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! ❤️

Does anyone else struggle with this? It's been the main thing powering my POCD, and it's only been getting worse. Especially when I see posts online of people sharing their personal stories relating to CSA, specifically grooming. It's so triggering now, but before this theme developed, the most I'd feel while reading posts like that would be disgust targeted towards people who did those things. Now, my first thought is, "What if I do something like that one day? What if I've done it before and I don't remember or didn't know I was doing it?" I have many, many different intrusive thoughts or worries related to this theme, but it all circles back to this specific fear that I'll become like the people who hurt and took advantage of me. Does anyone have advice for this? I'm not sure if I've asked a similar question in the past or not, but is this something I need to deal with separately before beginning ERP for OCD? I'm just curious and also lost on where to begin with all of this. I'm just glad I'm able to begin working through all of these issues now, rather than later in life when I'd probably have a lot more responsibilities. Anyways, any feedback is appreciated! 🤍

What ERP or other techniques do you use to combat fear of cancelation? Especially curious about those with taboo thoughts, false memory ocd and event ocd based off of real events where the fear of cancellation may actually hold some validity. I once did my own ERP not under a therapist but just on my own I decided to create an anonymous account on Twitter and defend a friend who was receiving online criticism. I knew that this would be semi-controversial so I was expecting backlash and when I recieved troll replies it actually seemed to be a really helpful low-stakes exposure activity. Is this something that others have done? Low stakes online posts etc. that you know will recieve negative responses? I have had severe OCD as a kid as pretty much every subtype under the sun, and as an adult I pretty much have all the types under control except for this real event and false memory and taboo thought OCD. It seems like a different beast since it's somewhat realistic in the camcellation culture today, and it's confusing to address. Ive shut down almost all social accounts and it's keeping me from progressing in a career where I need to have an online presence :/

trigger warning!!!!!! I’m really scared right now. I’ve been reading Elle Warren’s articles about her experience with HOCD/SO-OCD, and it feels so similar to mine. She went through the same fears of being a lesbian, felt distressed by her attraction to women, and spent hours ruminating, Googling, and analyzing her feelings. She even experienced groinal responses and revisited old memories, just like I do. Eventually, she had a moment of realization in college when she flirted with a girl, and everything clicked. She now identifies as a lesbian. I’m terrified that the same thing will happen to me. I thought the OCD fears were supposed to never be true and that HOCD thoughts are usually just compulsions that don’t end up being real. But reading her story, it’s like I’m seeing my own experience mirrored. What if it clicks for me, just like it did for her? What if I realize that I am a lesbian? Elle’s story makes me so scared. I thought my feelings of attraction to women were just OCD-driven, and now I’m questioning everything. I thought I was straight, but now, reading her journey, I’m wondering: could my OCD fears actually be real? Elle’s experience was very similar to mine: • She got distressed when she thought she might like women, not relieved. • She spent a lot of time ruminating, Googling, analyzing, and comparing. • Her attraction to women only became intense when her OCD flared up. • She said things like, “I feel peace when I believe I’m straight.” • She had already been diagnosed with OCD and had a history of this pattern. After years of fear and distress, Elle had a moment of calm and realized that it was true. I’m scared that this could happen to me too. Will I have a similar moment of acceptance, where everything clicks and I realize I’m gay? Or will I come to accept that this is all OCD, and that I’m straight, with the possibility that I’m not? I also keep thinking back to when my OCD lessened the first time. Did I go back to men because I wasn’t actually attracted to women, or was it just because the grip of the OCD had loosened? Elle also talked about the shame associated with non-heterosexuality. She mentioned that, like many of us, she had internalized stigma around being gay, and that it made her fear the possibility of being non-heterosexual. I can relate to this so much—growing up, I never saw it as an option to be anything other than straight, and now it’s hard to shake that fear and shame. Elle mentioned that she found reassurance in seeing other people with HOCD who worried that their fears would come true, but eventually realized they were just OCD thoughts. That idea is comforting, but also a little scary, because what if that moment of realization happens for me too? What if I finally accept that I am a lesbian? Or, what if I’m just struggling with OCD and eventually realize I’m straight? I just don’t know. The scariest part is that, just like Elle, I feel like I don’t have any obvious signs. She had no idea she was a lesbian until one day, everything clicked. She was 21, just like me when my OCD fears really flared up, and she had a breakthrough moment in Denver when she made friends with lesbians. That hasn’t happened for me yet, and it’s terrifying to think that it could happen in the future. I don’t know what’s going to happen, but I’m really scared about where this will lead.