OCD (obsessive compulsive disorder) can be life-altering, making it difficult to find and keep relationships, wreaking havoc on careers, and making it near impossible to enjoy life itself. Simple chores and errands can end up as complicated and stressful events.
Getting a handle on OCD may seem impossible, but there is the help. Operant conditioning is a very helpful tool when it comes to treating OCD. It can help you get your life back on track and keep it there. Examples of operant conditioning that can help control OCD can be found in psychology journals, and includes successful treatments used by many therapists and other mental health professionals to help those with OCD.
What Is OCD?
OCD, or obsessive compulsive disorder, is a psychological condition that causes a person to repeat tasks over and over, sometimes for a set number of times. This is called a ritual. Other symptoms of OCD include repetitive thoughts that are difficult to control. Some common rituals include hand washing or checking locked doors and lights over and over to be sure they are closed and off, counting steps, or chewing each piece of food a set number of times. Many of the repetitive behaviors include counting and specific movements, or ticks.
If you or someone you love suffers from OCD, then you know how this disorder can quickly make you a prisoner to never-ending rituals and compulsions. To an outsider, it might seem simple. If you don't like engaging in the behavior (i.e., the constant hand-washing, hoarding, checking doors, etc.), then just stop doing it.
Unfortunately, it's not that simple. The reasons why go all the way back to the 1940s and famous behaviorist B.F. Skinner, whose research led us to understand the principles of operant conditioning.
What Is Operant Conditioning?
Back in 1948, B.F. Skinner made some important discoveries through the use of what was called a "Skinner box." This allowed him to observe the behavior of animals and the way that they respond to their environment. He found that all stimulus could be divided into three categories: neutral operants, reinforcers, and punishers.
The idea is really quite simple: if a certain behavior results in a positive response, that behavior will be reinforced. However, if it results in a negative response, that same behavior most likely will not be repeated.
We can see many examples of this in our day-to-day lives. When a child throws a temper tantrum and they get what they want, they are rewarded for their bad behavior. If a child throws a temper tantrum and they do not get what they want, eventually they will stop throwing temper tantrums. If an employee earns a bonus for excellent job performance, that employee will continue to work hard so that the positive response may be repeated.
This principle also explains the symptoms of OCD. By engaging in the ritual behavior, the OCD sufferer experiences temporary relief from anxiety symptoms. This positive result reinforces the ritual behavior.
For example, let's say that during your childhood, your house was robbed while you and your family were away. This event may cause you to develop severe anxiety about leaving your home. The act of checking that the doors are locked helps you feel less anxious. The relief of your anxiety is such a positive reinforcement that you begin to do so more and more frequently until the behavior becomes a compulsion.
How Does Operant Conditioning Work?
Premised on the concept of reinforcements and rewards, operant conditioning seeks to provide incentives for healthy behaviors and consequences for unwanted behaviors.
In psychology, psychiatrists, psychologists, and therapists use operant conditioning to help people overcome obsessive-compulsive behaviors. The therapy is based on observing the environmental stimuli that reward unwanted behavior and then a plan is created to control OCD behaviors with positive and negative stimuli.
Anxiety eventually goes away on its own if an individual becomes "habituated" to the trigger. In other words, if you come into contact with germs but don't get sick, your anxiety about germs will eventually decrease, or perhaps go away altogether. If you are anxious in social settings, but you manage to make some new friends and have some interesting conversations at a party, this anxiety starts to fade.
In order for this to happen, however, the individual has to ignore their compulsion to avoid the anxiety triggered by the situation. Once they engage in compulsive behavior, they never get to experience "habituation," and thus will continue to experience anxiety when placed in contact with its trigger.
Operant conditioning creates a positive reinforcement for the compulsion. For instance, instead of washing their hands, the individual could meditate or read a beautiful prayer or poem. Instead of going back home yet again to check the locks, he or she could call a friend to chat. These actions produce positive responses from the environment as a result of ignoring the compulsions of OCD.
When the individual engages in their compulsion, negative reinforcement is created because they do not get what they ultimately want, which is to stop the compulsion. A trained therapist, psychologist, or psychiatrist who uses behavior modification techniques will know exactly how to help anyone overcome OCD using operant conditioning.
Examples Of Operant Conditioning That Can Help Control OCD
Examples of operant conditioning therapies to help control OCD show just how positive and negative rewards can help control OCD. When an individual engages in a compulsive behavior, they are rewarded by a reduction in stress. The stress builds until the individual gives in and performs the compulsive behavior then the stress is released. The following are two examples of operant conditioning that can help control OCD:
To become habituated to an anxiety trigger, an individual must learn to sit with that trigger and face it head-on until the anxiety passes.
Exposure therapy might mean that you will have to touch multiple surfaces without washing your hands. While this may be scary at first, you will become conditioned to understand that you're not going to get sick just because you fail to wash your hands after touching anything. If you are a hoarder, it might mean you must face your fear of cleaning up and throwing out some of your belongings. As you realize that nothing terrible happens as a result of throwing out old papers and knick-knacks, you will begin to lose the anxiety that triggered the compulsive behavior.
Using exposure therapy, a therapist may ask the individual to refrain from their compulsion until the stress dissipates. This dissipation of stress is positive reinforcement for not engaging in unwanted behavior.
A therapist may ask the individual to replace their compulsive behavior with a different, healthy behavior. This is a positive reinforcement that teaches the individual that there are other methods for coping with their anxiety and stress.
Cognitive Behavioral Therapy
Cognitive behavioral therapy (CBT) is an approach to treating OCD in which the therapist helps the client explore what is causing their compulsive behaviors. For example, while in CBT, an individual with OCD may uncover that their compulsion to always chew things 15 times exactly is actually a response to not feeling as though they have control in their life. The therapist and client can then work to not only help the individual curb this OCD behavior, but learn how to feel more secure and in control of their life.
How BetterHelp Can Help
If you need help overcoming your OCD symptoms, don't hesitate to reach out to a trained counselor at BetterHelp. We have experience in using exposure therapy, behavioral therapy, and CBT to overcome OCD symptoms.
Not only has online therapy been shown to be just as effective as in-person therapy, in the case of online cognitive behavioral therapy to treat conditions like OCD, a study reviewing 373 studies of online CBT found it to actually be more beneficial and effective, even post-treatment, than in-person therapy. Overall, those utilizing online CBT talk with their therapist more, complete more treatment modules and exercises, and have a lower drop-out rate than individuals utilizing face-to-face therapy.
Contributors to this include online therapy’s incredible ease of access. BetterHelp can be accessed anytime, anywhere, even from the comfort of your own home – you’ll just need an internet or data connection to get started. From there, you’ll be matched with a therapist who’s most likely to suit your individual needs and wants, but you can absolutely switch therapists anytime if you don’t think your initial match is the right fit for you! Sessions are made even more personalized by the ability to have them via phone call, video chat, instant messaging/texting, or live voice recording – whatever suits your needs best.
Continue reading below to find reviews of some of our licensed therapists from people seeking help with OCD.
“Liza has been tremendous. We have worked through my OCD issues with incremental steps and I really feel that I can tell her anything without judgment. I really appreciated that she validated my feelings and helped me on getting through my OCD journey. Thanks again Liza!”
“Very friendly, empathetic, and excellent communication. Fantastic descriptions of how our brain works and the thought functionality. Streamlined and easy to follow “homework”. He helps me stay on track (I am one giant tangent) and get to the root of the issue and he helps create a step by step game plan on how to effectively assist me with my anxiety and OCD.”