Atypical OCD presentation or unrelated?

I’m an OCD newbie & I’m having a lot of difficulty being able to distinguish what are OCD symptoms that may be atypical or if it’s due to another diagnosis/not something to be worried about. For context, I also have PTSD & suspected Autism- so excuse any excessively literal interpretations. All of my knowledge of OCD is watching Monk when I was child, so give me some grace. 1. “Harm OCD”- I have for as long as I can remember summed up my life purpose as “least amount of harm, most amount of good”. I am constantly thinking about how my actions & inaction may be impacting others. My career is in psych & public health because of that. I noticed I personalized things bc I assumed people thought about this just as much as me- only to find out they don’t. But I only hear examples of harm OCD as being thoughts of like personal persecution or images of hurting others. This is more of a mental analysis of the potential impacts. 2. “Contamination OCD”- Does this need to be literal with germs? I have what I call “emotional contamination”, where if something bad/negative happens, I worry that it’s “ruined”. Like if my partner & I have an argument in bed, I feel like I need to replace the sheets because our argument is “on” the sheets. I’m aware that that is illogical, but I’ll still do it. Every time I’ve had a major trauma, I’ve redecorated my home because I felt like all the negative is “stuck” on my old stuff & it needs to be replaced or I won’t feel better. I’ve ended relationships bc “there’s no getting this off”. 3. “Magical thinking OCD” I like to say that I think a lot of things I don’t believe. I have lots of random thoughts about needing to do something or something bad will happen. The things I need to do are usually really silly- like moving a large rock that’s by itself to a spot with another large rock so it isn’t alone & doesn’t feel lonely. I don’t have the thought that something specifically bad will happen or think I have magical powers. I know it’s nonsense, but I usually do it to stop thinking about it unless it’ll cause harm. Sometimes I also will come up with “tests”, like telling myself if I say XYZ to my partner & they respond in ABC way, then that means they love me. But the thing I’m asking them about could be literally anything. I am frequently *afraid* to ask because they might respond wrong and “ruin” it. 4. “Order & Symmetry OCD” & “Perfection OCD” & “Just Right OCD”- these terms seem to be used kind of interchangeably? I am VERY specific about my stuff. My home is color-coded by room & I won’t buy things that don’t match. I am intensely uncomfortable & can’t stop thinking about it if something doesn’t match. I am STILL thinking about the pink version of my laptop that I didn’t buy 7 years ago & it bothers me that I bought the silver one. I hate when people buy me stuff bc my style is very specific & hard to understand the nuance. There’s a “correct” image in my head & it’s really upsetting when it’s wrong. I flipped out a lot as a child when my stuff was moved and when my parents made design choices for me. I group things in weird ways- there’s an order, but it might be ordered based on how much I like them, how much they remind me of someone, or even more abstract like “if these objects were to run for president, this is the order I think they would be in from liberal to conservative on their view of defunding the police”. I have weird things with numbers, and will buy things based on how “cute” the price is. I would rather pay $440 for something than $399 because it’s a “better” number. I couldn’t tell you anything beyond “vibe”. I’m not sure if these are actually symptoms or just tangentially related & I’m conflating. I may have mis-grouped something. It’s hard to know where to start when nothing seems to have the direct examples of what I experience. Thanks in advance!

Username: AnonymousAnonymous

User type: OCD Conqueror

Date posted: 15w ago

Hello! Some of this does ring true to OCD, if you ask me. I couldn’t tell you exactly where the crossovers with your other diagnoses might be, but most if not all of the examples above seem to have OCD elements that could probably be addressed in therapy!

Username: gallopintoprincess222gallopintopr...

User type: OCD Conqueror

Date posted: 15w ago

Honestly there are no limits to how OCD can attach itself to basically anything. Lots of times, especially if you’re new to this, things aren’t going to fit perfectly into the categories you’ve heard of or the experiences most people have. It can be worrisome, and even trigger meta OCD(OCD about having OCD). You might think “What if my experiences being different means I don’t have OCD?”, I’ve definitely been there, but you do. I had never met anyone who had OCD about consistency or completing tasks, but here I am! I would suggest to trust the process and know that the learning will come. Therapists and psychiatrists with multi-faceted expertise and experience are the best to give you the care you need with intersecting disorders! Good luck, sending courage🩷🫶🏼

Username: telomerestelomeres

Date posted: 15w ago

I don’t have much to add, but I TOTALLY relate to the contamination thing. I’ve had shirts “ruined” because of a day I’ve had in them. Also maybe an OCD newbie, I’m not convinced I have it, but to be honest everything I’ve seen on here applies to my own thoughts and feelings a jarring amount. It’s good to know someone else feels this way. Same with the magical thinking, hell I’m doing it right now with how I’m formatting typing and punctuating this comment!

Username: AnonymousAnonymous

Date posted: 15w ago

Hi!! I have extremely severe contamination ocd so I can definitely talk on that one. Personally, I do tend to experience it in the very literal sense of feeling contaminated, like I freak out at the prospect of microbes moving around everywhere and germs just existing in the air. In that way, it’s really hard bc it affects the way I interact with people and how I go about my life. For example, I avoid paying in cash at all costs bc the thought of holding money nauseates me. I could elaborate more if you want, just lmk. But anyways, I also have PTSD and AHDH, so I think I probably relate to you a lot in that realm (since ADHD and Autism have a lot of similarities). After experiencing some of my traumas, I was left feeling “dirty” and just kind of tainted. I feel like that kind of relates to what you were saying a little bit with the bed sheets- it’s like the emotional discomfort from something is made tangible and it FEELS like contamination. I think regardless, that’s definitely an ocd symptom, I just don’t know if it would fall under contamination or not. I think you do pose a really good question tho! Because your thought process of “bad thing happened = contaminated” (oversimplified) definitely seems like ocd to me, I just don’t know how literally the fear of contamination is for it to fall under that subtype. lol I just realized I very much did not give you an answer haha. Hopefully this helped to hear someone else’s view, though!!

Username: ElChavodel275

Date posted: 21w ago

Can ocd feel like this

I’ve been dealing with this harm theme for almost four months now, and well obviously life hasn’t been the best for me, the thoughts really circulate on hurting others, why couldn’t they just been about me instead? (I apologize to those currently suffering from self harm ocd) it’s gotten to the point where I don’t know if my thoughts are really intrusive now, and it doesn’t help that I get urges to act on these thoughts. Why have I been cursed with such vile thoughts why me why now. The only good news so far is that I’m finally going to see if this is ocd or not and get diagnosed by a psychiatrist once I start college here in a few weeks(Thank gatos for my college has mental health resources) but honestly it just doesn’t really feel like ocd. I don’t know if I feel anxiety because it’s not the typical anxiety I feel. While my compulsions are mental it’s just wierd. Like I’m worried that ERP wouldn’t work for me. Sometimes I get thoughts like, how do people live without these thoughts? And how do they occupy their time? I know I used to be like other people, yk where I wasn’t worried or concerned because of these thoughts, like yeah I’ve had intrusive thoughts before in the past and they absolutely scared me, but I was just able to get over them. So why now does it feel like i can’t shake them off? Why do they have to show up everyday? And why have I become so apathetic? Like my empathy and sympathy feel like they’ve disappeared? And it’s so bad that sometimes I feel like if someone close to me just passed away I would feel nothing. Like when I heard my abuelo had skin cancer I just felt nothing and I was obsessing over the fact that I didn’t. Has anyone ever felt this way? Is it just ocd or something worse?

Username: mnkos

Date posted: 20w ago

is this a concern? or am i not in the right place?

TW for mental health issues, death, ptsd, ED i guess ill just start off by saying that i have struggled since i was young with severe anxiety and panic attacks since i was about five but an onslaught of CPTSD worsened a lot of things for me. i developed an eating disorder in my teens and was hospitalized for it. i’ve been in and out of therapy since i was ten and while i do my best without medication to live my life to the fullest, i often feel like i don’t deserve the successes and support i’ve received in the last few years b/c i feel like i don’t deserve to be happy at all. i saw a video recently of a girl talking about her obsessive hypochondriac thoughts that i resonated with and when i read the comments, a lot of people pointed out that it might be ocd. it hasn’t ever been a thought that crossed my mind and now im wondering if im twisting that video into some sort of self diagnosis for myself. im wondering if it’s just my high anxiety that’s causing these severely intrusive thoughts. for example, i have had a really hard time sleeping recently because the thought that i or my partner might die in my sleep keeps me up. if i have an aneurysm or a heart attack in the middle of the night and die, or worse, if my partner has an aneurysm or heart attack, is it because i don’t deserve to be happy with him? i don’t deserve a wonderful relationship? another thought i have is when i drive with us both in the car, im going to crash and severely injure both of us or kill us both. i have never once crashed my car or gotten into an accident btw, but for some reason i just get this extremely morbid thought that im going to crash and it’ll be the end. i had a weirdly spiritual experience/revelation in 2020/21 about the multiverse and i keep thinking that every night i actually die or that i get into accidents or something morbid happens and im somehow timeline jumping and going to a different multiverse and that’s been my odd way of coping with these thoughts. i guess im just trying to figure out if this is even remotely similar to OCD or if im just over analyzing it bc of my anxiety/hypochondria i guess?? i dont know i just want help. if this isn’t OCD, please tell me and i will delete this post and app and ill sincerely apologize to everyone who actually suffers. 🙏

Username: AnonUser

Date posted: 19w ago

Tired of living in fear and questioning everything

I’m tired guys. I’m tired of thinking something is always wrong with my health, tired of letting random symptoms/ sensations take over my brain and make me think something is horribly wrong. Tired of thinking I need to go to the doctors to get X & Y looked at. I’m tired of always assuming worst case scenario. I’m tired of constantly thinking if something is unethical/ immoral if I don’t do something, tired of always thinking I’m offending a religious higher being, tired of thinking I’m a bad/ disgusting person for my thoughts. I’ve had OCD ruin so many things for me that should have been fun. It’s ruined intercourse/ intimacy because of religious thoughts, or I keep thinking about STDs/ infections. I’ve been having panic attacks lately, something I’ve never experienced, because of life changes and it’s all gotten in the way of my structured life and it’s been very uncomfortable. Lately I’ve been feeling like I’m in danger, or nothing is real. Right now I’m fearing the most that I’m losing my mind, who I am, and I’m just so scared of my mental health getting worse and going manic or developing a dangerous mental illness. My mental health has NEVER been this bad. This is all new and it’s so scary. I was just fine a few months ago, sure I was dealing with other OCD stuff, the intrusive thoughts, the fears, the repetitive actions just to make sure something is the way I want it/ brings me comfort. But ever since my structure was changed/ ruined, it’s all been downhill. I just finished an EMT program, and that messed with me. Saw/ experienced things I’ve never done before and man, it’s really messed with me. Working on getting a new job in healthcare but still don’t have insurance so getting a new OCD specialized therapist has been difficult. Can someone relate just so I don’t feel like I’m crazy?..

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Atypical OCD presentation or unrelated?

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