FOND DU LAC, Wis. - A 54-year-old man says his obsessive-compulsive disorder drove him to eat 23,000 Big Macs in 36 years. Fifty-four-year-old Don Gorske says he hit the milestone last month, continuing a pleasurable obsession that began May 17, 1972 when he got his first car.
Gorske has kept every burger receipt in a box. He says he was always fascinated with numbers, and watching McDonald's track its number of customers motivated him to track his own consumption.
The only day he skipped a Big Mac was the day his mother died, to respect her request.
The correctional-institution employee says he doesn't care when people call his Big Mac obsession crazy. He says he's in love with the burgers, which are the highlights of his days.
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Some thoughts:
1. Do the math. He's averaging almost two per day.
2. Apparently he has written a 205 page book about this. Because of his OCD, he types only using one finger, and double spaces between each word.
3. He's physically fit. (6 foot, 180). Still, I'd love to see an echocardiogram on this guy.
4. Yes, he's in "Super Size Me."
Shrink Think:
Obsessive Compulsive Disorder is an anxiety spectrum disorder characterized by repetitive, and often anxiety provoking thoughts (Obsessions) and repetitive or ritualistic behaviors (Compulsions). The symptoms should be severe enough to cause a disturbance to "normal" functioning, or to cause significant distress to the individual. I have many patients who have described the difficulty with stopping the compulsive behavior as like trying to stifle a sneeze. (Curiously, I have heard the same comment about tics in Tourette's Syndrome). If a compulsive behavior is missed, sometimes the individual will have to perform a secondary behavior to "make up for" the missed compulsion. This is called "undoing." An example is a person who has to count the stairs, and goes back two steps, if he misses one. Classic OCD patterns include counting routines, germ phobias rituals, and checking (locks, doors, etc.)
Some of the more curious OCD patterns I have seen include:
Grooming: washing each body part 33 times. This made for a long morning routine.
Galeophobia: fear of sharks with OCD. This individual would ruminate about sharks, and have specific undoings when hearing the word "shark" or other trigger words, such as "ocean." Taking a bath was out of the question for many years.
Demonic Possession: A young individual would think the name of the devil repetitively, and that the devil would be in inanimate objects of a certain shape or color, if he did not use his undoing. The pattern of requiring specific numbers, lack of extreme severity, (relatively speaking in Psychiatric terms!), overall awareness of this patterns, and positive treatment response to conventional therapy helped differentiate this diagnosis from schizophrenia or schizotypal personality disorder.
Common treatments include medications, such as SSRI's (Prozac type medications), usually at fairly higher dosages, and behavioral therapy. One example of behavioral therapy is systematic desensitization, for example as with germ phobia rituals, desensitizing the individual with dirt on their hands, and increasing the amount of time that he can tolerate it. Many persons with OCD do not seek out treatment, and try, often successfully, to just work around it.
As with many anxiety symptoms, there is a continuum, upon which most of us exist. Simple phobias, preference towards certain patterns, etc. are often all part of the wonderful variety in life: While I am not one who is usually attuned to organization, I have all of my CD's organized alphabetically, with each CD in the case positioned that one can read the title of the CD when it is opened.
Thoughts? Or, care to share your Obsessions and/or Compulsions?