Dear Daniel, I've been thinking more about avoidance. I was writing on a 'Monk' website once, when someone spoke about contamination fears and how everyone with them is just like Monk. I tried to explain that we can be very different from him, but no-one believed me. I don't know the statistics, whether there are more or less who live like Monk, but most of my friends with contamination fears are not only unable to have people in their homes to avoid contamination, but also because they are ashamed of the state of their houses.
There are two reasons for this. One is that we can be very selective about what we fear and need to clean, but mostly I think it's avoidance, where actually cleaning becomes too difficult, because it causes too much stress and takes too long to get it 'right'. It may be just parts of the house, but sometimes it's even themselves they can no longer keep clean. I know someone who used to shower for several hours a day, in the end it became too much and he would go weeks without washing at all. I read in a book that a patient kept certain parts of her house spotlessly clean, but the surrounding areas were thick dust and dirt. She had become too afraid to deal with those areas. Parts of my house are very dusty. Some people might view it as sheer laziness (not that anyone gets to view it!!) but it's a combination of exhaustion, dealing with everything else and the fear of 'spreading' the contamination.
My big concern is still the lack of liquid you are drinking, but also, if you are eating little you will be lacking nutrients which will lead to more depression and anxiety. I honestly don't know the answer, Daniel, except to try to go for inpatient treatment if you are accepted.
Love, Tricia x
Thu Jun 12 2008 11:58:13
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