Moment of honesty here: I’ve been resisting compulsions pretty consistently the last day or so and I feel absolutely terrible. I’ve been doing ERP and I feel absolutely terrible. Plus my OCD is telling me that, since the things that the things I’m told will help me aren’t yet, I must actually be trans. Though it’s a slightly different kind of terrible. Of course this makes sense. With ERP you’re triggering yourself on purpose, and by refusing compulsions you’re cutting yourself off from the thing that would give you (very short term) relief. I just have to sit with the doubt, the uncertainty, the fear, the possibility, and try to accept it. The near constant anxiety, of always having that vague feeling of being on the verge of tears, or like I’ve been crying even though I haven’t. Of course I feel terrible. But it’s also hard not to be discouraged. Especially when I hear people say they felt some manner of relief from the start of therapy. I’m told that this will eventually subside, that I’ll feel normal again, but that feels like a very long way off, if it ever even comes.

Hi everyone. I'm feeling kinda scared because I have to wait a whole month to start ERP therapy, but I feel like I need to start doing exposures now because the longer I wait, the more anxiety I get. It just feels like the OCD monster is getting worse. One thing that helps me is asking one person about an obsession I have...asking a person that I trust, and then doing an exposure after I get the "ok" to do it. I feel like I do need 1 reassurance and then I can go ahead and do it. I know i'm not supposed to ask for reassurance at all, but i dont think you're supposed to do ERP on your own right? Does anyone have any suggestions for what to do while waiting for therapy? PS-the reason there is a wait is bc she's on vacation. After she's back we will meet regularly.

I'm so tired 😭 I've been dealing with severe trans ocd for a month. My ocd is making me worry I'm a trans man. The thing is. I'm already out as nonbinary. I also compulsively confessed to my mom and told her I'm anxious I'll realize I'm a trans man and that I'm scared she'll hate me/abandon me. And she told me she would support me through it and my life even if she didn't understand it and that she wouldn't abandon me. I do like some masculine terms and I like he pronouns, I prefer they/them though. And I don't mind she, but I dont let people use it because I know they'll use it to misgender me. and that doesnt mean im a man. But I also don't know what I actually like/feel or what's OCD making me think I like/feel.. I can't stop ruminating and feeling like I need to label my gender pass nonbinary and think about if I feel like a man or not. So even when my biggest fear was denied I'm still anxious.

Looking back, I realize I’ve had OCD since I was 7. though I wasn’t diagnosed until I was 30. As a kid, I was consumed by fears I couldn’t explain: "What if God isn’t real? What happens when we die? How do I know I’m real?" These existential thoughts terrified me, and while everyone has them from time to time, I felt like they were consuming my life. By 12, I was having daily panic attacks about death and war, feeling untethered from reality as depersonalization and derealization set in. At 15, I turned to drinking, spending the next 15 years drunk, trying to escape my mind. I hated myself, struggled with my body, and my intrusive thoughts. Sobriety forced me to face it all head-on. In May 2022, I finally learned I had OCD. I remember the exact date: May 10th. Reading about it, I thought, "Oh my God, this is it. This explains everything." My main themes were existential OCD and self-harm intrusive thoughts. The self-harm fears were the hardest: "What if I kill myself? What if I lose control?" These thoughts terrified me because I didn’t want to die. ERP changed everything. At first, I thought, "You want me to confront my worst fears? Are you kidding me?" But ERP is gradual and done at your pace. My therapist taught me to lean into uncertainty instead of fighting it. She’d say, "Maybe you’ll kill yourself—who knows?" At first, it felt scary, but for OCD, it was freeing. Slowly, I realized my thoughts were just thoughts. ERP gave me my life back. I’m working again, I’m sober, and for the first time, I can imagine a future. If you’re scared to try ERP, I get it. But if you’re already living in fear, why not try a set of tools that can give you hope?