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?

Hi guys! I’m new to the community and I’ve recently received my OCD diagnosis (tho I’ve known about it since childhood). I’ve been somewhat spiraling lately as I wait for my first ERP session (hooray!) I was just wondering if any of you guys have received ERP for existential OCD and if it was successful? My existential OCD compulsions are more so mental and have been affecting me in the sense of dream/memory flashbacks and giving me a sort of “uncanny” feeling about everything around me. Any advice is appreciated! Thank you❤️

I used to get caught in a loop with existential thoughts very frequently. Every question made my stomach drop: (TW: existential questions) … … ... "Why does anything exist at all? What will death be like? Is anything even real? Is there any meaning to this? Is the universe infinitely big, and if not, what's beyond it? Are there multiverses? Has the universe been around forever? Will the universe end for good, or will it keep going forever? What is forever like? What even IS reality?" It would get so overwhelming that I remember lying on the floor in a fetal position for hours because I felt like there was no escape. I spent most of my days reading articles and watching videos about theoretical astrophysics and philosophy in a desperate attempt to "figure it all out." Of course that only made me more anxious, raised more questions, and kept me trapped in the cycle. Things started to improve once I learned to turn TOWARD reality, rather than away from it, and ERP really helped me do that. I learned that these questions weren't the problem. I learned that I can actually handle the anxiety that arises when exposed to these ideas and concepts. I don't have to figure anything out to make the anxiety go away; it arises and passes away on its own. Ironically, bringing myself into the present moment and becoming more aware of reality helped me escape the cycle of existential dread. Because of that, this topic no longer takes over my life. If I'm triggered by something I see, hear, or think, I may still feel a little twang of anxiety, but then it just goes away. "Maybe, maybe not" has been the single most useful phrase of my life. Do you ever get trapped in a cycle of existential questions? Are you worried that the ERP approach would be too scary to handle? If so, I'm happy to give my advice.

I find while doing exposures, rarely does my anxiety lessen. It usually amps up and stays that way for the remainder of the day. I could be having a fairly decent day, but dutifully do my exposures and then the rest of my day is anxiety filled. I guess that’s just how it is now? Also, I’m wondering if my therapist even believes I have OCD. I totally understand my therapist cannot provide reassurance. But it’s to the point it seems my therapist acts like I actually did the thing I fear. I feel so isolated.