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Tag: Mindfulness

124. What to do When Compulsions Become Habits and Routines

In this episode, Carrie explores how compulsions can evolve into habits and routines, especially within the context of OCD. She shares insights on how these patterns can impact daily life and offers practical advice on breaking free from their grip.

Episode Highlights:

  • The progression of compulsions into habits and routines.
  • The impact of compulsive behaviors on various aspects of life.
  • Strategies for identifying compulsive behaviors and understanding the motivation behind the desire for change.
  • Techniques for developing awareness of compulsive actions and acknowledging engagement in rituals.

Episode Summary:

I’m Carrie Bock, your host and licensed professional counselor based in Tennessee. Today, we’re diving into how compulsions can evolve into habits and routines. If you’ve been managing OCD, you might have noticed that compulsions start small but can gradually develop into extensive rituals.

For instance, you might begin with a few simple actions before bedtime, but before you know it, these actions can stretch into a 15-30 minute routine involving checking locks, windows, and appliances. This isn’t about typical bedtime routines but rather compulsions that grow more demanding over time.

Similarly, rituals before leaving the house can become time-consuming and interfere with your daily life. You might find yourself repeatedly checking things, which can delay work or social engagements.

Here’s the deal: If you recognize these patterns in yourself, the first step is to avoid self-blame. OCD can be sneaky, and what starts as a small request can balloon into an all-consuming ritual. The key is to acknowledge the issue and decide why you want to change it. Whether it’s reclaiming time for loved ones or personal care, understanding your “why” is crucial.

I encourage you to listen to the full episode to gain insights on managing these rituals effectively and to learn practical strategies that can make a real difference in your life.

Check out related episode:

https://carriebock.com/podcast-breakdown//118-how-do-i-know-if-this-thought-is-an-ocd-obsession-with-carrie-bock-lpc-mhsp

Welcome to Hope for Anxiety and OCD episode 124. I am your host, Carrie Bock, a licensed professional counselor in Tennessee. Today, we’re talking about when compulsions become habits and routines. 

If you’ve been dealing with OCD at all, you may notice that compulsions start out a certain way, but then they just develop once you do them so often, or you do them in certain situations or scenarios so often then, they eventually become routines, rituals, habits, however you want to say it. For example, people may have certain things that they feel like they have to do before they can lay down and go to sleep at night. Here’s the problem with OCD, it’ll start out with like,” Ah, just do this one or two things before you go to bed, and you’re like, “Okay, that’s not that big of an ask,” and next thing you know, you’re doing this.It’s like 15 to 30-minute routine and ritual stuff, and it’s all OCD functionally related. I’m not talking about normal things that people do to get ready for bed. It’s like checking the locks a certain number of times or making sure all the windows are closed and the doors and that the oven’s off and all of a sudden it becomes this whole thing.

There may be some similar rituals that people have about leaving the house. I have to do these specific things before I can leave the house. The problem is that it may interfere with getting you to work. It may interfere with getting to social functions or other things that you need to be at because you keep going back and keep checking and looking at things.

Your rituals may involve things like cooking, cleaning, or the trash, and maybe washing your hands a lot during those types of rituals. First, I would say, if you notice, “Okay, Carrie, yes, what you’re talking about, I’m dealing with some of those things.” The first thing I would say to you is don’t beat yourself up. You didn’t get here overnight. OCD probably was like a little demanding, and then a little more demanding, and then a little more demanding, and next thing you know you have this whole giant ritual. You Just to take out the trash. It happens. It’s sneaky like that. We don’t want to beat yourself up or be in a place of shame.

If you’re identifying like, “Oh, I have these things that I need to change because now it’s gotten to a level that feels out of control for me.” What I would say is to identify the compulsive habit, routine, ritual, whatever you want to call it that you want to change and why you want to change it. It’s important to know why you want to change it. Maybe there’s something that you want to use that time for instead. You realize I’m being robbed of time that I could be connecting with other loved ones in my life.

I’m being robbed of time that I could be using to for self-care exercise. Maybe your why is that you realize OCD is taking way more control in the reigns over your life than you want to give. And you say, “You know what? I don’t want to fulfill OCD’s demands anymore. I can’t stand this no more.”

Now, if you recognize yourself in the middle of this routine. You develop awareness even over that you’re doing it. Some of you may just kind of check out and you’re just going through the motions and that’s what you don’t want. You don’t want to check out and go through the motions.

You want to recognize like, “Okay, I am thoughtfully choosing to engage in this compulsive ritual right now.”  Instead of just it being like muscle memory for you, we all have that if we do things over and over and over again. Eventually, we don’t have to think about that we’re doing it. There are many tasks involved in driving that you don’t think about just because you’ve driven so much and it’s become a routine.

You know when to check your mirrors, when to push the gas, when to push the brake. When you’re going through this compulsive ritual, you’re going tell yourself, “Okay, I’m choosing to engage in this right now.” Maybe you can’t stop it right away and that’s okay so that you step by step know what you’re doing.

The first step is to really even recognize and slowing down. “This is what I’m doing and I’m identifying to myself, even if to no one else, I’m identifying to myself that this is a compulsive ritual. 

Now, like I said, number one was, you’re not going to beat yourself up for it, but then when you get to the next kind of phase, You can plan to somehow mess it up. If you are telling yourself you have to do something a certain number of times, maybe you start by doing it. The ideal is that you wouldn’t engage at all, but that feels really hard or too big. You say, “Okay, well, I’m going to do this maybe one less time. If I normally do it three times, I’m going to intentionally mess it up and do it twice.”

Also know that OCD is going to be really irritated about that. It’s probably going to be disruptive and tell you it’s not going to feel right, and it’s not going to feel okay, and you have to be able to tell yourself that that’s all right, that this is part of the process of saying no to OCD, is that it’s going to get upset, just like boundaries with anyone.

You set your boundary with OCD, it’s going be mad, it’s going to push you back, and it’s going make you feel uncomfortable. Let’s say, it’s okay, this is how I’m getting out of this brain obsessive compulsive loop. That somewhere in that process, I have to intervene and mess that, that loop up. Every time I go around the loop, it gets stronger. And because that’s ingrained in your brain, You can’t just say no once or twice and expect it to be gone. You have to consistently be able to work through that in a way. If you usually say your part of your ritual is pulling on the doorknob, maybe you leave that part out. Maybe you make sure the door is locked, but you don’t pull on the doorknob.

If you have mental compulsions, make an intention to not do them perfectly like you would normally do, or not doing them until they feel right. Subtract something until you get to a point where you say, “Okay, I’m going to completely disengage from this activity. I’m not going to do this anymore.” 

Make that an experiment, maybe see, so if I don’t do my entire ritual before I leave the house, are things still going to be okay? I may not feel like they’re okay, but are they still going to be okay? You’ll probably find that nothing bad happens that day if you don’t do it. It’s okay, but the idea is that if you can’t stop the compulsion right away, try to see if you can somehow mess it up or delaying the compulsion. Maybe you tell yourself this is not really as workable for bedtime or something like that, but if there’s something that you’re doing immediately, like A lot of times I’ll have clients who are confessing many, many times throughout the day.

They’re confessing stuff. They’re not even like taking a pause to know if it’s a sin or not. It’s just like, “Oh, I had a thought. I must confess that. Oh, I had an experience that maybe might have been a sin and I’ve got to confess that.”

One of the things I’ll tell people to do in terms of delaying is say, okay, why don’t you take some time either in the morning or at night and be intentional instead of just repeatedly confessing everything, be intentional about what do I need to confess today? Stick it to that time period. If you don’t even remember it, or the Holy Spirit doesn’t bring it to your mind, it probably wasn’t important enough for you to confess. That’s okay, you can let those things go and not have to be stuck up on them. You’ll probably find that you’re confessing a whole lot less. Does that mean that you’re less spiritual? No, it means that you’re being present and intentional with God with your spirituality to be able to say, okay, like I want to have a relationship with you. I don’t know if you could imagine having a relationship with anybody else where you were constantly saying that you’re sorry. That does happen sometimes with people and usually they’re saying sorry unnecessarily after a while. Pretty soon people aren’t really hearing the apology anymore. All I’m hearing is I’m sorry. I’m sorry. I’m sorry. It’s like wait a minute do you even know what it is you’re sorry for anymore? 

Think about that relating that over to your relationship with God you want those times where you are confessing To be meaningful for you, I hope that this clarified some things of if you’re going to get out of something like an obsessive compulsive loop, you have to be so aware of it and so aware of the trickiness that OCD gets you wrapped into.

If you’re not aware of those things, it’s really hard to intervene and make changes. So many of the times we’re going through life, we’re just going through the motions, we’re just doing things, we’re not thinking about it. Mindfulness is something that I teach my clients that really helps you to be able to slow down, be intentional, be in the moment, be present, to be aware of what’s going on.

For those of you who are trying to make some intentional changes to your routines. I hope that this information was helpful for you. You can always find us on hopeforanxietyandocd.com. You can click on courses to find out more about the mindfulness course there. We are winding down on time to sign up for the OCD summer sessions that you can find at my counseling practice, bythewellcounseling.com. That’s an opportunity for you to learn this summer. You don’t have to be in Tennessee to participate. We’re going to have some webinar series to cover a variety of issues. I hope to see you there. 

120. Are You Overly Responsible for Others’ Choices? 3 Ways to Know. with Carrie Bock, LPC-MHSP

In this episode, Carrie explores feeling overly responsible for others’ feelings and actions. She explains how this can cause stress and shares some helpful ways to ease that burden for greater peace and acceptance.

Episode Highlights:

  • The signs of being overly responsible for others’ behavior and emotions.
  • How trying to control others can lead to internal stress and anxiety.
  • Why taking responsibility for others’ emotional experiences can be detrimental to your well-being.
  • Strategies for developing distress tolerance and finding peace amidst challenging relationships.

Episode Summary:

Welcome to episode 120 of Christian Faith and OCD! I’m Carrie Bock, a licensed professional counselor based in Tennessee. If you’re outside Tennessee and need help connecting with anxiety or OCD resources in your area, I’m here to assist.

Today, we’re exploring the anxiety that comes from feeling overly responsible for other people’s emotions and behaviors. You might be overstepping if you’re trying to control or prevent someone’s actions, especially in relationships marked by codependency or addiction. Remember, the ultimate responsibility for their behavior lies with them.

Another sign is taking on others’ emotional experiences. If you avoid speaking your truth or setting boundaries out of fear of upsetting someone, you’re likely taking on too much. It’s important to communicate with kindness while allowing others to handle their own reactions.

Lastly, if you constantly try to change someone’s behavior or convince them to do something differently, it’s a sign of excessive responsibility. Accepting what you cannot control and focusing on your own well-being can help alleviate this stress. For support, check out my mindfulness course to develop distress tolerance.

Feel free to share your thoughts through our contact form at carriebock.com. Thank you for joining me, and may you find comfort in God’s great love for you.

Explore related episode:

Welcome to Hope for Anxiety and OCD episode 120. I am your host, Carrie Bock, a licensed professional counselor in Tennessee. I also provide consultations to those outside of the state of Tennessee who are looking for finding and getting connected with specific resources for anxiety or OCD in their area, or what might be the next step that would be helpful for them.

Today on the show, we’re talking about being responsible or feeling this sense of responsibility for other people’s feelings and behaviors. Even though you’re not responsible for others in that way, that may be new news to you. It creates a lot of anxiety when we strive to try to control other people or try to manage their behavior that can cause us a lot of internal stress. I want you to have peace, enjoy, and be relieved for some of that. 

We’re going to talk about three ways that you know that you’re overly responsible for someone else. 

Number one, you find yourself trying to prevent certain behaviors in that other person. This happens a lot in terms of codependency with people who have addiction.

Let’s say, for example, you’re trying to reduce the addict’s stress so that they won’t use. You go around, you clean up the house. Maybe even do things like throw away the alcohol, put out the pamphlets or the information on the local AA meetings. There are all these little things that you’re doing to try to influence or control that person’s behavior, trying to make sure that there isn’t conflict so that they don’t get upset.

This also happens frequently if you’re connected with someone that’s angry, and you may know certain things that trigger that anger, certain things that are a tipping point, and so you hold back. On saying things that may need to be said, you hold back on setting boundaries because you don’t want to upset that other person and you don’t want to have that anger unleashed on you.

Here’s the problem: People are unpredictable human beings. So, even though we may tiptoe around the attic in hopes that they won’t use or try to create the perfect scenario for their sobriety, ultimately, like, they have to be the ones to take that responsibility on to be able to surrender to God, surrender to, I’m powerless over this addiction.

They have to take that responsibility in order to move forward. You can’t make them or take that responsibility on for them. People who have difficulty with anger or fly off the handle, as you know, you can tiptoe around them, but there’s still going to be something that sets them off. It’s unexpected, something that’s completely outside of your control, like people who are just stressed about work, they’re mad, and they come home and unleash on other people.

You cannot prevent that. That person has to recognize their own issues, the other things that are leading to their anger. They are responsible for managing their stress. You’re not responsible for managing their stress. We take that step back and say, “I cannot change this other person.” That is a hard acknowledgement.

It’s an important acknowledgment for you to have. It may bring up a lot of sadness that you’re avoiding dealing with. It may bring up other emotions that are hard to sit with, feelings of powerlessness, inadequacy, and it’s much easier to get into doing mode, tiptoeing around, and trying to prevent those people from falling into behavior patterns. We cannot change other people. Only God can do that. 

Number two, similar to number one, you may be overly responsible for others if you take responsibility for others emotional experiences. What this looks like? We are called in scripture to have the fruit of the Spirit. When we are connected with God, we experience love, joy, peace, and patience. We are told to speak the truth in love. We also have to balance this with times where God calls people to be bold and to be brave, to prophesy at times and say hard truths. All that means is speaking the truth of the gospel or of Scripture. We’re called to do that in love. But a lot of times what happens is we tell ourselves, I can’t say what I need to say to this other person, or I cannot speak the truth to them because they’re going to be upset or they’re going to be angry at me and this can even happen in our closest, most intimate relationships with our spouse. Sometimes we need our spouse to call us out. And it’s a beautiful thing because that lets us know, hey, you have a blind spot here. 

My husband called me out not too long ago and said, “You have unforgiveness towards these people in your life.” I was like, “Oh! Ouch!” It did. It hurt my feelings, but I’m so thankful that he said that because that was a blind spot for me. I wasn’t in awareness that I was still holding on to so much anger and bitterness that in my perception I thought I had let go of, but what he was able to see from the outside view was “No, you haven’t let go of that.”

By allowing me to have that hard emotional experience, it drove me back to God. It drove me to prayer to say, “Okay, God, am I in unforgiveness?” Yes, I do believe, that I’ve been convicted and I’m in unforgiveness and allow me to pray through that and say, I don’t want to hold on to this anger towards these individuals any longer.

I don’t want to live in bitterness. Yes, I believe what they did was wrong, and I’ve had my time to be angry about it, and now it’s time to not continue to hold it against them and to let it go so that I can be at peace. These are also people that I want to continue in relationship with, and I want to continue walking side by side.

As a result of that, I need to have a positive, forgiving, and loving, gracious attitude towards these individuals. That was incredibly eye-opening and incredibly loving. But oftentimes what happens, even in Christian circles, is we say, “Oh, I can’t set a boundary because that’s going to hurt that person’s feelings,” or “I can’t speak the truth and let them know that they’re off course because they’re going to get mad at me and they might not want to be my friend anymore.” This is unhealthy in our lives when we take responsibility for other people’s feelings and try to prevent them from having hard feelings, because sometimes we need to have hard feelings. That’s a part of growth. 

If you say something, and even if it’s a kind word, and you know that person is going to be upset, they have to deal with their own feelings. You are only responsible for saying the kind words, for speaking the truth in love, for showing patience with other people and grace. We also don’t just run around calling people out just because we want to have a positive relationship with that person and be careful with our words. But there are times where you’re going to say kind things and people are going to get mad at you. There are going to be times where you say, Hey, I’d encourage you to look at this in your life or to look at that situation and they’re not going to receive that. You have to know that you have done your part of what you’re supposed to do. 

Number three, you may be overly responsible for other people if you believe that you can control or convince that person to change their behavior in some way. If only I say this, then maybe they’ll change.

If only I say that, then maybe they’ll get it finally. If I only tell them for the 50th time that they need to go to therapy, It’s the nagging wife syndrome, right, where you just continue to bring something up, continue to bring something up, continue to bring it up. What happens in these situations, you just get more and more frustrated, more angry. It’s like hitting a brick wall. What happens with the other person is they become more defensive often. “Okay, you’re telling me I need to change and so I’m going to dig in my heels and tell you that everything’s fine and we’re good.: The more that you push people with that type of energy of, “I need you to change so that I can be okay inside.” That’s the energy sometimes that we can bring to these relationships that we don’t even realize we’re bringing that energy. 

So whenever you are trying to change someone and they push back, that’s why, because it doesn’t feel good. And automatically, the knee-jerk reaction is to go into a defensive mode. We need to learn to be okay, even when other people in our life are not okay because you’re going to have them. You’re going to have those people. It doesn’t matter if it’s a family member. It doesn’t matter if it’s a co-worker that you really wish that they would change. It doesn’t matter if it’s a boss. There are going to be people in your life, regardless of what you do and what circles you’re in that you have a hard time relating to people that are just maybe difficult to deal with. 

I heard someone say they’re extra grace required people. I don’t remember who said that, so I apologize. Whenever you have an extra grace-required person in your life, that’s an opportunity for you to connect with the Lord to say, “Okay, God, I want to love this person well.”

What does loving them well look like? Sometimes loving them well means accepting their mess right now. It means saying, “Look, “I see you and I love you and I accept you right where you’re at. I don’t need you to change. I’d love it if you would change because it would help you be a better person. It would help you grow closer to the Lord, but as far as me, I can be okay, even if you’re not okay.” 

Sometimes it means setting healthy boundaries to say, in order for me to remain mentally healthy and love you the absolute best that I can, I’m going to need you to know that this is what I can give to the relationship and then I’m going to have to take a step back in some other areas. I’m going to have to kind of let you fall at times. I’m going to have to. let you make choices and make mistakes. That is really, really hard sometimes for us to do. It’s hard for us to sit with these difficult emotions and knowing that someone is making very poor choices over their life, but if you have already spoken those truths to them and encouraged them towards the right path, then you have done your part.

You have done what you can and it’s time to take a step back and trust God with the rest. As you can see, kind of through this process, there are some reasons that we take responsibility for other people’s stuff. It’s because we have a hard time sitting with the emotions that come up. When they make choices that are either unhealthy or that we disagree with, let me tell you what really helps with dealing with those difficult emotions. It’s developing what we call distress tolerance, which is a big way of handling the hard things that come our way. 

A great way that you can do that is mindfulness. I have a course on mindfulness that’ll walk you through the process. What does it look like to be in the present moment, to be aware of what’s going on and in acceptance?

A lot of what we’re talking about today is accepting other people’s choices that may not be great. That’s a hard thing to do. We don’t want to do that. We don’t want to accept that someone’s inactive addiction right now. We want them to be free and whole, and we don’t want to accept that we have a person in our life that might fly off the handle unexpectedly.

We don’t want to accept that. We want that to change because that would help us feel better internally and not have to sit on the edge of ourseatst with all that energy of what’s going to happen with this person. But once we accept our situation, it leads to a sense of greater peace. We know what our role is.

We know what God’s role is. We know what that other person’s role is. And we’re able to tease some of those things out and a little bit cleaner way. I’d love to hear your thoughts on this episode. You can reach us any time via our contact form, hopeforanxietyandocd.com. 

Thank you so much. Christian Faith and OCD is a production of By The Well Counseling.Our show is hosted by me, Carrie Bock, a licensed therapist.

Until next time, may you be comforted by God’s great love for you.

109. What Christmas Teaches us about Managing Anxiety and OCD with Carrie Bock, LPC-MHSP

In our Christmas special, Carrie talks about the Christmas story and how it can help with anxiety and OCD. By connecting Jesus’ experiences with our own struggles, Carrie offers insights and understanding for a more hopeful holiday season. 

Episode Highlights:

  • Timeless lessons from Christmas to help you deal with anxiety and OCD.
  • How you can relate Jesus’ challenging times to your own struggles, especially those related to anxiety.
  • The role of Jesus as a counselor and the guidance of the Holy Spirit, especially during uncertain times.
  • The value of connection over absolute certainty in managing anxiety and OCD.
  • Tips on managing anxiety during the holidays (excerpt from Episode 55)

Episode Summary:

Hello and welcome to Episode 109 of Christian Faith and OCD! Today, we’re diving into a unique perspective: what can Christmas teach us about managing anxiety and OCD?

One of my favorite modern Christmas songs by Chris Risen says, “This is such a strange way to save the world,” and it truly was. Jesus, who could have saved us from afar, chose to enter our world—full of hurt, pain, and anxiety—to be with us, as Emmanuel, “God with us.”

Jesus, fully God and fully man, experienced everything from hunger to betrayal and even intense anxiety, like when He sweat drops of blood before the cross. This tells us that God understands our struggles intimately. When we feel isolated by our OCD or anxiety, we can remember that Jesus chose to live in this world and experience its difficulties, so He truly gets what we’re going through.

Jesus also showed us the ultimate example of humility. He could have come as a mighty king but chose to be born in a manger, living among common people. In a world that’s so focused on appearances and perfection, Jesus’s humility reminds us that it’s okay to be open about our struggles, whether it’s anxiety, OCD, or anything else. We don’t need to hide our flaws but instead can share our testimonies even in the midst of our trials, trusting that God is working through it all.

That’s what Christmas teaches us about anxiety and OCD: Jesus came to be with us, to model humility, and to guide us as our eternal counselor. Merry Christmas, and I look forward to journeying with you in the new year!

Check out related episode:

64. How We Unintentionally Increase Our Own Suffering with Carrie Bock, LPC-MHSP


In this episode, Carrie shares her personal experience of physical and emotional pain during pregnancy, exploring how secondary suffering can worsen emotional distress

Episode Highlights:

  • The difference between primary and secondary suffering and how they impact emotional well-being.
  • How negative thoughts and self-judgment can increase emotional pain.
  • The importance of mindfulness in reducing secondary suffering.
  • The role of acknowledging and processing emotions in healing.How to shift your perspective on pain to find peace and emotional relief.

Episode Summary:

In today’s episode, I want to share something I’ve learned through my own journey of suffering. I realized that we often make our suffering worse by adding emotional pain to our physical or mental struggles. I’ve been dealing with intense back pain during my pregnancy, and it led me to feelings of frustration, anger, and guilt. I questioned my decision to get pregnant and even felt anger toward God and myself.

What I didn’t expect was how my thoughts and emotions added to my suffering. I was already dealing with physical pain, but my emotional reactions made everything feel worse. I even reached a point where I prayed to God asking him to take my baby because I couldn’t handle the pain anymore. I felt guilty for having those thoughts, especially knowing others long for children.

But what I’ve learned is that we don’t have to let our emotions make our suffering worse. When we try to ignore our feelings or judge ourselves for having them, it only increases the pain.

Mindfulness has helped me separate my pain from my thoughts about it, which has made a big difference. It didn’t take away the pain, but it helped me not let it control me.

Tune into the full episode to hear more.

Links and Resources:

Book: You Are Not Your Pain

Explore Related Episode:

Today’s episode is a solo episode where I wanna talk with you about how we unintentionally increase our own suffering. This is something that I feel like God has taught me through a process of more recent suffering. And I wanted to share it with you because even though my suffering was physical and then it turned into emotional suffering was like secondary.

As a result of the physical suffering. What I realized through the process was that people do the same things with emotional pain. So they experience emotional pain due to anxiety, O C D depression, other mental health issues. And then there’s this increase in more emotional pain in response to that initial pain and suffering.

As I’m recording this right now, I’m about 32 weeks pregnant. But when I was going through some intense physical pain, it was a lot earlier in my pregnancy, probably around, you know, weeks, 15. 20. I started experiencing this back pain. That was unexplainable. I didn’t know where it was coming from. I didn’t think I had done anything specific to have the back pain.

It was in a weird spot, but I was trying all of the self-help things that I knew to do. To help it such as, you know, providing heat for the sore muscles, looking up exercises, you know, what are some good back exercises during pregnancy? It got to a point where it wasn’t getting better. It was just progressively getting worse and worse and worse to the point where it was a daily occurrence.

And then I was essentially living for. The time that I could lay down, I would sit up, meet with clients. And then if I had any kind of break lunch or after work, I’d just lay down and collapse and put the heating pad on me. And that was about what I could do for several weeks. I would try to stretch or do some light exercises.

Sometimes I ended up aggravating some other areas of my body. What I. As I was experiencing that physical pain was that then there came some emotional pain that got latched in and connected to it. I started having. All kinds of thoughts about my pregnancy. Maybe I shouldn’t have gotten pregnant. Maybe this wasn’t a good idea.

At my age, if I had known I was gonna have to go through all of this physical pain, I wouldn’t have done it. I was angry at my doctor, who I felt like had set me up for failure because she had told me going into this process that I was healthy. I was angry at myself for not knowing more or not knowing how to fix this issue.

I was angry at God. You know, why have you allowed so many people around me to have good and healthy and you know, relatively pain, free pregnancies. And I’m over here suffering with all of this discomfort. So early on, and I know I still have over half of my pregnancy to go, what’s going on with that?

These thoughts would just keep churning around in my head. I couldn’t seem to find some kind of resolution for them or some kind of landing point to get to. And the thoughts themselves increased my own suffering because. . I was starting to think things like, okay, I have this many weeks of pregnancy to go.

I’ve got 23 weeks of pregnancy to go. Am I going to be in physical pain this whole time? Because I’m at a certain size right now, but I’m only going to get bigger if my back can’t handle this point in time. Then what’s gonna happen when I am in the third trimester where everybody says you have back pain, like I already have back pain in the second trimester and I can’t handle it now.

How in the world am I going to be able to handle it later? I went through. A two week period where I cried every single day, I was completely depressed and hopeless. My doctor had told me, well, you know, maybe this will get better. Maybe it won’t. And that was not what I needed to hear at that point. I needed her to give me some hope of let’s try X, Y, and Z to help these things.

Get better for you so that you don’t have to continue in suffering. But I had really held onto that, that this pain might not go away for the rest of my pregnancy. I remember one day I was lying in bed and I just started crying before I even got out of bed. And Steve came by, I was like, you know, what’s going on?

I don’t even wanna get outta bed because I know I’m gonna be in pain today. And I know I’m gonna have to deal with that and I don’t wanna deal with it. I don’t wanna do. When I got to really my lowest point, which is very scary to talk about, but I wanna share it because, you know, we all have really, really low points in our life and we have dark thoughts that we don’t ever talk about.

And so I. Just wanted to share one of mine, I guess, for, to make somebody out there feel a little bit less strange or less crazy in some way. I remember just praying and, and asking God that, that I could not be pregnant anymore. And that he just needed to take my baby because I could not handle this pain for.

20 more weeks. I could not do it anymore. And just cried and cried and cried. And I felt so guilty. Like I must be this absolute, horrible person. Like I just prayed. And I asked God to take my baby. Like how awful is that? So in the midst of going through this whole process, I had these emotions surrounding knowing that I have other people in my life who have been unable to have children that I love very much and other people in my life who are in the process of trying to have children.

And I thought, you know, you’re really ungrateful. You’re awful for thinking these thoughts because these people would love to be pregnant and they would love to have children. Certainly compounded to the emotional distress. Then not only was I feeling certain feelings and having very distressing thoughts, then I was compounding it by telling myself how wrong I was to have these thoughts and how wrong I was to have these feelings.

None of that help. Whenever we tell ourselves you don’t get to feel that instead of actually acknowledging our own feeling, we’re increasing our own suffering. Similar to thought sometimes feelings just happen. They just come up and we don’t even know why they’re there, but instead of shoving them down, trying to ignore them, not acknowledge them.

It’s better for us to be able to say, okay, I’m experiencing anger. Where I’m experiencing sadness, I’m experiencing anxiety. It’s okay for me to acknowledge that feeling. And then it’s also okay for me to be able to say, what can I do to help myself express release this emotion? Let it go and allow myself to enter into a calmer space or a happier space.

Those two things are not incongruent with each other. I just want to help you understand that sometimes people think if they acknowledge their emotion, that they’re going to somehow be stuck in. That typically isn’t usually the case. It’s more typical that if you acknowledge it and are able to process it and kind of allow it to flow through you, like a wave goes up and then you express it in a healthy way, hopefully, and then it comes down.

You’re able to release it and get to a place of feeling better. The more that you try to fight the wave, the longer it tends to stick around in an unhealthy sense. During this process, I was seeing a counselor who I ended up firing kind of funny because I really didn’t like what she had to say, even though she was right.

She told me that I needed to work on mindfulness skills and I. I don’t understand this. Like I know how to be mindful. I teach people mindfulness practice. I have a podcast episode on mindfulness. Like what, why are you telling me about mindfulness? Like how is that actually going to help this chronic pain issue that I’m dealing with?

After I fired her, actually went on Amazon and started looking for a book on. Mindfulness and pain. I found this book called you are not your pain by Birch and Penman. That absolutely transformed my experience with my pain. Having the physical pain is one thing or the emotional pain, but what Birch and Penman talk about is that we have primary suffering and we have secondary suffer.

Primary suffering is a physical sensation of pain or for people with anxiety. There’s a physical sensation that comes along with that. So it might be like a rapid heartbeat or difficulty breathing. There might be just a lot of tension in your body when you’re anxious. And so that’s the primary suffering.

Your primary suffering could be mental as well. Like constant worry. You know, I just can’t seem to get away from my thought process. It’s just going all the time and worrying about the future. But secondary suffering is like that piece that comes next. It’s that piece that we add on. So for the person with the rapid heartbeat, the secondary suffering is they tell themselves I’m dying.

When really they’re having a panic attack and understandably so when people first start to learn that they have panic attack, sometimes they don’t know. Sometimes they really do think they’re dying, but after you learn, oh, okay, this is a panic attack. This is something different. Then it’s like, you can reframe it and say, you know, there’s a difference between telling yourself my heart’s beating really fast and telling yourself I’m dying.

So my primary suffering was. Physical pain, but my secondary suffering was, I’m never gonna get out of this. I’m gonna have it for 20 more weeks. I don’t know how I’m going to get through this. I can’t do it anymore. I can’t face another day. God, why won’t you take this away? All of those things, the regret thoughts about I shouldn’t have ever gotten.

You know, I, I did this to myself. Why did I do this? Why did this happen? God, why did you allow me to become pregnant? If you knew I was gonna end up in this pain, all of that churning stuff is the secondary suffering. What I talk about in this book, you are not your pain is that mindfulness will help decrease your secondary suffering.

And as you decrease your. Secondary suffering then sometimes your primary suffering decreases as well. Not always, but at least you will have a different perspective on your primary suffering than you did before. One thing I learned for myself is that secondary suffering involves a process of grief and loss.

In my experience, I could remember thinking, I went into this thinking, I’m gonna have a healthy pregnancy. I’m gonna be a fit pregnant person that continues to work out. I had these expectations right. Of what it was going to be like. And then my expectations were completely blown out of the water.

Because all of a sudden I couldn’t work out. I couldn’t even do day to day life stuff that I needed to do. That was really hard for me to sit with knowing that when I used to be a member of the Y for example, I would go to these Zumba classes and there would be pregnant women in there dancing around and doing just fine.

And. You know, I thought that that was gonna be me one day and it wasn’t. I had to grieve that and be, really allow myself to be sad about that. I had to allow myself to be sad and also angry about the fact that I was now having to do extra things, such as go to physical therapy that I didn’t plan on doing and didn’t want to do quite frankly.

I didn’t want to go to physical therapy and do these exercises and have somebody poke on my back. I didn’t want to do those things, but that was what I needed to do. It was okay for me to be sad about that. It was okay for me to be angry. I really missed my workout. Endorphins a lot. I miss them so much.

And I realized that through that process, that was something that I had to grieve. I was never one that said, yes, I like to work out. I absolutely wanna do it. I would always tell people, I love the effects of working out. I love the fact that I can sleep better. I love the fact that I feel better physically and emotionally, I had to grieve loss of social experiences.

Things that I was invited to or things that I wanted to do where I had to tell people, you know, I don’t know if I’m gonna be able to commit to that or not, because I don’t know how I’m going to be legitimately feeling on that day. And I had to admit to people that I had limitations. That I wasn’t sure if my back was gonna be able to handle sitting for that long or standing for that long or whatever the situation entailed.

That was hard for me. I had always been so healthy and one of the things that God showed me through this process was how much pride I had put in my own physical health as something like I have control over it. I think that’s a very. Probably American mindset of like, well, you know, if you just eat the right foods and you exercise and you’re gonna be in good health, the reality is we don’t have control over that.

Guys. You could be a super healthy person and wake up tomorrow with cancer. We’re not in control of our health. A hundred percent, like we think we are. And that was something that I realized that it was out of my control, that was distressing for me. And I had to come to a place of humility and surrender to say, okay, this is where I’m at in my life.

This is a part of my process. I will tell you though, that during that two weeks where I was so depressed and so angry, I knew that I was in this grief and loss process. I knew that I hadn’t come to a place of acceptance. It was like, I couldn’t quite get there. I didn’t know like what I needed to get to that place of acceptance.

Maybe you’re at a point in your life where you’re dealing with anxiety and you hate it so much. Or you’re dealing with O C D and it’s like, you’re constantly trying to fight it because you hate it so much. And maybe. You need to get to that point of acceptance that for whatever reason, this is my season right now of suffering.

It may feel like it’s been a very long season and I hear you on that, but we can’t make positive changes and move forward. If we aren’t willing to first, except where we’re at really think about that. You can’t move forward. If you aren’t accepting of where your starting point is. You can’t run a marathon overnight.

When you’ve been sitting on the couch, you can’t expect your emotional self to be able to do certain things. If you haven’t exercised those emotional muscles, when you’re dealing with secondary suffering, you also have to guard your heart and mind in terms of what other people tell you because other people’s experience.

Are not your experience. If there’s anything that will teach you about the dumbest things people can say to you, it’s when you’re pregnant. I mean, it’s just absolutely unreal. Some of the stuff that people come out with, but I had different people tell me, oh, when I was pregnant, that was just the best that I felt in my whole.

Girl, granted, some of those people didn’t know that I was dealing with chronic pain when they said that to me, but I thought that is exactly what I don’t need to hear right now, because that’s certainly not my experience. Then you start to think to yourself, what’s wrong with me? If they had that experience, why couldn’t I have that experience?

And I’m sure this has happened to you. If you’ve dealt with anxiety for any period of time, you’ve had someone come up to you and say, oh yeah, I used to deal with anxiety. And there was this revival service at church and they prayed over me and I’m no longer anxious and I’m just walking in the Lord’s victory.

And if that’s someone’s story, like, that’s awesome. That’s great for them, but that’s not a lot of people’s story. Um, not the people that I’ve worked with anyway, that. Typically been their story. We have to be careful not to compare ourselves to other people. We have to say, this is a journey that the Lord has me on.

And he’s the one that gets to speak into that journey. And other godly people get to speak into that journey. But no one else can tell me exactly how my specific journey, whether it’s with pain, whether it’s with anxiety, whether it’s with pregnancy, whatever it is, nobody can tell me exactly how that’s gonna go for me, except for God.

He knows what that path is like. After I went through my two week crying period. I started to seek God for some answers. Okay. What does it actually mean to depend on you on a daily basis? What does it actually mean that your power is made perfect in weakness? Of course, these are things that I’ve heard.

My whole life, but I didn’t know how they applied to my specific situation. I’m not gonna say that that God showed up and spoke to me audibly or anything of that through that time, other than God just gave me peace to do the next thing. My planning self who loves to plan and set goals and knows what she’s doing next week and next month really had to reign back in and be put on.

And say, I’m gonna do what I can do today. I was in a bit of a survival mode. I had to be okay with that. Going back to that acceptance piece, I had to be able to accept, you know what, right now I’m just in a survival mode and I’m just looking at things day by day. Sometimes not even day by day, sometimes just morning, afternoon, evening.

What is reasonable? For me to accomplish right now, a lot of things fell by the wayside. During that time, I wasn’t super happy that they were falling by the wayside, but I also knew that I was doing the absolute best that I could do. There were a lot of dinners that didn’t get cooked. There were a lot of grocery shopping trips that didn’t get done, maybe laundry progress notes for therapy.

There were a lot of things that had to be done later. I came to a place of acceptance that I’m doing the best that I can do in this moment. And that’s all I can do moving forward. It’s super important for us to understand what kind of season that we’re in, because oftentimes we are longing for a different season.

We’re longing for someone else’s season. We’re longing for a season that we used to have in the past, instead of really examining God, speaking to him in prayer and examining ourselves to say, Okay. What season is it that you have for me right now, at this point in time, that applies to so many different areas of our life.

I knew that a lot of my secondary suffering had to do with catastrophizing futuristic thinking where everything’s horrible, terrible, awful. I’m never gonna be able to get outta this pain. You know, how in the world am I going to give birth? If I can’t even get around. All kinds of thoughts that were happening to me after that two week period of crying, I don’t know what the shift was for me.

I know I was able to talk with my doctor who recommended that I get on an antidepressant genuinely. I was depressed. Maybe that was my wake up call that I wanted to shift and change things and look at them differently. I didn’t want to get on an antidepressant at that point. Not because I don’t believe in antidepressants, you know, we’ve, we’ve certainly talked about reducing shame surrounding medication on the show.

I’ve, I’ve been on an antidepressant in the path. That’s not a problem. But what I realized was that my depression was secondary. To my suffering with pain. And if I could work towards reducing some of my suffering surrounding pain, I wouldn’t be depressed and I would be able to move forward. I was able to talk with my doctor about why in the world did this happen, or how did I end up here?

Because I think I was taking responsibility for somehow being in this position. Like I talked about before, just kind of that feeling like I should be in control of my own health. What my doctor told me basically was that we don’t know how people are gonna react or how their bodies are gonna react when they get pregnant.

There’s lots of things that happen with hormones that I learned about that can affect your ligaments and your muscles, and really just throw things outta whack all over your body. Even though they’re trying to help certain areas of your body be prepared to give birth. That conversation I know was healing for me.

I know I also had some conversations with Steve and with our doula who I had recently hired at that point that were healing conversations for me to help me get back on track. All I can say is that God gave me some type of clarity of mind at some point, to be able to sit down, write down specifically some of these repetitive thoughts that had been coming up.

Some of the things that I had been thinking over and over and over, such as I regret getting pregnant was one of them that I wrote down. And God gave me these words to counteract these thoughts. Instead of saying I regret getting pregnant wish I had never gotten pregnant. And then I wouldn’t be dealing with this painful experience.

I wrote down that I’ve waited many years to have a family. I didn’t choose chronic pain or difficult pregnancy, but I choose my daughter and it’s not my fault that I’m in this pain and I don’t understand why it’s happening, but I know that it is happening. I had a thought about this pain will last the next 16 weeks until my daughter’s born.

It’s only going to get worse as I get bigger. And then I wrote down, but God knows how the next 16 weeks are going to go. It could get better. It could get worse. I can only deal with today’s pain today. If there’s pain tomorrow, I will not be able to deal with it until tomorrow. That for me was probably the biggest revelation and goes back to that place of mindfulness, right?

Like I can’t deal with tomorrow’s anxiety. I can only deal with today’s anxiety that I feel right now here in the moment. You cannot predict how O C D is going to go for you in one year. In two years, you can only say, okay, what can I do about these obsessive thoughts today? What can I do about the compulsions that I really wanna engage in today?

As you’re more mindful, you notice that some days are better than others. That was my experience. I did go through several weeks of physical therapy. My process, I thought was going to be much more linear than it actually was. I thought, okay. I’m gonna go to therapy, I’m gonna do these exercises. I’m gonna practice like I’m supposed to, and then it’s gonna be kind of this straight diagonal line upward.

Why I had this idea. I have no idea because I work with people all the time on emotional pain and I. Tell them constantly. That’s not how it works. You know, you have some ups, you have some downs, you start to feel a little bit better, and then you have a setback or you have a major trigger that happens.

And that doesn’t mean that you’re not making progress. It just means that it’s not that neat diagonal line. So kind of comically looking back on it. I’m like, why did I think that my pain was going to be any different, but I really did. And that was interesting because, you know, no one had really communicated with me what this process was going to be like in terms of physical therapy and, and working through this pain.

And this discomfort, I did have some pretty significant setbacks of experiencing pretty intense, pure forms, muscle pain, and spasms. If you don’t know what your pure form muscle does, it basically turns your leg from straight to out and it’s in your butt. Let me tell you when that muscle is in pain. You know it because I could not even roll over in the bed without that acting up and aggravating, that was very disheartening to me to have my back start to feel a little bit better.

And then this muscle completely go out of whack. I had one side that I was able to get better and then, you know, not too long after the other side majorly acted up and was got me down kind of in the bed for a little while. Even through that experience, I was able to learn if I sit too long, that’s not so good for me.

If I stand too long, that’s not so good for me. If I alternate heat. Nice. That feels a little bit better. I just had to try out a lot of different things. I really relate that over to anxiety as well as you start to kind of notice. What your experiences, what your triggers are, what kind of things have, have been helpful to you?

What kind of things haven’t been helpful to you? Then you can start to adjust how you approach the anxiety. One of the things that they have you do in the book, you’re not your pain is kind of go through some different activities and look at, you know, did your, did your pain increase with these activities?

Did it decrease? Did it stay about the same. And as you’re really kind of like just tuning into that whole process, then you’re able to have realistic expectations for yourself. A lot of times what we do is as we start to get better, then we put too much on our plate. And then we have a setback because we expected too much out of ourselves.

This can be a yoyo cycle, like for anxiety where maybe you engage and then you withdraw. And then you engage and you withdraw because you engaged a little bit too much, for example, or you tried to do too much. Besides mindfulness. Another thing that can be helpful for secondary suffering is gratitude. I had to get to a place where I was thankful for the things that I could do or be thankful for the days that I could do them because there were some days that I couldn’t do them.

And as I was able to develop more gratitude that allowed some of that pain to lessen, there is this interaction we have to understand between our mind and our bodies. There’s a two-way flow to it. Right? So our body is listening to what our mind is telling it. And then our body’s experience is kind of.

Traveling back up to the mind and informing it, you know? So there’s this two way street that’s happening all the time that we’re inter interacting with. And if we don’t take care of both of those components, then we’re going to be missing something. I’m really thankful that. I got to share this part of my story with you today, because it makes me feel like I didn’t go through all that in vain.

And maybe when somebody else has a thought that is, is really dark or out there, they’ll go back. And remember this episode, you know, maybe you feel less alone today in your experiences. I think if there is something that I could go back and encourage my earlier pregnant self with, it would be to go ahead and embrace physical therapy.

I had a really hard time with this for some reason, which is ironic because I’m always telling people that it’s okay to get help. But for some reason, in this experience, I was super ashamed of going to physical therapy. Somehow, I was supposed to be able to figure this out myself because I had been doing fitness and stretching and yoga and different things for years.

And I also didn’t fully understand the concept of physical therapy. Nobody took the time to. Break it down for me and explain these people are specifically skilled to be able to diagnose where exactly your pain is coming from. And in my case, it was being referred from a different area, which is why it didn’t make sense.

They can help you with specific exercises to target those specific areas. I think my concept of physical therapy prior to pregnancy was. Well, you know, if you have surgery, you get physical therapy, or if you had an injury, you get physical therapy. But I thought who gets physical therapy for being pregnant?

Apparently it’s a thing. And a lot of people do because there’s so many things that happen with your muscles and all of that and ligaments and different things, stretching out. If I could go back and tell my earlier self something, it would be it’s okay to get this help. And it doesn’t mean that you’re doing something wrong.

It just means that you need the knowledge, skills, and abilities that these people have in order to get yourself to a better place. I think in a similar way, some people don’t understand exactly what mental health therapy is all about. They have these pictures from TV, like, oh, you’re gonna lay down a couch and someone’s just gonna ask you about how you feel.

There’s a lot more to it than that. If you’ve been listening to our show, you know that, but we have these misperceptions right. About what getting help is like, and that keeps us from actually getting the help or we think is that really gonna help me? Or can I do this on my. I want to let you all know if you didn’t know that we have an email list where I’ve been really striving to send out emails every week.

This has also been a one step forward, two step back I’ll I’ll do it for a few weeks and then fall off the BWA and do it for a few more weeks, but I’m really striving to be consistent in putting things out there that are helpful and beneficial for you guys. If you want to join our email list, you can do that by going to carriebock.com