Sleeping and OCD

Every time I go to bed late and I’m falling asleep, I suddenly get an intrusive thought of a child’s face and my groinal area always responds to it. It’s such an uncomfortable experience. I am way too tired to try and freak out so I end up falling asleep. The next morning I’m always trying to figure out whether I had the groinal response first or after the thought. I start giving OCD power but it feels like If I let it go, then I’m in denial or whatever. I don’t want to ever do anything sexual with a child. I don’t even feel comfortable talking platonically with people who are 17, much less a child. My therapist says that I have a deep rooted fear that I’m this horrible person and that OCD loves to feed off of it. When you get a groinal response, it makes the thought that much more real. I never want these things to happen. I want to only be into adults. It’s so discomforting and stressful. Especially since I’m hyper checking how anxious I am, and if I find I didn’t really have much anxiety, then I’m like “well if I didn’t have anxiety, what does this mean?” And more questions occur til I end up in a rabbit hole

I struggle so bad with intrusive thoughts. They can be so bad that I'll cry because I KNOW that's not how I feel or want to do. (Too embarrassed to say what they're about) I'll constantly try to figure out why I have them, and constantly figure out what they mean, causing me to constantly circle around and around. I had to get on anxeity meds, which helped a little but the thoughts still happen. How do you help yourself with this? How do you know that you're just not some physcopath? 😅

Does anyone else's OCD get worse when you haven't slept well? I haven't been sleeping well since this weekend and my OCD and anxiety is just making me feel super down. Does anyone else have this problem?