Need: What you have to do
Skill: What you can do
Want: What you desire to do—based on purpose, and all your hopes and dreams
Need Without Want
I’m thinking of a young woman who has a contamination fear. There is very, very little that she can touch or use in her home. Her OCD has convinced her that if she touches anything inside the house she will contract an unpleasant, long-lasting virus. She is particularly aversive to anything her sister touches and maintains a 3 foot distance from her at all times.
Yet, she uses the same toilet her sister uses. She allows her skin to come in to contact with the same surface her sister’s skin touches. When asked how she manages this she answers, “Well, I don’t have a choice. I need to be able to use a toilet. But, I don’t have to use anything else in the house.”
This woman is focused only on meeting a basic need. It‘s a good example of how you can only get so far by doing what you need or have to do. If you’re not focused on your wants then your actions are based on needs not wants. Doing only what you need to do is not going to take you very far.
Skill Without Want
A lot of times when a person with OCD is stuck they’ll be reminded to use their skills. They’ve spent time in therapy and know how to defy OCD. But, they stopped paying attention, went on automatic pilot and got tricked by OCD. They’ve regressed and are neglecting important needs. A worried, but frustrated loved one says, “C’mon, Boss it Back! Use your skills!” And the person who’s stuck responds, “I don’t care about my skills. Nothing works. I don’t want to fight this fight anymore. OCD is too strong.”
Want Without Skill
It’s not enough to have the desire to Boss it Back. Just the other day a woman said to me, “I want to Boss it Back. I really want to. I don’t want to live like this. I want to be free. I want all my hopes and dreams to come true. I want it so bad. But, I just can’t do Exposure Therapy. I can’t do it. I want to do it. But, it’s too scary to even think about.”
This is day 27 of a 30 day challenge. It’s important to focus on all three areas: Want, Need and Skill. Conduct an assessment of where you stand in all three areas. Does one area need more of your attention? Are you focusing on all three areas?