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Scottswife , 01 Oct 2017

Compulsive ear cleaning when trying to sleep

My husband has had severe depression since 2008. Anti depressants he is on is keeping it manageable. However he has developed a sleeping problem. He can’t sleep with me in the bed, he can’t sleep on the side of his head because he can’t sleep on his ears, and he has to clean his ears before going to sleep every night. Is this a different form of compulsive skin picking disorder ? Would this treatment help ? Thanks

4 Answers
serene
October 01, 2017

This sounds like OCD. What is the fear behind him not wanting to or not being able to sleep on his ears? Has he told you his thought process behind the behavior? What compels him to have these specific routines? There is a book I just read which reminds me of your husband's behavior. The book is called Compulsive Acts: A Psychiatrist's Tales of Ritual and Obsession written by Elias Aboujaoude. Here is the link to it --- https://www.amazon.com/Compulsive-Acts-Psychiatrists-Ritual-Obsession/d…. The very first chapter on OCD has a story of a man who is dominated by obsessive thoughts of not having anything touch his nose. He goes to great lengths to prevent anything from coming in contact with his nose. Its a severe case...your husband seems to have a milder form of such a specific OCD. Do know that OCD can get worse with time, but it can also wax an wane in its intensity. Is your husband going through a particularly stressful time? OCD is usually triggered by a stressful event although other times it can materialize on its own.

Scottswife
October 02, 2017

Thanks Serene, I will ask him more specific questions. He is very stressed, as well we ha e been diagnosed undermethlyated and pyrroluria. I believe it manifests as s physic sensation, rather than an urge to clean his ears.hehas a physical sensation in his ears when he tries to sleep in them.cleaning them seems to help him but not good for his ears, sleep or mental health

Scottswife
October 02, 2017

Fear -it feels uncomfortable
Thought process-again physically uncomfortable (but he knows there is no real physical discomfort it is in his head)
Compelling process- to release the perceived discomfort

serene
October 02, 2017

So its in imagined sensation of something in his ears? The closest disorder that it might mimic when it comes to skin picking is delusional parasitosis. I think some individuals who suffer from such a disorder tend to experience a feeling of something crawling under their skin. Does your husband feel as if something is crawling in his ears, as if there are little insects moving around?

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