As most of us know, overcoming obsessive-compulsive disorder is no easy task. It takes hard work, enormous effort, courage, and dedication. When those with OCD regain control of their lives, it is reason to celebrate. It is an amazing accomplishment – which is why when a relapse occurs, it can be heartbreaking.
In this wonderful article written by Dr. James Claiborn, a relapse is defined “…as a return to the same level of symptoms as before treatment.” Basically, the person with OCD is back where he or she started. Relapsing should not be confused with a lapse, which is a temporary and/or partial return of some symptoms.
I am incredibly thankful that my son Dan has not relapsed since overcoming severe obsessive-compulsive disorder almost seven years ago. Has he lapsed? I’m sure he has. He still has OCD and while he has the tools to fight and manage his disorder, there are times when anxiety takes over and it’s just too difficult to do what is necessary to keep OCD at bay. But it’s not the end of the world, and I think Dan realizes this. Similar to a dieter who has one piece of chocolate cake, it’s a lapse. You acknowledge it, accept it, don’t beat yourself up over it, and strive to do better tomorrow.
Interestingly enough, Dr. Claiborn discusses how the interpretation of a lapse can actually contribute to an actual relapse. Many people with OCD deal with cognitive distortions such as black and white thinking and catastrophizing. They also have a strong need for certainty, and often live with hyper-responsibility and perfectionism as well. These are all examples of absolute thinking which can affect how they view a lapse. Dr. Claiborn explains:
…If the person has a lot of distress and concludes they need to engage in some compulsive behaviors, then they have experienced a lapse. If they then engage in some absolute thinking, such as, “all my hard work in ERP is a waste because I still have obsessions and I have to do the compulsions,” they are on the path to a relapse.
Not surprisingly, part of a good relapse prevention plan involves addressing this absolute thinking. To put it simply, it’s all how you look at it. While lapses are bound to happen, Dr. Claiborn suggests they be looked at as learning experiences and not signs that a relapse is imminent. There is a lot of good information in his article, which I highly recommend reading.
Once again we see the importance of having a good therapist who really understands obsessive-compulsive disorder and how to treat it. While being skilled in exposure and response prevention (ERP) therapy is of the utmost importance, addressing relapse prevention is also a must. Because when you get right down to it, getting well is only half the battle. The other half is staying that way.