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losing to intrusive thoughts, then bouncing back

/!\ CONTENT WARNING: 

Talk of intrusive thoughts & health anxiety. 

Proceed at your own discretion.


This has been a rough winter for me.

A couple bad weeks led to my mental health taking a nose dive in a way that forced me to take a journey to the past in order to better understand my present.


-=0=-


It started when I got sick with norovirus. 

I had chills, intense nausea, and was throwing up, but luckily symptoms only last between 24-48 hours. For me, the virus only lasted a day, but it left a longer impact on my mental health that I didn't fully realize until recently.

A week or so after recovering from norovirus, I was overcome with nausea for a whole week. Unfortunately, this was also the week I started the new semester, so I was struggling through classes trying to hide my nausea. I didn't have any other symptoms, just nausea. It eventually went away, but it was hell while it lasted.

Recently, I've been holed up in my apartment due to extreme cold and snow. As I write this, we're currently in the worst blizzard this city has seen in over a decade, with over 16" of snow and counting. Anyway, I started feeling nauseous again. Since originally being sick, I had been terrified of getting sick again. I didn't realize it right away, but this new wave of nausea was completely fabricated by my mind as a response to my own anxiety. I was having a psychosomatic response to my anxiety.

I came to understand that this nausea may be from anxiety when I was obsessively googling my symptoms in search of answers, which had become a daily ritual at this point. Somewhere in my search, anxiety and health OCD came up and I was like "Oh, yea. Anxiety. Forgot about that one."


-=0=-


I've struggled with pretty bad anxiety my whole life, but for the past few years, I've gotten to a point where it wasn't completely debilitating. I honestly forgot how bad my anxiety used to be- waking up nauseous everyday, frequent panic attacks, being mute, dissociating, etc.

Reading about health OCD put a spotlight on all my intrusive thoughts for the past few years. 


"What if the food you just ate had mold, and now you're gonna die?"

"This food probably has lead and it's going to damage your brain."

"There's radiation in the walls that's driving you insane and draining your health."

"There's asbestos in your ceiling and floors. Check your fingers. Are they clubbed? Have they always looked like that? Or is this a symptom of asbestos poisoning?"

"The air is poisonous." (to be fair, I'm in the most polluted area of my city and since moving here, my asthma did come back)

"There's black mold in the walls and it's going to fill your lungs and kill you."

"You just shivered. You must be ill."

"Listening to this music/video will make you sick."

"Thinking these thoughts will make you sick."

"What if you die of a heart attack or stroke right now?"

"You're all alone. No family for miles. If something happens to you right now, and you're incapable of calling for help, you will die and no one will know."


And in the end, that's what it came down to.

The fear of something happening to me and not being able to do anything about it because I'm too sick or injured. A fear that stems from the many times I've been terribly sick with no one to take care of me. Being without food because I was in a dorm and had no groceries and the college was mostly closed due it being a break. A fear that I was reminded of when I was suddenly sick again. A fear I first felt when I was a kid and couldn't breathe, suffering from an asthma attack for the first time, and I tried calling to my mom for help, but she was distracted on the phone and I couldn't take in enough breath to call out for help. 


I guess in hindsight, it makes a lot of sense why my intrusive thoughts latched onto my health like that ^^'

Every food contained poison, all air was dangerous to breathe, and every bodily function was an indicator I was going to die. 

Obsessively researching every symptom and disease over breakfast, lunch, dinner, train rides and before bed was not normal, but I didn't even realize until I found those articles on OCD.


-=0=-


This anxiety created a vicious cycle. 

Anxious because I'm nauseous <--> Nauseous because I'm anxious


So, I did what I did all those years ago: I proved the anxiety wrong.

"This nausea means you must be sick!"

"But I know it's likely from anxiety. I used to feel like this every day growing up and it's always been from anxiety."

"But what if it's real this time? What if this time it's not the anxiety?"

"Ok, well I'll prove it's anxiety."


So I distracted myself. Despite my anxiety, I went outside and had a nice day. I studied at the library, then bought some snacks from the Konbini. When I got home, the nausea suddenly returned. I kept trying to convince myself it was from anxiety and not an illness. I used the lack of nausea while I was out all day as proof. It was still difficult though; one of those "Don't think of a pink elephant" situations.

The next day, I went to a concert with my cousin. She ended up sleeping over, and I wasn't nauseous for her entire visit. 

The next day, I went out with a friend and had another great day.

Basically, I did the opposite of what my anxiety and intrusive thoughts told me and it acted as proof that the nausea was from anxiety and that the thoughts were wrong. So, exposure therapy essentially. The nausea only came back when I was alone at home again, further proving the nature of the nausea as from anxiety.


I'm still struggling, especially since this blizzard will be keeping me inside for a minimum of two days straight and thus make it harder to distract myself, but I've been doing pretty well today. No nausea, been working on all my assignments, and when things get too much, I draw, write my thoughts, or watch videos/read about other's experiences with health OCD and what helped them. 

It's not so bad now, but it's something I have to constantly keep in check. I can't let the "intrusive thoughts win" aka take over for even a second or else it'll lead to a spiral. I will continue to hold the front line and gain ground on this whatever stupid mental illness this is because the quality of my life depends on it!

I have intrusive thoughts on all types of things, but the health anxiety has been the biggest one recently. Though, I am struggling with weird anxiety I can't quite pin down yet- just general anxiety about the future and I'm not sure what's causing it. For now, I'm just working through one thing at a time.


I know this post is long, but I felt it was important. Hearing other people's struggles with health-based intrusive thoughts has brought me so much comfort and relief, knowing I can get through it, and I wanted to return the favor. The phrases "This too will pass" and "You've gotten through this before, you'll get through it again" have been my mantra through all of this. I'm normally a very self-determined and motivated person who can always find a reason to keep fighting, but the way I've lost my mind recently has left me feeling completely defeated- and that terrified me. I felt like I lost a core part of myself to this mental illness. Proving to myself that even in moments where I feel like I've lost the very essence of who I am to my own mind, I can find a way to persevere and that's more valuable that I could have previously realized. 


-=0=-


I wasn't sure if I was ever going to share any of this, even on the internet, but I feel like I've returned to a mentally stable enough state to be able to share. Shout out to all my cluster B friends (schizophrenics, bipolar, borderline, narcissists, sociopaths, psychopaths, DID, and all other "scary" mental illness friends) are welcome here.

I'm honestly too ashamed and scared to open up about this stuff to my family and friends irl. I hope to see a therapist and will ask my doctor next time I have an appointment, but last I checked the wait list was long and I don't know if I can afford the co-pay right now or the questions from my mom when she sees it on the insurance. 

Just another disclaimer that I have no diagnosis for anything. I mention OCD a lot here because listening to the experiences of those with OCD helped me get through this, and coming across articles on OCD is what helped me realize my nausea was a product of intense anxiety, but I'm not claiming to have OCD or am diagnosing myself as such. It just helped me realize my anxiety and provide me with tools in getting through it.

Anyway, if you read this post to the end, leave me a heart in the comments or a kudos so I know I'm not alone out here :') and I'd love for anyone to share a bit about their intrusive thoughts or experiences with mental health.


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♡ jovi 🐹

♡ jovi 🐹's profile picture

i will say that its easy to confuse health ocd with health anxiety, because theyre both very similar. the thing with health ocd though is that there needs to be compulsions involved with the obsession. do you wash your hands/brush your teeth/shower/clean things excessively to avoid getting sick? or have other rituals that, in your mind, keep you from getting sick? if not, its more likely health anxiety and not health ocd. i thought i had health ocd (because i do have ocd) but after discussing it with my therapist we settled on health anxiety instead because i dont have the compulsions


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my fear stems more from a fear of being sick rather than getting sick, if that makes sense.

like, I get intrusive thoughts about "X will make you sick" but most of the time it's not a fear of germs but rather randomly getting sick for something i ate, did or thought.

so i more so do things like obsessively research symptoms and diseases, avoid eating certain foods, avoid watching certain videos or listening to certain genres of music, avoid thinking "bad" thoughts, and avoid certain actions in general. Also being hyperaware of bodily sensations to use as evidence that i'm getting sick. Constantly checking how I feel.

I don't think i have any typical rituals. I guess if i had any ritual it would be obsessively researching symptoms and ruling things out until I feel "ok".



I'm not sure if avoidant behaviors can be considered compulsions. I figured this could be OCD because I've had these tendencies in the past but with different topics.

Also, could the need to think certain thoughts be a compulsion? For example, repeating a prayer over and over again in your mind until it's perfect or else god will punish you, causing you to lose sleep?

Growing up, i was obsessed with making sure I was a good person and had to do everything morally right etc etc. In response, I would spend all my time researching to make sure I knew everything and how to be a good person and was strict over my thoughts. I've since gotten over that one, but it really dominated my life for a long time. Now that I don't struggle with that anymore, it seems my brain has began using my health as a way of torturing me instead sighhhh

I've also heard of Pure O ocd which is just ocd without the compulsions. It's not an official diagnosis in the dsm-5 but is considered a manifestation of ocd.




but yea i assumed this health mess was related to whatever i had going on before with the moral stuff since it seems to follow the same pattern and i've been getting through it the same way.

maybe this isn't ocd and is just elevated anxiety and intrusive thoughts. I really wish i could get a professional's opinion but that's not possible for me rn. I'll message my doctor so maybe i can be added to the waitlist for a therapist.

my brother is also schizoaffective and his therapists/psychiatrists have mentioned OCD a few times with him. Honestly the psychologists aren't 100% sure what my brother has and they all give a different answer lol



how did you come to be sure you were experiencing health anxiety rather than ocd? is the only difference the compulsions?
(sorry for the wall of text)

by Evo; ; Report

i think you're right though. it probably is health anxiety rather than ocd.

by Evo; ; Report

with your compulsions to research health related stuff and how to prevent getting sick in the first place, that sounds more in line with ocd. of course, i cant tell you what you ARE dealing with (only a professional or you [with lots of research] can do that) but yeah. it could realistically be either health anxiety or health ocd (or both maybe? im not sure about comorbidity)

from the time i was very little to about my late teens when i stopped really believing in god (or the christian god, at least) i used to pray before bed every night. obsessively. it started with a pretty simple "keep me and my family safe from demons and evil amen". then the ocd gears started turning, and i got a preoccupation with morality. i thought that prayer was too selfish and i would be punished for it so i kept adding onto and editing it until i thought it covered all bases: "keep the world, everybody in the world, all people, all animals, all my friends, my family, and me safe from demons and evil amen", something like that, with me always last because that's selfless. caring for others above me always = selfless = safe from punishment by higher powers (demons, god himself)

so yes, compulsions can definitely be mental/inward, not just physical. if the the compulsion is directly related to an obsession, its highly likely that its ocd

about pure-o ocd, i havent read anything about it. ive heard of the concept, but from my basic understanding, it just sounds like severe anxiety. i dont think there can be ocd without the compulsions because the compulsions are a major part of what separates ocd from anxiety disorders

and about my diagnosis with health anxiety, that was just based on talking about it with my therapist during one session. she asked me a lot about my anxieties/obsessions around my health, and then asked about compulsions. i couldnt think of any off the top of my head, so based on everything i told her, she said it's more likely that i'm dealing with health anxiety rather than health ocd

however, i do have ocd, so health ocd isnt out of the realm of possibility. it's just that i dont fit enough of the diagnistic criteria for that specific diagnosis for health ocd

by ♡ jovi 🐹; ; Report

i do remember a few times in my childhood where i stayed up at night until i prayed "good enough". It would be similar, with praying for the safety of everyone i cared about, but then i'd think of people i've never met and everyone on the planet and so i kept workshopping the prayer. i was worried if i forgot anyone then something bad would happen and it would be my fault. it was like making a wish to a genie hell bent on misunderstanding your wish ToT

From what I read on Pure O, the name is a bit of a misnomer. It's not that you don't experience compulsions, but more so that the compulsions are mostly mental. Like with the prayer situation of needing to get the prayer/thoughts "right" and obsessing over it until it's good enough.



Therapists have a hard job. They have to try to figure out how to help you while only seeing a small glimpse of one's life. It's hard to be thorough on so little information.

i do wanna see if i can see a therapist at some point. my problem is that i realllyyyy struggle to talk about personal things in person (and on zoom). Like.... it took me YEARS to have the "yea... im trans" convo with my grandma and I had been undergoing HRT and everything for about 3 years at that point, and had been visiting my grandma multiple times a week.

I've had therapists in the past but one was through a program that made it free but only for a certain amount of time, and im so emotionally constipated that i could barely open upppp. like i know it's my fault, but also i can't help itttt ToT i promise im trying i just freeze up when i try to talk about what needs to be talked about.

i think maybe im at a point to try again and maybe ill be able to open up this time. ^^'



Anyway, thanks for answering my questions and sharing your experiences!

by Evo; ; Report