Body Dysmorphic Disorder (BDD) and Body Image in the News
Recently there have been a number of stories in the media that have touched upon the topic of Body Dysmorphic Disorder (BDD). These stories suggest the unfortunate extent to which women (and a growing number of men) appear to be internalizing extremely distorted ideas of beauty.
Will BDD become known as Heidi Montag Syndrome?
Perhaps the most public illustration of this growing problem is the case of Heidi Montag. Until a year ago, I had never heard of Heidi Montag, and I still have no idea why she is famous. Apparently, she is on a reality TV show called “The Hills”, which Stylite blogger Linda Ripoll describes as an “amazing exploration into self-hatred, body dysmorphic disorder, and addiction to plastic surgery”. › Continue reading
Treatment of OCD and OC Spectrum Disorders in Children
“If I knew then what I know now.”
Chances are, if you’re reading this, you’ve found yourself saying the same thing at some point in your adult life. Nowhere is this more relevant than from the perspective of someone looking back on a childhood with Obsessive Compulsive Disorder (OCD) or an Obsessive Compulsive Spectrum Disorder. When I meet a new client under 18, there is a powerful sense of traveling through time. I think, “If only I had someone like me to go back and talk to me when I was someone like this.” How much time might I have saved being able to resist repetitive, unnecessary rituals? How many more events, relationships, and simple moments of peace might I have been able to enjoy if only I had known what was really happening to me? › Continue reading
Trichotillomania, Compulsive Skin Picking, and the Resistor’s High
Jon Hershfield, MA, of the OCD Center of Los Angeles discusses Cognitive Behavioral Therapy (CBT) for the treatment of Trichotillomania (compulsive hair pulling) and Dermatillomania (compulsive skin picking, or CSP).
My wife and I recently became vegetarians. Well, she started using the word “vegetarian” to describe already never eating meat. For me it required more of a lifestyle change. I grew up on a small beef cattle farm, so I was used to the idea that you could grow meat the same way you grow vegetables. Throughout my life it always felt as if meat was how one defined the difference between a “snack” and a “meal”. So as part health experiment and part social consciousness attempt, I have given up meat for the time being.
At first I felt like I was denying myself something purely enjoyable. I’m used to it, I like it, so why don’t I just do it? Saying, “I want to change” or “I’m not happy with the consequences” doesn’t seem to be much comfort. However, nearly 4 months into this experiment, I now get what can only be described as a “resistor’s high” – an addictive satisfaction derived from choosing not to eat meat. › Continue reading
Memory Hoarding in Obsessive Compulsive Disorder (OCD)
I was surprised to discover that Webster’s dictionary defines “hoard” as a kind of temporary fence put up around a structure being built, presumably with the intention of protecting it in a fragile state. Dictionary.com had a more familiar definition: “to accumulate for preservation, future use, etc., in a hidden or carefully guarded place.” Both definitions refer to the behavior of creating certainty around an uncertain state.
Squirrels hoard acorns to make sure they don’t starve during the winter. Armies hoard weapons to ensure they never run out. And some people with Obsessive Compulsive Disorder (OCD) hoard objects of uncertain value, usually with the belief that the object’s value may be revealed at an important point in the future. › Continue reading
OCD and the Law – Part 3
Our two most recent entries discussed a Scottish case and an American case in which criminal defendants claimed that the crimes for which they were being prosecuted were a function of their having Obsessive Compulsive Disorder (OCD). This week, we examine a case of an Australian professional boxer who claims his assault on 70-year-old man came about as a result of his having OCD. Part three of a three part series examining OCD and the law.
On November 16, 2009, John Edward Lane, a 70-year-old retired Australian television executive boarded a ferry boat in Sydney harbor. Also on board was Grant Brown, a 31-year-old Tasmanian boxer who had previously held the Australian lightweight title for three years, as well as six Tasmanian boxing titles and four Golden Gloves titles. › Continue reading
OCD and the Law – Part 2
Last week we wrote of a case in Scotland in which a man accused and ultimately convicted of possessing child pornography claimed that his crimes were a result of having Obsessive Compulsive Disorder (OCD). This week we examine the case of a Kentucky man whose lawyer claimed that he murdered his wife due to OCD. Part two of a three part series examining OCD and the law.
In March of 2010, the lawyer for Jerry Seidl of suburban Louisville, Kentucky claimed that his 68 year-old client murdered his wife of 47 years as a result of Obsessive Compulsive Disorder (OCD). The couple had separated in 2008, and his wife Dorene had moved out of the family home. On August 7th of that year, after filing for divorce, Dorene sought a protective order on the grounds of domestic violence. In the petition, Dorene claimed that her husband had previously put a gun to her head, and on a separate occasion had told her “I’m just going to kill myself and get it over with. Do you want to go with me”. Despite this, the request for a protective order against her husband was rejected by a local judge on August 20th. › Continue reading
OCD and the Law – Part 1
Recently, there have been a number of legal cases in which criminal defense lawyers have claimed that Obsessive Compulsive Disorder (OCD) was the cause of their client’s illegal behavior. This is part one of a three part series that examines these cases.
In March 2009, the Edinburgh Evening News of Scotland reported the case of Iain McKinlay, a father of three who claimed that the huge amount of child pornography that he had amassed on his computers was a result of his suffering from Obsessive Compulsive Disorder (OCD). McKinlay was caught after he used his personal credit card to access child pornography web sites. When the local police raided his home in April 2008, they found 3,557 illegal pictures on two separate computers. › Continue reading
OCD Stockholm Syndrome
The “Stockholm Syndrome” is a term used to describe the phenomenon of hostages defending their captors. As a psychotherapist specializing in Cognitive Behavioral Therapy (CBT) for the treatment of Obsessive Compulsive Disorder (OCD), I have seen something akin to the Stockholm Syndrome many times. Clients struggling with this issue often have a mysterious internal debate that goes something like this:
“If I hate OCD so much, why do I fight so hard to keep it around? Maybe my OCD is a good thing. Maybe I need my OCD. After all, If I am not my OCD, then who am I?”
This scenario typically (although not always) presents itself several months into therapy, long after the client has gained some autonomy from their OCD through the use of Cognitive Behavioral Therapy.
Athletes With Anxiety
Last week, we discussed recent news reports about professional baseball players struggling with Social Anxiety. This week, we broaden the topic to cover athletes in numerous sports with various anxiety disorders. Second of a two-part series.
As we noted last week and in prior posts, the past few years have seen a significant increase in the number of professional baseball players going on the disabled list due to Social Anxiety. This trend is remarkable for numerous reasons, the most noteworthy being that the issue of mental health in baseball is being openly discussed at all. The overall issue of mental health has long been shrouded in secrecy and shame, leading many public figures to go to great lengths in order to ensure that their mental health issues remain private. So when professional baseball players not only acknowledge their psychological issues, but actively seek help for them, this is a sign of cultural progress. › Continue reading
Social Anxiety in Baseball Revisted
This is part one of a two part series on anxiety disorders in sports.
This past week marked the arrival of the 2010 Major League baseball season. And as with last year, this season already has three developing stories of athletes dealing with Social Anxiety. › Continue reading
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