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One more thought on this: My daughter has on occasion had a sense of doom/fear/anxiety/panic AS an actual "pre-attack" sign! I mean to say, that was the first symptom of the impending physical attack, rather than having more physical sorts of hints first, and there was nothing else going on in the moment that she would normally be at all anxious about.
Interesting. I've never really noticed that in myself, but it just could be that I just haven't been paying attention. Due to the OCD, I do have problems sometimes separating "normal" thoughts from the irrational thoughts that come with the OCD, such as irrationally worrying about a terrible thing happening to a family member or becoming obsessed with the thought that my butt-sweat is showing through my pants, to the point that I must go to the bathroom and check (yes, very strange thing to obsess about, but OCD is anything BUT rational, lol). So I think I'd have to really, really work and pray on filtering out obsessive thoughts from non-obsessive warnings.
There are times when I "know" things, and there are times when I obsess about things, and I do pray a lot that I will know the difference. Fortunately, most of the time I do recognize when something is totally irrational and OCD-related. Now that this panic attack precursor thing has been brought to my attention, I think I'll start monitoring it closer.
But yeah...it IS awful having OCD and IBS-D. You never, ever feel clean. Ever. However, I manage to live a fairly productive life. I'm not nearly as crazy as I sound.
-------------------- IBS-D since...well, a long time
(probiotic acidophilous, SF supplements, IBS eating plan)
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