Treatment question

My struggles with OCD began in childhood, but it wasn’t until after giving birth to my first child at 30 that I finally received a diagnosis. For years, I suffered in silence with intense anxiety, insomnia, and intrusive thoughts, but because my compulsions were mostly mental—constant rumination, reassurance-seeking, and avoidance—I didn’t realize I had OCD. I experienced Pure O, where my mind would latch onto terrifying thoughts, convincing me something was deeply wrong with me. After my son was born, I was consumed by intrusive fears of harming him, even though I loved him more than anything. Seven weeks into postpartum, I hit a breaking point and ended up in the emergency room, where I was finally diagnosed. For the first time, everything made sense. I didn’t discover exposure and response prevention (ERP) until years later when my son developed Germ OCD during COVID. I went through the program myself first, and it completely changed my life. ERP helped me sit with my intrusive thoughts instead of reacting to them, breaking the cycle that had controlled me for so long. Life isn’t perfect, but it’s so much better than before. I can finally be present instead of trapped in my head. Now, I’m working on trusting myself more and handling challenges without fear of “losing control.” As I prepare to help my daughter start therapy, I feel empowered knowing I’m giving my children the support I never had. If you know you have OCD but haven’t started therapy yet, what’s holding you back?

Have you ever had a thought so unsettling it stopped you in your tracks? That’s how postpartum OCD started for me, triggered by my grandfather’s passing. After he died, a terrifying question popped into my head—What if I’m not a good person? From that moment, I became afraid of my own thoughts. When I had my daughter, a new fear took over: What if I could hurt her? I avoided being alone with her and constantly sought reassurance, but nothing eased the panic—until I found NOCD and realized I had OCD. Therapy was terrifying, but learning to face my fears instead of running from them changed everything. One day, when I was alone with my daughter, the thoughts came, and I simply responded, Maybe I could. Maybe I couldn’t, and moved on. That’s when I knew I was getting better. OCD no longer controls my life—and if you’re struggling, know that recovery is possible. I’ll be live on the app around 6:00 PM CT answering any questions, so ask away!"

I realize this may not work for everyone, particularly those who are struggling with moral or existential forms of OCD, but as someone struggling with relationship OCD, here’s my proposition and what’s worked- 1. ERP and resisting compulsions involves intentionally exposing yourself to distress and not trying to do anything about it, but just sit with it. It is a fundamentally ascetic and meditative practice. 2. Resisting compulsions also means overcoming your bodily desire (because more than anything OCD is a nervous system response, not a rational one) for relief from distress, and instead aligning yourself with a higher principle that overcomes your temporal state. 3. OCD also operates similarly to addiction, and recovery outcomes for addicts are significantly improved through belief in a higher power. Higher power is actually one of the core elements of AA programs because it makes self discipline a lot easier. 4. ERP/CBD is effective, in part, because it already fits within the psychology of someone with OCD. What I mean by this is that it involves homework, specific procedures done at regular intervals, intense self discipline, and is overall pretty formulaic/ritualistic/somatic in nature. And we know that it works, and this method of addressing OCD tends to really excite and appeal to those who suffer with it. We act like the totality of OCD psychology is bad, but it also seems to be the key to reversing OCD, and may be a kind of superpower when properly utilized. 5. We have countless religious traditions that are thousands and thousands of years old which have developed techniques and rituals precisely for what OCD recovery needs- Getting out of a reactive state, getting into a state of gratitude and meditation, developing ascetic skills to overcome temptation (compulsions), being okay with uncertainty, creating a place of inner peace and compassion, having a system of accountability and reminders which keep you from slipping back into compulsive patterns, and doing all of this in community with people who experience the same struggle. So far, religion has been *the most* helpful thing I’ve done for my OCD. Here’s how this has played out in my own life: -Hesychastic prayer. This is an Eastern Orthodox tradition where you project the Jesus prayer, in repetition, channeling it not just from the mind or mouth but from the heart. It is deeply psychosomatic, with the goal of creating ego death and achieving a state of seeing God in all things. It creates a calm, warm feeling in my chest that feels identical to a psychedelic afterglow. It takes me out of my head and into my body, and the first time I tried it, with a prayer candle lit beside me, I experienced very rapid relief and was able to sleep for the first time without having any nightmares. I now do this consistently, along with other kinds of prayer and hymn recitation, and gratitude before meals, and it’s something I genuinely enjoy and look forward to. Since doing it, my compulsions have gone done by like 70%. Every time I feel myself slipping into compulsions, instead of doing them, I pause and pray. Prayer fills me with warmth, gratitude, and comfort. I feel connected to something greater than myself, my body becomes calm, my heart stops racing, and afterwards, I no longer feel compelled to perform my compulsions, because I know that it is harmful to myself and those around me, and that God is watching over me guiding me to act in a more thoughtful and wise way. This has single-handedly brought me more long term relief than any other OCD technique or treatment has. Not only has it relieved my OCD, but I have so much more energy, motivation, and self discipline in other areas of my life. It’s like I can feel my neurochemistry balance itself in real time. I’m eating healthier, my relationships are richer, I’m a better student, I feel more creatively inspired, and I have so much more self discipline to resist habits that are bad for me. I hope this may be helpful to anyone else who might be struggling. I’ve searched online and there’s really no information out there that I could find on religious ritual being an effective OCD treatment, but it’s been completely revolutionary in my life.