Anthony Bray, MD : Hello!
Anthony Bray, MD : The OCD is the key in your situation....
Anthony Bray, MD : OCD is difficult to truly control. It sounds that you are taking the right steps with the combination if medication plus connive behavioral techniques.
Anthony Bray, MD : it usually does take the combined treatment arms via a psychiatrist plus additional therapist to slowly gain control over your OCD feelings....
Customer: Hi Dr bray
Anthony Bray, MD : part of the solution is of course to ensure as you have done that indeed there is no primary problem of the heart >> no structural problem, coronary artery disease, no heart failure and no rhythm disease ....
Customer: If I am staring at a sign on the door or a sign on the tv screen and it goes off screen there is no connection to heart again?
Anthony Bray, MD : once you have a confirmed good bill of health with regard to your heart function then it becomes a matter to strengthen your logical mind strength vs your emotional mind strength with regard to this issue!!
Anthony Bray, MD : right staring at such an object produces no adverse effect on your heart at all!!
Anthony Bray, MD : it is a matter of giving your logical side more power and the emotional ( especially the obsessive aspects) less power ....
Customer: Even on the tv screen after it goes out of view?
Anthony Bray, MD : right not then either....
Anthony Bray, MD : Why would that make any sense, logically thinking???
Customer: I know you have given me great advice recently but when these false thoughts occur about vision affecting heart should I just tell myself that the heart controls itself and is protected and I do not have to worry?
Anthony Bray, MD : i think that some if these issues tie into a lack of understanding if the complex relationships of the body 's physiology... For example I do not really grasp how cell phones can transmit and receive accurately so much information in such a short period of time... My lack of understanding in this regard leaves me suspect to imagine possibilities that do not really exist ... I might imagine impossible magical powers and presume that a cell phone could transport an object --- this is impossible( as far as I know!!) but if I had such an OCD fear then it may not be easy to convince me otherwise ...
Anthony Bray, MD : in such a sense I think you remain in Amundsen trap with regard to your fear of what might adversely affect your heart! As an MD I KNOW that your visual stimulation will not harm your heart at all!! It is a different matter of convincing you of this however!!
Anthony Bray, MD : Yes I think it would be helpful for you to remind yourself of your hesrt's good health ...
Customer: I agree
Anthony Bray, MD : Try to reinforce the facts that your heart function is not altered by visual or tactile stimulation ( looking at objects or grasping steering wheel for examples...)
Anthony Bray, MD : As I have suggested having numerous placards within your home ( like the decorative phrase messages .. ..life/ peace/ love) having simple messages that remind you of your heart being healthy and not bothered by what you see or feel...
Anthony Bray, MD : Try to be creative in this regard!!
Anthony Bray, MD : Frequent positive reminders should help to comat the frequent negative messages created by your OCD....
Anthony Bray, MD : Have a few periods of meditation each day with this theme as well....
Anthony Bray, MD : keep a reminder stone in your pocket to symbolize the good health of your heart( I have suggested this before)
Customer: Small stone in pocket as well?
Anthony Bray, MD : continue of course your therapy and follow up with your psychiatrist...
Anthony Bray, MD : take your MEDS regularly and don't skip!
Customer: Could the medication cause staring?
Anthony Bray, MD : finally be patient and hang in there as OCD is known to be a difficult diagnosis to "fix" we can treat it but it is a slow and difficult path of forward progress. So try to be patient and hang in there !!
Anthony Bray, MD : I hope that this helps!
Anthony Bray, MD : Let me know if you have further questions! I will be happy to get back with you!
Anthony Bray, MD : Best regards,
Anthony Bray, MD : Anthony Bray MD
Anthony Bray, MD : No the MEDS should not be the cause if you staring....
Anthony Bray, MD : this problem existed before you started on the MEDS, correct??
Anthony Bray, MD : Right I know taking ALL if the above steps may seem overkill but this is to combat the emotional overkill in the negative direction which is your OCD!!! This is why all the steps together is what I believe to be most helpful to you in the long run....
Customer: Thank you Dr Bray
Anthony Bray, MD : You are very welcome! Take care!!
Customer: Is it okay I tell myself heart runs on electricity by itself?
Customer: One last thing
Anthony Bray, MD : Yes that is fine!
Customer: About the heart being electric?
Anthony Bray, MD : it may help you to know that a heart transplant patient runs on its own independent electrical system!!
Anthony Bray, MD : Your eyes or hands do not affect the hesrt's electrical conduction function at all!!
Anthony Bray, MD : yes??
Customer: Thank you
Anthony Bray, MD : you are very welcome!!
Customer: Talk to you soon and I will use more skills
Anthony Bray, MD : Ok that's fine! Hang in there! I want you to do well and feel better and less fearful!! Best regards!!