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.

Hi I’m Matt. I’m new. I’m struggling a lot even to write this, my mind feels confused, uncertain, tired, I can’t line up my thoughts, I’m not even sure I know how or what to think anymore, I feel dizzy, anxious, short of breath, cold, frightened, empty, and I just want to sleep. That’s how I’m feeling right now and every second of my life in general. It didn’t use to be that way, it just happened over the past few years and became unbearable during the last. I’m not very good at being concise, but I’ll try. I’ve had OCD since I was a kid, it started out when I was around 8 as what looked like a contamination fear. I would wash my hands several times a day until they bled. Then a couple of years later it morphed in some sort of mystical/ethical/moral OCD. I’m agnostic but I was brought up catholic, and that education really messed with my head. Religion terrified me. I would always feel dirty, guilty, a sinner and I would do the sign of the cross hundreds of times a day. My parents saw all this, they thought it was a quirk, a phase. And did absolutely nothing about it. Growing up, in my early teens I started to have verbal intrusive thoughts (horrible insults directed at dead people kept coming up and I would do mental compulsion to chase them away). I was also scared of hurting people. When I was around 14/15 I started fearing of beating a pedophile and that I would end up murdering the people I loved the most, as well as hurting people in general. It was very distressing to me and I did not talk about to anyone. I felt so guilty towards my parents too, because I tried to avoid any family situation that involved younger children (bear in mind I was a child too, 14-15) and when I was forced I would behave weirdly and try to avoid those children as much as possible. That showed and my mother hated me for that. I saw a couple of therapists and even though I talked about my fear of arming people and the fact that I was uncomfortable around children (I didn’t specifically say that I was afraid of being a pedophile at the time, because to me that was way worse than being a murderer). No of them figured out I had ocd. I discovered I had it via my own research when I was 24. I was a textbook case. All check boxes ticked. I was living all over Europe so I did not see a therapist for a few years (also because my previous experiences were so discouraging). At the age of 28 the intrusive thoughts were giving me a really hard time. So I sought for help. I was broke and I didn’t want to ask my parents for money (also because the general idea there was: psychologists are just for nutjobs and weak people. Buckle up) so I called the Italian NHS and ask for therapy, they said the waitlist was at least a year… but hey, if you wanna take drugs no problem, the psychiatrist can see next week). I have always been against psychiatric drugs but I was so desperate at that point and I thought that my ailment was so incurable that I caved in. During a 20 minutes visit the doctor confirmed that I had OCD and gave 20mg of paroxetine which was soon replaced by lexapro 20mg. Ten years have passed since then. I’ve been on and off medications and therapy until I got tinnitus right before the first lockdown and that was devastating. I started doing therapy again and they gave me a mix of ssris, antipsychotic drugs and benzos. Those drugs destroyed me and I felt so numb and pathetic and I lost interest in everything. There was also some cannabis use going on (which before the meds was good for me. I started smoking THC very late in life, Whalen I was about 33, to come off the benzos I was prescribed and I hated. Before tinnitus and meds, I would smoke weed and watch history documentaries for hours, after that I would solely smoke for the purpose of numbing myself). Tinnitus with OCD is an explosive mix, because it’s a sound that works exactly like an intrusive thought, if you engage with it, it gets worse). I was completely destroyed end not functional at all. I started obsessing over my tinnitus, the fact that I would never hear silence again, the fact that I couldn’t sleep, make music, read, focus, work, even think anymore. I would check my IQ to see if tinnitus was causing neurological damage. I thought that I had become completely stupid and I couldn’t recall anything anymore. The therapist I was seeing was well aware that I had severe ocd, I was very specific about that, but she would just “treat” the distress, my episodes and the subsequent depression. She did nothing for ocd. The kept medicating me and finally they gave me venlafaxine which made me suicidal. What did my therapists do when I told them that such meds were giving me those thoughts? They recommended hospitalisation telling me a fairy tale about this wonderful place that did individual and group therapy, group work and exercise, walks, talks, even a gym! It turns out it was the kind of 1950s sanitarium you see in scary movies. Worse than a prison, I’m not kidding. All they did was pumping people full of sedatives and drugs and there was no therapy whatsoever. I went there voluntarily with the specific purpose of coming off meds in a protected environment and so I did, even though they made me stop cold turkey and they kept insisting on giving me other drugs, which I refused. That was last October. I haven’t taken any meds since them and I don’t want to take any anymore, I’m still suffering from withdrawals and I still don’t feel like myself. Well it comes to recent days and my last therapist who I tried to be as accurate as I could with and after while she told me that I had to choose what problems I wanted to work on, and eventually when I was talking about my financial issues (never saying I couldn’t pay her fee) she told me to “come back when you have the money”. Obviously she did not even address my ocd. Now I’m all alone and hopeless. I’ve got maybe two friends and my best friend basically told me she does not have the time and the mind for this and she’s very busy. So I’m basically living with my mother who has a ton of issues too and even though she’s great and loves me dearly does not really know how to help me. What I have now is completely all-encompassing. I can’t work, I can’t watch a movie, read a book, be around people, nothing… my inner monologue is always there and has taken over every aspect of my life, my ocd is everywhere and makes me doubt everything about myself, my choices, my life, even my own thoughts. I don’t trust anyone and especially I don’t trust myself. Every second of my life is pain, mental torture, dizziness, tiredness, anxiety. I don’t enjoy anything anymore. Nothing. I loved music, IT, languages, history, politics, diy, so many things… now? Nothing. I just wanna lie in bed and go through my paranoias for the millionth time all over again. Hoping I would soon fall asleep but at the same time fearing it because then I’ll have to wake up an live. I don’t wanna die, but I can’t live anymore. I thought my OCD would just stay the way it was (I had kinda learned how to cope with it a little bit) but now it has morphed into this life consuming thing that never goes away. On top of that in the past 3 years I went to a fair share of trauma: tinnitus, a very heavy breakup that I’m still obsessing about, met a very abusive and manipulative person that completely destroyed what was left of me and my life. Those are the most notable ones. I also have major depression, autistic traits and probably narcissistic traits. Ok I guess that’s it, sorry for the very long post.

I have been on therapy twice a week for a month now. I am apparently a hard case to think up exposures for. I have done 2 and they seemed so pointless. I need some encouragement bad but I'm not suppose to get reassurance from anyone. It's a very tough situation. My family needs me back so bad. My children, and wife are watching me suffer. It's been a year and I don't see a light at the end of the tunnel. I have been diagnosed with OCD for as long as I can remember, but it's all thoughts. Thoughts of never getting over this extreme anxiety and depression. So I never see stories that I can relate to when it comes to OCD.

Like youre in a bad dream that you will wake up from at some soon? Of course I know I am not in a dream and that this is my reality and has been for 4 years. It's just so frustrating because I desperately want my life back. I've had 3 different councellors spread over this 4 year period which I've realised has just made the OCD worse and I had 10 sessions of ERP with a nocd therapist which helped a little bit but unfortunately I can't afford anymore right now. Does anyone have any solid advice other than ERP to overcome this horrible mental illness?