I’m not really sure when the thoughts began, or the headache either, for that matter. All I know is that by January 3rd, 2017 I had an appointment with my primary care doctor, because I was convinced that the headache, which had been lingering for a few days, was symptomatic of a brain tumor. I just knew it, and I had already been revolving the idea in my brain for days.
Zero to sixty, I know. The best way I can describe my experience with health related Obsessive Compulsive Disorder is like opening a door which leads to a hallway and feeling as if the only way to go is forward. When I stand at the threshold of an obsessive episode, it never seems possible to simply step back and close the door.
After examining me, my excellent doctor did her best to reassure me that I was not in danger. She is infinitely patient with me, and this is not the first time she has had cause to show it. I left her office with a prescription for a medicine commonly used to treat migraines. A condition which I have never had with any sort of regularity in the past.
That. Right there.
Do you see what I did? ” A condition which I have never had with any sort of regularity in the past.” That, my friends, is OCD talking. It seeks to disprove anything a doctor tells me, and it told me exactly those words when I left my doctor’s office on January 3rd, clutching my prescription like it was some sort of holy text.
OCD whispered to me- You’ve never had a migraine like this before. This is different. This is something else. You know it. You can feel it in your gut. Trust your instincts.
I listened. I walked through the door and down the hall. And I spiraled.
By Thursday, January 5th, just two days later, I was lying in an MRI tube receiving a brain scan from a very kind technician who asked me to tell him a band I liked (I said The Head and The Heart) and played it loudly in the room, in an attempt to drown out the panic-inducing sound of the MRI machine whirring around my head.
How, you might ask, was I able to get an MRI when my doctor clearly did not think it necessary?
OCD. That’s how.
OCD, in some ways, is like a super power. It affords me razor sharp focus. When OCD decides that something needs to be done, I will exhaust an alarming amount of physical and mental energy to make it possible. I made phone calls. I researched. I put pressure on people. I hounded doctors and insurance, nurses and imagining centers. I was relentless. This super power, however, comes at a cost. When the OCD focus is on, everything else is off. My children, my husband, my hobbies, my friends, my family, my passions, my home, my dog, my job, my writing, my life. OCD brushes it all to the side, in pursuit of the object I am obsessing over.
The only silver lining to this entire situation was that, by the time I was pursing an MRI, I knew it was OCD. In between seeing my doctor and getting the scan, I saw my therapist. I have not yet perhaps conveyed how, during this entire episode, I was distraught. I didn’t worry that I had a brain tumor. I knew I had a brain tumor, and I reacted accordingly. Panicking, I was crying more often than I was not, and even though I was legitimately terrified for my life, I also recognized the likelihood that this entire situation was being driven by my mental illness. My therapist agreed, and we worked hard to stop the episode in its tracks, but we both recognized a raging inferno when we saw one, and our little buckets of water were simply not cutting it.
So, I made her a promise. I would get the MRI, because I didn’t know how to say no to the OCD which commanded it, but afterwards I would check myself in to my local behavioral hospital for evaluation. I did this knowing that there was a chance I would be admitted, because I knew that I was in far too deep and alarmingly over my head. I have never been so controlled by OCD as I was that first week of 2017.
I kept my word to my therapist, and immediately after leaving the imaging center, before even receiving the results of my MRI (all normal, in case you were wondering), I drove directly to my local behavioral health hospital.
I am fortunate, in that my local hospital has an excellent Behavioral Health facility, with a nationally recognized Anxiety and OCD Program. They have an intake evaluation process which determines an approximate diagnosis and plan of action. I was referred by the intake eval for a Partial Hospitalization Program, but elected to participate in the Intensive Outpatient Program instead. The IOP only met from M-Th weekly and since my eval was on a Thursday evening, I did not begin the program until the following week.
To be continued…
I’ll be back next week to pick up where we left off, with the beginning of the IOP.