- Date posted
- 3y ago
- User type
- Therapist
- Date posted
- 3y ago
As a therapist I would never put a client in harm’s way when it comes to actual exposures. When you are doing self exposures you can weight the benefits against actual risk! I risk dying in a car accident everyday that I drive, but this risk doesn’t keep me from going where I need to go! If an exposure could cause actual harm, move on to something different. Try an exposure that would elicit the same amount of high anxiety but actually doesn’t risk harm. When it comes to contamination get creative! And, you could also consult an expert (doctor, infectious disease worker, etc) to get a go ahead or actual data on risk! But…….don’t ask them more than once! 😉
- Date posted
- 3y ago
This helps! Do you do things like “extreme” exposures? Like where would you draw the line between just a really scary exposure and something actually dangerous? Like particularly for contamination?
- Date posted
- 3y ago
I’ve wondered this as well. Like I’ve heard of people touching public toilet seats and not being allowed to wash their hands.
- Date posted
- 3y ago
The compromise could be that you are allowed to wash your hands once your anxiety comes down. I am planning to do some digust exposures that are similar, and that was my idea.
- Date posted
- 3y ago
Yea and the sad thing is I understand kinda why it might be necessary cause if I’m out with a friend and they use a public bathroom I’ll still be concerned like what if they didn’t wash as well as I would what if they put their bag on the ground but still it’s like. Isn’t that genuinely dangerous like that will actually make me sick lol.
- Date posted
- 3y ago
Mine were never that extreme but sometimes I felt like I was going against common hygiene practices. Like not washing my hands before taking my pills. Like you’re supposed to wash your hands before you put something in your mouth.
- Date posted
- 3y ago
Yeah, I don’t fear contamination, but I feel disgust (like I’m ruining my day) and also a sense that I’m a lesser person for not following certain rules (washing hands and not touching people with those hands). Some of those rules might actually be important, so it’s hard to figure out what to do there. Maybe I’ll get a consenting individual that you can touch with the contaminant who will wash themselves right afterward.
- Date posted
- 3y ago
Another approach that you might like better than extreme exposures is to try to slowly reduce your OCD behaviors until they get down to a normal level. This way, you don’t need to do any extreme purposeful exposures. If you’re not sure if something is extreme or not, ask yourself what someone close to you without OCD would do. If you’re still not sure, you could always ask someone if it’s reasonable or not. Also, if you think something might be OCD, it probably is.
- Date posted
- 3y ago
Nah the whole concept is purposely doing unreasonable things like using a public bathroom and not washing your hands. You are still supposed to slowly build up to it til it feels less scary, it’s not like flooding, but the idea is still to eventually do extreme things so normal things that are still scary to you, like using a public bathroom while washing hands and all, will become much easier, and it might also reduce fears that might arise if you’re with a friend who uses a public bathroom and you’re concerned they didn’t wash as well as you did.
- Date posted
- 3y ago
@Anonymous Alright, it was just a suggestion. You don’t have to like it.
- User type
- OCD Conqueror
- Date posted
- 3y ago
An extreme exposure would be on the higher end of the hierarchical ladder of your fears. When starting out with ERP, generally you would start with the easier things first and work your way up the hierarchy until you reach what bothers you the most. Although I am not a therapist, I am confident in saying that a therapist would not give someone anything that would be considered dangerous - the OCD is likely to consider it dangerous because it is a fear of ours. Hope that helps.
- Date posted
- 3y ago
Yea no the concept includes that build up but some of the things actually seem genuinely dangerous outside of the ocd- like touching public bathroom surfaces and not washing hands, touching a public bathroom tampon disposal box and not washing hands. Like those surfaces genuinely have germs on them that can make you sick.
- User type
- OCD Conqueror
- Date posted
- 3y ago
Germs are everywhere. For example, I had Covid but I have followed the cdc guidelines. The purpose of the exposure is to help us sit with uncertainty. I know it is uncomfortable but it teaches us how to live with the uncertainty that we may or may not get sick.
Related posts
- Date posted
- 23w ago
I have contamination OCD that causes me to excessively wash my hands/clean items with disinfectant wipes. I know I just need to start with small exposures but how do I do that without spiraling? I tried a while back by just touching the outside of my dishwasher and not washing my hands after and it led to me being unable to even exist in my house. I basically lived on my couch for three weeks as it was the only 'safe' space that I had not touched with my dirty hands. I had to take a week off work to clean my house to make it somewhat liveable. I still haven't got round to cleaning everything though so things like my kitchen are still no-go zones that I don't enter. I just don't know how to start ERP without it making everything worse. Any advice would be appreciated. I am not seeing a therapist at the moment due to financial constraints.
- Date posted
- 12w ago
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! 🤍
- POCD
- "Pure" OCD
- Real Events OCD
- Older adults with OCD
- OCD newbies
- Young adults with OCD
- Mid-life adults with OCD
- Date posted
- 11w ago
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 :/
Be a part of the largest OCD Community
Share your thoughts so the Community can respond