I'm trying to do imaginal exposures for my suicidal/existential themes (e.g. thinking about how it is possible that life is pointless and not worth it, etc) but doing these exposures sometimes just makes me feel hopeless and depressed, and I worry that repeating these ideas to myself is actually just going to end up making me believe them? I've fallen into a spiral of hopelessness several times before and it's horrible and scary and I really don't want to do that to myself. Does anyone else struggle with these kinds of worries? How do you carry on doing the exposures when you're so worried that they might have a bad effect?

I read about ERP and have seen information about it on here. One of the goals is to say, "maybe I am this or that...ect." That terrified me. The thoughts and images that go in my head are disturbing and upsetting. I don't want to even think about saying, "maybe this or that." It's devasting to have these thoughts and question why you're having these thoughts. Doesn't the "maybe" make it worse? The one thing that helps me is that is to remind myself that these are just thoughts and I know I'm not a monster, even if I feel like one. Is ERP not for everyone? Has anyone else had a problem with the techniques used in this kind of therapy? I had cognitive therapy for years with an OCD specialist and that seemed to help a lot. Writing out the worst case scenarios would make me suicidal. Im having a difficult time not obsessing over the "maybe" after intrusive thoughts now. It doesn't make it better.

When I catch myself doing compulsions mentally during exposure sessions, it seems alot of the time like the realization that I was just doing a compulsion is more distressing than the actual trigger I'm trying to expose myself to. It feels defeating having to admit the prompt at the end that I performed a compulsion yet again. I still think I've made progress overall, and generally speaking I don't think I'm performing compulsions as much as I used to, and my distress has also gone down noticeably (not completely) but exposure sessions have been kinda tricky for me from the beginning since its all mental. Additionally, I am a bit concerned that I could start using exposures to rid myself of anxiety rather than expose myself to it properly.

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.