The approach to dealing with intrusive thoughts in OCD (Obsessive-Compulsive Disorder) can vary depending on the individual and the severity of their symptoms. Both strategies you mentioned, distraction through activities and questioning/discovering the thoughts, can be useful in managing OCD, but they serve different purposes and may be applicable in different situations:
Distraction through activities: Engaging in activities such as sports, hobbies, or other tasks can be a helpful short-term strategy to divert your attention away from intrusive thoughts and reduce immediate anxiety. These activities can act as a form of grounding and can help interrupt the obsessive thought patterns. Distraction can be especially beneficial when you are feeling overwhelmed by intrusive thoughts and need a break from their distress.
Questioning and discovery: This approach involves addressing the intrusive thoughts directly by questioning their validity and exploring the underlying causes of anxiety. It is more of a long-term strategy and is often associated with cognitive-behavioral therapy (CBT) techniques used in treating OCD. In CBT, individuals are encouraged to challenge the irrational beliefs and thought patterns associated with OCD and develop healthier ways of thinking.
The key is to strike a balance between both approaches, as they can complement each other:
Short-term relief through distraction: When the intrusive thoughts are particularly distressing and overwhelming, engaging in activities can provide temporary relief and create a sense of calm. However, distraction alone may not address the root causes of anxiety and OCD in the long run.
Long-term healing through questioning and discovery: While questioning and discovering the underlying causes of anxiety can be challenging and might temporarily increase distress, it can lead to more lasting change and reduction in the power of intrusive thoughts. Cognitive techniques like cognitive restructuring and exposure response prevention (ERP) can be effective components of this approach when done with the guidance of a mental health professional.
In many cases, a comprehensive treatment plan that includes both distraction techniques and cognitive strategies is most effective. It's important to work with a mental health professional, such as a psychologist or psychiatrist, who specializes in OCD to develop a personalized treatment plan tailored to your specific needs and circumstances. They can provide the right guidance and support to help you manage intrusive thoughts and cope with OCD in a healthy and effective way.