Hi. My question is if someone is in their late 60s and has had severe OCD for their whole life, is it reasonable to expect they will get improvement from doing exposure therapy? I ask because a close family member has severe OCD. She's had it her whole life and it is so engrained. She is a hoarder, throws away food before its date, has obsessions about technology, food, cleanliness, covid, what she says to people, chemicals, etc. I have OCD too and when I found out about my OCD I realised she has it too and be sent to counselling. She went to the same therapist that I did. Within eight weeks of my therapy I'd made a hierarchy, started exposure, etc. She had about 15-20 sessions and she hadnt really started exposure or challenging compulsions. And the theprist was talking more about reasoning through things. I wondered if this was because she thoguht my grandma is so bad that she isnt going to be able to get through the exposure and stop her compulsions like I managed to (over two years. But I am now almost anxiety free.) She stopped therapy but wasnt really better, because she hasnt started breaking the OCD cycle and still doesnt properly understand her compulsions. She asks me for advice on how to deal with obsessions etc. As we are close. And I talked to her about exposure (slowly and controlled obviously) But I dont know if that's the right thing to suggest for her. She felt more anxious having counselling as it makes you bring everything up. I found my theory so helpful but I was a teenager at the time. She has had OCD without knowing about it for over 60 years. Is it too late for her to have any real improvement. I dont want to push her into counselling or exposure if there isnt much chance she can change her OCD much now. I ask this because I love her and dont want to make things worse for her. Please let me know about severe OCD that has been going on for many decades... is there chance of much improvement or will she be happier carrying on doing her obsessions and compulsions without interference as she has for the last 60 years? I just want the best for her

I have had ocd for decades! Could I still be cured???? (Of you can call it that?) I have seen different therapists but it never had fully left me...not by any stretch of the imagination. I do want to be free of this ocd and its power over me and all the bad that it brought into my life!!! Some days I am strong and feel like I am fighting it put other days...many days...I don't get things done or if I do I take a long time to-do the things I need to get done. I feel like I know this is just then ocd stopping me and that these are just thoughts but nobody in my family understands and though they have shared my journey and hated it a I do.....it just feels like I want so bad to be the best person I coukd be but I avoid places, people, things, that have any reminder of my ocd.......and so it restricts me from getting better and completing tasks the way I used to. Now UI might go and make 2-3 trips cuz I am worried to shop at a place and therefore it takes my time up. The avoidance I do is bad! When I actually don't listen to my ocd and don't avoid something...I feel great! ,However, it happens so rarely!!! I.dont know how finding a therapist through NOCD will help me. It is not in person and two be honest I almost think I need medicine to push me along. I don't have anybsteady and consistent improvements. However, I don't think I want to be on medication for the rest of my life! I am very confused!

My struggles with OCD began in childhood, but it wasn’t until after giving birth to my first child at 30 that I finally received a diagnosis. For years, I suffered in silence with intense anxiety, insomnia, and intrusive thoughts, but because my compulsions were mostly mental—constant rumination, reassurance-seeking, and avoidance—I didn’t realize I had OCD. I experienced Pure O, where my mind would latch onto terrifying thoughts, convincing me something was deeply wrong with me. After my son was born, I was consumed by intrusive fears of harming him, even though I loved him more than anything. Seven weeks into postpartum, I hit a breaking point and ended up in the emergency room, where I was finally diagnosed. For the first time, everything made sense. I didn’t discover exposure and response prevention (ERP) until years later when my son developed Germ OCD during COVID. I went through the program myself first, and it completely changed my life. ERP helped me sit with my intrusive thoughts instead of reacting to them, breaking the cycle that had controlled me for so long. Life isn’t perfect, but it’s so much better than before. I can finally be present instead of trapped in my head. Now, I’m working on trusting myself more and handling challenges without fear of “losing control.” As I prepare to help my daughter start therapy, I feel empowered knowing I’m giving my children the support I never had. If you know you have OCD but haven’t started therapy yet, what’s holding you back?

My little sister is 13 we’ve taken her to a child psychologist and she was diagnosed with OCD and social anxiety and I believe germaphobia. The psychologist said that he can’t properly diagnose her with autism until her anxiety symptoms are treated. But I am very positive that she is also autistic as I am autistic and know the symptoms vary well. She was given a medication at a low dose, I don’t remember what kind, she had been taking it even tho she did not want to for a couple of months. It seemed to be helping her anxiety immensely but I believe she is scared of how the medication changes how she feels and she doesn’t like the taste. So they switched medications and that one was even worse because the taste was too strong she didn’t even try it for more than a day so there’s no way of knowing if that one was better for her or not. These are both liquid medications btw we used juice for her to drink it. Since then she hasn’t taken any medication and she has said that she doesn’t want to. We can’t force her to take the medication as that would obviously be counter productive. But since then her ocd and germaphobia have gotten progressively worse. On top of not wanting medication she doesn’t like the idea of using any coping skills like deep breaths or breathing exercises to calm down and doesn’t like the idea when I talk about ERP or therapy or any kind of treatment that could help. It seems all the ideas either make her uncomfortable or scare her. I fear somewhat that my own ocd compulsions have made her think that this is normal and doesn’t need treatment and I don’t know what to do to help understand that treatment and change isn’t scary. I also fear that I’m not approaching this right and my mom doesn’t understand ocd like I do so I feel like it falls on me to help her through this and help my mom understand what we need to do to help her. I’m sorry this is so long. thank you for reading this. She’s really struggling and it’s affecting my own mental health too and I don’t know what to do. If anyone has any tips or advice please that’s all I’m asking for.