The worst thing is when you spiral and start checking and compulsions and then you feel even worse later it’s always better not to give into compulsions and just let the thought pass on but it is so hard. Some days it’s no problem and other days it feels like going back to square one

Any tips on how to deal with the rollercoaster of good and bad days with OCD? I had such a good day yesterday with tackling my compulsions and rumination. I tend to get up in the mornings and my OCD loves to start immediately. It becomes frustrating when you feel like you made progress, only to go right back to where you were. Any positive encouragement of how you’ve dealt with this would be appreciated!

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.

Last week I fell into a bit of an existential spiral, which hasn't happened for a long while. Now that I'm mostly on the other side, I think it's important to reflect on the lessons I learned from it. I hope this is helpful for others who find themselves in their own spiral, existential or not. 1. The thought, "I'm never getting out of this one," will always be there, and it will always be a lie. Whenever I fall into a deep existential spiral (which is pretty rare these days), it *always* feels as though I've uncovered some horrible thought that I'm never going to be able to get past. As if I've finally found that one existential thought this is going to ruin me for the rest of my life. When that happens, allow the thought to come and go just like the rest of the thoughts, and take some time to reflect on how you've been there before. For me, it helps to sarcastically agree with it: "Yep you're right! THIS is the one that'll do me in." 2. Keep doing what you do A major difference between this spiral and past ones is that I forced myself to not cancel any plans because of it. I played at an open mic, accompanied my friend on mandolin for his performance, and I attended a run group, all while experiencing an existential crisis. I definitely think this shortened the length of the episode. I proved to myself that I could do some pretty demanding things despite the thoughts. I was also able to reflect on how when I was forced to be present (such as while performing), the existential crisis totally subsided. Which brings me to... 3. Trust in mindfulness I absolutely get it; when you're in the middle of a spiral, the idea of just "bringing yourself into the present moment" seems laughably unhelpful. This time in particular, it really felt irresponsible to *not* attend to the thoughts. It genuinely felt like I had to *solve* these existential questions before I could move on to anything else, including the present moment. But when I reflect on the times that I felt the most at-ease, it was always when I was present. It was during the 10 seconds I took to breath and notice my surroundings. It was when I disengaged from the thoughts and allowed them to come and go. It was when I smelled the fresh air after a thunderstorm, or during a conversation with a friend about her breakup. It was when I named the feelings and emotions I was experiencing, and welcomed it all. Existential thoughts are supposed to be about reality, but when you're lost in them, you aren't actually *in* reality. They're only scary in the virtual reality of the mind. And finally... 4. Yes, the compulsions are the problem I did a LOT of research last week. I watched videos, Googled, and even dove into ChatGPT. The compulsions were obvious, and they were never enough. Every answer that made me feel a little better was followed by doubt less than 15 minutes later. In the moment it genuinely feels like you HAVE to keep doing the compulsions, but you need to trust that that's exactly what is making you feel worse. In order to stop researching, I just had to...stop researching. It was hard at first, but eventually the spiral stopped spinning, and the longer I waited between compulsions, the easier it was to move on.