- Date posted
- 2y
question
what is considered severe ocd ? i know most people with ocd probably feel like it’s severe but i actually do think mine is severe
what is considered severe ocd ? i know most people with ocd probably feel like it’s severe but i actually do think mine is severe
Hey, I think it's considered severe when it interferes with you day to day living. For instance if your compulsions/rituals cause you to be late for things like appointments or getting to work on time. If ritualizing consumes most of your day or you constantly have intrusive thoughts, and you can't go about your normal routine anymore without the urge to ritualize.
@Dani# what if you don’t have rituals and your compulsions are mental ?
When nothing has worked (ERP and medication) with a therapist and you need to do inpatient and possibly other, way more invasive treatments. I only know of one person with OCD that has that but she legitimately also has 9 other mental illnesses and a host of physical illnesses as well. She was born with severity in all cases and she just has to live through it after the inpatient for 10 years didn’t really work. That’s an absolute extreme and rare case though. Lots of people get better after inpatient care.
mental compulsions are still valid compulsions
Severe is based on how much of your life is consumed with OCD whether mental or physical obsessions or compulsions and how impacted your life is. For example, I am considered severe as I spend 4 hours at a stretch in the bathroom everyday due to my OCD. NOCD and an IOP provider have both said I’m too severe for their programs. I’m currently trying to find higher level care - I have some family challenges that are making this more difficult. A good ERP therapist can tell you whether you are severe.
@peaceandluv...when you say your compulsions are mental, do you just have constant intrusive/unwanted thoughts? Are they triggered by anything specific?
I was diagnosed with OCD around the age of 6, subtype- contamination primarily. It calmed down as I got older and I assumed it had gone away, but also didn’t realize it can show up in other ways, and it still had been effecting me which I know now. I’m not 31 and I’ve been in therapy for a year and it’s helped a lot, although I sometimes get thoughts that what if some of the stuff I’m dealing with isn’t ocd and I’m exaggerating. I feel like thoughts will feel sticky and I’ll do certain compulsions but then the thought eventually vanishes if I do it a few times which makes me think maybe it’s not OCD since other people/friends I know would probably do the exact same thing. Not sure if I’m making sense, but I guess my question is if that thought comes up with anyone else? Just being unsure if something you’re doing actually is ocd or not.
I think I have mild OCD. Maybe that's why I can't relate to many of the difficulties experienced by other posters. My OCD is more on the compulsion side performing certain rituals at key transitions or points during the day. I honestly cannot figure out what the underlying obsession is other than some kind of weird mental hoarding to acknowledge and cherish a moment but also to protect my family and even my pets. I get little or no anxiety (I used to when I was younger). Even mild OCD absolutely sucks and is debilitating to an extent.
I feel like legit everything I do revolves around an ocd theme. So I feel like a lost cause because I’m so obsessive. I don’t even know what it would be like to have free flowing thoughts, not have (literally), every ocd theme, not to feel anxious, not to search for worry or feel jealous or paranoid, no counting. This disorder truly sucks. I also wonder how long it would take for me to succeed with ERP therapy if I did it.
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