Making OCD Make Sense: A Behavioral Model of Obsessive-Compulsive Disorder | Dr. Rami Nader

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Obsessive-Compulsive Disorder (OCD) can seem like a strange and bizarre mental health condition that doesn’t make a lot of sense. However, once you understand what is going in in OCD and how obsessions and compulsions work together to drive OCD, then it actually makes a lot of sense. This video introduces and explains a behavioral model of understanding OCD, describing how obsessions lead to anxiety and distress, which is then reduced (temporarily) by engaging in the compulsion. The compulsion briefly leads to a reduction in anxiety, thereby reinforcing engaging in the compulsion. However, the reduction in anxiety is only short term and by doing the compulsion, it reinforces the obsession and maintains the anxiety in the long term. Thus, OCD becomes a self-fuelling engine that drives itself forward. It is critical to understand this model of Obsessive-Compulsive Disorder (OCD) because the treatment of OCD (something called exposure and response prevention or ERP) comes directly from this understanding of OCD. I will explain exposure and response prevention and how ERP works in an upcoming video.
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DISCLAIMER: The videos provided here on this RU-vid Channel are for informational use only. The video content provided is not intended to be a substitute for professional advice, diagnosis, or treatment. These videos do not establish a psychologist/client relationship. Always seek the advice of your doctor or mental health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read or seen on this channel. Dr. Rami Nader assumes no duty to correct or update the video content nor to resolve or clarify any inconsistent information that may be a part of the video content. Reliance on any content is solely at the viewer’s risk. Dr. Rami Nader hereby disclaims any and all liability to any party for any direct, indirect, implied, punitive, special, incidental or other consequential damages arising directly or indirectly from any use of the said video content, which is provided as is, and without warranties.
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Опубликовано:

22 окт 2024

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Комментарии : 28

@rdevalentin Год назад

A very clear explanation of OCD. It made me think of Andreou's concept of “intransitive preferences” because in regard with OCD the “intransitive preferences” theory would state that between engaging in a reassurance-seeking spree and not engaging in one, people with OCD would tend to prefer the first alternative because it momentarily feels better. However, between a life of OCD and one OCD-free, most people would prefer the second alternative because it’s overall more satisfying even if they are unlucky and their worst fears materialize. Andreou, Chrisoula (2006). Environmental Damage and the Puzzle of the Self-Torturer. Philosophy and Public Affairs 34 (1):95-108.

@yulianawu4410 Год назад

I becoming get addicted to your videos every days doctor Rami... Because your videos is certainly help me to face the anhedonia, depresion, dan OCD and to overcome it all by steps you have taught Thank you doctor i hope you would like to upload more videos about OCD, anhedonia, dan depresion And i hope this channel will get growing more fast and more subscribers so more people will get help by your videos Warm regards from Indonesia & from me your subscriber

@DrRamiNader Год назад

Thank you for your kind and encouraging words. I'm glad you have found the videos helpful!

@reenasingh-id9zh 3 года назад

What I think is the underlying cause in most of OCD cases is the fear of uncertainty in life or the mindset of desire that everything in life should go well ,there should never be any problem that brings shame or guilt or pain . As a result even if we tell someone with OCD or depression that you don't have to live with this fear or pain ,they kind of ask or seek assurance nothing bad will happen in their life and that's where things get screwed up . It's of paramount importance to understand that whatever happens ,just happens ,nobody has any control . This is hard to articulate and accept . As long as you live in ignorance it's easy but otherwise it's ok for those who can accept that life can be unpredictable they can deal with their fearful thoughts easily but for those who can not it's a pain.

@DrRamiNader 3 года назад

Hi Reena - thank you for your comments and insight. You are correct that intolerance of uncertainty can be a significant driver of OCD.

@syria5796 2 года назад

Finally, I found someone how answered all my questions ...with love from Syria

@DrRamiNader 2 года назад

Glad you found it helpful!

@iancanuck4769 3 года назад

I'm glad to have found a Canadian doctor (being a Canuck myself) and this very educational video. I'm looking forward to learning more about "Exposure and Response Prevention" in the upcoming video. When will that come out? Thanks.

@DrRamiNader 3 года назад

Hi Ian - glad you have found the videos helpful. I haven't done the exposure and response prevention video yet, but planning on doing it soon. I suspect I'll get it posted sometime in the fall. In the meantime, I'd encourage you to check out my longer OCD video, which discusses ERP: ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-2fLwhgBKgWM.html

@ithinkithinkk6532 3 года назад

Watching and listening to you make me better

@DrRamiNader 3 года назад

Thank you for your kind words. I'm glad you found the video helpful.

@ryarya3291 3 года назад

great video!

@DrRamiNader 3 года назад

Glad you liked it. I have more OCD videos coming up in the next few months, so keep an eye out for them. Thanks for supporting the channel!

@nabilahmedredakhiri593 3 года назад

Thank you doctor for your great videos. I hope in the upcoming videos you'll talk about perfectionism and its relationship with ocd

@DrRamiNader 3 года назад

Thank you for the kind words! I have added perfectionism in OCD to my list of future topics. so please keep an eye out for that.

@nabilahmedredakhiri593 3 года назад

@@DrRamiNader yes of course, thank you

@امصبحي-ض4ص 2 года назад

@@DrRamiNader Will doing the compulsion bring me up more obsessions , although sometimes different and new obsessions?/ can it actually make them more reoccurring and more frequent?........( Please answer)

@anubhavrauniyar3192 2 года назад

I did something morally bad(sexually) in my 16 after 7 year ....the thought came in my mind and i feel fear about that thought.....it repeated everyday... everyday feel like hell........ 🥺

@karlnehme 3 года назад

Love the video. very clear. By cuting compulsions, we should expect some period of pain that will last and then calm down and with practice this is how we rewire the brain?

@DrRamiNader 3 года назад

Correct - if a person can stop engaging in the compulsions, it cuts off part of the fuel supply that is driving the obsessions.

@امصبحي-ض4ص 2 года назад

@@DrRamiNader Will doing the compulsion bring up more obsessions , although sometimes different and new obsessions?/ can it actually make them more reoccurring and more frequent?........( Please answer)

@امصبحي-ض4ص 2 года назад

Will doing the compulsion bring me up more obsessions , although sometimes different and new obsessions?/ can it actually make them more reoccurring and more frequent?........( Please answer)

@DrRamiNader 2 года назад

Engaging in compulsions can maintain the OCD and, with time, it's not uncommon for a person with OCD to pick up new obsessions/compulsions.

@colinpatrick2729 3 года назад

Can you have anxiety disorder and have normal levels of cortisol. I only mildly get palpations occasionaly, have trouble sleeping though. Basically im aware of my breathing all day everyday but im not hyperventilating. Can you have ocd symptoms but no flight or fight response. Can it all just be cognitive or emotional anxiety

@DrRamiNader 3 года назад

Hi Colin - thanks for your question. Yes, you can experience anxiety and not have a lot of physical symptoms of anxiety. Anxiety can be experienced primarily at a cognitive and emotional level, without the same degree of physical symptoms. Hope that makes sense.

@ivannovoselac3518 3 года назад

So it,s not something physicaly wrong with the brain? I don't have ocd i have generalised anxiety.

@DrRamiNader 3 года назад

It's not that there is something "wrong" with the person's brain in OCD, but more a pattern of behavior and thought that drives the OCD process. These behaviors and thoughts can be altered through therapy. I'll be posting more videos about this in the future.

@امصبحي-ض4ص 2 года назад

@@DrRamiNader Will doing the compulsion bring more obsessions to my mind , although sometimes different and new obsessions?/ can it actually make them more reoccurring and more frequent?........( Please answer)