When Your Brain Won’t Stop: Living With OCD, Medical Fears, and the Anxiety Spiral

 

There’s a version of anxiety that people don’t talk about enough—the kind that lives in your body, whispers worst-case scenarios in your ear, and convinces you that every sensation means something catastrophic. For many people, this isn’t just worry. This is OCD with medical fears, also known as health-focused OCD or “somatic OCD.” And it is exhausting.

Let’s be honest: this type of fear isn’t dramatic on the outside. You’re not running around screaming. You’re quiet. You’re hyper-aware. You’re Googling symptoms at 1 a.m. You’re feeling your heartbeat too often. You’re asking for reassurance, then feeling guilty for asking. You’re trying to be rational but your mind keeps looping:

“What if I missed something?”

“What if this is the one time something really is wrong?”

“What if I don’t catch it in time?”

This isn’t just anxiety. It’s a mental tug-of-war with your own body, and it can feel like you’re fighting a battle no one sees.

What Health-Focused OCD Really Looks Like

People picture OCD as cleaning, organizing, or constant checking. But for many, OCD looks like:

  • Scanning your body all day for sensations
  • Interpreting every feeling as danger (a twitch means a neurological disorder, stomach discomfort must be something serious)
  • Googling symptoms endlessly
  • Avoiding doctors out of fear
  • Seeing multiple doctors out of fear
  • Compulsively checking—your pulse, your breathing, your skin, your throat
  • Repeated reassurance-seeking from friends, family, or the internet
  • Catastrophic spiraling from one tiny sensation
  • Feeling relief for a moment… until the next symptom shows up

What makes OCD especially painful is that your logic and your fear both live in the same body. You can know something is irrational and still feel terrified. That tension is part of the disorder—not a personal failure.

Why Medical Fears Hit So Hard

The truth is, OCD loves certainty. And the human body provides none.

It changes every day—little aches, random sensations, hormones, tight muscles, stress spikes, digestive weirdness. Most people shrug these off. But someone with health-related OCD interprets them as clues, warnings, or evidence that something is wrong.

It’s not about being dramatic. It’s not about wanting attention.

It’s about your brain misfiring around threat detection. Your mind is trying to keep you alive… but it’s stuck in overdrive.

And because health is such a vulnerable, personal topic, the fear hits deep.

The Shame No One Talks About

Health anxiety comes with a quiet kind of shame:

  • “Why can’t I just stop thinking about this?”
  • “Why does my brain do this?”
  • “Why can’t I trust myself?”
  • “Why do I ruin every peaceful moment by scanning my symptoms?”

Here’s the truth: nothing is wrong with you.

OCD latches onto whatever matters most—your health, your kids, your safety, your future. It targets what you care about, because that’s where the stakes feel highest.

Your fear doesn’t make you weak.

It makes you human.

Tools to Break the OCD + Medical Fear Cycle

These tools won’t eliminate anxiety instantly, but they will interrupt the cycle and help you reclaim your peace.

1. Name the Pattern (Not the fear)

Instead of “What if something is wrong?” try:

  • “This is my OCD asking for certainty again.”
  • “This is a fear thought, not a fact.”
  • “My brain is sending a false alarm.”

Labeling the disorder reduces its power.

2. Stop Googling Symptoms (Cold Turkey)

Every search is a compulsion that reinforces the fear.

If you can’t stop, try postponing:

  • “I’ll allow myself to Google in 4 hours.”
    Most people forget by then, and the urge passes.

3. Reassurance Detox

Limit checking:

  • No repeating the same question to different people
  • No asking your partner, “Do you think I’m okay?” 10 times
  • No scrolling for stories of “someone who had the same symptom”

Reassurance is a short-term relief that keeps long-term fear alive.

4. Body Neutrality Practice

Replace scanning your body with noticing the environment around you:

  • What can I hear?
  • What can I see?
  • What can I touch?

Shift attention outward, not inward.

5. Exposure & Response Prevention Lite

A gentle, accessible way to practice:

  • Feel a sensation
  • Let the fear thought come
  • Don’t engage with it
  • Don’t Google
  • Don’t check
  • Don’t reassure

Just breathe and let the discomfort peak and fade.

Every time you sit with the uncertainty, you’re teaching your brain:

“We don’t respond to false alarms anymore.”

6. Anchor Yourself in the Present

Try this grounding script:

“Right now, in this moment, I am safe.

My brain is imagining a future threat,

but my body is here in the present.

I can choose to be here, too.”

7. Know When It’s OCD—Not Intuition

If it feels:

  • repetitive
  • urgent
  • catastrophic
  • impossible to let go of
  • and you’ve had the thought 100 times already

…it’s OCD, not intuition.

You Are Not Alone

Living with medical fears can feel isolating, but so many people are walking this same quiet battle. What you’re feeling isn’t “crazy,” dramatic, or over-the-top. It’s a nervous system on high alert and a brain that’s learned to overprotect you.

But you can heal.

You can break the cycle.

And you deserve a life that isn’t controlled by fear.

Your brain may send the alarm—

but you get to decide what you do with it.

Posted by Colette Lopane-Capella, LMHC, D

The Quiet Power of Prioritizing Your Mental Health

 

In a world that constantly demands more—more work, more productivity, more social engagement—it’s easy to let mental health slip to the bottom of the list. We often tell ourselves that taking care of our minds can wait, that life’s responsibilities come first. But mental health isn’t a luxury; it’s the foundation for everything else we do.

Stress, anxiety, and burnout are often dismissed as “normal” in today’s fast-paced life. Yet, these feelings signal that your mind and body are reaching their limits. Ignoring them can lead to chronic stress, physical health problems, and emotional exhaustion. The first step in maintaining mental health is recognizing that your feelings matter. Paying attention to your mental state is not indulgent—it’s essential.

One of the most effective ways to protect mental health is establishing small, consistent self-care routines. Self-care doesn’t have to be extravagant or time-consuming. It can be as simple as taking a short walk in the morning, practicing mindful breathing for five minutes, or journaling your thoughts and feelings. These intentional pauses create space to process emotions, reduce stress, and recharge mentally.

Another key aspect is learning to set boundaries. Saying “no” isn’t selfish; it’s necessary. Overcommitting to work, social obligations, or even family responsibilities can drain your mental energy and increase anxiety. Boundaries help you prioritize what truly matters and give you permission to care for yourself without guilt.

Mindset also plays a critical role in mental wellness. Practicing self-compassion—treating yourself with the same kindness you would offer a friend—can reduce negative self-talk and build resilience. Life is inherently unpredictable, and setbacks are inevitable. Viewing challenges as opportunities for growth rather than failures can shift your perspective, reduce stress, and strengthen emotional resilience.

Connection is another pillar of mental health. Engaging with supportive friends, family, or communities provides validation and comfort. Humans are social beings, and sharing struggles or even everyday experiences fosters a sense of belonging. If in-person connection isn’t possible, online communities or support groups can also offer meaningful engagement and understanding.

Finally, professional support should never be overlooked. Therapy, counseling, or mental health coaching provides tools and strategies to navigate life’s challenges. Seeking help is not a sign of weakness—it’s a proactive step toward well-being. Mental health professionals can help you recognize patterns, develop coping strategies, and build long-term resilience.

Prioritizing mental health requires intentionality, patience, and honesty. It’s about recognizing when you need rest, support, or space to breathe. It’s about showing up for yourself in the same way you show up for others. Life will always have demands, but nurturing your mental well-being ensures you have the clarity, energy, and strength to meet them effectively.

Taking care of your mind isn’t a one-time event—it’s a daily practice. The quiet power of prioritizing mental health lies in its ripple effect: when you are mentally strong and balanced, you navigate life’s challenges with greater ease, connect more meaningfully with others, and live more fully. Your mental health deserves attention, care, and respect—because everything else in life flows from it.

Posted by Colette Lopane-Capella, LMHC, D

The Invisible Weight: Mental Health and Mom Life

 

Motherhood is often portrayed as pure joy: giggles, hugs, first steps, and milestones to celebrate. But for many moms, there’s an invisible weight that comes with the role—the constant mental load that never switches off. Between managing schedules, household tasks, work, and social expectations, it’s easy for mental health to take a backseat, leaving moms feeling exhausted, anxious, or guilty.

The mental load of motherhood isn’t just physical—it’s cognitive and emotional. It’s the running checklist in your head: dentist appointments, grocery lists, school forms, meal planning, laundry, birthday gifts, and social obligations. Even when the “to-do” tasks are done, the worry and responsibility remain. This persistent mental work can create stress that’s easy to underestimate because it’s invisible.

Anxiety and guilt often accompany this mental load. Moms may question if they’re doing enough, if they’re raising their kids “right,” or if they’re failing in some small, unseen way. Social media can amplify these feelings, offering curated snapshots of other families that seem effortless and perfect. Comparing your real life to someone else’s highlight reel is a recipe for self-doubt and burnout.

Recognizing the signs of mental health strain is crucial. Feeling constantly drained, emotionally reactive, or disconnected from the joys of motherhood are red flags. Mood swings, irritability, trouble sleeping, or a sense of persistent worry are not just “part of being a mom”—they’re signals that your mental health needs attention. Ignoring them can lead to longer-term stress, anxiety, or depression.

Self-care is essential, but it doesn’t have to be elaborate or time-consuming. Small, intentional actions can have a big impact. Taking a few minutes each day to journal, meditate, or breathe deeply can create mental space. Asking for help, whether from a partner, friend, or family member, is not weakness—it’s strength. Setting boundaries and saying no to extra obligations preserves energy for what truly matters.

Another important tool is reframing expectations. Motherhood is not about perfection—it’s about showing up authentically. Accepting the messiness, the mistakes, and the unpredictable moments allows moms to give themselves grace. Teaching children that it’s okay to be imperfect models resilience and emotional health far better than a flawless household ever could.

Connecting with other moms or supportive communities also strengthens mental health. Sharing struggles, swapping coping strategies, or simply hearing “me too” can reduce isolation. Feeling understood and validated reminds moms they are not alone, even when the weight feels heavy.

Finally, professional support should never be overlooked. Therapy, counseling, or even brief check-ins with a mental health professional can provide coping strategies and perspective. Mental health is not a luxury—it’s foundational to being the kind of parent you want to be.

Motherhood is demanding, beautiful, exhausting, and complicated. Protecting mental health isn’t indulgent; it’s survival and empowerment. By acknowledging the invisible load, setting realistic expectations, and prioritizing self-care, moms can navigate the challenges with more clarity, resilience, and joy. Your mental health matters—not just for you, but for your family, too.

Posted by Colette Lopane-Capella, LMHC, D

Mom, Mental Health, and the Holiday Hustle

 

The holidays are supposed to be magical, right? Lights twinkling, music playing, family laughter echoing through the house. But for many moms, the reality is far from a Hallmark scene. It’s chaos disguised as celebration—cookies to bake, gifts to wrap, schedules to juggle, work emails to answer, and the endless mental list of “must-dos” that never seems to shrink.

Being a mom during the holiday hustle is a full-time job that comes without a manual. Society constantly tells us we should have it all: the Pinterest-perfect decorations, the Instagram-worthy family moments, a career that doesn’t skip a beat, and somehow, a glowing sense of personal fulfillment. The pressure to “do it all” is intense, and honestly, it can be crushing.

Some days, it feels like there’s a timer ticking over your head. You’re running from school drop-offs to shopping trips, from wrapping presents to decorating the house, all while trying to make sure the kids are happy, the partner is pleased, and you don’t burn out. And let’s be honest—the mental load of motherhood never switches off, not during the holidays, not ever. Your brain keeps a running tally of everything you need to do, everything you forgot to do, and everything you feel guilty about not doing perfectly.

So, what happens when the pressure mounts and the magic feels like a burden? Anxiety sneaks in. The joy gets diluted by stress. You start questioning if you’re “good enough” or if anyone else is keeping it together the way you’re pretending to. Maybe the house is messy, maybe dinner is late, maybe the gifts aren’t perfectly wrapped—and that’s OK. The truth is, perfection is an illusion, and chasing it only drains your mental energy.

Slowing down during this season is not selfish; it’s essential. It might look like letting the glittery Pinterest ideas go for something simpler. Maybe it’s ordering a store-bought pie instead of baking three from scratch. Maybe it’s turning down an invitation to a holiday event because your mental health needs a break. Slowing down isn’t giving up; it’s survival, and it’s teaching your children something more important than perfection—they’re learning that it’s okay to prioritize well-being over endless to-dos.

Mental health matters during the holiday hustle. The constant swirl of activity can trigger anxiety, sadness, or even depression, especially if there’s a history of loneliness, grief, or family tension. Moms are often the caretakers, but who’s taking care of them? It’s essential to recognize the signs: exhaustion that doesn’t go away with sleep, feeling constantly irritable, losing interest in things you usually enjoy, or feeling a heaviness that the holidays don’t lift. These are not weaknesses—they’re signals that your brain and body need care.

Self-care in this context doesn’t have to mean a spa day or a bubble bath every night (though that’s great if it happens). It can mean saying no to extra obligations, sitting down with a cup of coffee for five uninterrupted minutes, taking a walk, journaling your feelings, or simply breathing. These tiny acts of slowing down accumulate, giving you the mental space to actually enjoy moments that matter.

Being real about motherhood during the holiday hustle also means embracing the messiness. Maybe the cookie dough gets stepped on, maybe the wrapping paper ends up in a chaotic heap, maybe the kids fight or cry. It’s all part of life, and it doesn’t make you a bad mom. In fact, showing up authentically—flawed and tired—is one of the greatest gifts you can give yourself and your family. They learn resilience, empathy, and the real meaning of connection, not just perfection.

So, this holiday season, give yourself permission to step off the treadmill. Acknowledge that doing it all is impossible—and that’s okay. Slow down, breathe, and remember that your mental health is not optional. The true magic of the holidays doesn’t come from perfection; it comes from presence, connection, and the courage to take care of yourself while taking care of everyone else.

Posted by Colette Lopane-Capella, LMHC, D

Self-Care: An Essential Pillar for Mental Health

 

In our fast-paced world, it’s easy to overlook one of the most important aspects of well-being: self-care. Often dismissed as a luxury, self-care is actually a fundamental component of maintaining good mental health. Taking deliberate steps to nurture yourself—emotionally, physically, and mentally—can reduce stress, enhance resilience, and improve overall life satisfaction.

Why Self-Care Matters

Self-care is more than indulgence; it’s a critical practice for sustaining mental health. Without regular self-care, stress and emotional exhaustion can accumulate, leading to anxiety, depression, irritability, and burnout. By prioritizing self-care, you create a foundation for emotional stability, better relationships, and clearer thinking. It allows you to recharge, set boundaries, and respond to life’s challenges from a place of strength rather than depletion.

Types of Self-Care

Self-care encompasses various dimensions, each contributing to overall mental well-being:

  1. Physical Self-Care: Adequate sleep, balanced nutrition, regular exercise, and routine medical care are essential for supporting both the body and mind. Physical well-being directly impacts mood, energy levels, and cognitive function.
  2. Emotional Self-Care: Taking time to acknowledge your feelings, practicing self-compassion, and expressing emotions in healthy ways support emotional regulation. Journaling, talking with a trusted friend, or seeking therapy are effective strategies.
  3. Mental Self-Care: Engaging in activities that stimulate your mind—reading, learning, creative hobbies—helps maintain cognitive health and provides a sense of accomplishment and purpose.
  4. Social Self-Care: Building and maintaining meaningful relationships can reduce feelings of isolation and provide essential support networks. Healthy connections foster a sense of belonging and reinforce emotional resilience.
  5. Spiritual Self-Care: For some, connecting with spiritual practices or personal values provides grounding and a sense of purpose. Meditation, prayer, or reflective practices can cultivate inner peace and reduce stress.

Practical Self-Care Strategies

Incorporating self-care into daily life doesn’t require major changes. Small, consistent practices can have a significant impact:

  • Schedule Downtime: Even short breaks during the day to breathe, stretch, or enjoy a quiet moment can reduce stress.
  • Set Boundaries: Learning to say no to excessive demands protects your mental health.
  • Prioritize Sleep: Establishing a consistent sleep routine restores energy and supports emotional stability.
  • Engage in Physical Activity: Walking, yoga, or other forms of movement release endorphins and improve mood.
  • Practice Mindfulness: Mindfulness or meditation can reduce anxiety, increase focus, and improve emotional regulation.
  • Nurture Creativity: Creative outlets like painting, writing, or playing music provide emotional release and personal satisfaction.
  • Connect with Loved Ones: Spending quality time with friends or family reinforces social support and emotional resilience.

Overcoming Barriers to Self-Care

Many people struggle to prioritize self-care due to busy schedules, guilt, or societal expectations. Recognizing that self-care is not selfish is crucial. Viewing self-care as a necessary investment in your mental health reframes it from indulgence to responsibility. Start small, choosing one or two practices that feel manageable, and gradually expand your routine.

The Link Between Self-Care and Mental Health Improvement

Consistent self-care has measurable benefits for mental health. It reduces stress hormones, supports emotional regulation, and fosters resilience to life’s challenges. Individuals who practice regular self-care often report improved mood, greater clarity, and enhanced overall life satisfaction. Self-care also strengthens the ability to cope with setbacks, making it easier to navigate difficult emotions and situations.

Conclusion

Self-care is not an optional luxury—it is an essential pillar of mental health. By prioritizing your emotional, physical, mental, social, and spiritual needs, you create a strong foundation for well-being. Incorporating practical self-care strategies, setting boundaries, and challenging the notion that self-care is selfish can lead to profound improvements in mood, resilience, and overall life satisfaction. Taking time for yourself is a form of empowerment, enabling you to show up more fully in every aspect of your life. Remember, nurturing yourself is not just beneficial for you—it positively impacts your relationships, work, and daily experiences. Making self-care a priority is an investment in a healthier, happier, and more balanced life.

Posted by Colette Lopane-Capella, LMHC, D