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Because of the spiritual nature involved, religious obsessive-compulsive disorder (scrupulosity) must be approached and dealt with from a unique angle.
James Ciarrocci´s "The Doubting Disease," an excellent book on the subject of religious OCD, was the orgin of much of the information in this article.
Having any form of OCD — a medical disorder characterized by obsessive, recurrent thoughts and the compulsions one undergoes to relieve their anxiety — is bad enough.
But what if the thoughts begin to go against God? What if the anxiety is not over physical safety, but one’s eternal destination? And what if exposure-response prevention, a common treatment for OCD, may be perceived as horribly sinful? Those are just some of the unique issues that make scrupulosity, or religious OCD, an even tougher disorder to deal with.
Dealing with Thoughts Against God
Almost every OCD sufferer has disturbing thoughts, ranging from ideas of physical hatred to blasphemous outbursts to sexually explicit images. With religious OCD, however, those thoughts are often directed against God or one’s religion. If thoughts about taking off one’s clothes or hurting one’s daughter are disturbing, such thoughts against God can often be much worse.
Additionally, the obsessions don’t just cause anxiety over a possible event; they may create fear over God’s judgment themselves. One may view their obsession over shooting Jesus, for example, to be so sinful that they repent for minutes at a time whenever it comes up. Or, one might take the blasphemous thoughts in their head to mean sinning against the Holy Spirit.
Understanding Traditional Religious OCD Compulsions
In most forms of OCD, the patient realizes their compulsions to be more or less nonsensical; someone who takes five showers a day, for example, will probably acknowledge that their attitudes are excessive. But a Christian with religious OCD who repents sixty times a day will likely defend their actions, saying that the severity of their sinful thoughts merits continuous apologies to God.
Even if one’s actions do seem unrelated to their religion, if the stakes are as high as salvation or one’s eternal situation, believers with religious OCD will likely see every precautionary action of theirs as justifiable.
Exposure Response-Prevention from a Religious Perspective
Exposure response-prevention is one of the most popular methods for dealing with OCD. It involves exposing oneself to the feared thought or action—be it walking into a supermarket or going sledding—without giving into any anxiety-decreasing compulsion, such as walking back out or stopping the sled.
With religious OCD and scrupulosity, though, E.R.P. may come across as wrong from a religious standpoint. After all, if one believes that the thoughts and actions are sinful in themselves, would exposure response-prevention not involve committing a grievous sin or dishonoring God?
Successful E.R.P., then, occurs only when the religious patient is sure that the method will benefit, not detract from their spiritual state. For Christians, this can be as simple as trusting that God forgives them for their obsessions and scruples without any immediate repentance or response necessary — or that the thoughts and scruples may not be sinful in themselves.
The Need for Treatment
Many religious patients may endure the mental torment of OCD in silence or inaction, thinking that God has given them the disease for a reason. Unless treated, however, religious OCD can bring one’s spiritual life to a halt, and even make them wonder about leaving the faith. (It must be stressed that OCD’s cause is medical, not spiritual.)
How does one want to spend their years with God? Will they do so in constant fear of judgment, as scrupulosity patients often do, or will they seek God’s help, and that of whom He blesses, and reduce the impact of obsessive-compulsive disorder in their lives?
Further Reading
If the subject of obsessive-compulsive disorder interests you, or if you’d like more help in your fight against OCD, try reading some of these additional articles on obsessive-compulsive disorder.
How does Exposure-Response Prevention work? (A guide to exposure-response prevention, geared towards a Christian audience)
When OCD stains religion (a general resource on religious OCD)
Prayer for Religious OCD Sufferers: (A helpful prayer for religious OCD patients beginning treatment)
The copyright of the article Religious OCD - Why it's Different in Obsessive Compulsive Disorder is owned by Kenneth Burchfiel. Permission to republish Religious OCD - Why it's Different in print or online must be granted by the author in writing.
Comments
Jul 16, 2009 7:05 AM
Guest :
I think I have this, but I still see myself as extremly sinful, I use to be
able to read my bible, and visit people, ect. but now I can't even think of
Christ without a cuss word coming to my mind, and about God's will, I hate
this, and didn't ask for it, but sometimes I think that maybe I really want
these thoughts, even though I cry out to God for forgiveness, I really wish
I could have my peace back like I had 2 years ago.
Jul 16, 2009 9:32 AM
Kenneth Burchfiel :
Guest: You don't want these thoughts; you only think you might because of
your scrupulosity. What's important to remember is that the cuss
words you hear in your mind are not deliberate; rather, they come from
religious OCD. Thus, they are not sinful, and you need not apologize for
them. In fact, if you want to overcome your OCD, you should
eventually deliberately think these intrusive thoughts, write them down or
even say them--only because, in exposing yourself to them without
repenting, you'll decrease the anxiety they cause. This strategy is known
as exposure-response prevention, and it's known for its power in reducing
OCD. (Please see the link under the story to another article of mine, 'How
Does Exposure-Response Prevention Work?' It can be scary to say
things like "F*** You, Jesus," out loud, then delay or abstain
from repenting, but it reduces the anxiety the thoughts cause. If you
have not seen a psychologist or psychiatrist yet, please do so. At the very
least, talk to your physician about these thoughts.
May God
show you the way to the peace that you once enjoyed! -Kenneth
Jul 17, 2009 7:11 AM
Guest :
yea I have seen 2 doctors 1 said Schizophrenia the other Bipolar, I have
prayed for over 2 years about this with obsessions changing, but now it
feels like I really don't love God and with I see the cross or the bible,
hear God or his son's name cussing in my mind comes. I have never wanted
this and had a break for about a month before only for it to be worse, now
though I don't know if my love for God will come back. I sure hope so
because I hate these thoughts. I wish I could go back when I had peace, but
I know I can't.
Jul 17, 2009 7:28 AM
Kenneth Burchfiel :
Of course you can go back! What it takes is an OCD treatment regimen
supervised by your psychologist or psychiatrist. The process isn't easy,
but it's worked for many people.
Jul 20, 2009 11:13 PM
Guest :
I think I may have similar problems.... Mine is I constantly have to repeat
over and over asking God to save me. and wondering if I asked him the
"right way" and said the right things just perfectly in order to
be saved, in turn i am tormented with doubting my salvation, and the cycle
repeats! ughhh.
Jul 21, 2009 8:23 AM
Kenneth Burchfiel :
Guest: I think you definitely have scrupulosity. First, I (as a Protestant)
would say that what really matters with regards to salvation is faith in
Jesus (though, if you're a Catholic, I suppose you could include repentance
for mortal sins, other sacraments, etc.) Second, God knows exactly what
you're trying to say when you pray. He's not going to withhold forgiveness
or salvation if what you say doesn't come out just right! The next time you
worry if a prayer was done correctly, just tell yourself: "My words
weren't exactly right, but God knows what I was trying to say. I don't have
to repeat my prayer."
And please, if you haven't already,
seek psychological help. God works through medical professionals just as He
works through priests.
Hope some of this helps.
Jul 22, 2009 7:05 AM
Guest :
Yeah I know what you mean I have probally asked for salvation 200 times,
and yes I know it's not the prayer that saves but your faith in Christ, and
I always wonder have I really placed my faith in Christ . That haunts me
till today I mean what if Ithink I have placed my faith in him and say I
have, but I really haven't and don't know it. I mean that's what holds me
down, then I think what if God has never drawn me to him then this is all
in vain, but I will continue to seek him. And the cussing in my mind really
eats at me, but I have to seek Him.
Jul 22, 2009 7:32 AM
Kenneth Burchfiel :
I know that you're probably seeking reassurance that you do have faith, but
you need to understand that scrupulosity, not your apparent lack of faith,
is the problem. That's why I would recommend treatment for the disease.
Instead of trying to solve your apparent spiritual problems, most (or all)
of which are likely the effects of religious OCD, I would recommend finding
help from a health professional. At the same time, though, definitely
talk to a priest. Make sure that he/she knows about scrupulosity, as some
uninformed clergy might think that your cussing is deliberate (which would
only reinforce your scrupulosity). Conversing with a priest is extremely
helpful if you fear that some part of the treatment process for OCD
(especially exposure-response prevention) is sinful.
Finally, I
recommend that you read two excellent books. The first is "The
Doubting Disease," by Joseph W. Ciarrocchi. It's a great resource on
scrupulosity in general. Second, try picking up a copy of John Bunyan's
"Grace Abounding to the Chief of Sinners." Bunyan went through an
agonizing period of scrupulosity himself, and while his treatment plan
(reading scripture and praying) won't work for everyone, it's comforting to
know that you're not alone with this disease.
Jul 22, 2009 10:11 AM
Guest :
Well I have talked to my Pastor and well we just prayed together a few
times and he doesn't know about OCD and might say it would be me. And I
have seen 2 doctors as I stated above and the one I'm seeing now thinks
it's bipolar, even though I didn't tell him what my thoughts are, just that
they don't stop, its hard to tell someone about this when you thought you
loved God then this hit. I hope that the Lord leads me where I need to go.
I mean I know Christ can save me but where is my faith?
Jul 22, 2009 4:27 PM
Kenneth Burchfiel :
Guest: first of all, if you think you don't love God because of these
thoughts, then you're giving in to the scrupulosity. THESE ARE NOT YOUR
THOUGHTS! They come from a medical disorder. You have nothing to do with
them.
You should not be afraid to tell a medical professional
(preferrably a psychologist or psychiatrist, as they specialize in mental
disorders) the nature of these thoughts. Once you explain just what is
going through your head, the treatment process for OCD can begin. Until
then, you're holding back the information they need in order to help you.
And finally, your faith is where it's always been: inside. :-)
Jul 25, 2009 1:53 AM
Guest :
hi mr. barchfiel.
im also suffering from this disease. i had
this since i was 11 yrs of age until now that im 17 yrs old. tomorrow is my
birthday. and how i wish i can go back to my childhood days wherein im a
child full of trust, easy to believe and keeps on dreaming to be with God
someday.
its really hard to have this disease, everynight i cry
in my room. I dont know when this will stop. its hurting me. everyone
around me is thinking im crazy. No one understand my situation. sometimes i
think of taking the easiest way out in order to stop this. Pls pray for me.
Jul 25, 2009 1:57 AM
Guest :
DEAR SIR,
Im hving his kind of disease. I really cant handle
this anymore. I always thinking of taking the easiest way out(to hang
myself or jump in the building). tomorrow would be my birthday. im
suffering this for almost 6 yrs. Pls pray for me. Thank you for posting
your research about this disease. its really hard. i always cry at night.
hoping for your soonest response. thank you
This site is
God's way of giving us information about our sickness.
Jul 25, 2009 1:23 PM
Kenneth Burchfiel :
If you are having suicidal thoughts, call a suicide hotline (1800-SUICIDE,
or find an additional one using the website http://suicidehotlines.com )
before you read the next sentence. In addition, talk to a family member or
doctor immediately.
Guests: There comes a point where I do not
have the resources or experience to help you, seeing as I am not a medical
professional myself. If you want to stop crying; if you want to recover; if
you want to regain your childhood happiness, you must schedule regular
appointments with a psychologist, psychiatrist or therapist (or a
combination of those three). I cannot cure your OCD, but mental health
professionals can. It takes plenty of effort on your part, of course. And
by the way: psychologists, psychiatrists and therapists will not think you
are crazy, and certainly understand what you're going through. It's their
job to research and treat conditions like yours.
So before you
post your next comment, I urge you to (A) talk to a doctor and family
member about your suicidal thoughts, then (B) schedule time with (as I said
earlier) a psychologist, psychiatrist and therapist.
Aug 10, 2009 7:02 AM
Guest :
Kenneth Burchfiel, I was wondering about if you are a christian, and what
if any backgroud do you come from? You see some people who write about
religious OCD are not a christian and that doesn't help any christian who
is suffering from this affilction. And I'm a Baptist and it's hard to find
someone who is a Baptist and talk about such things, I don't want you to be
upset or think I look to you for therapy, but If I could find someone in my
denomanation(I know denomanations are man made, but I find the Baptist to
be the one most close to the Bible) THEN WOULD YOU COMMENTS AND ARTICLE BE
MORE GROUND BREAKING. Anyways thanks for your article.
Aug 10, 2009 11:41 AM
Kenneth Burchfiel :
Guest: I am a Christian, but an Episcopalian instead of a Baptist. I hope
the article is still of use to you!
The famous Baptist author
John Bunyan wrote a book that you might find very helpful. Its title is
"Grace Abounding to the Chief of Sinners," and it details
Bunyan's own experiences with scrupulosity. In reading it, you should gain
an understanding of religious OCD from a Baptist perspective.
Aug 11, 2009 9:56 AM
Guest :
I thank you for your comment and now that I know that you are a Christian
then It makes much easier to accept this as a mental disorder. Even though
I have these thoughts about Christ which I hate and don't want(how I know I
don't want them and don't agree with them is that I hate them and ask for
forgiveness when they come) I know that if I keep pleading my case to the
King of Kings then I will find peace. Thanks
Aug 12, 2009 3:37 PM
Guest :
kenneth, thanks for this post.
i have scanned over the guests'
comments, and i am having a much similar problem. i am pretty sure i have
scrupulosity. i have thought this for about a month and a half now. i am
almost certain that i have OCD, because everything i do on my computer/xbox
and anything else has to be perfect and in place. if not, i feel so
discontent. i haven't received any medical help, because quite frankly, i
just don't want to, because i'm not the type that would deal with it so
easily. just because i don't want to seek medical help, doesn't mean i
don't want rid of scrupulosity. it is killing me. i have told the Lord many
times that i want to be saved, and i will change, and not listen to the bad
thoughts and go about my business... but the bad thoughts just keep coming
into my head, and i end up feeling like i let the Lord down. for
example, when i click "save profile" when i edit my myspace
profile, bad thoughts will come into my head like: "i am going to sell
my soul to the devil if i save this layout and use it." when this
happens, i end up clicking save profile like 25 times until i finally click
it without a bad thought. i feel so discontent and anxious if i don't go
back and keep clicking it until i hit it without saying a bad thought.
my bad thoughts mainly relate to selling my soul to the devil or
giving my sell to the devil and things of that sort. and i when i pray to
the Lord, i will get bad thoughts like something about hell or a cuss word
about the lord or Virgin Mary. i tell him that they aren't true, but after
it's over i end up feeling anxious and discontent again.
i'm
sorry for making you read all of this, but i need your help. please
respond.
thank you.
Aug 12, 2009 7:47 PM
Kenneth Burchfiel :
Guest: It sounds like you're living in a lot of pain, which God certainly
doesn't want. What do you mean when you say you wouldn't deal with medical
help well? I think you'll find that a trustworthy psychologist,
psychiatrist or physician can help turn your life around and greatly
decrease your obsessive-compulsive symptoms.
Please, don't be
afraid to talk to a medical professional about any of this. They can really
help relieve your OCD symptoms.
Two side notes: First,
accepting imperfection is an important step in treating OCD (but made much
easier with medication and professional therapy). Second, ask yourself: is
it even possible to sell your soul? See this link:
http://www.gotquestions.org/sell-soul-devil.html
Aug 13, 2009 10:16 AM
Guest :
Dear other Guest, I know how you feel about not wanting to seek help for
the medical community, but let me ask you 1 question: Do you want to stay
like this? If not I urge you and beg you to seek help!! I didn't go
for over 2 years and now it's 10 times worse than when it started. Save
yourself some pain and get help, besides it might take them months to find
the right meds, like me and I still don't have the right ones!! Please I
beseach(beg) you to get help, you know the Lord Jesus used spit and clay to
heal a bild mans eye s and told him to rinse his eyes in a certain fountain
I think still, anyways this shows us that the Lord used something from the
earth to heal a man yes Jesus did heal him but he used another element to
show us that medicine is ok to take. Anyways pride goees before the
destruction of man please cast your pride away and get help, for the Lord
hates pride. Guest
Aug 13, 2009 1:51 PM
Guest :
thanks for that link kenneth, it really helped. it also helps me to
know that the Lord knows that i don't mean any of these thoughts. could just faith and praying overcome these bad thoughts?
Aug 13, 2009 8:44 PM
Kenneth Burchfiel :
Guest: remember, these thoughts are a medical condition, not a spiritual
one. They result from an imbalance of chemicals in your brain. With that in
mind, I advise that you approach your OCD as most people would approach a
broken arm or a stomach infection: by seeking medical help and (in many
cases) taking medication.
Faith and prayer help heal many
spiritual diseases, but this is not a spiritual problem; it's a medical
one. I believe that God has already answered your prayers; He has made
available doctors and medications that can ease your obsessive thoughts and
make life enjoyable again. Take advantage of these gifts!
Aug 15, 2009 9:16 AM
Guest :
thank you guest and kenneth, but if i don't take medication or go to a
therapist, does that mean this will never go away?
Aug 15, 2009 11:44 PM
Kenneth Burchfiel :
Guest: As Jesus said, with God, everything is possible. But countless
people struggle with scrupulosity each year because they're too afraid to
seek medical help. I urge you to talk to a psychologist or psychiatrist
about the symptoms you have been experiencing recently.
I think
I once read a statistic saying that, for most people, OCD rarely goes away
on its own. If you want to break free from the bonds of scrupulosity, you
need to actively seek help.
Aug 17, 2009 7:08 AM
Guest :
Dear Guest, this doesn't mean that it won't go away, but listen to me
please get help. Tell them about your thoughts you don't have to tell them
what they are only that they cause you distress. This will only go away by
God's help. Don't you see if someone is sick and gets meds, gets better who
is responsible? God is the one who broght them out by meds. You see the
world is the Lord's and the fullness thereof and they that dwell within!!
Get it eveything you have belongs to God!! Even your body and he would like
you to get help, because he loves you.
Aug 23, 2009 6:16 AM
Guest :
I have it too. the problem with me is that, whenever I think of god or
whenever I pass through any picture or idols of god (i was born Hindu by
the way), the utterly disturbing thought that 'god, i wish my mother dies'
or 'god i wish i have a motorcycle accident' or anything like that comes
in. it is just so so disturbing, and so distressful. please help!
Aug 23, 2009 2:33 PM
Kenneth Burchfiel :
Guest: those thoughts shouldn't distress you at all. God knows that you
don't want to hurt your mother, and that you don't want to be in a
motorcycle accident; certainly, He wouldn't do anything bad just because a
thought asking Him to came into your head.
It sounds like you
might be struggling with both scrupulosity and Pure-O OCD, which involves
anxiety-causing thoughts. You may wish to read another article of mine,
"Afraid of Your Own Thoughts?," on the subject.
http://obsessive-compulsive-disorder.suite101.com/article.cfm/afraid_of_you
r_own_thoughts
If you're having trouble separating your
"real" thoughts from the thoughts originating from OCD, try
reading this article:
http://obsessive-compulsive-disorder.suite101.com/article.cfm/identifying_
involuntary_thoughts
These pieces can provide some support, but
if you're serious about ending your religious OCD, you need to speak with
a psychiatrist or psychologist. At the least, talk to your physician about
the thoughts going through your head.
Aug 24, 2009 8:38 PM
Guest :
Thank you so much kenneth, for your support and help. the internet has been
my best friend lately. I've been to the psychiatrist, and im on fluvoxamine
now. its helping a bit. i hope i get better in time. at least i hope i can
control the thoughts to a level that may help me lead a normal life.
The 'wishing' problem has to be the worst symptom i have ever had
of OCD. i've had others thoughts which i can fight with, but this
particular one just stresses me out.
Aug 24, 2009 10:27 PM
Kenneth Burchfiel :
I saw a comment (that seems to have since disappeared) which stated that
deliberate exposure was the hardest step of OCD treatment for the
commenter; they mentioned something about "wishing bad."
To me, deliberate exposure is simply the act of repeating an
involuntary thought, whether by speaking, writing or thinking it, until it
does not cause any more anxiety. To the best of my knowledge, this is not
sinful at all; the whole point is to expose oneself to an anxiety-causing
stimulus, not to actually believe or agree with the thought.
For
example: Suppose that the thought "I wish to kill my mother"
comes through an OCD sufferer's head. This thought will keep causing
anxiety until they learn to play it in their head over and over again,
knowing that continued exposure will decrease the anxiety it causes. Now,
at any point in this process, do they actually wish to kill their mother? I
think we can all say "no" to that!
One of the great
difficulties with scrupulosity (religious OCD) is that any involuntary
thoughts can appear to be very dangerous indeed; it is disturbing enough to
hear a statement like "my mother is a devil," but what if the
thought "Jesus is a devil" came through your head? If you don't
know what obsessive-compulsive disorder is, and you don't realize the
thought is involuntary, you may find yourself overwhelmed with anxiety (and
repenting, or performing some other compulsion, to relieve such anxiety).
That is my long winded answer to the fear one has about the
deliberate exposure step in OCD treatment. Remember: you're only exposing
yourself to the thoughts (or other anxiety-causing things, like
accidentally dropping a Bible) in order to make your mind "bored"
of them, and thus less anxious. (This only works, however, if you delay or
fully withhold whatever compulsions you associate with the anxiety.)
Oct 7, 2009 11:50 PM
Guest :
Aug 12, 2009 3:37 PM <--This post...
Oh my god this is
exactly what I am going through. I've looked everywhere for something,
somebody, somewhere who would be able to understand what my thoughts were.
I would have trouble explaining them to people... My OCD was
never about being messy (in fact cleaning up a bit is something I could
probably do more of, I have a habit of just ignoring messes), my OCD was
about thoughts like "giving my soul to the devil".
I
am not even religious, by any stretch of the imagination. I was raised a
Lutheran growing up, which I am convinced was responsible for this in some
part. My parents weren't any help either... Repeated phrases like
"God knows what you are thinking" severely messed me up as a
child. There was a period where I didn't sleep at all because the thought
of somebody being in my mind all the time was enough to drive me crazy...
Still is I guess.
It even extends to technology, like you with
the Myspace layouts (though I do not have a Myspace account). It would be
something like writing a school paper, "if I save and print this paper
I will give my soul to the devil", causing me to redo the schoolwork,
and getting a poor grade because I had to rush a bit.
Video
games too, I used to LOVE videogames, now I would rather not bother at all,
because I will be thinking "if I do X, I will die". Same with
creating accounts, there was a period where I would sign up for forums
multiple times, with 4 unused accounts and 1 that i used for awhile before
abandoning because the thoughts got to me.
Not only Internet
releated, but real life too. When I get out of my car I need to check the
door a certain number of times. When I turn off the faucet, I need to see
if any water is leaking. When I turn off my lights, I need to check the
position of the lightswitch.
You don't have ANY idea how
perfectly you nailed exactly the problems I am having. My latest one is
that I think I might have had thoughts in the past about deleting an
account so I need to delete everything tied to that account, which includes
serious stuff like bank accounts and software licenses.
Let me
know what you did, how things turned out, PLEASE somebody post relevant
links this was so spot on its kinda scaring me, I thought I was completely
alone, all of the doctors would assume my obsessions were something
else.
Please post this I am sorry if I violated any rules oh
man... can I get an email/contact information whoever posted this?
Oct 7, 2009 11:55 PM
Kenneth Burchfiel :
Let's definitely talk more about this! I am the author of the article; you
can reach me at KBurchfiel @ Middlebury.edu . I hope I can be of help.
Oct 10, 2009 12:34 AM
Guest :
I am a 23 year old girl and have excess fear of god in my mind. This is
since about 10 yrs. I get worried over things thinking that what I have
thought or done will take me far from god and/or get me punished. I am
unable to know what is right and what not in matters of god and religion. I
am under medication for this. I want to be a good devotee of god and lead a
normal life like a wise person. Please help.
Oct 11, 2009 1:51 PM
Guest :
I am also suffering from OCD. I find myself sometimes speaking the awful
thought. Most of my thoughts revolve around worshipping the devil. I hate
to even type it, it is so awful. I have just started seeing a counselor. I
have a hard time going to church because these thoughts seem to be worse in
church & it is so blasphemous. I have been a christian for over 20
years & this just stared about 4 months ago. I am so afraid that
speaking these thoughts will send me to hell, what do you think ? I am not
able to take the antidepressants because of an allergic reaction. I really
just wish I could die. I praise God & the devils name comes into my
head or sing a hymn at church and the same thing happens. Please let me
know if there is any other form of treatment I can try. I think a good
thought & a completely opposite blasphemous thought comes in right
behind it. HELP.
Oct 11, 2009 3:28 PM
Kenneth Burchfiel :
Guest two (who posted this message on Oct. 11 at around 1:51 p.m.: IF YOU
HAVE SUICIDAL THOUGHTS, CONTACT A SUICIDE HOTLINE OR TALK TO A DOCTOR
IMMEDIATELY. I am worried about your comment that you "really just
wish I could die." Even if these experiences are extremely troubling,
you do not need to feel suicidal. There are definite ways to treat
scrupulosity, and even (I believe) to overcome it. Guest two, it
sounds like your situation is worse than most. Do you know why you end up
saying the involuntary thoughts (assuming they are involuntary, which I
believe they are)? As I have recommended to other commenters, it is
extremely important that you talk to a psychologist or psychiatrist about
the thoughts that have been going through your head. Do not feel that they
will judge you for what you were going through. I believe strongly that
these thoughts are involuntary, meaning they are not sinful (as you cannot
control them, and you likely do not initiate them). Your psychologist
or psychiatrist will likely have you go through exposure-response
prevention, a form of cognitive-behavioral therapy that involves exposing
yourself to your thoughts. The concept may cause you some anxiety, but this
is an extremely effective way to reduce your anxiety over the
thoughts--which should be your goal in OCD treatment. Your first step would
likely be to delay any reaction you have to the thought--whether that would
be apologizing for them, thinking a "good thought" afterward or
something similar. You would later learn to not have that reaction at all,
and then to deliberately think, write or speak the thoughts--but this would
be okay, as you do it to expose yourself to them and cure your OCD. That's
not sinful to do.
First guest: I think we've talked via
e-mail. I'm glad to hear that you're taking medication, but you should also
understand that therapy is very important in treating this disease as
well--perhaps necessary, too. Talk to psychologist or psychiatrist about
your experiences, and if you already are, make sure to keep going. They can
provide the help you need to overcome this disorder. It's also important to
talk with a spiritual leader, either within your religion or outside of it;
they can help you reach a clearer understanding of God that will give you
more peace in life, and also help you better understand the requirements of
your religion--so you see where you're doing unnecessary or self-harming
things.
Oct 16, 2009 7:04 AM
Guest :
I can't even hear or think about any member of the trinity without cussing
about them coing to my mind, it really eats at me and I hate it but most of
the time it feels as if I want these thoughts like a part of me is trying
to destroy me and the other part saying please forgive me, I can't think of
any thing else and am always brought to remember the thoughts and its as if
I am saying these thoughts and I don't want to this has been going on over
2 years.
Oct 16, 2009 11:00 PM
Kenneth Burchfiel :
Guest: It does sound like you're suffering from scrupulosity. I think much
of the advice posted here to other religious OCD sufferers applies: first,
talk to a psychologist or psychiatrist you can trust, then find a spiritual
leader who can provide the support and encouragement you'll need during the
treatment process.
I know that this has to be a painful time for
you. God does not want you to suffer at all; for His sake, and of course
for yours and those who love you, I hope that you will pursue treatment as
soon as possible. Nobody has to live with scrupulosity!
Oct 25, 2009 8:39 AM
Wynne Lewis :
I have had religious OCD (scrupulosity) for the past 11 years. It all
started with a thought I had about the "unpardonable sin." I was
already sliding into depression, and was in a vulnerable state. I had read
about the "unpardonable sin" in my Bible, and my mind grabbed
onto it. One of the things I read about was that it was a sin of the tongue
or pen; I have no intent to speak or write blasphemous thoughts. Also, as
long as one is still distressed about it, that means that one has not
committed it. So part of the OCD is checking, "Do I still believe this
thought?" and also "Am I distressed enough about it?" In
addition, when I cry out to God I doubt that I have done it with enought
sincerity. I doubted the sincerity of my saying of the sinner's prayer,
also. Was I really sincere? Did I really believe? When I have the
thought, one of the rituals I perform is putting my hand out with my palm
facing outward, as if to ward off the thought. But I can't ward it off if
it's coming from inside my own head, can I? As a Christian, I think I'm
supposed to resist the thought, not encourage it in the form of
habituation. Thankfully, I am going to a counselor in a week or so, so I
can discuss therapy with her. I wonder if any other sufferers experience
relapses at stressful times in their lives.
Oct 25, 2009 9:56 AM
Kenneth Burchfiel :
I think you make an interesting point, and there have likely have been
points where I felt the same way about the thoughts. But what I ended up
deciding was that, since OCD is all about being anxious over things that
shouldn't cause distress, it's important to expose oneself to those things
instead of continuing to distress over them. (Otherwise, the OCD
continues.) These thoughts, in my opinion, and likely in the opinion of
many psychologists, is that the blasphemous and likely painful thoughts
that you've had don't require any distress on your part; they're
involuntary, and thus not sinful (since you cannot control them or will
them to stop). Of course, the thoughts become deliberate if you
expose yourself to them. But in that situation, you're only experiencing
the thoughts as part of treatment for obsessive-compulsive disorder, not
because you enjoy them or like their content. Your goal throughout the
treatment process should not be to simply rid yourself of the thoughts;
that's something that your mind cannot do. Rather, you should try to
decrease that distress and anxiety that follows them, as that sort of
stress is likely what's encouraged you to see a counselor. Of course,
your mindset will likely not change overnight. At first, your goal might
just be to delay that distress until a later period; that's a promising
first step. My guess is that you'll eventually come to see that these
thoughts should not cause you any distress. I pray that the meeting
with your counselor goes well! I'm glad that you chose to take that
positive first step to find treatment for your disorder. Always remember
that God is ready to help you through the process.
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