OCD Awareness Week - A little bit OCD?

     From the 14th-20th October it is OCD Awareness week; I thought I would do my bit and write a little blog-post.
     I would imagine that almost everyone has heard of obsessive-compulsive disorder (OCD); but unfortunately there is one person too many that trivialises and belittles this debilitating disorder by making offensive, cruel and callous 'jokes' like the ones below, that only add to the stigma.

     Another misfortune is the amount of people who do not really understand what OCD is. OCD-UK say that "as understanding and public awareness about Obsessive-Compulsive Disorder has grown, so has the use of the term ‘OCD’ as a description for some kinds of behaviour that are not related in any way to the actual condition". Someone may say, for example, "I'm a little bit OCD" to excuse themselves from any 'quirks' or unusual behaviours they have. This is not OCD. Whilst said person may have a particular way of wanting/having things done this simply doesn't qualify them as having a diagnosis/label of OCD. OCD can be extremely debilitating; affecting peoples education, careers and even relationships. This careless throwing of statements belittles the crippling anxiety and distress that many people who have OCD experience. Having OCD can bad enough in itself without added layer of shame, guilt and ridicule. It is things like these that prevent someone from seeking the help that they need - and all the while their symptoms can become worse.

     The DSM-IV-TR (Diagnostic Manual of Mental Disorders) gives an outline of the symptoms/characteristics of OCD.

     Obsessive-compulsive disorder involves obsessions and/or compulsions. 

     Obsessions:

• are recurrent/persistent thoughts, impulses or images that are experienced and cause anxiety or distress,
• are thoughts/impulses that are not simply excessive worries about real-life problems,
• are perceived as uncontrollable, the person with OCD may fear that they will lose control and act upon these obsessions,
• can be neutralised by thinking of something else, or by carrying out an action,
• obsessions can include: ideas - e.g. there are germs everywhere; doubts - e.g. worried that something important has been overlooked; impulses - e.g. to shout out words; or images - e.g. fleeting sexual images.

     Compulsions:

• are repetitive physical or mental actions that are carried out by an individual in order to reduce the anxiety that comes with the obsession and/or to 'prevent'  something from happening.
• can be hand-washing, but can also be, ordering things, checking things, counting or repeating words silently.

     We all may have minor obsessions or compulsions, e.g. we may say someone is obsessed with work or football and so on. You could say that I am obsessed with Harry Potter (I love Harry Potter!). However, these obsessions are not usually unwanted and do not interfere with daily life. Many people may carry out rituals, like not stepping on pavement cracks, that make them feel safe; but these are not usually considered to be problematic.

     An important part in the diagnosis of OCD is that a person's obsessions and compulsions have caused them great anxiety/distress and significantly interferes with their daily lives.

Raising awareness can be
as simple as wearing a ribbon!

     Now, considering it is OCD Awareness week, it would be a pretty good idea to do some awareness raising. There are loads of ways in which you can raise awareness (don't worry, you don't have to do every single thing - do as much as you want) and break down the wall of stigma. Here are a few suggestions:

• Changing your cover/profile photos on social network sites,
• Distribute leaflets, postcards or posters around your workplace, school, university or local doctors surgery,
• Write a blog (like me!)
• Wear a wonderful blue ribbon (like the one shown on the right),
• Hold a bake sale,
• Deliver a presentation or an assembly if you work in a school,

...anything that will get people talking!

BMNM.

References

     American Psychiatric Association (2000), Diagnostic and statistical manual of mental disorders, 4th edition [DSM-IV-TR], Washington, DC, American Psychiatric Association

     OCD-UK (2004), What is not OCD!, [online]. Available at: <http://www.ocduk.org/whats-not-OCD> [Accessed 16 October 2013]

'Mental Patient' Costumes - A Blessing In Disguise

     I am pretty sure if you have got your finger on the pulse you probably would have heard about the supermarket chains Asda and Tesco, and online retailer Amazon being caught in a uproar for selling Halloween costumes entitling 'Psycho Ward' outfit and 'Mental Patient' fancy dress costume. These costumes included ragged clothing, fake blood, a mask, and a fake meat cleaver or an orange boiler suit with a plastic jaw restraint as well as machete to "complete the look".
     After a storm of complaints and outrage from customers and people on social networking sites these companies subsequently withdrew these offensive outfits from sale, have made apologies and will be donating to the mental health charity Mind.
     Unfortunately there have been one-too-many troglodytes saying '...if you don't like the outfits then don't buy them....what's all the fuss about?' It's times like these I face-palm myself and try to keep myself calm over the frustration as to how someone could be so callous and ignorant, but if it still needs saying until I'm blue in face then I accept the challenge.

Sometimes I ask myself why I bother...
...but then I remember why.

     It is quite astounding, and worrying, to think that 'intelligent' (seriously considering whether this is the right word to use or not), successful people of these large companies would ever think it would be okay to do something like this - did they consider to sell outfits depicting cancer, diabetes or coronary heart disease as well? When were they born? 1847? The hard work that every single mental health charity, campaigner, activist, or volunteer does to try and break down the wall of stigma and then you have these buffoons pilling on more bricks and cement.
     It is things like this that re-enforce the unfair, incorrect negative stereotypes of mental health and mental illness - that we are blood-thirsty, violent, cannibalistic murderers. When actually people with mental health problems are far more likely to be a victim of violence. It is things like this that make people treat individuals with mental health problems as second-class citizens or as targets of abuse. Having a mental health problem in itself can be a struggle; without the additional layer of guilt or fear of social persecution or abuse making everything worse. There are thousands people with mental health problems who are not receiving the help and support they need - it is not just down to the lack of resources and funding available, but also fear of reaching out for help (from a GP, friend or family member) and receiving nothing in return except contempt, abuse and guilt. 
     Now when I title this blog post '...A Blessing In Disguise' I mean it in the sense that these companies idiotic actions have given a great opportunity for mental health charities, campaigners, activists, people with mental health problems and thousands of others to raise awareness and to help end mental health discrimination - to tell everyone that this kind of behaviour is not okay and that we should be treated with the same amount of care and respect as everybody else. Thousands upon thousands of people took to Twitter and Facebook to show everyone what a real #mentalpatient looks like. Do you know what they look like? Like you and me.
     If you would like to know how you can help end mental health discrimination check out Time To Change.

BMNM.