Wednesday, December 30, 2009
Unexpected Gifts
I went to a Christmas eve service held at the main building on the hospital grounds. It was awkward at first....so many chairs, but only 13 people there. A husband and wife playing a guitar and flute as we softly sang Christmas carols. The husband then gave a short Christmas message. It was perfect. After reading the story of Jesus' birth, the "speaker husband" said, "Christmas is a series of unexpected gifts, but the message and promise of Christmas is hope." Oh my word......speechless......things were registering with me. I have heard the Christmas story more times than I can count. I believe in Jesus. But sometimes I find it extremely difficult to find any solace in a story that happened thousands of years before the time of iPhones, freeways, and Starbucks. I learned something new this year. I truly believe that because of the prayers of so many people, that God revealed to me how much he can relate and through the relation, how big his heart for me is. The entire situation surrounding Jesus' birth was not ideal. The societal disgrace, the loneliness, the lack of comfort and familiarity, the uncertainty. But the gift that came during such inadequate circumstances was unimaginable. The excitement, the new life, the hope, the freedom, the peace.
"Christmas is a series of unexpected gifts."
Being in a residential treatment center during the holidays was not exactly on my wish list this year. Having OCD is not exactly a detail I would have voluntarily added to my life story. The situation is not ideal. But....I'm uncovering tremendous "gifts" through this process. There are so many things I'm discovering, so many lessons I'm learning. I don't believe that God "ailed" me with Obsessive Compulsive Disorder and Depression. I believe he intended me to live freely. This Christmas I have a different perspective, a perspective that I may have received the most unexpected gift of my life.
Tuesday, December 29, 2009
Topsy-turvy.
I have another post started about my Christmas, but will finish it tomorrow. Good-night, crazy world. :)
Thursday, December 24, 2009
More pictures from last weekend....


....when the dog bites, when the bee stings, when I'm feeling sad.....I simply remember my favorite things.....and then I don't feeeeeeeeel so bad. :) hee, hee.


canned dog food, centipede, booger, baby wipes, barf, toothpaste, skunk spray, rotten eggs...... to name a few. Tasty!!! Who's jealous?

Wednesday, December 23, 2009
Art in my own style.
Below are two more cards I've made as I've rediscovered the joy of expressing myself through art. A Beautiful Mess
The Clambering of Silence
I'm starting to feel a change. The possibilities are enough to form a list now. I don't know how I've gotten here....to this place of simple freedom when day after day after day felt like a battering windstorm inside. There is a calm....a quietness that has shyly introduced itself. I am so familiar with the noise of racing thoughts, that the absence of them stun me. I tilt my head half questioning reality and half taking in the realization. As quickly as I am able to acknowledge the peace, the fear and doubt, the discouragement of all the things I feel like I still can't do take over. The fear is not as prominent with certain things, but it's as though my mind is scrabbling for things to still be scared of. My anxiety is subsiding.
I get extremely nervous writing about my progress, let alone thinking about it. If I acknowledge it, then I feel like it solidifies, or makes it more real, in some way, inviting the possibility of regress. If I verbalize progress, or the feeling of less anxiety, it opens up the flood gates of possible public failure, embarrassment, shame, weakness.
I will admit that there are two errors in my thinking, both of which I have been learning about during treatment.......
1. If I think something, then it makes it real.
- Not true, but hard to grasp, very hard to accept and even harder to believe.
2. If I regress, then I fail.
- Very "black or white" thinking. I'm learning how to find the shades of grey in much of life's situations.
Monday, December 21, 2009
A Weekend in Wisconsin


- Going to the Jelly Belly factory! Sooo much fun but ate ourselves sick with candy.
- Going to Starbucks twice in one weekend!!
- Reminiscing about memories.
- Talking, talking, and more talking.
- Hugs.
- Listening to my mom pray.
- Looking at pictures.
- Ordering the-most-delicious-chocolate-pizza-hut-dessert-ever up to the hotel room.
- Skyping in for Jessie's bachelorette party for a couple minutes.....oh you silly girls! :)
- All you can eat biscuits and gravy for breakfast.....but I was full after the first serving. Lame!
- Just spending time with my mom and Tracie..... :)
Seeing them leave on Sunday morning was hard.
As usual, I have a lot of thoughts I'd like to express out, but I still have some homework I need to do and today seemed to never "get started" the way that I wanted or needed it to. I felt as though my mind was alert, but that my body wouldn't follow suit. My body felt like an anchor. Tomorrow is a new day.
Thanks, Mom and Tracie, for coming to visit!!! :)
Thursday, December 17, 2009
15 Bans.
The majority of my day is spent doing Cognitive Behavioral Therapy (CBT), which is the core of my treatment. CBT consists of Exposure and Response Prevention. I've talked about exposures before (facing our fears), and Response Prevention is where my "bans" come in. I carry around a tiny little pocket book with "bans" listed on the top of each page specific to my form of OCD. There is a column for "submit" and one for "resist." There are a couple purposes behind the ban book, but the main idea is to stop the automatic response that I have to my anxiety. In other words, I record every time I either submit or resist a compulsion. Exposures and Response Prevention work as a team......as my BT puts it, it's like a 1-2 punch. The response prevention MUST follow the exposure; otherwise, I'm spinning my wheels. For example, I started a new exposure today which is placing both hands on a "low-traffic" area of the floor. I keep my hands on the floor until my anxiety subsides to at least half of where it peaks. But when I lift my hands from the floor, the response prevention is often just as hard if not harder than the exposure itself. So for my floor exposure, the response prevention is not washing my hands, not isolating my hands, doing "normal" things with my hands such as brush hair out of my face, touch my clothes, touch things in my room, etc......essentially continuing to move and use my hands so that I retrain my brain that I won't freeze or go into a catatonic state if I get "dirty." I guess it's not so much retraining my brain, as it is proving to myself that my fear is only an irrational thought and not at all likely to happen.
It would be near impossible....or at least extremely overwhelming....to try to create a ban for every single compulsion, so my BT came up with 15 bans that encompass the majority of compulsions I struggle with. My 15 bans are:
1. Hand washing - Who's surprised? Really, lets be honest, anybody who's hung out with me in the last few years will agree that Kristen and hand washing is a 1-2 punch. :) Not only do I wash my hands more than what is probably necessary, a typical hand wash is 4-5 minutes. When I get "stuck" that time can increase to closer to 10 minutes. I have to use lots of hand lotion to keep my knuckles from cracking and bleeding. The skin on my hands completely peels every 1-2 months.
2. Barriers - This is probably where I was the "sneakiest" as far as using a tissue or napkin to touch many, many handles (doors, refrigerator, sinks, etc...) I was so "good" at doing this, that unless you were consciously watching, you probably would have never noticed. Other examples of how I use barriers is when I know I have to sit on furniture that I consider contaminated, I will often deliberately put on a hooded shirt so that I can pull the hood up around my neck so as not to be "weird and obvious" but enough to cover my neck and hair that I feel "safe."
3. Cleaning and Sanitizing - This pertains to a lot. If I drop a clean item of clothing on the ground when taking laundry out of the dryer, I rewash the item. I sanitize door knobs quite often...for no particular reason, other than that they are door knobs and seem dirty. I sanitize anywhere hands touch in my car if someone else drives my car and I didn't see them wash their hands prior. I would rarely be caught without sanitizing gels or sani wipes in my purse or car, because if I drop anything on the ground, I will use a sani wipe to clean it before using it again (pens, earrings, water bottles, cell phone.)
4. Inspecting - I look things over before sitting, touching, eating, wearing, etc.... For example, before putting food on my plate, I want to carefully inspect to make sure there is nothing on the plate making it dirty. If I see a spot, I try to determine what it is, because if I can make some sort of sense out of it....a water spot? ok, somewhat safe. .....tiny little left over mark from food even though it's been in the dishwasher.....not safe at all.
5. Repeating - Mainly pertains to hand washing. I will use 7-8 pumps of soap, scrub my hands, rinse, 5-6 pumps of soap, scrub, rinse, 1-2 pumps of soap just to be safe on my "dirty fingers." I have "dirty fingers" and "clean fingers."
6. Just Right - Just right has to do with how things feel. I struggle with "just right" when touching things like my alarm clock or light switches. When washing my hands, I will also swish water back and forth between my hands until it feels "just right." There is no rhyme or reason to this.....it's just until it feels right.
7. Left Foot - This is what I can remember as one of my most consistent compulsions for the most amount of consecutive years, besides my hand washing. I am more concerned with the bottom of my left foot getting dirty than I am with my right foot. When standing, I often roll my left foot onto the side, sometimes slightly and sometimes very drastically. I have a very hard time standing flat-footed on bathroom mats/rugs. When wearing enclosed shoes, I use my right foot to adjust or tap the back of my left shoe more as a "just right" thing. Over the years, this compulsion has caused a lot of pain in my left ankle.
8. Avoidance - Pretty self explanatory. I pretend to shuffle through my purse for something during the meet and greet time at church so as to avoid hand shakes. I stand till my legs or back are bothering me before sitting on public furniture. Even though it makes no sense whatsoever, I will turn a straw over in my drink because I get a feeling that the side I was drinking out of got dirty somehow. I know....doesn't make sense, because I put the "dirty" side into my drink.....but for some reason it makes me feel better.
9. Rubbing / Wiping Off - I rub my feet together before getting into bed. I will often rub my arms because I feel that awful creepy-crawler sensation. I rub and wipe things off quite often in an attempt to wipe off germs and dirt.
10. Ordering and Arranging - I have quite a keen sense for knowing if something has been moved from how I had it. I am not always a neat freak as you might assume, but my things are all placed very strategically because of a specific thought process.
11. Rewriting - Basically retracing letters or making marks until it feels or looks right.
12. Reassurance Seeking - This is very interesting. Many of you have been enabling my OCD by reassuring me in different ways. For example....when someone comes out of the bathroom, with very little regard for who it is, I will often ask, "Did you wash your hands?" Everybody usually answers, "yes." I am stressed about the possibility that the person didn't wash their hands. By answering me, my anxiety sharply subsides, but my fear is reinforced that "dirty bathroom hands" are dangerous and could cause my fear to become a reality.
13. Warning Others - This is the most nagging compulsion. "Oh my gosh, don't touch that...it's dirty!" "Wash your hands." "You should clean that before using it." "Don't put your shoes there." Etc....you get the point. I hate it. I hate doing it. I hate how I feel. I don't want to care what you do....in this sense at least. :)
14. Evening Out - This usually has to do with how my clothes feel and whether or not things are happening simultaneously. Observing me, you might think I'm twitching a little, or just restless. I adjust my shoulders or sleeves or the waistband of my pants until it feels even. I'm pretty sure my sister's favorite compulsion of mine :) is how I sometime get hung up on feeling like my eyelids don't close at the same time. So, I will deliberately wink one eye at a time at different "pressure" levels until it feels "even," as if my eyes are an etch-a-sketch and I'm erasing the unevenness so I can try all over again to close both eyes at the same time. This only happens at night when I'm going to sleep.
15. Smelling - I tend to smell things a lot, and based on how I think something smells will determine its level of contamination and/or presumed danger. It's a form of inspecting that I struggle with a lot after exposures, because I want to smell my hands to determine how contaminated I got. My BT has been challenging my "smell theories" a lot lately. He says I must come from a lineage of blood-hounds because apparently I smell things that no one else does, which he says is my anxiety. I argue that smell is smell and that there is no way it is affected by anxiety.....but that's a whole other blog.
Hopefully, my vulnerability in this blog gives you a deeper understanding of why I struggle, why I'm fighting, and how exhausting this process is. I'm sure just reading about my compulsions (now bans) is completely exhausting. Now imagine each of those 15 compulsions happening over and over and over again throughout my day, coupled with crazy, intrusive thoughts.....
I'm fighting for my free spirit.
Wednesday, December 16, 2009
Signing off right in the middle
Monday, December 14, 2009
Small pieces of heaven
On Monday's one of the therapists here (who happens to also be my personal therapist) runs a "Process Group." The group varies from week to week. Today, it was a 3 part group, and the last part of group was that we were going to go outside and play in the snow. Nothing is mandatory here so we were not forced to play in the snow, but it was a part of programming, therefore, encouraged. By the time we finished with part 1 and 2 of the group, I was struggling tremendously with racing thoughts, intense triggers, and ridiculously strong urges to ritualize.....so that I would feel better, so that I could go out and play in the snow....because that's what I wanted to be doing anyways. I felt paralyzed by my thoughts. I stared out the window watching everybody else, bundled up and cozy cute, sled down the hill we have in our front yard. The absent colored faces that I see everyday, and the eyes that are filled with constant fear and apprehension, were alive.....their cheeks were rosy not only from the winter air, but from the movement of smiles. Their eyes were not wet from tears, but moistened from the exhilaration and the air that they cut though as they flew down the hill on a plastic sled. Warm tears tumbled down my face as I watched. I wanted to be out there. I was angry that I wasn't.
I was paralyzed by my thoughts......my thoughts of how angry I was that someone put their shoes up on the couch during group, contaminating it, eliminating a place for me to sit, and therefore ruining my day. This reaction is all too familiar. I get angry at an unknowing person as if they did something terribly wrong, when in reality it is my OCD....the overwhelming fear I have about a specific thing or action....and has nothing to do with the person at all. My misdirected anger jails me. I am defeated every time. I miss out on life.....big things and small.
As I continued looking out the window, I concluded that I would do the exact opposite thing that my OCD thinking would have me do.....and to be honest, I was skeptical as to the outcome, even though all the behavioral therapists swear by it. So, out of pure spite, I put on a second pair of sweats, my leopard rain boots :) , and finished pulling on my beanie and gloves as I walked toward the hill. Several people cheerfully offered a sled to me before I could even reach the snow-packed sledding track. I sat on the sled and took off down the hill. When the sled came to a stop at the bottom of the hill, I half-smiled.....it was a little fun. I walked to the top of the hill, sat down and took off again. This was pretty fun. I smiled. I was forgetting to stay angry. I sorta ran to the top this time, and when it was my turn again, eagerly hopped on the sled, this time giddy with excitement and smiled all the way down the snowy slope. I had completely forgotten I was angry, and all of a sudden the shoes on the couch and all the other triggers from group didn't seem like that big of a deal anymore. They had NOT gotten the best of me. I had broken out of my jail. I was living.
A couple hours later, I was sitting at the kitchenette table when a big, burly guy walked past me and said, "Hi Kristen. Did you have fun today?"
I said, "Uh-huh. Did you?"
He looked at me and with the biggest smile I've seen on his face since arriving here, he said, "Ya, it was the best time I've had since I was a kid."
This guy is a full grown man. A dad. A US solider.
I wish I could explain the moment better. It was amazing. I was in awe of the joy that his free spirit had brought him. It may have been just for a moment, but that moment is hope. From my own experience, I know that we have missed so many moments of joy, so many small pieces of heaven, because of the destructive power we have given to irrational thoughts. Even more than the excitement of sledding, this man's simple statement made me soooo happy. I was excited for him. For years, he fought for the freedom of his entire country.....and now he's fighting for his own free spirit.
Not only would I have denied myself the opportunity to defy my OCD, I would have missed out on the opportunity to share in this man's victory had I chosen to stay irrationally angry.
Friday, December 11, 2009
Friday night fun. Not so much.
I've been here 3 weeks and 1 day. I found out this morning that I'm at 16% on my hierarchy. I know that's good, but I feel apathetic. On Monday, I had my weekly appointment with the pychiatrist. Because of my near constant anxiety, she and the treatment team suggested that I begin taking an anti-anxiety medication. She knew that news would be hard for me to hear, because I really wanted to try to get my OCD under control without meds. I've always said that I'm not opposed to meds, and I'm the first one to console others when they struggle with taking them.....but its a little harder to practice what I preach. I've taken medication before for depression and also for my OCD when I was first diagnosed. I felt defeated then, and I feel defeated now. The independent, stubborn, and I suppose, prideful, part of me wants to do this without meds because "I'm strong enough" to. Why can't I believe the same words that I emphatically encourage others with?