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The Poop Group Jason Elias, Ph.D. MGH/McLean Hospital Obsessive Compulsive Disorder Institute

The Poop Group Jason Elias, Ph.D. MGH/McLean Hospital Obsessive Compulsive Disorder Institute. Disclaimers. Some info may not apply to you Please share what you learn with others Be respectful of each other’s privacy. Facts of life. Things we have to do: Eat/drink Breathe Sleep

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The Poop Group Jason Elias, Ph.D. MGH/McLean Hospital Obsessive Compulsive Disorder Institute

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  1. The Poop GroupJason Elias, Ph.D.MGH/McLean HospitalObsessive Compulsive Disorder Institute

  2. Disclaimers • Some info may not apply to you Please share what you learn with others Be respectful of each other’s privacy

  3. Facts of life Things we have to do: Eat/drink Breathe Sleep Poop and pee Pooing can be hard for anyone Mix of automatic and strategic processes

  4. Bathroom Habits Group • Tasks without beginning or end • Uncertainty: Have I done “enough”? • Maintenance tasks • Routinized not Ritualized • Use rhythms instead of rules

  5. “Normative” information about bathroom habits

  6. Every body poopsHow often?What’s it like?Color, shape, texture, smellDensity

  7. How Often? 2-3 times per week OR 2-3 times per day

  8. P Factors Balance • Diet – fiber • Hydration • Exercise • Timing Speed • Caffeine • Anxiety/Stress • Medications

  9. Colors • Depends on what you eat • Green, yellowish brown, brown, reddish • Bright red – bleeding near rectum • Black – iron, pepto • Bleeding further upstream (tar-like consistency) • Whitish grey, floating, bad smell

  10. What’s it like? Source:http://en.wikipedia.org/wiki/Bristol_Stool_Scale

  11. When am I done?Pushing, wiping, and other mysteries of the pooping process

  12. What if I have messy bowel movements? • Use a light touch • Fiber supplements (e.g., Metamucil) • Anxiety/IBS • Hemorrhoids – internal vs external • Medical conditions • Prolapsed rectum

  13. 1) What # most closely resembles where you start? 2) What # most closely resembles where you finish? 3) How many wipes* total from start to finish? *A wipe is defined as the action of rubbing or wiping any material (e.g., toilet paper, wet wipe, leaves, pine cone, finger or hand) across the surface of the body in one continuous motion. Some people wipe more than once with a given object, count the total number of movements, not just # of clumps of toilet paper, etc.

  14. Don’t believe the data? Why do we have so many names for poop? What about skid marks?

  15. Info http://women.webmd.com/pharmacist-11/digestive-problems http://www.bathroomsurvey.com/results.html

  16. It’s easy to get caught up in the moment. How do you break out?Read aloudPoo in publicSet limits Do a dry runChange your technique Develop a rule and follow it - “three wipes, you’re out” Using the WIP scale – Stop when you wipe twice at #3Follow best medical practicesBe HUMAN, not perfect

  17. Five steps to building a better BMEat DrinkBe merryPostureApproach

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