Can you have PTSD and OCD? What do I do about it?
Understanding Co-Occurring OCD and PTSD
Obsessive-Compulsive Disorder (OCD) and Post-Traumatic Stress Disorder (PTSD) often coexist, meaning that they occur together. This presents unique challenge in treatment, and often requires finding a specialist who has experience in integrated, advanced modalities. While OCD is characterized by intrusive thoughts and compulsions, PTSD stems from trauma exposure, leading to symptoms like flashbacks and hypervigilance. Despite differences, they share features like heightened anxiety, and racing thoughts.
Diagnosing co-occurring OCD and PTSD can be complex due to overlapping symptoms, but there are modalities that can support in healing with a specialized clinician. Exposure and Response Prevention (ERP) helps manage OCD by breaking the cycle of obsession and compulsion. Additionally, Brainspotting, an advanced therapeutic approach harnessing the brain and body’s healing capabilities, addresses PTSD symptoms by resolving traumatic memories. You might work with a trauma specialist and OCD specialist separately, or find a clinician that specializes in both!
I am a trauma specialist, so while I can support in exploring OCD as a co-occurring diagnosis, I do refer folx out for ERP treatment.
I also like to provide information on support groups and psychoeducation as they play crucial roles in navigating dual diagnoses, fostering community and validation. You might also consider cultivating self-compassion as it is vital for resilience and recovery. I’ve included a guided meditation here that can help to develop and strengthen this skill.
Self-Compassion Guided Meditation
Take a moment to find a comfortable position, either seated or lying down, where you feel relaxed yet alert. Close your eyes gently and begin by bringing your attention to your breath. Notice the natural rhythm of your breathing, the rise and fall of your chest or abdomen.
Now, as you continue to breathe, bring your awareness to any areas of tension or discomfort in your body. With each exhale, imagine releasing any tension, allowing your body to soften and relax.
Now, bring to mind a moment of struggle or difficulty you've experienced recently, whether related to your OCD, PTSD, or any other aspect of your life. Notice the emotions that arise, without judgment or criticism.
As you hold this experience in your mind, gently repeat the following phrases to yourself:
"May I be kind to myself in this moment of suffering."
"May I offer myself the same compassion I would offer to a loved one."
"May I remember that I am worthy of love and understanding, just as I am."
Continue to breathe deeply and repeat these phrases, allowing yourself to fully receive the warmth and kindness they offer. If your mind wanders or becomes distracted, simply return your focus to your breath and the words of self-compassion.
After a few moments, gradually bring your awareness back to the present moment. Notice how you feel, both physically and emotionally, after practicing self-compassion. When you're ready, gently open your eyes.
Remember, self-compassion is a practice and skill, and it's okay to start wherever you are. With time and patience, cultivating self-compassion can become a powerful tool for navigating the challenges of OCD and PTSD with greater resilience and kindness towards yourself.
Explore our main page to inquire about Brainspotting Therapy for treatment of trauma.
