Hope everyone is having a beautiful Wednesday! Looking for some advice/encouragement about facing the top tiers of an ERP hierarchy… specifically for HOCD. In my appointment today with my therapist she suggested that it was time to tackle the more difficult triggers on my hierarchy (on the positive side, I think this is progress?)We started to talk about a safety plan and the potential of tackling the more bothersome issues. Of course this spiked my anxiety. However, I’m not completely sure what I would consider as my higher ranked triggers. In past conversations in developing my hierarchy she discussed the potential of going to a gay bar or asking a neighbor of mine about when she left her husband to be with a woman (which really happened and was my initial triggering event that started my HOCD). The thing is I don’t think these type of things are relatable to my underlying HOCD fear. Thinking about going to a gay bar does not spike me with anxiety as I am not nervous around gay people. For me, it’s more the fact that straight people do leave their marriages, even happy marriages with children, to be with someone of the same sex. I am not afraid about going to a gay bar or to have a conversation with my neighbor, I’m more fearful of what could be implied—what if someone saw me (plus with Covid surging, I’m not going anywhere!). What would my neighbor think if we had that conversation? I guess my question is: how have you dealt with moving up the hierarchy? People with HOCD, what are some exercises/ideas you could recommend that were 8, 9, or 10s on your list? Obviously I don’t want my therapist to think I’m avoiding certain things—I’ve been more than open and willing bc with my ERP. I just don’t think those types of suggestions would be beneficial for my HOCD/Pure O. Thanks! ❤️

I don't usually post on here because it could end up becoming a compulsion or could be seen as reassurance seeking but I think I just need a place to vent and to also get some encouragement and peer support. I am really struggling with my intrusive thoughts and feelings today. All of it feels extremely real and convincing. Right now, I feel thoroughly convinced that I have already identified as either a lesbian or bisexual. I have been diagnosed with OCD by both a psychiatrist and a psychologist years ago and I still feel convinced that it isn't OCD. I keep feeling as if I am just using OCD as a cover-up / as an excuse to deny my “actual” sexual orientation / to hide the “fact that I'm actually lesbian / bisexual”. I have been practicing ERP whenever my schedule allows but it's tough... ERP typically works for me but on days like today, it doesn't seem to be working and that makes me doubt if I have OCD or not. At the same time, I am also convinced that ERP isn't working and I am secretly in denial / struggle with comphet / have internalised homophobia (which makes it worse because my family is homophobic and most of my intrusive thoughts have been targeting that / using that as evidence). Feeling really scared and hopeless... 😞

Ever since starting ERP, my SO-OCD and general OCD has lowered. This has been great. I just wanted to have somewhere to share my thoughts and ask questions. For anyone else, have you realized that the SO-OCD and other forms of OCD are all rooted in what people have said in the past that I hadn’t processed, and up to this point believed hadn’t affected me. It was also odd because to me, I had never had a problem questioning my sexuality, even labeling myself as queer. However, this fear plagued my thoughts whether or not I decided to identity as straight, lesbian, bisexual, etc. It was so weird to me because it felt so foreign to how I’ve always been. I hated the guilt I felt over possibly being in denial or in the closet, over being homophobic, and all of that would just lead to constant stress and spiral. I felt so bad dating or being with my friends, on the off chance I was using them or going to cross lines. Progress isn’t linear, but I definetly feel so much better shedding the random fear I had of expressing affection towards my friends or of “using guys” to prove I was straight. Most of the time, I find that the stress comes from something really real. Like my past experiences with an old friend that I had or just not liking the guy I was dating and not wanting to lead him on. Being able to discern the OCD thoughts and stress from regular stress has been like a breath of fresh air.

I want to ask about exposure exercises in OCD treatment, specifically when some exposures feel unsafe or inappropriate. For example, sometimes I’m asked to say things aloud that are socially unacceptable in front of my family, or actions that could create real problems. My mind says this is impossible or crazy, and it definitely raises my anxiety. I asked ChatGPT, and it suggested doing exposures gradually, but I’m still unsure how to handle exposures that are truly unsafe. My imagination no longer worries me, but I really want advice specifically about handling unsafe exposures safely. Thank you!