Dear Nicola, Maybe seeing Doug again won't help, but it won't hurt either and I think it would be worth trying to see him again, he did say you could, didn't he? Be totally honest about all your thoughts and fears. I know I wasn't, years ago, when I saw a psychologist. There were things I omitted if I thought they seemed rather foolish, embarrassing or wouldn't make sense, so he didn't get the full picture.
You didn't say how stressed you were when you left the building on Monday and how long the feelings lasted. If the anxiety was short-lived I think you should go again. If you still feel very distressed about it then the decision is tougher, but you could go back and explain how bad you feel about the place or you could just ask to see Doug again, at least you are more comfortable with the surgery. Even if you feel you aren't ready to face exposure therapy, I would still see someone while you can. The cognitive therapy is probably more important than the exposure and you are receiving that every time you see a therapist. Do remember that the more open you are the more they can help you.
I don't think your OCD is mild, Nicola, but even if it were, it rarely stays the same. As people often say, if we give it an inch it will take a mile (and usually it does). I've got in rows on another forum over this very issue. A lady was prepared to live her life around her OCD and the strong advice was that she had to face it or get much worse. I did say that there was a slim chance she could cope by working around it, I knew someone who lived a happy life like that for many years. She avoided the things that triggered her obsessions and fears and she seemed content. However, her case was unusual. Also, she lived alone (because of her OCD) in a house in the country miles from anyone, and although she coped well with that, most people couldn't. Even if you stayed exactly as you are, do you really want to live the rest of your life as you are now? I don't mean to sound harsh, it's just that I am so worried about you. Only you can answer that question. I may sound a right hypocrite, because I am no longer facing therapy, but I have asked myself the question I asked you, and I am now content to remain as I am. However, if I were your age, I think my response would be very different. Of course, I can't say that with absolute certainty.
Do consider the future. You would make a wonderful nurse, but you cannot do that whilst you have the fears you have. You would also be a wonderful mother, can you at this point imagine having children and caring for them? I'll be honest with you, Nicola, our contamination fears are not that different, and bringing up my children was hell. It should have been the happiest time of my life, but every day I prayed I'd die because the fear was so intense. Maybe if therapy had been available to me life would have been very different.
Anyway, all I am saying is that you must try to think further ahead than today or tomorrow. What do you really want from life (imagining yourself free of fear)? I think with the right help, whatever it is, it's probably achievable.
Love, Tricia x
Thu Jun 12 2008 10:08:09
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