Strategies for dealing with obsessive anxiety
We are currently dealing with fears of our house being broken into, which is preventing our Son from being able to sleep.
What has anyone been able to do when you try to use these techniques and no matter how much rational thinking you use, your child will still come up with some reason why it will happen and will fail to accept any explanation as reasonable while adhering to their original thought?
Last edited by JoeDirt on 11 Mar 2013, 10:43 am, edited 1 time in total.
I went through a stage of when I was a teen where I felt like I needed to be home to "protect the house" from burglars (I know, I know I would not have been able to fight off burglars, but it seemed sensible at the time) when the rest of my family wanted to go somewhere. I just refused to go places, and I think eventually I told my mom when she kept badgering me about not wanting to go places. She let me stay home after that. I don't remember when I grew out of it.
Like I said earlier, this is one of the ways in which Autistic rigidity can express itself and it edges over into OCD. I often use the OCD techniques I mentioned upthread, but sometimes I also put it this way: I tell my son that this is the downside to having an incredible brain that can focus on such minute detail and yet keep so much information readily available. Sometimes it means thoughts get "stuck," especially negative or scary ones (sometimes good or neutral thoughts get "stuck" too, we call that perseverating, right?) I remind him that just because his brain is stuck on a scary thought does not mean there is any actual danger, and he sometimes can't control what his brain does.
Over time, this tends to help - especially when he can relate it to the positive things he can do with having a somewhat-obsessive brain.
Momsparky, I love your approach on this. Explaining this your kid helps him understand how his brain works, shifting his focus to the compulsive thoughts to the mechanism of compulsive thought processes. But I especially like how you explain him how this is a downside of his incredible brain. I'm going to start using this. ![]()
I just the wiki page about ironic process theory, and I now understand what you mean, Inthistogether. I just wanted to add that the ABC thing wouldn't work if you would just try to think of something else. E.g., with the swimming thing, instead of 'i'm going to drown', telling yourself 'i'm learning to swim. This might get scary, but there's two trained professionals standing at armlength and the worst thing that can happen is getting a sip of bad tasting water.'
It's fairly easy to explain, I got my six-year old to understand it.
The model basically shows how, in a certain situation (a) fear and anxiety (c) are induced by what we think (b), not by the actual situation itself. Once you understand that it isn't the situation that is causing distress, but your thoughts and beliefs, it's a matter of rationalising. You need to 'replace' the irrational thoughts by rational ones. This sounds hard, but if you break it all down, it's quite feasable.
You, or better, he himself, just needs to identify exactly when he gets anxious, what it is he thinks at that moment, and how it makes him feel.
So that would look more or less like this:
A- (sound of) airplane
B- the apocalyptic war has begun and we are all going to die
C- I'm scared
Then you question B. In this case, I think you need to focus on probability vs possibility. This can be done by asking, 'what is the evidence for the thought being true?' and 'what is the evidence against this thought being true?'. It is useful to do this in a quite a structured manner and to write it down. Just keep asking questions. there's a lot of online resources to help you ask the right questions. Once you're there, he should try to 'replace' his thoughts about the apocalypse with a rational one that doesn't cause anxiety.
It got my son over his water fobia. He's still scared, but at least he's able to get in the water now. The good thing is, you can use it for anything. The technique offers you a deeper understanding of anxiety, which in itself, reduces it.
It's the socratic method.
Good luck to both of you - and please keep us posted.
DS is 12, and despite us having worked with him on this for some time, still experiences severe bouts of this particular sort of anxiety. I am currently looking for a provider that will work with him who specializes in OCD, just because I am feeling a bit like we are getting to the bottom of the bag of tricks.
I've found that the anxiety comes and goes, sometimes for months at a time, so be aware that even if things get better, you may have to revisit this issue again in the future.
