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! ❤️

Here are some things that make me feel alone and isolated in my journey with sexual orientation OCD: 1. This feels like a complete identity crisis. I think that is what makes it so hard. It seems to go against everything I believe myself to be and who I always have identified as. 2. My compulsions, thoughts, triggers, and everything else that comes along with this disease feels and seems like I’m the only one that struggles with those things. My thoughts and images in my head often seems so real that it can only be me in denial. 3. Because this sub type of OCD is so sexual in nature, it has made my sex life with my husband, a really hard situation. Because I always get afraid and sex that I will think of these thoughts, I subconsciously then think of those thoughts, and if I have any type of feeling associated with those thoughts, it feels like proof that those thoughts are real and that makes it even harder. 4. Because a lot of the pleasure that comes with sex is on hot for me while I’m figuring out in this journey with OCD, my mind has convinced me that it is because I will only feel those things if I were with someone at the same sex (I am a straight female. I have a fear of being homosexual.). Well, all those things have made it really hard for me to function daily, I am doing a lot better at finding ways to combat those. I wanted to offer some of the things that I find that help me move past these thoughts and while it’s not always a perfect fix, it’s really helped. 1. I tried to remind myself daily that while love is a feeling it’s also choice. I have to remind myself to get up every single day and choose my husband not because I always feel like choosing him because that is who I choose. That is who I want. That is who I want to grow a relationship with to have a child with Thus why I always don’t feel that love, I always choose it. And while this can be really hard because just society as a whole has made us have these unrealistic ideas about what love is and made us think that love is just this huge with butterflies and sparks, it’s not always that. 2. I try to remind myself that these are just thoughts. And thoughts are not who I am. I don’t have to become the thoughts. I’m not a bad person for thinking of thoughts, and I don’t have to believe the thoughts. 3. When I get, like I often do, groinal responses to the things that I am thinking or seeing in my mind I just remind myself that those are responses to the anxiety I have. I’m not thinking those because I want to think those, but it’s in a response too The fear that I will think those and that I will get that response and then in turn I get the response. 4. I tried to remind myself that this isn’t a fear of coming out like if I was gay, this is a fear associated with a thought that I would be because that’s not who I am. If I really was gay, I would like the thought I would like the pleasure and I would be afraid of coming out. But in this situation, I don’t want any of the thoughts not because I’m afraid of coming out of this because it’s not who I am. If that makes sense.

I have been really battling with my SO OCD, and I’ve recently started to have a ton of wins!!! I’m really excited about it, but as I’ve noticed myself not engaging as much… different things have popped up. Now im obsessed with people’s perception on me, and them looking at me and thinking by how I walk, how I talk, what I wear, how I move… that I am gay? And am so convinced everyone thinks that and “knows something that I don’t”. Is that typical with OCD? If so, any ERP advice on how to overcome these thoughts?

Hey everyone, just wanted to post an honest update on where I’m at in my HOCD recovery. Right now, I'm stuck in what feels like a 24/7 spike — nonstop thoughts, intrusive sensations, identity doubts, and hyperfocus. The worst part? It feels real. Like I’ve “lost,” like I’ve accepted it, like I am gay. The thoughts don't feel like anxiety anymore — they feel like truth. I’ve been trying to do ERP, but the spike has been so constant I don’t even have to “do exposures” — the thoughts, feelings, and sensations are just there all day long. It’s like living inside an exposure. And it’s exhausting. BUT — here’s what I’ve been doing (and what I’m sticking to now): I say once: “These thoughts and feelings are welcome to stay for as long as they want.” I let the doubt, the feelings, the hyperfocus exist. I don’t check, test, or analyze — even when it screams at me. I live my life anyway — folding clothes, watching TV, eating, walking — with the storm in my head. Even when it feels 100% real. Even when I’m fully focused on it. I’ve stopped trying to feel better. I’m letting it all burn — and just not fixing it. It doesn’t feel good. It doesn’t feel right. It doesn’t feel like progress.