I'm having a really rough day. I've only met with my therapist twice so far so this is all new to me. I have realationshp ocd and mental contamination ocd. So today I was supposed to work. Last night I just found myself wide awake. I don't know if I had too much caffeine at dinner in my Pepsi and decaf coffee I had that evening but I could not fall asleep and each hour that passed was one hour closer to my alarm going off at 430am. By 4am I was crying and had myself so worked up. I was thinking I finally have gone crazy. I was going to try to make it through my day without any sleep but the thought of being with my thoughts for over 24hrs on a tired mind made me cry. Sleep is the only break I get from my thinking. So I called off work and felt extreme guilt because about a week ago I had to call off to stay with my child, then couldn't come in this past Thursday when they actually called me in because I was actually sick from the covid shot. I was crying because this isn't like me. I'm panicking I'll lose my job, lose my mind, my house, my relationships, sleep. I took some NyQuil and melatonin around 5am and am just now waking up at 2pm feeling panicky and not even sure how to handle the feeling and all these thoughts. Scared I've messed up my sleep forever. How do I go about handling this? I know I can't have a fear of not falling asleep now so how do I get a grip on this today when all I feel is fear and like crying?

I feel like I'm up against an insurmountable mountain. I'm not new to OCD; I know I've had symptoms since at least the age of 8 (probably earlier to be honest, I just know things really took off when I was 8). I dealt with things with no outside help until I was 17, at which point I began seeing a therapist and began to take celexa. I stuck with that therapist for a couple more years before going about my life, though I continued to take the the celexa. Fast forward to 2018, age 29 - I once again began to see a therapist and had my meds adjusted once more, this time switching to Luvox. I also wound up switching therapists after a year or so, though not by choice - my therapist had a personal crisis come up that necessitated the switch. I still see the same therapist I switched to in 2019. Early 2020 brought with it a couple more med changes, going off the Luvox and onto Cymbalta and Intuniv due to concerns about previously undiagnosed ADHD. This was how things were for five years. I'm not going to say things were perfect- there were undoubtedly bumps in the road - but things felt doable, and I mostly found enjoyment in life. This came to a screeching halt recently. Again, as I said, there were bumps in the road. At first, I thought this was all that this was. When I spoke to my psychiatrist in early February, I started Ativan as I just wanted something to take the edge off a little bit. I also went off of Intuniv as we thought that might be contributing to things. It was Saturday, February 8th when things really started to go off the rails. My boyfriend and I were going on a short trip across the state. An intrusive thought popped up - What if I sleepwalked at the hotel and hurt or even killed my boyfriend? This fear stuck with me through the entire trip. I heaved a sigh of relief as we drove back. I'd soon be safe back at home and I'd put it all behind me. If only. On the ride home, my worries shifted to concerns that I would sleepwalk and do something to my parents, who I live with. I fretted for the majority of the trip back, already making up plans to research the subject and how unlikely it would be that something like that would happen, and I'd tell my parents for good measure. They, of course, assured me that I'd never sleepwalked in the past so it was unlikely I'd do so now. I should also note that this is not a new fear of mine, but one I experienced as early as elementary school, though it had essentially disappeared up until this point, decades later. If only it stopped there. I stopped taking the Ativan Sunday evening in the middle of the trip, my thought being that the Ativan might have contributed to this. My boyfriend, in fact, had a reaction years ago where Klonopin actually sent him into a panic, so it seemed possible that I might be experiencing some sort of paradoxical reaction. I also remained off of the Intuniv. Monday was the day I began experiencing loss of appetite. Monday was also the day when things really began to take off and my life began to truly feel like a waking nightmare. Another horrific image from my past reared it's ugly head - an image of my grabbing a knife from the kitchen and stabbing my mom. An image that has continued to haunt me since - and now its 2 weeks later. There's still a bit more to the story - The day after this began, I went to a local urgent care. I was now not only experiencing these horrible thoughts, but I could barely eat lunch, and my stomach was hurting. I also told my parents the latest turn in how things were going. From the urgent care, I was given a prescription for Omeprazole and Hydroxyzine. The following day, I went to my ordinary doctor's office, where the doctor suspected my increase in anxiety and the associated intrusive thoughts had to do with going off of the Intuniv I'd been taking for five years without tapering, and advised me to immediately resume the Intuniv. He also endorsed continuing the Hydroxyzine, which I was taking at night before bed at this point. I'd hoped that going back on the Intuniv would 'even things out' and I'd be back to normal in no time. The thoughts continued, unfortunately. I had an appointment with my therapist as well as my psychiatrist, who upped my dosage of Intuniv to 3mg instead of 2mg and advised on other medication options should this not help. Though I would like to see both of them more, it's difficult with my work schedule and their busy schedules to find time. As of right now, I'm seeing my therapist once every two weeks. My next appointment with her is this Wednesday. I've also made follow up appointments with my regular doctor's office. Last Wednesday (2/19), I had an appointment with an NP who advised I take the Hydroxyzine three times a day rather than just at bed time, so I've been doing that. I thought it might be helping the first time I took it in the afternoon, though this doesn't seem to be the case with subsequent dosages, unfortunately. I also see her again on Wednesday. I apologize for the long post, but I wanted to share how I got to this point. Things aren't great. I'm trying to enjoy life where I can - I recently played board games with my parents yesterday and went to a restaurant with my boyfriend the day before and felt almost normal, but even in those instances it felt like there was something lurking just beneath the surface. I'm going through life, but it feels like I'm barely surviving. I'm going to work but only because I think I'd be worse at home with absolutely no distractions. I wish there was a switch I could flip and things would be back to normal, where I didn't feel this way. In fact, more often that not, I want to be laying in bed asleep, because you can't think when you're asleep, and it feels like the only refuge at this point. It's hard because home was always my safe place, and my mom one of my safe people - and now this. Anyway, if you made it through this long post, thanks for reading. <3

Often times I find myself spiraling out in the morning about all sorts of things. When I try and catch myself and figure out what I am obsessing over it’s like it goes away. I haven’t moved. I have been sitting frozen on the floor because I can’t go to work because I am behind on work and I hate being late and I hate being messy but I am frequently late and my room is cluttered and full of stuff. I want to be good and move and go to work but I don’t know what is coming today and I hate my job so I know I will get bored and when I have nothing to keep me busy and engaged I like start thinking and taking an inventory of what is going on and then I will feel a sensation and what is the sensation? How did it happen? And I know that I will pick up the bad emotions in the office and get contaminated, I was really worried about things like this as a kid too I cried because I had to touch dirt in kindergarten. I know I am this way and I have been this way for a while but at the same time I think I might just be normal and like I don’t know why I get stuck in thinking like this. Then I begin to doubt that OCD is real because everyone has a brain with wiring and everyone gets stuck in thought sometimes. I feel disabled from whatever this is because I am stuck. I literally cannot move because I don’t know what’s wrong and I know I have to go to work even though I feel like every moment I spend there is making everything worse because other people are so stressed and I get it from them. And I don’t feel ready because I just feel off and something is wrong and I just don’t know what to do because if it’s OCD or not OCD everything anyone knows about me is coming from me and I worry that I am often masking all the thinking I’m doing because thinking all the time is rude and inconsiderate and inconvenient for those around me, but I can’t stop. I just don’t feel right, right now - and I want to know WHY?? Why is everything off all the time? How do I even know that I am not making up the experience of OCD in my head to cover up something really wrong with me and now I am taking on the symptoms of OCD like an actress, because this could be something that I can latch onto as a final hope for explaining why I am stuck. So stuck so deeply and terribly stuck sitting on my floor next to my bed just scrolling to avoid thinking because any time I start thinking I am left with no answers or help or anything just this swirly feeling. I know I am trying, maybe not my best, but as much as I possibly can. I want to be a Special Education Teacher but I have so much so so so much doubt and uncertainty about every decision I make and everything I know that I can’t get there right now. I can’t do anything right now until it feels ok and then I will. It never feels ok. I know I have to be ok not feeling ok about it. I can be unsure and still be ok. I know it’s just my thinking and my body but I just can’t get past this feeling. And then I know that because I can calm myself and be ok even though I spent 2 hours of my life today already feeling stuck and spinning around and around and around in my head - I don’t feel sure about my OCD and I think it’s a bit of a scam made up by people to cultivate pathology around deep human thought because one day I might figure it out and we all think a lot.

My ocd has been at an extreme all time high the past 2 weeks and I am in dire need of some relief. I’m not sleeping right anymore. for context: I live in the south and found a springtail on my sheets about 2 weeks ago. This was like 2 days before our bug guy came and sprayed (it’s a normal maintenance thing here) so it’s a common bug down here and I’ve found them all over different areas of the house before. Finding it in my bed sent me on a bit of a spiral bc I started to doubt if it even was a springtail and that i was wrong and that it was a bed bug, not trusting my brain. It was a bad, sleepless night and carried over continuing feelings. Typical ocd stuff. Well two days later, I’m a nurse and I had a patient that actually had bed bugs. This wasn’t the first day they were here and I did not see any myself but it still freaked me out. There had one 2 founds after visitors came the day before. Of course I wore PPE in the room (coveralls shoe covers and hair net) going in and took everything off before exiting the room. When I came home I stripped in my garage and bagged everything down to my shoes. Threw everything in the wash and did multiple cycles. There were no other steps I could take but I still had a terrible night. Hours of ruminating and going back and forth about tracing my tracks, thinking of new ways I could’ve taken one home with me. Just checking everything. I was already on a spiral from the springtail. Having two such back to back triggering events for me so closely related has made me deteriorate significantly. I was already doing bad with my normal OCD and starting therapy here. I obsess over the thought of having bedbugs constantly and haven’t been able to sleep. I am constantly checking my bed while in it and can’t settle down. My bed is heavy too and I keep hurting myself lifting my mattress to check. But I need to check. I’ve become obsessed. I check everything and go down Reddit rabbit holes looking for new things. And of course, I talk myself into it every time. I can’t take it anymore, it’s bleeding off into other parts of my life like friendship and marriage because I am so high anxiety right now. I need relief so bad. I’ve never felt this unstable to be honest. I feel like even someone without ocd would be really struggling with this topic, nevermind me, with ocd to a point where I just started treatment. These aren’t even my normal intrusive thoughts and compulsive acts. It’s just taken on a life in the last week and I can’t find any sign that it’s going to slow down. when I think rationally I know I did everything right to prevent but I can’t shake it. 💔