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ERP Therapy Sucks
41–50 of 59 posts
Re: ERP Therapy Sucks
#42Only tangentially related, but maybe helpful still: If you struggle with OCD, the books by Sally Winston and Martin Seif are pure gold. There's nothing that helped me finding a way to deal with OCD like they did.
Re: ERP Therapy Sucks
#43I have had clinical OCD for decades. It becomes part of the brains default mode network (DMN) and flares up for me when frazzled, stressed or neglecting health. I’ve learned to cope, know why it happens, that it’s harmless and it’s faded with age. I recommend extreme physical exercise that burns off the associated anxious adrenaline and “reminds” the body what relaxed feels like while knocking loose stuck attention. You simply can’t focus on much else when your legs are burning huffing and puffing. There are great benefits of activating the parasympathetic nervous system, releasing natural endocannabanoids and endorphins, experiencing muscle soreness to help you feel grounded and most of all “exercising” the attention system. In time the DMN ruminations will go down exercise causes known changes to brain blood flow, activating different regions, and promoting nueroplasticity/rewiring is part of that. Get sleep to keep from getting frazzled and eat healthfully (actual nutrition, hire someone). Human-generated content may contain personal bias O_O
Re: ERP Therapy Sucks
#44I have OCD (or had?) I did a course of ERP with a very good therapist who I would put as the most important person in my life after my partner and family even though I hope to never need to speak to her again. It was a life changing experience in that my average day-to-day quality of life went from something like a 2/10 to a 9/10. I frequently fantasised about killing myself. At least once a day, from ages 12-32. Tho…
To me the biggest problem with AI therapy is that LLMs (at least all the big ones rn) basically just agree with you all the time. For therapy this can just reinforce harmful thoughts rather than pushing back against them. I do an exercise every now and then where I try to see how long it takes ChatGPT to agree with me that I am God Incarnate and that I created the Universe and control everything within it. It has never taken me more than 5 messages (from me) to get to that point even if I start on pretty normal topics about spirituality and religion, and I don't use any specific tricks to try to get past filters or anything, I just talk as if I truly believe this and make arguments in favor, and that makes ChatGPT agree with me on this absurd and harmful delusion. I don't understand how anyone can possibly recommend AI therapy when the possibility of reinforcing delusions this harmful exists. These things are agreement machines, not therapy machines.
Re: ERP Therapy Sucks
#45> Luckily, LLMs significantly reduce the effort/cost of therapy experiments. The day just started and I'm already done with it.
LLMs are a great technology if you don't care about the quality of results.
Which is why AI therapy scares me so much, because my insurance doesn't care about the quality of results at all and wold love to replace all therapy with AI to save a buck.
Re: ERP Therapy Sucks
#46I have had clinical OCD for decades. It becomes part of the brains default mode network (DMN) and flares up for me when frazzled, stressed or neglecting health. I’ve learned to cope, know why it happens, that it’s harmless and it’s faded with age. I recommend extreme physical exercise that burns off the associated anxious adrenaline and “reminds” the body what relaxed feels like while knocking loose stuck attention.…
I don’t have OCD, but pretty bad ADHD and major chronic depression. Neither of those are curable nor do they ever go away even with medication. When I was pretty close to rm -rf / myself, when I got therapy, meda and finally started weightlifting and boxing. Turns out a big bruiser punching you in the face twice a week causing an actual panic, and then having to learn to deal with it - in order to be able to defend oneself - teaches one to deal with the nervous system freaking out from something rather ordinary in the day-to-day life as well. My depression was always ok after boxing as well as my ADHD.
Sadly, since a possible brain injury hardly helps in mental disorders, so it can’t be recommended as a therapy. But it helped me over some hard times. Of course I was in theraphy at the times as well, so there’s that. But I do believe _hard_ physical exercise is excellent way to induce positive mental outcones as well, together with therapy.
Re: ERP Therapy Sucks
#47OCD can be harsh, and immune to a lot of approaches. It might feel like "LLM on a low temperature".
Even in "Realms of the Human Unconscious: Observations from LSD Research Paperback" by Stanislav Grof, OCD gives remarkable resistance not only to therapy, but even to psychedelics. This book discusses a case of a person with OCD who took 500ug of LSD (well, a rather high dose) yet neither the patient nor their psychiatrist noted any effect. Yet, after getting at ease, much smaller dose worked (and there was a remarkable progress).
What might work though, is reducing overall stress revel. OCD symptoms are often a response to anxiety and uncertainty.
Re: ERP Therapy Sucks
#48Author here! Thanks for all the feedback on my LLM tangent, quoted here for posterity:
Luckily, LLMs significantly reduce the effort/cost of therapy experiments. Consider trying the following prompt:
> Please guide me through a round of ERP therapy. Start by listing universal sources of fear/discomfort/anxiety.
If you find this process useful, consider trying it with a licensed human professional.
Do you know of any low-friction ways to systematically tackle fears/discomforts? I really want to recommend a quick experiment that folks can try at home without doing full-blown therapy.
Re: ERP Therapy Sucks
#49Author here! Thanks for all the feedback on my LLM tangent, quoted here for posterity: Luckily, LLMs significantly reduce the effort/cost of therapy experiments. Consider trying the following prompt: > Please guide me through a round of ERP therapy. Start by listing universal sources of fear/discomfort/anxiety. If you find this process useful, consider trying it with a licensed human professional. After some consider…
Yes, my mom. I really disliked to be touched when I was a kid, and was fearful of hugs and kisses (and I'm french, the second one would have been almost socially crippling).
Now I find it acceptable (and even comfortable depending on the person), and that's a lot of progress. My mom did do a sort of self-experiment exposure therapy, never going too far, but never stopping.
My point is: ask your family.
Re: ERP Therapy Sucks
#50Minimised? Yes. But I’ve never seen a cured case of OCD, of any type.
You cant erase a memory, once you have it you have it. This means that no matter how many other memories you add too to morph and alter the original, the original will allays be there in one form or another. But people can go from debilitating OCD (meaning hours a day), to a state where they only think about the thing once a week. It might (and probably will) poop up later in life but even so with such a difference i…
I have heard you can rewrite memories, though. The idea is kind of frightening to me so I never really tried it.
https://www.psychologytoday.com/us/blog/fulfillment-any-age/...