MENtal Health Monday - Obsessive. Compulsive. Disorder. Breaking down OCD with Dr. Riemann of Rogers Behavioral Health

Monday, June 25th

We've all said, or heard someone say "My OCD is out of control", or "She's so OCD" without even thinking about those who are actually suffering with this time consuming disorder.  OCD can be frustrating, but there's hope - and you're not alone!  Even if you don't have OCD, I promise you'll learn something in this sit down with Dr. Bradley Riemann of Rogers Behavioral Health. 

Transcript - Not for consumer use. Robot overlords only. Will not be accurate.

Mental health money is an information on podcasts and should not be used to replace the specialized training and professional judgment of healthcare or mental health care professional until Monday can't be a responsible for the use of the information provided please always consult a trained mental health professional before making any decision regarding treatment of yourself or others self help information and podcasts and information on the Internet is useful but it's not always a substitute for professional assistance unless otherwise noted guests of mental Monday or not doctors are licensed and anyway our hopes to make the connection with you and be more open and honest about everyone's mental health. Into the pocket. I know there are things too chicken and another men's over the hill from Monday. I'm breaks your host for mental health Monday where I aimed talked about mental health. With everybody. But mostly men. This man it's terrible it's not good about their feelings. A lot of times on mental Monday as saying we're not doctors were his dues talking about mental health but today they were talking to doctor Bradley Raymond. He's the chief clinical officer for Rogers behavioral health he's a leading expert in the assessment of obsessive compulsive disorder. And anxiety disorders and the ease of cognitive behavioral therapy treatments he's also been featured on national television shows like 48 hours The Today Show VH one's via CD project and Anderson Cooper live. Doctor Freeman received his doctorate in clinical psychology from the Chicago medical school is also a clinical assistant professor and a psychology department at the Rosalind Franklin school of Madison Marquette university and the University of Wisconsin Milwaukee so he knows what he's talking about. But anxiety and o.s CD they're kind of tied together so what I thought we would do. The break this down into a couple different parts of as we were gonna talk to doctor agreement. Specifically about obsessive compulsive disorder next week we'll break down anxiety but this week it's all about those CD. I sat down with doctor Raymond for about 45 minutes and had a couple conversations with him. I learned so much and you're gonna learn so much this week about obsessive compulsive disorder OCD. For mental health Monday. Doctor Freeman thank you very much for coming on the podcast for mental health Monday and tell us about yourself your title official tally of the chief clinical officer for Rogers behavioral health. Correct so you are responsible for what exactly that's a good question so basically. Rogers beaver whole system is. The second largest beaver whole system in the United States we have over a 160 programs in seven different states and not technically. I oversee all of the clinical and non medical programming through the system. Yet minions may be particularly critical lament PS I wish I had more but yes yes yes and there's there's a whole slew of highly trained hard working individuals. At Rogers and I've been very blessed to be here for 21 years of working with some great people today were cut panic tackling obsessive compulsive disorder. Which is where I thought we we can start his ship you have several different areas we cover now. Was kind of more about it the definition of obsessive compulsive disorder has a lot of people saying. Just in general and actually hear somebody say oh my LCD you know Landon I have dual range this because in my own CD's so. Yeah the definition. Nuts that that's a great question. You're right it's commonly misdiagnosed. And misunderstood. So it eat everything about it as a two part problem there's obsessions and compulsions and obsessions. Are these unwanted thoughts images are urges that generate high levels of anxiety in the real teeth. Determine that definition is on wanted. Compulsions on the other hand or some sort of repetitive act. It could be a behavioral lack something we could see witness not or observe or could be another match lacked could be another thought. That is designed to try to neutralize that unwanted concessional faltered or prevent something bad from happening or somehow to get rid of the anxiety. That's caused by the of social thought so common examples. For an obsession would be the fear of becoming dirty or contaminated. The corresponding. Compulsion that typically would go with that would be washing cleaning. Doubting it as another common example of a bit of a social thoughts of doubting whether you did something or did something correctly did I. Turn off the light that I turn off the stove and I do that math problem right. And and the corresponding compulsion is typically checking going back and checking to make sure you did that almost an if then if this doesn't happen then this'll happen. He had of course it's all. Based on you know fear. And any attempt to try to prevent bad things from happening. How does this happen to somebody is this something that's his agenda genetic is that in your biology or is this something we can happen from like a traumatic life event something could happen to you. Now it's great question personal know one Knowles what causes those CD. The research certainly. Supports the possibility of biology and genetics more specifically being involved. So does run in families. The than adoptions studies that have been done in Europe is set or that. Point two. A biological. Underpinnings some sort of neural biological abnormality we don't know what that is. Not to answer the second part of your question however. You know it can trauma triggers this. You know for years. We would. We would probably set probably not trauma can trigger a different anxiety based condition known as post traumatic stress disorder PT ST you. But as we know as we get to know little bit more about PT EST you know CD it does seem that ends in some people there's a connection but. The vast majority people though CDs traumas does not seem to be. Trigger there's a lot of statements like we mentioned earlier people miss diagnosing and saying I am now I have a little bit of OCD about this. I. The end another great question you know it it probably a little bit of both I mean I think you know on the one hand. It's good when people talk about mental health issues. Certainly there's there's been so many more television characters are movie characters with the OCD over the last ten years or so. And Mike Miller mark exactly and so I think the you know the end result is it's it's it gets people talking it. It it indeed does bring awareness but you know kind of the bad news is unfortunately. Most of the depictions of these things aren't really very accurate. And so that it and then cap perpetuates the it's on the misunderstandings he. You know one of the big things too to keep in mind is just because someone thinks or does something over and over again doesn't make you don't CD right again it's an unwanted thought. How so when people say things like you know my son is obsessed with the video games or. I'm obsessed with my former boyfriend. And you ask them what do you like thinking about video games and do you like playing video yes you know and I wish I could play more that's not OCD just interest. Yeah and they could be problematic and I did any could be an issue that needs to be dealt with but it it's a different issue when you think somebody should do. See is somebody like you are somewhat of your physicians or somebody riders or anywhere in C cannot help but they think you know I may really have you some of the things you mentioned. Once it begins to disrupt their life I mean in other words there are some people who do think that oh CDs have been on a continuum that. You know everyone has on one of the anxiety producing thoughts from time to time I mean everyone's. Gone back and checked to dorm not a lock even though they're quite. George convinced today closed the garage door I think end the and in the everybody's wash their hands from time to time just 'cause they kind of quorum quote filthy dirty. But you know the vast majority of isn't it just it doesn't cause any disruption in our lives and it's it's when. If someone has so many of sessions and summary compulsions that it begins to create interference word disorder in their lives that's when we say someone has obsessive compulsive disorder and that's. Typically than the tipping point when somebody probably needs to seek some help right so what a what are the types of treatments is a medication is that salad and behavioral therapy and let's part of its now what are the best treatments for obsessive compulsive disorder the really good news is oh CD is is. Really quite treatable. The vast majority cases were treated properly there are a handful of medications and have been found to be quite helpful these are a subset of anti depressant Madison's. On average they can produce roughly 30% symptom reduction in of themselves. Which could be the difference maker between being able to go to school and now after being able to go to work and not. So lots of people have been helped with these medicines. The problem is is they are rarely enough in his themselves. In the good news is we have another effective option in fact the most effective treatment for OCD is. Is something out of the schools of behavior therapy called exposure and I'm response prevention and we started our conversation off by saying it's kind of a two part problem obsessions and compulsions. And as a result it requires a two part solution. Exposure and response for vengeance of the exposure peace targets those social fox and the response prevention are sometimes also known as ritual prevention. I'm targets those compulsions and it is the treatment of choice for people those who either vast majority people who get. Exposure and response prevention or ERP. Talking greatly reduce their symptoms too much more manageable level for some the best way to do this through a combination medication and here he sure. To what are some of the things are generally people say once they've been kind of relieved this do they feel like they have more time in the day area yeah I mean if it's. This is a very time consuming very debilitating problems so for example the World Health Organization or who. Rated RO CE's attempt leading cause of disability in the world. And this was not a psychiatric problems this is medical problems such as Anemia or falls these things. So it's it's it's common in very debilitating intakes of a ton of time in a ton of energy. And so is people's symptoms reduce. You know they have time and then to do the things that they want to do or should be doing like. Working going to school and interacting in their social lives going back to playing baseball or whatever was that some young guy was doing in and you know I think that the biggest thing that we hear over and over again it's just they're just not. Tormented by those unwanted thoughts anymore I mean they just. The that the constant kind of chatter so to speak of these on one of foster's skits turned down and and and there's a tremendous amount of relief associated with that have a of now about publicity led to suicide is editor is that it ever gotten that extreme prism people. And unfortunately yes I kind of like any mental illness in Yankee BA results. He had an end you know as we said it's a very disabling condition. You know unfortunately for some people life really comes to a whole. They're not able to release function. As a result pastor people start to feel hopeless and helpless. And as a result some people do consider. Ending their lives tragically end and some people. Have you know again I think part of the reason why these things are so important like which are doing here rigs as. His letting people know that it is a common problems are not alone and there is really effective treatment you know and and there is hope. And you got to be ashamed of it either and you certainly don't have to be ashamed of it that's right. Now I don't know well doctor I think you for coming on and given us a bit more. And an inside and out obsessive compulsive disorder specifically so I hope having on again in the future we can talk about and you have a great senate that we can talk to about the future and of course anxiety as well so terrific thank you very much imminent today appreciating against them until Monday thank you. Being that we did mention suicide would be remiss if I did not mention the number there's always help 189738255. Or you can text the word hello. To 741741. Someone is always available time. He if you ever need help or we need to reach out to professional doctor Freeman and his staff at Rogers are amazing. Next week we'll talk to doctor Freeman again except will break down anxiety and anxiety disorders and anxiety is so complex it really deserves its own podcast from until Monday so we'll talk to doctor Freeman again next week and on future episodes we'll talk to more dudes talking about their recovery and straight up conversations about their mental health it's located talk. That's why we do mental health Monday dudes. Have a great week or weekend or whenever you're listening we'll talk to you next time for mental health Monday. Raves for rigs off the radio. Make good life decisions.