OCD Collides with 12 Steps: An Autopsy with Guest Darcie
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OCD Collides with 12 Steps: An Autopsy with Guest Darcie
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Alcoholics Anonymous (AA) and Obsessive-Compulsive Disorder (OCD) clash because the peer-led, moral-inventory framework of AA can accidentally trigger or feed OCD cycles rather than treat the underlying anxiety. The rigid, dogmatic rules of 12-step programs often morph into new compulsions for someone with untreated OCD. Excessive rumination on program literature, rigidly counting meeting attendance, or repeating steps are parallel with classic OCD ritualistic loops. AA's focus on profound personal inventory and powerlessness can exacerbate the severe guilt, scrupulosity, and self-blame inherent in OCD.
Enter Darcie, a woman with a long history of OCD, whose alcoholism entered more recently. Meeting attendance and feedback loops made her head spin. The oversaturated discussion of drinking made her think more about drinking and less about a "white light." Between that, a traumatic brain injury, and interpreting life after gastric bypass surgery, she's had to piece together her past and understand her biology faster than lightning. And she's doing it.