Therapy

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?

I've been in and out of talk therapy for OCD-related issues for years, but it hasn't been effective long-term. I am struggling with body image / eating disorder adjacent obsessions and I am really hopeful that ERP might actually give me some relief. I had my first session with my NOCD therapist a few weeks ago. It felt like a good match and I was ready to unpack my obsessions and compulsions to try ERP for the first time. The day of my second session she canceled due to personal illness. Then this happened a second time. Yesterday all of my future booked sessions were canceled without explanation. I went to schedule with a new therapist and the ones that seemed could be a good fit are filled up until at least early April. I booked a slot and sent the therapist a message letting her know I would be interested in starting sooner if a slot opened up. I am just disappointed. I could just meet with another therapist who has earlier availability, but it's most important to me that the therapist be a good fit since I've been through therapy so many times. I feel like I'm in limbo until I have an ERP plan set up and I'm not sure how to move forward in the meantime. I'm planning try out a support group but I need a personalized exposure plan and I'm not sure if that's something I should just try to set up myself? Anyone have something similar happen to them? Any thoughts or advice would be helpful.

This is kind of a weird question, but I recently increased my SSRI dosage and have experienced tremendous relief. It has quieted my intrusive thoughts so much and my compulsions are no longer as all-consuming. However, I don’t want to be on this high of a dosage forever and know that medication alone shouldn’t be my only fix. I’m seeing a new psychiatrist on Wednesday and am wondering if the recent decrease in frequency of my symptoms will be a bar to my getting ocd treatment? In other words, if in this present moment I’m doing better, but up until a few days ago my compulsions were taking up pretty much every moment of my waking day, will I still be classified as having ocd? I start getting worried when I feel better that I don’t actually have ocd and just use it as a defense mechanism to avoid consequences of my actions/I’m secretly a terrible person