Has anyone thought about how similar we are to drug addicts regarding the compulsions? We depend on compulsions to cope with everyday but the more we do them our symptoms and lives get worse, trapping us in endless compulsive cycles until finally the compulsions become our main focus in life. Stopping the compulsions even felt like quitting smoking to me. We use our compulsions in almost the same ways a heroin addict uses heroin.

I started dealing with OCD when I became fixated on health issues, particularly the fear of contracting a life-threatening disease. If I experienced any kind of medical symptom, no matter how small, that even remotely hinted at something potentially fatal, it would drive me crazy, and I couldn’t stop obsessing over it. Then one day, I started having intrusive thoughts about accidentally hitting someone with my car, and I would end up driving in circles to check if I had. Eventually, I found myself overwhelmed by a flood of new obsessive thoughts and compulsions. One day, while I was at the park, a squirrel came near me, and for some reason, I felt like it attacked me. I Googled it and learned that squirrels could carry rabies, which spiraled me into a deep fear of rabies. I became consumed with the thought I received a bite from a squirrel, raccoon, or bat any time I’m in areas that trigger me. It started off only being inside then transferred to even being in my own home. This made me obsess over every physical sensation in my body, compulsively checking to make sure nothing was wrong. One compulsion that I hated the most would to be putting rubbing alcohol on me to make sure that I had no open wounds. Every day feels like I’m walking around in a fog of anxiety, constantly worrying that I won’t even make it to old age. Sometimes, it gets so overwhelming that I just want it all to end. It stresses me so bad at times to where my brain feels like I’ve been studying all day.

I cannot for the life of me stop ruminating or checking how I feel about thoughts or focusing on thoughts or creating more thoughts. I feel like I’m losing my mind. I want to scream. I try not to ruminate about the thoughts, but trying not to just makes me think about them more. I try not to check, but somehow, I still check. I want to let a thought sit in the background, but the more I try not to focus on it, the more I end up focusing on it. I don’t want the thought to expand because that feels like engaging with it, but I can’t just stop it from expanding. It feels impossible. People keep saying I’m in control of my compulsions, and maybe that’s true for the physical ones. But when it comes to the mental compulsions, I swear I have no control. It feels like I’m missing something that everyone else seems to have, like there’s some tool they’re using that I don’t have. Controlling mental compulsions has never felt possible for me. I’m starting to fear them. And every time someone says I’m in control and can just choose not to do them, I end up beating myself up even more when they happen. Or when I *choose* I guess. I don’t know anymore. If this is my fault, if I’m responsible for this, then what does that make me? I feel like a monster. I am at my wits’ end. How am I supposed to control mental compulsions when it feels like they control me? I freak out when they happen. They don’t bring me relief, they just make me panic. I want it to stop so bad.

What exactly is the difference between the two?