Triumphing Over Obsessive Compulsive Disorder

April 14, 2009 -- For individuals suffering from Obsessive Compulsive Disorder (OCD), even completing the smallest of tasks can be a painstaking ordeal. Unassuming aspects of daily life, from tying one's shoes to preparing breakfast, are often a struggle for those faced with this isolating illness.

"Life in Rewind" is the inspirational story of Edward E. Zine's triumphant hurdle over his own OCD, afflicted since witnessing the death of his mother as a child. Written by Zine along with Michael A. Jenike, M.D., the Harvard doctor who helped him persevere, and Terry Weible Murphy, "Life in Rewind" lends a voice to the world of OCD sufferers. Read an excerpt below.

Check out the Obsessive Compulsive Foundation for more information on resources available to people with OCD.

The piece of lint has been missing for nearly a week. Before its sudden disappearance, it lay coupledwith the wilted brown leaf on the basement floor near the back door. Its absence is devastating.

Finally, at the end of a long, tedious search, the particle of fluff is discovered, attached to the delicate hind leg of a cricket that has found its way indoors during the rainy season. The exorcism of lint is done with great care, leaving the cricket unharmed.

But reconstructing the comfortable universe where the piece of lint once existed with the brittle leaf takes many anguish-filled hours to complete.

Michael Jenike knows nothing of this as he dribbles the basketball and pushes through the sweaty bodies of the other players barreling toward him, their rubber soles squeaking against the gym floor as he defends his turf. The tired, but enthusiastic grunts of grown men meld with the pounding rhythm of the ball slamming against their hands, and briefly, they are able to recapture the carefree satisfaction that belonged to them on thebasketball courts of their youth.

After the game, adrenaline still pumping, Michael drops his gym bag into the back of his new BMW-Z3, slides his sixfeet, two-inch frame behind the wheel, cranks up some country music, and pushes the speed limit down Route 3 toward Cape Cod where, on this spring day in 1996, his life will intersect with a seemingly impenetrable boundary, and he will be forced to confront pieces of his own painful past.

At the same time, the young man who meticulously extracted the piece of lint from the leg of the cricket sits in the basement of a modest raised-ranch house, in a wooded, middle-class neighborhood on the coast of Cape Cod, Massachusetts. He can't get out, and he refuses to let anyone in. The seasons have changed, schoolchildren who board the bus outside his door have been promoted from one grade to the next, and each day, strangers pass by without giving a moment's thought to what's happening behind the closed door at the bottom of the thirteen steps on the side of the quiet house.

Isolated from friends who think he's away at college, he sits on the end of his bed, rocking back and forth, helplessly performing repetitive rituals of forward and backward counting, all multiples of even numbers that stretch well into the tens of thousands. The cable television guide that rolls on the screen in front of him is his only gauge for the time that passes, as he sits with his hands outstretched from his body, fingers spread, locked into position like the claws of an eagle, while his mind rages with the repetitive pounding of a terrible equation that will not let him go.

Time equals Progression, Progression equals Death. This is the mantra that keeps twenty-four-year-old Ed Zine living on the end of a mental tether with invisible strands attached to every muscle, thought, and spoken word. This tether is his safety net, rewinding and erasing every action that would otherwise propel him forward in time. When the rewind is complete, he is given momentary relief from the anxiety of the equation with which he is so preoccupied.

Ed's obsession is logic gone completely awry. Although it's true that the time line of our lives follows this sequence of Time equals Progression, Progression equals Death, few of us ever scrutinize each moment and each movement as a path to our certain end. Surely, such torture would drive us mad. For Ed, who suffers from severe obsessive-compulsive disorder, the perpetual rewinding is a ritual; more aptly, a series of rituals within rituals, which temporarily relieves the madness his intrusive thoughts create.

Assaulted by this logical, but paralyzing notion, his illogical mind creates a battle that rages within him every second of every day. Early in the day, Ed began moving from the end of his bed toward the basement door in anticipation of Michael Jenike's arrival.

It is a daunting task that takes him nearly seven hours to complete, and all the while he wonders if this is the one person who will release him from this personal hell.

Dr. Michael Jenike is a professor of psychiatry at Harvard Medical School and one of the world's leading experts in the research and treatment of obsessive-compulsive disorder. He describes OCD as a disorder of "pure suffering," and he brings to its treatment not only an extraordinary scientific mind, but also a profound depth of compassion for his patients. The message from his secretary is simple: a young man is stuck in his basement and needs help. She knows that Michael's already busy schedule doesn't really allow him to take a full day to see a new patient, but she also knows that nothing she says will stop him from going. Someone is trapped, and that's really all Michael needs to know as he pushes his own life clock forward, driving almost three hours to meet his new patient.