âDid I Make the Right Choice?â
I stared blankly at my computer screen and cocked my head. This was my new therapist and Iâs second appointment together. We were still going through the âlife storyâ portion of getting to know each other.
I nodded, âI had a cat growing up. He passed away last year. My parents still have a second cat.â
She gasped. âI knew I saw a cat in there! Sometimes I have this psychic ability to just feel things, yâknow?â
I rolled my eyes inside my soul, and nodded. I let out a small laugh outside.Â
âSo, you hear voices that tell you how to feel?â
I nod again. âYeah. Itâs almost like, I have to do these things to prevent bad things from happening. Like, if I don't set my knife or scissors down when my roommates are close to me, Iâm scared I might stab them. Or, I have to repeat âdonât stab them donât stab themâ as I walk around them with the knife.â
She pondered. âThat sounds more to me like commanding hallucinations, like psychosis. I think you should instead tell your psychiatrist when you see him that you have commanding hallucinations. It could be dangerous if you actually stabbed your roommatesâ
I eventually left the call. I called my boyfriend, freaking out. Was I actually just schizophrenic? I had checked for hallucinations all the time, but. Was the voice in my own head just a commanding hallucination? Was I that delusional? Was I going to stab my roommates if I didnât seek out treatment?
When I first recognized my OCD symptoms, I spent a long time questioning whether to seek out medical validation. I had finished C-PTSD treatment quite strongly with a therapist who I loved, but she, unfortunately, had no knowledge of OCD treatment and requested I seek out a new therapist. I went to my doctor, who was certain I had OCD, who immediately provided me with access to SSRIs while we waited for a psychiatrist (she claimed I didnât need to even see himâshe was pretty certain I had it from my description). I didnât last long on them after they made my vision fuzzy and made me dissociate constantly.
But, my C-PTSD treatment wasnât normal. I went through some EMDR, but predominantly, I went through an experimental therapy titled âDeep-Brain Reorientationâ (DBR). Rather than a focus on eradication rooted within medical models, DBR seemed to force me to slowly go through what it was like to experience a trigger and come to understand better why my body was reacting the way it did. I learned to empathize with the reactions now encoded into my nervous system, embodied into my stomach and back, rather than hate and eradicate them. They had become a part of me, and I felt comforted accepting them within my body.
OCD was different. It never felt like a part of meâI couldnât do parts work to try and understand it, because none of it was rooted in something real. While my themes were influenced by the trauma I had experienced prior, it was never acting up to protect me. It was acting up to control me.
I sought out two therapists. The first one was overpriced, ignorant to my problems, and encouraged grounding my intrusive thoughts in reality. It did irreversible damage to my relationship with therapy.
My second therapist didnât really do a whole lot. I would come to therapy with questions and concerns about my OCD as a critical disability scholar, but would leave with âI see. Thatâs complicated.â and an e-transfer. She told me to expose myself to my triggers and prevent my responses. All something I could do on my own and $160 extra in my bank account.
So, Iâve been in limbo. No medication, no therapy. I have episodes often that last a few days where I isolate myself in my room and social interaction feels difficult, awkward, and forcefully scripted. I grow concerned about people talking behind my back, even those who I know would never. When nobody sits near me in the lecture hall, I check if I smell bad over and over and over again and remember to put on more perfume next time. More deodorant next time. I rub my face at least 10 times after I eat to make sure nothing is there, picking at my teeth and checking.Â
Iâm scared to go back through the medical system, especially for such a sensitive disorder. There are intrusive thoughts I have that I couldnât disclose to anyone. I donât want to deal with a system that focuses overtly on eradication, on the way my hormones are âout of balanceâ and how that contributes to my OCD. I want someone who I can sit with and who can help me find a demedicalized, anti-capitalist route to âcureâ. A route that helps me find love and acceptance within my OCD, where the focus is no longer on the debilitating symptoms of OCD but on the comfort I need to feel within it. But, thatâs âreassurance seekingâ and âunhealthyâ when it comes to OCD.
I donât know how to make the right choice.
And it feels like there isnât one for me.