but all humans use both sides of the brain.

9. The brain is a giant computer. Just the opposite, the brain is so much more complicated than any computer, that it’s an insult to one’s brain to make this comparison. It was probably started because the first computers were roughly based on what was known about the brain at the time.

10. We learn better through a subliminal approach. While listening to information while in a relaxed or even sleep state works well for some, it is just as likely that it won’t work for others. We all learn in our own best way.


Apr 20 2010

10 ways your mind tricks you into wasting money

I need to make sure I have everything covered

Making sure I have everything covered

You started the year off with the best of intentions. You had proven strategies to save money. Plans to cut back, trim down and save were made. By now, you should have a tidy bundle of rainy day money. Whether you were saving for a trip, a down payment or just ‘emergency’ funds, by now you are probably looking at your finances and thinking: “Where did I go wrong?” The truth is you sabotaged yourself even if you do not yet realize it. Sit down and take an honest look at your spending over the past few months and you will probably notice some ‘mind tricks’ you played on yourself. In short, you brain has fooled you into wasting money.

As an adult, you probably disagree – after all, you have full control over your mind, or do you? The human mind is a funny thing. No matter how smart we are, sometimes our perception is skewed just enough to muddle our thinking. Never has this been truer than when it comes to affairs of the mind. The mind plays lots of tricks on us, but ten stands out as particularly cunning.

1.  The Supersize Mentality: The advent of the concept of ‘supersizing’ may have been little more than a ploy by the fast food industry to get an extra buck out of us, but the phenomenon has grown rampant throughout the entire market. Say you are legitimately in need of a new television. You have settled on a respectable 36 inch flat screen with a good reputation. Upon arriving at the store, cleverly displayed right next to your first pick is a gorgeous 42 inch television. Suddenly you find yourself thinking: “it doesn’t cost that much more. Really, I’d be foolish not to get the bigger television. It’s such a deal.” The truth is, while you were prepared to spend say $300 on a television, supersizing it for an extra $60 seems like a drop in the bucket.

It wouldn't hurt to see what they have

It wouldn't hurt to see what they have

2.  Gotta Get It: I don’t know if it is an off shoot of keeping up with the Joneses or not, but today there are tons of things that we simply must have. A bigger television, smaller computer, faster phone…the list goes on and on. Think about the last time you visited a friend or family member who had recently made a new purchase. It probably started right then, that voice in the back of your head “I really should upgrade my computer – and Bobby got such a great deal.” What is really going on here is plain and simple envy. Your best bud gets a new toy and suddenly you need one too – even if you really don’t.

3.  It’s All About The Package: You need internet service for your new home, so you do the logical thing and call up the cable company and have chat. 20 minutes later, you have signed up for internet service, a land-line and 137 HD channels – all for $60.00/month (plus taxes and all that other stuff). Only problem is, you don’t have an HD television (yet) and rely solely on your cell phone for chatting. Problem is, the package is such a deal that you just can’t pass it up. Cut out the package spending and instead only pay for services you actually need right now – you can upgrade later!

4.  Of Course I Will: Gym memberships, CD clubs and more are a great idea and not a waste of money – if you use them. Unfortunately, our brains seem to have the ability to convince us that we will indeed make it to the gym 6 days a week for an hour, even though our schedule is already so crammed full that we have to remind ourselves to eat. Avoid long term contract commitments – it may cost a little more to do a one month trial, but at least you will be able to decide if you will really use the membership.

5.  But I Forgot: Everybody makes mistakes. You buy the wrong size jeans, a scratched cd or a toaster that doesn’t toast. You package it back up, you put it next to the door and then find it next year in the closet under the boots you bought three years ago but never wore because they were too small. Don’t waste money by forgetting to return something or by not completing a rebate form.

6.  Bulk Stores – Us ‘real’ shoppers know just how cheap bulk stores can be. 10 gallons of mayo for only $7.00??? It is a steal! Unfortunately, we often end up throwing away lots of the stuff we buy in bulk – it spoils or we get sick of it before we can use it all. Shop bulk stores wisely.

I just love the smell of money

I just love the smell of money

7.  It Can Be Fixed: We often believe that by spending a bit of money we can fix a possession and make it work for us. Cars are a prime example, but today computers and electronics rank high as well. Unfortunately, we often end up spending so much money at the repair shop that it actually makes sense to just buy new. Don’t let your mind convince you that you can’t part with an old possession.

8.  Reality Doesn’t Apply: Whether it is the influence of the digital age or simple ill placed optimism, we often find ourselves thinking that reality just doesn’t apply to us. Somehow, someway things will work themselves out so putting ourselves in the red for that killer trip to Cancun is ok. After all, it will sort itself out. NOT!!

9.  We Are Delusional: How many times have you gone to the store and bought something that you hope makes you look thinner, hotter or younger – even though it does none of those things? The 35 year old housewife shopping at Express for an outfit she will never wear is simply just wasting money in the hope that she will look and feel better about herself.

10.  We Are Too Polite: Every time you receive a bill that isn’t quite what you expected, you should put up a fight. Unfortunately, many of us simply don’t. Whether we are afraid to make a scene or just don’t want to rock the boat, we often simply accept that extra $5 on our cell phone bill each month. Don’t forget to stand up for yourself.