Ask HN: Have OCD, suffering from extreme procrastination, please help?

56 points by nerdyadventurer ↗ HN
I am a web developer, I am also suffering from OCD for years, was depressed for while after the initial diagnosis of OCD which was years ago. I take 60mg of Fluxetine daily and Quetiapine at night to help with sleep.

May be I also have ADHD, since sometime I get really excited about things and do things energetically, but sometime I get pretty down. I also prefer work on only things I care about or interested in. My mind get flooded with thoughts most of the time.

After finishing college I was working on projects, but I was not able to finish any of my projects. I sometime gather courage to work for a while but fall of the wagon after a week or so. In recent months I have not done anything useful keep procrastinating on things. Over the years my obsessive thoughts have evolved with the age, these days I mostly battle with ethical, legal obsessive thoughts, while I can control the response to these thoughts with meds. I seem to have complex obsessive thought which revolves around perfectionism, where I plan things and work for week then procrastinate, replan then work for while then procrastinate and so on. But last recent days I have lost the energy and have not done useful work, keep procrastinating.

Note : As the procrastinating I do household work, work in the garden, help family members and relations, check email Reddit, HN, watch TV where any of the things are not urgent. (I also seem to have addiction to information since I regularly check HN, Reddit, PH, RSS reader.)

My mother have Parkinson, her condition also deteriorating slowly. Father also have health issues. I am the eldest son of the family, my mother constantly worries about me and my brothers future. We recently showed my mother to psychiatrist where he said my mom is depressed, this probably due since she worries about me and my brother, since she have strong bond towards us due to past unfortunate events with my elder brothers. (My brother does not have any psychological disorder) Even with enough stress I keep procrastinating. I have to get this projects done and make my parents happy before it is too late.

So please any advice would be highly appreciated?

By the way I am from South Asian country where doctors (in my case psychiatrists) are expensive when you made a private booking, they just ask some questions give some meds and take the money without taking things seriously, sometimes does not even take ten minutes which was my experience. Even in the public hospital they pay less attention to me. There are good doctors who are caring but they are really rare which I had at the very beginning after my diagnosis of the OCD, when I was suffering from depression.

48 comments

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I'm not clear from your description whether you are your own boss. If so you could try working for someone else and see if that helps with procrastination.
First of all, this is not the place for health advice. None of us here are qualified in Psychiatry and Psychology. Please seek medical attention. I don't know which South Asian country you live in but you must seek help for your condition. Maybe therapy and medication would be necessary. Please take care of yourself and seek professional help. Take care.
The number one source of relief for many people in mental health is communities of people who are also suffering.

This “go find professional help” dismissal is unhelpful. Obviously he’s aware because he mentions it. If you can’t help, don’t say anything since this is idiotic advice.

This is at best unhelpful, at worst idiotic advice considering the context:

>> they just ask some questions give some meds and take the money without taking things seriously, sometimes does not even take ten minutes which was my experience. Even in the public hospital they pay less attention to me. There are good doctors who are caring but they are really rare

> None of us here are qualified in Psychiatry and Psychology.

Unless you have a list of all the posters, and their qualifications, you can not make that claim

> Please seek medical attention.

Which is what was already done as explained by the poster.

> Please take care of yourself and seek professional help

The only person who has a lot of skin in the game and perfectly aligned interest when it comes to your health is... yourself.

You can hope to find good and caring professionals, and it may even be a good heuristic to try that as a first line approach, but nobody has the personal and financial incentives to invest in your health as much as yourself - except possibly your spouse and parents.

> Unless you have a list of all the posters, and their qualifications, you can not make that claim

No qualified psychiatrist or psychologist in their right mind would give medical advice to some anonymous person over the internet so this point is moot.

Of course, they would not do that publicly, but who knows if some of them might hide behind throwaways and might gently try to nudge the poster towards what they think could work better?
I wish I could help you friend but I suffer from similar struggles, only to a lesser extent. I'm currently in therapy but honestly it helps very little. Understanding myself is not helping in any way towards change. Also tried Cognitive Behavioral Therapy, worked better up to a point but tapered off, no lasting change.

I hope you find a way to break out of that rut, I'm thankfully in a position that procrastination doesn't affect my life that badly (I still do my job just fine, it's other areas that are suffering).

Looks like bipolar. Quetiapine definitely helps for sleep - and you need a mood stablizer as well - like Divalproex. That will give you steady mood to do things property and stick with projects and such. Please ask your doctor to prescribe it for you.
Really? You’re going to diagnose someone over the Internet and tell them medicine to take? Dangerous.
It’s not fair to suggest medication but given OP’s own admitted diagnoses and his mother’s Parkinson’s he almost certainly has poor dopaminergic functioning.
they said to talk to their dr
They also mentioned moral issues. Do you really feel comfortable suggesting medication to someone who just may be stuck in the wrong career?
This doesn’t address very much of your situation, but I have found the Five Second Rule by Mel Robbins to be very effective in my own life when dealing with procrastination.
I recommend a very high fat ketogenic diet, and a few supplements especially magnesium and inositol. These are highly proven both scientifically and anectodally. There is much more to discuss about this, and I'd be glad to assist you by mail (see profile), but in short these help calm down an overexcitable brain (ketogenic diets have been used for epilepsy since the 19th century). This will also lower inflammation, with this start exercising, go outside, sleep well.

Then you can work with other modalities if needed, but fix the hardware first.

I don't have much specific advice though I have ADHD the other branch of the mental health family to OCD. It sounds corny but a psych doing self-help advice but from a perspective of explaining the science behind current and cutting edge psych has helped me greatly

Dr. K a Harvard psych on gaming addiction and online communities has a youtube channel explaining how coaching. This isn't a replacement for therapy however his explanations of the science and walking through these ideas as a coach on how to apply these yourself. From my exp has very healthy approaches for just feeling less judgmental towards yourself, so you can get out of your own way and just get things done

Of course a psych will be better however this in my opinion is like fun workshops for myself to understand myself and others. So this might be a great starting point before putting money into a psych/therapist, like starting calory counting and walking more before getting a personal trainer.

you should not seek advice from the Internet for psychological issues. seeking advice from a know-it-all group like this site can be dangerous.
Is the procrastination affecting your job performance or only personal projects? If it's personal projects, then I would stop putting so much pressure on yourself to accomplish them. You don't have to be productive all the time.
Try deep ketosis via ketogenic diet and try high fat carnivore diet. These things are super hyped up right now and seem like scams but they touch upon very real and very powerful metabolic pathways and mechanisms. They have helped many people with severe mental illness including myself.
Hey there! Very happy to see someone here with the same recommendation, hopefully that will boost the credibility of this recommendation to OP and others.
Irene Lyon has lots of quality advice on her channel. She is a nervous system and trauma specialist.

Julie Yau has a "trauma workbook" with many exercises you can do on your own. She is also a very compassionate woman with deep knowledge about the nervous system, though her book is practical, not theory.

If you really want more theory about nervous system to "trust" the above advice, look into "Nurturing Resilience" by Kathy kain

All the best to you.

I think I understand where you are coming from because I get the same way. I get excited about a project at first, but then I think "what's the point?" and put it off.

My advice when you are feeling that way is to tell yourself "I will work on this for just 10 or 15 minutes and then if I feel like it, I will stop." That way you aren't under any pressure.

I find this works because it's harder to get motivated when you are putting a lot of pressure on yourself to spend hours working on something. Instead just commit to a little bit - if you enjoy it, then keep going. If not, no big deal - at least you did did a little bit. Maybe tomorrow you'll want to do more.

Sounds like ADHD. See if you can get diagonosed. I knew I had it. Anything slightly boring was physically painful for me. But I waited until 40 to get diagnosed.

First time on my life I was able to stay on task for sometime that wasn’t super interesting.

I can’t tolerate the meds, but I do a lot better since I lost the mental pain of being bored.

Does the workforce there not offer things like disability for issues exactly like this?
Check out the Pomodoro technique for focus. https://en.wikipedia.org/wiki/Pomodoro_Technique

But also be aware that with respect to evolution this kind of sedentary work is completely unnatural. Also assuming most work from your country (as most of this industry has become) will be remote, it might be hard to ground it in your life, which is OK. The problem here is that we don't live in a world with basic human rights guaranteed.

I’m sorry you’re feeling so unwell. I believe you can get better. I have similar problems and have extensive experience with medication, talk therapy, exercise etc. You can talk to me (email/Zoom etc), I’ll try to help. My email address is in my profile. Take care!
You might find it helpful to go through books written by therapists such as The Perfectionism Workbook and The CBT Workbook for Perfectionism to understand the causes of perfectionism and the beliefs and fears behind it.

This book isn't specifically about OCD but Overcoming Unwanted Intrusive Thoughts could be helpful as well. It talks about how to observe and accept thoughts, even if they're unwanted, repetitive or disturbing, instead of trying to suppress or fight against them.

Sorry about your mother's condition. Check out Jordan Peterson's early lectures on YouTube.

Also lift weights and eat healthy

I don’t have actionable advice but want to say to those saying this is a wrong forum that - maybe OP is needing a community to vent or simply share feelings, away of reaching out.
I've got fairly bad ADHD. Do you drink coffee? I'm able to focus a lot better when I keep my caffeine intake low. For years I thought it was helping me be productive but it was really just causing me to get overwhelmed. It sounds like cutting caffeine might not be enough in your situation but its worth trying if you havnt.
That sucks, man. I relate. My graveyard of unfinished projects is... expansive. I haven't "figured it out" yet, but here are some things I do to improve my chances of success and ameliorate the personal damage of failure.

0. Remind myself that work is a cruel mistress and a crummy source of self-worth. Find some hopeful, bedrock truth to fall back on when life doesn't seem worth living. (God, in my case. YMMV.)

1. Focus on the good things happening in my life and in the world. Along those lines, I cut out all news and any social media or entertainment that leaves me feeling worse afterward. Even HN can be a source of emotional drain -- some days my brain translates every headline into "that person makes $10K per week without even trying; what's your problem?"

2. Find a partner to work with closely on a day-to-day basis both to share the load and to build momentum.

3. Iterate (and fail!) faster to establish a fast feedback loop. Even weekly is too long. For my most successful projects (not saying much), I found a way to "ship" my project at least daily, even if "shipping" is just showing it to a friend. One time I modded a video game for a 4-year-old, the two of us taking 5-minute turns at the computer.

HN doesn't appear to have a DM feature but reply if you want to connect on Discord or something.

Procrastination is the result of an emotional response to an activity.

You are cruising along in your new project, making good progress, then you get stuck on a difficult problem. You understand the solution and it's tedious. You stop and take a break. You try and think of a better way that isn't tedious, but you never do. You keep coming back to the tedious solution.

The break never ends, and now you are procrastinating. You know the solution but don't want to do it. Too tedious. The project slowly loses your interest and before you know it, the new shiny has popped up and you have a new project.

If you don't want this to happen then you need 'suck it up' and do the tedious work. Get over your emotions. It's always less tedious than you imagine it.

For concrete, useful strategies on dealing with procrastination, there's no better resource I can recommend than the following video by Dr Tim Pychyl: [1]

It ostensibly focuses on procrastination among grad students, but the analysis and strategies discussed there are applicable to all sorts of procrastination.

I've watched a lot of videos and read a lot of books on procrastination, and this is by far the best.

[1] - https://www.youtube.com/watch?v=mhFQA998WiA

His iProcrastinate podcast is very useful, as well as his book, “Solving the Procrastination Puzzle”.