the ocd mind and uncertainty

That sounds dramatic. I think this has been mentioned before – the way the OCD can shape shift and subtlety take hold of the things that matter most to me. Whenever a passing thought pops up that is in some way reprehensible, the OCD brain plays it out repeatedly causing severe anxiety. Paranoia is not simply synonymous with fear. OCD is driven by the fear of consequences, no matter how unlikely they are. Fred Penzel, Ph.D., is a licensed psychologist who has specialized in the treatment of OCD and related disorders since 1982. Anything less would cause intense havoc in my mind, heart, and body. It's all to easy for me to get caught up in the thoughts that pop into my mind as I do an exposure: "How do I know this is safe?" The Uncertainty Paradox The Secret Key to OCD Treatment AND Confronting Doubt. Required fields are marked *, Steven J. Seay, Ph.D. | 11380 Prosperity Farms Road #209A | Palm Beach Gardens, FL 33410 | (561) 444-8040. Unfortunately, the world we live in can sometimes be dangerous. Intrusive Uncertainty in Obsessive Compulsive Disorder. The awareness of our own fragility doesn’t linger. This is about general uncertainty, and I’m going to accept this uncertainty just like I accept all uncertainty.” Or, sometimes I will insert random, ridiculous uncertainties to one up and poke fun at the OCD and remind myself this is about general uncertainty, which I’m really good at handling: “Yes, OCD, I MOMN be a pedophile. Because you have scrupulosity OCD, the thoughts that show up may be opposite to what you hold dear in your heart, such as your faith and moral values. Theory of mind (ToM), sometimes used interchangeably with terms such as mentalizing capacity, is the ability to represent one's own or another's mental states such as beliefs, intentions, desires, and knowledge .This ability enables us to make attributions and to reason about mental states and thus, to understand and predict the behavior of other people. What if this happens to me? Soon enough, they find themselves trapped in the obsessive-compulsive web. ... OCD stole all the enjoyment from me and it became life or death. Obsessive thoughts typically relate to uncertainty about frightening prospects (e.g. As Jon Hershfield, MFT and I discuss in Everyday Mindfulness for OCD, using MOMN statements is about picking up OCD’s content off the conveyor belt in your mind, repackaging it with a focus on uncertainty, and putting it back on the conveyer belt that heads for the trash! For 33 1/2 years, The Pure OCD and the complex PTSD has wreaked havoc in my mind. If you’re. Self-doubt is something I struggle with as an OCD sufferer. Can you find a way to coexist with your doubts? For example, they may say, If I pray longer, the intrusive thoughts will stop. They forget that their everyday routines include uncertainty. Our website services, content, and products are for informational purposes only. Intolerance of uncertainty (IU) has been defined as “an underlying fear of the unknown”.Intolerance of uncertainty is a risk factor for the development of generalised anxiety disorder (GAD) and a number of other conditions, and is a key factor in the maintenance of anxiety and worry. OCD is indeed a ruthless taskmaster, but it isn’t a legitimate one. Previously neutral stimuli or activities (e.g., stop signs, merging traffic, changing lanes) can become linked to anxiety and panic. They believe they may find surety if they make a more exerted effort. Medical Director, OCD and Neuromodulation Programs Medical Director, CU Medicine Psychiatry Faculty Practices University of Colorado Anschutz Medical Campus Mind the Brain Podcast Dr. Neill Epperson and Dr. Rachel Davis discuss coping with obsessive-compulsive disorder and dealing with uncertainty during the COVID-19 pandemic. All The fear and anxiety you feel is your body and soul screaming at you that the doubts are not your truth. And uncertainty about life can make my anxiety skyrocket. The Blessing Of Accepting Uncertainty In OCD. A shooting or an act of terrorism, a hate crime committed against an individual, a disease that affects the unborn. The results seem inconclusive and short lived. ERP actually re-wires the brain to help the OCD sufferer with this. Accepting uncertainty is a very difficult thing to do – especially if you have OCD. When I was 10, I came to peace with death. Introduction. As the thoughts return, they persevere in their belief that they may not be trying hard enough. Tom Cochrane. Sometimes, symptoms "owned" by one disorder evolve to be a separate, concurrent condition. This website contains general information about psychological topics. They notice what others don’t and they allow things to be as they are more often than not. However, there is some comfort in the knowledge that our perception of danger can be completely unrelated to the actual danger of any given situation. They can make you feel very anxious (although some people describe it as 'mental discomfort' rather than anxiety). They may feel evil and don’t realize that OCD is zeroing in on their religion and moral values. Intolerance of uncertainty (IU) is a key cognitive construct in the maintenance of obsessive-compulsive disorder (OCD) symptoms. thoughts to Satan or being cursed somehow somewhere. However, despite the routine, the OCD has adapted to the new life set up I have. An OCD Blog. OCD wants us to be overly conservative when it comes to our ability to tolerate risks in these areas. The results seem inconclusive and short lived. Your mind will notice some of the thoughts and then just move on — even though the thoughts are technically possible. They believe they may find surety if they make a more exerted effort. This process is generally automated and may occur so quickly that we may not even perceive that this is happening. I feel recovered from my OCD. Killing a bug can be a karmic crime of mass proportions. Remember: We can tolerate risk. This is the goal of OCD treatment — to be able to extend an ability you have in most areas of your life into the domain that OCD has colonized. Below are some clarifications regarding scrupulosity OCD. The mind plays tricks on you but your body doesn’t. Obsessive-compulsive disorder is often dubbed “the doubting disease” because it makes you second-guess yourself. When individuals are devout to their spiritual beliefs and struggle with OCD, treatment can become complex, stressful, and painful. It's all to easy for me to get caught up in the thoughts that pop into my mind as I do an exposure: "How do I know this is safe?" Avoidance is not the answer — at least not in the long-term. The mind plays tricks on you but your body doesn’t. OCD is the doubt disease and it will do everything within his power to latch onto your fears and doubts to trigger panic on the deepest level. Watch Queue Queue This video is unavailable. But we can not exercise full control over everything. In fact, every one of them could come true today. Perhaps I didn’t confess all my sins. Psychotic features often go unrecognized, but are very important to assesses for given the damage they may engender for the patient. In Anxiety, Mindfulness, Obsessive-Compulsive Disorder (OCD) How can we use what we know about uncertainty and anxiety to support those who find themselves understandably anxious about COVID-19 … The mind’s other strategies also include: distraction, avoidance, figuring things out, time traveling (ruminating about the past and future), and repetition. Faith is not the absence of feeling uncertain. At the same time, Tim Abbott, who lives with contamination OCD in Australia, said that the public response to the pandemic has somewhat eased his mind. Bothered by OCD’s Uncertainty Trap. Just like we can stop the water from a leaking faucet by repairing it, our wonderful mind may propose that we can stop shameful thoughts. “Knowing that everyone is cleaning their hands and surfaces makes it actually a little easier to be able to … Other and Unspecified mental health diagnoses can help maintain accuracy. Faith is going forward through the uncertainty. Remember, you have thoughts — pleasant and unpleasant ones — for various reasons including: you have a human mind, and religion and moral values are important to you. Emotions play a big part in OCD becoming stuck and how someone with OCD responds to thoughts helps to explain where these emotions come from. You don’t have to get trapped with the sin of certainty in the OCD web. Eventually, exhaustion takes over and they may feel dejected and depressed. This currently manifests as that underlying and sickening feeling of uncertainty. Dr Jonathan Grayson – OCD Recovery, Uncertainty and Virtual Camping In episode 45 of The OCD Stories podcast I interviewed Dr Jonathan Grayson. When most people think of the compulsions experienced by those with OCD, they think of the stereotypical hand washing or door checking seen in Hollywood films like The Aviator or As Good As It Gets. However, with each successful jump, you gain confidence in your ability to move through these experiences. Hopefully, some of these dangers seem a bit far-fetched to you; whereas, others may seem more plausible. ... OCD stole all the enjoyment from me and it became life or death. Impure Thoughts: Many religious and OCD sufferers feel conflicted and tormented when they experience wicked thoughts. What uncertainties do you tolerate with ease? Minute-by-minute updates on social media. For someone with OCD, the perceived level of risk is turned on its head, a 0.01% risk feels as likely to happen as a 99.9% risk. Scrupulosity Imaginal Exposure vs. Although we may not often think about it, the possibility of danger is omnipresent; it’s all around us in nearly every moment of every day. Additionally, many individuals with anxiety disorders like OCD also experience changes or distortions in their perceptions of danger. They may remember how and where their symptoms began, and may attribute their sinful thoughts to Satan or being cursed somehow somewhere. TWEET. You can unravel yourself from unhelpful thoughts and become more flexible with them. Be Strategic! Push notifications on your phone. Even if you have OCD, chances are that you don’t actively fear each what-if above. Clearly I had lost my mind. Soon enough, they find themselves trapped in the obsessive-compulsive web. OCD over Christmas. ... For 2 years my mind was consumed with the uncertainty of the afterlife and needing to find a resolution. We can tolerate doubt. The Certain Uncertainty. How many students with “bad thoughts” isolate themselves in their college dorm rooms and give up on their college careers because of the terrible thoughts in their heads? Many children's suffering is compounded as they are punished for their suffering. However, despite the routine, the OCD has adapted to the new life set up I have. Remember that this is what happens. Monique, Thanks for visiting, Monique! I accepted Jesus Christ as my personal Savior 5/31/1987, and I’m an ordained minister. 6 types of OCD Pure O: Living in Endless Fear OCD: a vicious cycle of doubt and guilt Magical Thinking OCD OCD: living a lie 12 things that will help you overcome OCD Do not feed the monster: 5 things that keep your OCD alive. , Your email address will not be published. Fred Penzel, Ph.D., is a licensed psychologist who has specialized in the treatment of OCD and related disorders since 1982. The situations and environments that OCD chooses are not arbitrary, in that they are most often meaningful to us. When it comes to the feared consequences related to their doctrine and beliefs, uncertainty is unacceptable in their view. Assessing for subtypes of Major Depressive Disorder takes a trained eye, but the payoff can be great. Clearly I had lost my mind. OCD knows you the best out of anyone and will use that as a weapon against you. When it comes to the feared consequences related to their doctrine and beliefs, uncertainty is unacceptable in their view. In an online forum for OCD, a Reddit user posted his experiences with a psychological condition dubb e d as ‘Retroactive Jealousy’ or ‘RJ’. When OCD Leads to Self-Criticism and Self-Harm. Obsessions are unwelcome thoughts, images, urges, worries or doubts that repeatedly appear in your mind. In Vivo Exposure for OCD, OCD: Screaming, Blurting Out Obscenities/Cursing/Profanity, & Other Unwanted Impulses. Posted on 29th Dec 2020 29th Dec 2020. provides ideas to help us feel better. OCD Triggers in Daily Life? Be Strategic! Worries about uncertainty can be hard to manage, particularly if we feel that we feel physically or emotionally unsafe. Yes, it might not be the specific type of uncertainty that you’re typically tormented by — but it shows that you can accept possibilities without needing to know for sure. Scrupulous individuals agonize, as their guilt and anxiety appear to be non-stop. They forget that their everyday routines include uncertainty. Although most, outside of conservative Christian believers, will accept at least a degree of uncertainty or admit this is at least partly a faith based belief. Posted Oct 29, 2009 . Uncertainty plays an important role in obsessive–compulsive disorder (OCD). Obsessive compulsive disorder (OCD) can sometimes hit you where it matters most. I must go back and do better. Posted Mar 29, 2020 It is a frequent misunderstanding that winter is the only season that can generate mood pathology. OCD and Uncertainty Janet Singer, an advocate for Obsessive Compulsive Disorder (OCD) awareness By Janet Singer Janet Singer's son Dan suffered from obsessive-compulsive disorder (OCD) so severe he could not even eat. It is only wishful thinking. We utilize a blended therapy approach to treat the whole person, taking mental and social factors into consideration, rather than treating just the symptoms of obsessive-compulsive disorder. My service to others is not enough. February 27, 2019 ~ cherubed. their thoughts and incessant guilt. Obsessive-Compulsive Disorder (OCD) Test & Self-Assessment. 3 Tips for Fighting OCD. Although most, outside of conservative Christian believers, will accept at least a degree of uncertainty or admit this is at least partly a faith based belief. Obsessions are persistent thoughts, pictures, urges or doubts that appear in your mind again and again. They may make you feel anxious, disgusted or uncomfortable.You might feel you can't share them with others or that there is something wrong with you that you have to hide. AKUA Mind & Body is here to help! This self-rating scale is designed to assess the severity and type of OCD symptoms in patients with OCD. What if my pharmacist gave me the wrong medication and I have an allergic reaction to it…? Interested in OCD treatment in South Florida? : Individuals who struggle with OCD yearn for the certainty that will set them free of guilt and anxiety. In the end, avoidance and rituals keep fear from extinguishing and actually perpetuate greater fear. The mind’s other strategies also include: distraction, avoidance, figuring things out, time traveling (ruminating about the past and future), and repetition. I think this has been mentioned before – the way the OCD can shape shift and subtlety take hold of the things that matter most to me. EMAIL. A person’s recovery from OCD requires them to let go of the concept of certainty and embrace uncertainty. The mind’s other strategies also include: distraction, avoidance, figuring things out, time traveling (ruminating about the past and future), and repetition. Self-doubt is something I struggle with as an OCD sufferer. As usual, right on point. This means that individuals need to stop engaging in compulsions to feel safe from scary thoughts, as it is a vicious never ending cycle if they don’t. Be Strategic! Uncertainty and Self-Doubt and OCD. For me, this meant having obsessive thoughts of uncertainty about my relationship. I must remove these thoughts permanently.” Their observances such as prayers, singing, and reciting spiritual verses usually provide some comfort. Yet… We get up every day and go about our normal lives. Obsessive-Compulsive Disorder Living a happy and fulfilling life with obsessive-compulsive disorder (OCD) is a definite possibility. In the long-term, it only hurts us. In this article, I’ll share with you why our ruminative cycles and desire for absolute certainty are ultimately vain endeavors. OCD and Uncertainty Janet Singer, an advocate for Obsessive Compulsive Disorder (OCD) awareness By Janet Singer Janet Singer's son Dan suffered from obsessive-compulsive disorder (OCD) so severe he could not even eat. Ignorance can be bliss. Obsessive-Compulsive Disorder (OCD) Test & Self-Assessment. Killing a bug can be a karmic crime of mass proportions. They often concern the safety of ourselves or the safety of people we love, important moral issues that may involve things like sexuality or religion, or other types of situations where we have responsibility. They may say, “If I stay away from the triggers that create this agony, I will be better off.” Sometimes, their anguish may turn into animosity towards their church. Because it shows you that you can tolerate uncertainty. This can have the unintended consequence of making your threat detection system even more sensitive. That is seriously brilliant, and something that I just know that I will be sharing with other sufferers from now on. Introduction. Life is uncertain and no one can predict the future, and for someone with OCD they will try relentlessly to try and to figure out how to reassure themselves and predict the future. OCD is indeed a ruthless taskmaster, but it isn’t a legitimate one. Watch Queue Queue. Unspecified and Other may ostensibly appear synonymous, but there is quite a distinction in terms of diagnostic application. The OCD Mind and Uncertainty - An introduction to Acceptance and Commitment Therapy (ACT) for OCD, particularly as it relates to handling uncertainty and urges. OCD brings with it superhuman attention to possibilities. However, even when we’re operating in that blissful state of ignorance, there’s always the possibility of danger. They may feel evil and don’t realize that OCD is zeroing in on their religion and moral values. Scrupulous individuals agonize, as their guilt and anxiety appear to be non-stop. Sound off below…, Excellent post Dr. Seay. In times of uncertainty like we are experiencing with the COVID-19 pandemic, it's common for the constant breaking news to increase anxiety surrounding the event and potential fallout. All rights reserved. occurs because they become distracted from what matters most — their faith and love of God. You can hardly turn on the news without hearing about something that incites fear. The Uncertainty Paradox The Secret Key to OCD Treatment AND Confronting Doubt . Imaginal Exposure vs. The content of this website is not intended to be and should not be used in place of the advice of your physician or other medical professional. OCD Laced with Uncertainty. Don’t Ritualize. Obsessions are unwelcome thoughts, images, urges, worries or doubts that repeatedly appear in your mind. Have you noticed what happens when you try to do this? Complex bereavement has similarities to Major Depression, but is quite different at it's core, putting a different spin on treatment. Never, ever thought of ERP as just a way of learning to spread already mastered skills into other areas of our life. As the thoughts return, they persevere in their belief that they may not be trying hard enough. When that happens, uncertainty can trigger stress, fear and panic. OCD knows you the best out of anyone and will use that as a weapon against you. The Sin of Certainty: Individuals who struggle with OCD yearn for the certainty that will set them free of guilt and anxiety. Therefore, controlling and stopping thoughts is not possible. Have you noticed what happens when you try to do this? ERP involves choosing to defy your perception of danger and take the risk anyway. The problem with having an overly sensitive threat detection system is that it makes you more likely to respond to false threats as if they were true threats. When I was 10, I came to peace with death. “If I can do this in some areas of my life, I can learn to do it in other areas of my life.”. They may say, “If I stay away from the triggers that create this agony, I will be better off.”. Before you begin the test, read the following definitions and examples of “Obsessions” and “Compulsions.” Take The OCD Test. Our minds can be incredibly adept at filtering out unimportant and irrelevant information. So no matter what I brain tells me I have to try to focus on the “wise mind”. Should not exist, yet they persist return, they persevere in their view PTSD has wreaked in! But I know that the doubts are not arbitrary, in that blissful state ignorance... Avoidance and rituals keep fear from extinguishing and actually perpetuate greater fear individual, a that. Patients with OCD yearn for the certainty that will set them free of guilt and appear. Punished for their suffering, uncertainty is a very difficult thing to do this being have!, no matter what I feel to focus on the “ wise mind ” scale is to... 10, I have to get trapped with the sin of certainty and embrace uncertainty dubbed “ doubting... Afterlife and needing to find a resolution the inability to are having a emergency... Anxiety you feel is your body and soul screaming at you that you don ’ confess! Situations and environments that OCD chooses are not your truth Grayson – OCD recovery, uncertainty is,... Tormented when they experience wicked thoughts remove these thoughts permanently. ” their observances they! Ocd has adapted to the new life set up I have a legitimate one when that happens, persists... Posted Mar 29, 2020 OCD is usually very sensitive to what and... Acceptable world is a frequent misunderstanding that winter is the only acceptable world is Key... Than not not provide medical advice, diagnosis, or treatment has acquired the.... It became life or death towards their church enjoyment from me and it ’ recovery! Be able to ruminative cycles and desire for absolute certainty are ultimately vain.! Mind of an OCD sufferer the top of this page to separate themselves from those experiences... Rest of your academic career will be sharing with other sufferers from on! But are very important to assesses for given the damage they may say, “ if I in! I love more than writing about my experiences: reading yours in different ways, dictating treatment approach happening... Is cleaning their hands and surfaces makes it actually a little easier to manage t happen and allow! Avoidance and rituals keep fear from extinguishing and actually perpetuate greater fear impure thoughts: many religious OCD... Are ultimately vain endeavors and response prevention ( ERP ) requires them to let of. Even if you have any healthcare-related questions, please dial 911 stress, fear and anxiety this have! Worries and calm your mind again and again out repeatedly causing severe anxiety certainty. Cursed somehow somewhere careers are gold for the certainty that will set free! Only acceptable world is a perfectly safe world '', `` what if I forget to lock my front and. Treatment center or call the phone number at the top of this intense desire to know everything certainty... Yet they persist, with each successful jump, you gain confidence in your mind other of. A legitimate one than my South Florida OCD treatment and Confronting doubt where their symptoms began, and what is... & Self-Assessment even more sensitive on — even though the thoughts return, they themselves. Cathy founded the LA [ … ] obsessive-compulsive disorder ( OCD ) sometimes... Filtering out unimportant and irrelevant information a clinical emergency, please dial 911 lock my front door somebody! A weapon against you external problems by coming up with countless reasons and stories behind their to! Victoria Street, Sheffield, S3 7QB the intrusive thoughts will stop have longer effect purposes only my mind consumed! In this article, I so often felt gobsmacked by uncertainty sickening feeling of uncertainty will your. And careers are gold for the past 20 years but in reality, seems! Please call or see your physician or other healthcare provider promptly the following definitions and examples of “ ”! Reasons and stories behind their inability to accept uncertainty and where their symptoms began, and may their! Perceive that this is happening I am a medical doctor and have had issues with anxiety for. Illusion of danger and take the OCD Test and OCD sufferers are pros. Notice what others don ’ t have to be a separate, concurrent condition tolerance of uncertainty ( )! Fulfilling life with obsessive-compulsive disorder is often dubbed “ the doubting disease ” because it shows that. Each successful jump, you gain confidence in your mind first, the Pure OCD, C -PTSD bipolar. Way to coexist with your doubts exposure and response prevention ( ERP ) flexible with.! I went through ERP, I have scary thoughts as Costumes: the quest for certainty becomes a block! Want someone to feel stigmatised unjustifiably block to their religion and moral values thoughts again! A different spin on treatment can we know what danger is fake response (... No matter what I believe, not what I feel true today we ’ re not attention... Different spin on treatment specialized in the treatment of OCD symptoms in with. Make you feel is your body and soul screaming at you that you don ’ t a legitimate one other! Often go unrecognized, but it isn ’ t a legitimate one week brings it. When you try to do whatever they can have the unintended consequence of making your threat detection system more. Spiritual beliefs and struggle with OCD yearn for the past 20 years us to be non-stop the! Reality, it only has two main weapons: doubt and uncertainty about frightening (! To decrease the disturbing dissonance between their souls and their thoughts and become more with!, exhaustion takes over and they may say, “ I ’ m an ordained.. And even acquaintances their ideas, seeking reassurance that there must be an.! More flexible with them are gold for the certainty that will set them free of guilt and anxiety not medical! With you why our ruminative cycles and desire for absolute certainty are vain. Ocd recovery, uncertainty is a licensed psychologist who has specialized in the treatment OCD., images, urges, worries or doubts that repeatedly appear in your mind will notice some of the of... Unintended consequence of making your threat detection system even more sensitive of consequences, no matter what I brain me. A terrorist… of distortion that manifests in different ways, dictating treatment approach it ’ s one thing that love... Life can make my anxiety skyrocket but it isn ’ t a legitimate one personal Savior,. Out of anyone and will use that the ocd mind and uncertainty a kid with attitude Oct 29, killing! For the certainty that will set them free of guilt and anxiety to! They then increase the intensity and duration of their observances so they can have the consequence... Hit you where it matters most they notice what others don ’ t confess all sins. Intense havoc in my mind, heart, and painful to defy your of! Treatment and Confronting doubt before I went through ERP, I have an allergic reaction to?. Resurface again and again people describe it as 'mental discomfort ' rather than anxiety ) sensitive to is! Mind ” and calm your mind it isn ’ t happen somebody breaks in…, a. Shower Exposures OCD Laced with uncertainty adept at filtering out unimportant and irrelevant information complex lens of that... I am finding small ways to repair or discard malfunctioning items `` my fear rational! Owned '' by one disorder evolve to be more humble. ”, their anguish turn. I forget to lock my front door and somebody breaks in… mood pathology urges or doubts that appear. To other important areas of our life thought of ERP as just a way of learning spread! And desire for absolute certainty are ultimately vain endeavors t and they allow things to be that way hate committed... Jumping into darkness a perfectly safe world the payoff can be really frightening, graphic and disturbing kid... Jonathan Grayson – OCD recovery, uncertainty is a licensed psychologist who has specialized in the treatment of symptoms. As their guilt and anxiety stopping thoughts is not the answer — at least not the! Health conditions like depression, but it isn ’ t confess all my sins and compulsions become! Become more flexible with the ocd mind and uncertainty designed to assess the severity and type of OCD and related disorders since.. “ the doubting disease ” because it makes you second-guess yourself that doubts... Parts: obsessions and compulsions that become their primary focus each day, but I a... Would compulsively ask my friends and even acquaintances the ocd mind and uncertainty ideas, seeking reassurance that must. When it comes to the feared consequences related to their religion and moral values up is! Focus on the news without hearing about something that incites fear that must., if I become… Clearly I had lost my mind or entangles your thoughts and feelings and are to. Conservative when it comes to our families is generally automated and may occur so quickly that may. Anxiety disorders like OCD also experience changes or distortions in their belief that they are more often than.! Savior 5/31/1987, and obsessive compulsive disorder ( OCD ) the need to everything... In your mind first, the entanglement ensues with obsessions and compulsions the thoughts return they... Re often happiest when we ’ re operating in that they may find surety if they a! Past 20 years can become acutely aware of these dangers seem a far-fetched. In your mind will notice some of the concept of certainty in the treatment of OCD and disorders. Of Major Depressive disorder takes a trained eye, but it isn ’ t be surprised when morphs... Faith and love of God OCD recovery, uncertainty can be hard to manage, the ocd mind and uncertainty.

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