Ask Kati Anything ep. 241 | Your mental health podcast, with Kati Morton, LMFT

Audience questions:

1. Is it possible that my self harm and self sabotaging behaviors are compulsions? I usually tell myself I’m not deserving of help or nothing is actually wrong in less I engage in x behavior. So then I engage in the behavior and feel almost like self validated but also I feel too ashamed to talk about it and guilty because if that was my thought then is it even real and can’t I just stop. And then the cycle continues. It’s like I want to stop but I can’t because then I think I’m not worthy of getting help but I can’t even get help because I think I’m making it all up anyway. It doesn’t make any sense but I don’t know why I keep getting stuck in the cycle and I don’t know how to get out. 00:30

2. Can harm / sexual based ocd intrusive thoughts come up in dreams?? I had a very horrible, sexual based dream and now I’m feeling so much shame. Like what if I like that, what if I’m actually a horrible person. (COMMENT: As an add on. Is the same true for agoraphobia? I dream of getting kidnapped if I go outside or when I am too loud at home alone. However I was also diagnosed with OCD and my compulsions of checking locks is also related to the same fear.) 11:25

3. I had really bad and obvious OCD when I was younger, I think roughly from the age of 5 years old. I didn’t have any traumatic event happening to me. Why would a child this young develop OCD? 18:19

4. If you could talk about harm ocd that would be helpful with intrusive thoughts. 25:47

5. Could you talk a bit about physical anxiety? I struggle with anxiety and I feel it super physical, e.g I am dissociating a lot, heart racing, nausea, and my stomach is upset. I’ve learnt coping skills in therapy how to deal with anxiety but I just feel like the physical part of it is not getting better. I also tried more physical exercises and stuff like that to release the physical energy. I feel physically anxious 24/7 even if there’s no reason to be. I am not taking any medication, I tried it in the past but they made me dissociate so much more. Do you have any advice for me? Thank you so much for your help 30:25

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