What are some examples of mental compulsions and how can you identify them in yourself? I am struggling with what counts as a mental compulsion since it’s not as black and white as a physical one.
For me it is ruminating on thoughts! Checking if this thought feels right of this thought feels wrong. And checking my body and thoughts and emotions when I think about different things or see people. I struggle with rocd so I check for feelings ALL the time!
@Girl101 this!! thank you ❤️
Mine are repeated words/phrases thought intentionally to get rid of another “bad” thought/mental image. The purpose of the repetitive thought is key, not necessarily what words are used. Examples: - “It’s ok, it’s ok, it’s ok” OR “you’re ok” over and over - “God is with me” used specifically for car accident images (rooted in PTSD) - “I will live and not die” used for self harm images (taught by my CBT therapist who didn’t recognize it was OCD) - Forcing the bad mental image away and replacing it with a good image (eg. picturing a stop sign every time)
@enlightinlove aren’t compulsions supposed to be avoided though? this is where i get confused because these seem to be good things to tell yourself to help with intrusive thoughts
@Anonymous I wasn’t sure either, esp the one for car accident PTSD.. But that’s where the scrupulous/morality OCD type can come in with scriptures, prayers, and things that seem to be good things to think, but the purpose of the thought is off. It’s the difference between thinking it as an affirmation to just remind/motivate yourself vs thinking it to neutralize a “bad” thought. From what I’m reading, OCD is about one’s relationship with their thoughts, not what they’re thinking. The fact that we’re labeling the thought as “bad” and feeling the need to do something about the thought is the “problem.” I meet with my ERP therapist Monday so I’ll get more clarity.
@enlightinlove thanks so much for ur comment! it’s hard to figure out but we got this ❤️
This list by ai gives a good summary of my symptoms. Does it resemble OCD or is it something else? 1. Compulsions (OCD-specific behaviors): • Feeling the need to flex or contract muscles an even number of times, equally on both sides of your body. • Needing to reverse actions (for example, if you roll your eyes or trace a line with your finger, you feel compelled to do it again in the exact opposite way). 2. Intrusive Thoughts (OCD-specific ruminations): • Daydreaming about people you care about getting hurt (e.g., school shooting, injury, or kidnapping). • Sometimes feeling like you might want something bad to happen to someone you find attractive—possibly because of a desire to help or save them, though it’s confusing. • These thoughts can sometimes provide a twisted sense of relief while remaining distressing and confusing. 3. Sexual Orientation OCD: • Experiencing confusion or doubt about your sexual orientation. 4. Contamination Thoughts: • Feeling like things are contaminated, especially after touching something gross. 5. Sensory Compulsions: • Feeling the need to smell your hand after touching areas like your ear or hair. 6. ADHD-like Symptoms / Additional Observations: • Fidgeting or moving your legs when standing or sitting.
I haven’t started ERP yet. But just curious from others who have, How do you sit with compulsions when they’re mental compulsions? Or just “let them pass”? It seems it’s going to be impossible since none of my compulsions are physical/tangible 😓
My NOCD therapist (who has been awesome) and I are both struggling to identify ways in which I can practice exposure therapy while in-session, because the vast majority of my OCD symptoms are mental compulsions. For example: indecision and inability to commit to a choice; seeking reassurance on decisions from friends and family; mental review of things that have just happened / social situations; over-thinking and catastrophizing. I also have some other hallmark symptoms (contamination fears, moral scrupulosity, etc) but those tend to be inconsistent too. It’s hard to really practice these during my sessions because so many are in the moment and fleeting. By the time I join my session they are no longer active. How can we establish exposure responses during my sessions, if most of my OCD involves mental rumination and overthinking patterns/thought loops that only occur “in the moments - rather than specific or consistent compulsions (such as hand washing)?
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