ROCD Exposure Ideas

My spouse is my best friend. A few months ago I basically worshipped the ground he walked on. He’s the best partner in the world so no “maybe he’s not the right person” commentary. Lately my fear of going psychotic has brought back my intrusive thoughts about harming my husband. Now, whether it be from emotional dissociation or medications, I can’t feel any emotions so I’ve developed ROCD. This is ruining my life and has been a month from hell since my spouse/comfort zone makes me feel nothing. My therapist hasn’t given me any info on how to do anything about this other than reading a book (didn’t help). Any ERP suggestions? I haven’t done ERP before for these types of OCD

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 By the time I join my session they are no longer active.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)?

Hi all! I was wondering if anyone being treated with ROCD and/or SOOCD has some advice on how they handle the things *with* their partner. For context, my ex and I were together ~7 months before we broke up a year ago, in large part due to my severe anxiety from untreated ROCD/SOOCD. I’ve gotten a lot better through NOCD treatment and we’ve been friends since then. But we’re currently in a “situationship” kind of stage, where I think we’re both trying to figure out if the relationship is still feasible, and I’m finding that I’m a lot more triggered as the relationship nears becoming “serious” again. We’re both really trying to figure out the healthiest way to handle when things get hard for me. Does anyone have input about what they’ve learned or found what has worked in their own relationships? Some specific questions: - I’ve found that when getting really triggered in my own head, I have no clue if I should explain how I’m feeling to my partner or how we should address it together. How do you differentiate between communicating versus falling into the confessing/reassurance trap? - Related to the above, my partner and I are both a bit lost on the best way for him to respond when I’m really paranoid (for examples, I have major I’m-being-cheated-on paranoia and overanalyze if I’m enjoying sex enough), or if I’m overreacting to feeling rejected/misunderstood (e.g. “he didn’t respond to my comment just now, he doesn’t care/he doesn’t get me/maybe we shouldn’t be together…”) - How much does your partner know about ROCD/SOOCD in general? How much have you shared with them about your thoughts and experiences? I’ve explained both subtypes and some of my thought processes to him, but definitely not all of it, and I’m not sure how much is helpful for him to know. Answers to any or all of the questions are very much appreciated. Thanks so much in advance! Hope you’re all well 💗