Does anyone find (believe) their OCD is as bad as it is because of the situation they’re in? There is a lot of talk on here that OCD is a chemical imbalance and that exposure therapy works. I’ve had this over ten years and can say with absolute certainty that exposure therapy has NEVER worked for me. It makes it worse. This whole idea of “exposure therapy lets you reach a level of anxiety and realize you’ll be fine” is very toxic. I have done this. Had a massive panic attack. Collapsed. And ambulance had to be called. My living situation is horrible and makes my OCD spiral. And because of the way the world is right now moving isn’t an option. Which has made my depression spiral. I honestly don’t know what to do anymore. All I do every day, every moment, I’m not at work, is lay in bed and cry.

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.

Hello! I am really looking for some advice. I have been struggling with OCD for a few years now and it drastically affects my daily life. I am going to give a quick run through of my OCD, and then the current situation I am in now. So for almost 2 years now my most prominent themes of OCD have been getting sick with the stomach bug (emetaphobia) and watching someone die/ having to see large amount of blood or do CPR on someone (I just graduated nursing school). Last year I stopped eating out, wouldn’t touch any of my food with my hands, would wash my hands until they bleed every day, bleached everything I touched when I was in public etc… I would have these major panic attacks all the time and the thought of getting sick hasn’t left my head 24/7 for 2 years. I was unable to complete my nursing school clinicals due to panic attacks each time I was at the hospital afraid someone would die and get these terrible images in my head. I didn’t sleep ever, barely graduated. I did ERP after school and was able to make up the clinical days I missed. Got to a point where I was eating again, felt like I was able to get my hands clean just by washing them. I have been doing exposures every day, and have accepted that getting sick will probably happen at one point and I am okay with it as long as I am at home when it happens. So locking myself in my apartment for 48hr every time after I could have been exposed to the stomach bug is major progress for me and I have been overall doing much better. Fast forward to now: It’s time for me to start my new job on a med/surg floor in a hospital. This week I have made it through a few days of orientation with panic attacks day and night but I am doing it even though I am petrified. I don’t feel ready for this big of a step, being exposed to both of my biggest fears constantly. Today at orientation the girl sitting next to me told me she had been vomiting all day, and continued to run out of the room a vomit the rest of the day. I now am 90% sure I am going to get sick and feel as if I would rather die than continue this amount of stress and anxiety I have felt from just a few days of being on the job. This is my BIGGEST fear and it’s coming true and I don’t know if it’s worth putting myself through this every day at work to just be having constant panic attacks and be miserable. I know with OCD you have to face your fears but I have been pushing myself and trying so hard and I don’t feel like it’s worth it to work this job. I would also feel incredibly guilty for quitting on the first week, but there are a million other nursing jobs that are not in a hospital. I think this is too big of a step for me right now but I wanted to see what others think. Any advice at all is so appreciated!

I started dealing with OCD when I became fixated on health issues, particularly the fear of contracting a life-threatening disease. If I experienced any kind of medical symptom, no matter how small, that even remotely hinted at something potentially fatal, it would drive me crazy, and I couldn’t stop obsessing over it. Then one day, I started having intrusive thoughts about accidentally hitting someone with my car, and I would end up driving in circles to check if I had. Eventually, I found myself overwhelmed by a flood of new obsessive thoughts and compulsions. One day, while I was at the park, a squirrel came near me, and for some reason, I felt like it attacked me. I Googled it and learned that squirrels could carry rabies, which spiraled me into a deep fear of rabies. I became consumed with the thought I received a bite from a squirrel, raccoon, or bat any time I’m in areas that trigger me. It started off only being inside then transferred to even being in my own home. This made me obsess over every physical sensation in my body, compulsively checking to make sure nothing was wrong. One compulsion that I hated the most would to be putting rubbing alcohol on me to make sure that I had no open wounds. Every day feels like I’m walking around in a fog of anxiety, constantly worrying that I won’t even make it to old age. Sometimes, it gets so overwhelming that I just want it all to end. It stresses me so bad at times to where my brain feels like I’ve been studying all day.