Question for someone that's fairly far in recovery: Do you still so ERP every day? Or just when you feel like ocd is taking overhand again? I sometimes have weeks (or even over a month) where I feel absolutely fine. Then out of the blue its there again for a few weeks etc. I'm wondering if I should do ERP even when I'm feeling fine for a while. Bc doing it is kinda re triggering and I'm happy when I can get my mind of it. Thoughts? :)

Hi! I've been on my OCD healing journey for about half a year and I have seen a lot of success. I'm reaching out for advice, I am very willing to do exposures because I know the more I do them, the more I get better, but I struggle with the response prevention part. I don't know how to control my brain when it comes to facing the fears especially since most of my compulsions are mental. I can tell myself the typical things "I am okay with the uncertainty of this happening", etc. but its like my brain doesn't believe them. I've been stuck in this disconnect for a while and would love advice you have heard from a therapist or learned that has really help you.

I’ve been stuck in this cycle for the last month or two and am not sure how to get out of it. Basically, I will work on ignoring the thoughts and not responding or engaging plus limiting/completely eliminating compulsions. After a week or two of constant work, the amount of intrusive thoughts in a day goes down. The anxiety each thought causes also goes down with some, but not all, thoughts passing without notice like they would for a normal person. The thoughts that do stick cause anxiety and make me want to ruminate or do other compulsions but I make sure to limit them. After a bit, I’m in a pretty good head space. This is usually when it goes down hill. I’ll start to question if I even have ocd because some of the thoughts (once again not all) pass without notice. The difficulty resisting compulsions goes down and so does the anxiety, only increasing the questioning. I spend a while questioning if I’ve ever had ocd in the first place and then something sets me off or the questioning itself becomes a trigger and I get stuck back into the same ocd cycle with constant rumination, anxiety, and other compulsions. This lasts for a week or two before I know I need to stop and try and work hard to get back to ignoring the thoughts. And the cycle just restarts over and over again. Does anyone have any tips to stop this from happening? It’s really harming my recovery as every few weeks I dive back into the same negative place I was.

I had just posted a summary of ERP for a group member, and I thought it might be useful for everybody. Here it is below (with a little extra added)…. ERP therapy is researched-based. Most other therapies don’t work. There have been people who have been literally stuck in their houses (from their OCD) who gained their lives back through ERP therapy. NOCD does ERP therapy exclusively. You can find it in other places too, but you have to ask around. There are two tenants of ERP therapy: The first one has to do with the repetitive thoughts inside our heads. These thoughts are actually defined as “obsessions”. You are not supposed to do anything with the obsessions. You are supposed to let them run through your head freely, without trying to fix them or stop them. Imagine a tree planted by a river. The leaves fall off and float down the river. You can see the leaves falling, but you don’t try to stop them or pick them up. You don’t try to fix them. You just let them float away. This is really important to do with your obsessive thoughts. The more you try to fight them off, the worse they get. I used to have blasphemous sentences running in my head 24/7. I felt like I had to put a “not” next to each sentence in order to “fix” it. But this just took hours of my time every day, and it was very scary, because I was worried that if I messed up, that I would go to hell. It was very freeing to learn later that I could just let those sentences run freely through my head without trying to fix them. The second part of ERP therapy is all about “denying your compulsions.” Every time OCD tells you that if you don’t do things a certain way that something really bad will happen, that is a compulsion. Once you recognize what your compulsions are, ERP therapy will have you practice stopping doing all of those things. For some people, that will mean stopping washing their hands or touching lights switches or, in my case, putting “fixing” words in their head. Compulsions are safety behaviors. During ERP therapy, you will practice stopping engaging with safety behaviors. All this is very hard to do and scary, so during therapy you will be given tools to help you deal with the fear. Often ERP therapy will take people from being non-functional to functional. I highly recommend it. ————————————————- PITFALL #1: After you have been doing ERP for a while and become somewhat successful, the OCD will try subtle little tricks to bring you down again. The first one is to tell you that your thoughts are REAL and not OCD, and therefore you can’t apply ERP therapy. Don’t fall for this trick! All thoughts are just thoughts. They are all meaningless. Don’t try to figure out what is real and what is OCD. Just treat all thoughts with ERP therapy. PITFALL #2: The second pitfall is that OCD will tell you that you can’t move forward unless you have absolute certainty that you will be safe. Hate to tell you this, folks, but there is no certainty in life. You will never know for SURE that you or your loved ones will be “safe” from the OCD rules. Therefore, you have to move forward in the uncertainty. It’s hard, but it gets easier with time and practice. We got this, guys !!!!!!