Help appreciated

I’m 21M and i believe i’ve had ocd for a lot of my life. I started researching ocd when i was either 16 or 17 because my intrusive thoughts were starting to get really loud and wouldn’t leave me alone. And they are still loud but never louder than before. I never talked to anybody about this until i brought it up to my fiance a month ago because my stress level was at an all time high. I don’t think she really understands because i haven’t went into detail about all my thoughts. Just bits and pieces of it. Anyways, i’ve been stressing about my past intrusive thoughts. I’m concerned on why i wasn’t as stressed as i am today. I was still stressed and had anxiety but i’m guessing i handled it better then. Today though, i’m stressing constantly. Like i never knew this app existed, i never watched videos on this condition or there were different subtypes until now, or i think i didn’t know. I remember back then i would research and research about this and have mental rituals but that was it. Like i wasn’t so stressed back then. Now, i just feel like i’m sick all the time. I’m just scared that my past intrusive thoughts were my true desires. I know they ain’t but how can i tell my brain that? I just wished i would have known more about this back then. I absolutely hate this and i don’t wish this on anybody

Hey folks, I know I shouldn’t post here and I know what I’m looking for when I do but I just feel so at a loss and OCD is playing the old trick of telling me I don’t have it which I guess is what it’s been doing for a while. My OCD started with a health obsession when I was 12 (I’m 22 now) but went away after a couple of months but didn’t present itself again until I was 17. I thought I had a degenerative disease and struggled with that day in and day out until I eventually accepted that I was going to die and made peace with it and then of course I kept living. OCD was pretty quiet for a few months after that. It would show itself when I had headaches and random aches and pains but it never hooked me as bad. Quite funny actually but I had a weird thing for a couple of months where every time I would go out for a drink I thought I’d wet myself so I’d stand in the bathroom for like 20-30 minutes at a time and that was multiple times across the night. Then in 2021, the theme shifted. I remember it distinctly, I was just lying in bed and a question appeared and that was it. My anxiety was really bad for about a year and then I met my girlfriend and we started dating. OCD went quiet until she moved to another city for university and I started to worry she was being unfaithful or didn’t love me anymore and things like that. With that obsession it kind of came to a head where I realised I either had to fully trust everything despite any doubt I felt or I’d lose her and so it just eventually started to pass. I’ve had a few occasions where I question my love for her and that really hurts because I’m pretty sure I’d be lost without her. That comes and goes though and it usually has to do with a general numbness that I feel after an OCD spike. The theme from 2021 (which I won’t say because I’m somehow worried that someone I know will see this and I will definitely wonder if people near me have seen this post despite it being pretty closed off.) never left but I was somehow able to put it to the back of my mind and get to a point where I was okay. I got a new job in 2024 at a point where I maybe was not ready. New place, new people and for the first 2 months or so it was fine. I even saw some potential triggers before they happened and did my best to ignore them. I got really drunk on a staff night out and when I woke up a lot of what ifs filled my head and I’ve been on my back since then. That brings us to now, my OCD has been pretty bad for about a year now but the weird part (and what I’m making this post about I guess) is that it feels different this time. I know that’s a super common phrase for people with OCD that therapists hear all the time and I have actually taken that piece of information as reassurance a few times over the years but it’s true. I feel so much more confused. I can’t even really explain it. It feels like my brain doesn’t engage or deny the obsession the same way as it used to and of course that makes me believe it’s real and I never actually had OCD. Instead, I’m left with thoughts that don’t give me that sharp feeling of anxiety that they used to and instead just leave me feeling super low and often angry just wishing it would go away. I think it’s probably because I’ve been at this for so long and had the same theme for years and so I’ve in a way habituated to the anxiety and that’s what rationally makes sense to me but like you all know, you can’t reason with this thing. It’s like it gives me just enough anxiety and depression to keep me on the hook and make it feel real but not enough send me into panic like it used to. I used to lie in bed, unable to get up and wishing that I was dead. I guess that now because I don’t feel that way, at least most of the time, my ocd is using that as a way to tell me I never really had it. Also I think I used to rely so heavily on reassurance but now know that I shouldn’t have it I try to avoid it. Without it though, it all feels real and I feel like eventually I will lose myself fully and that’s a fear that makes me feel unfathomably hopeless and makes me dread the future when I used to have dreams and hopes for myself that I looked forward to fulfilling. I don’t want to be big-headed, I just genuinely feel like I could’ve had a really great life and that’s gone now because of this thing. Anyway I just wanted to kind of use this post to get my head straight and map out something that I couldn’t quite explain effectively in therapy. I appreciate everyone who sees this but ask not to give me reassurance, I know we all empathise with each other but I’ve been at this long enough to know that it does none of us any good. I hope everyone is doing well, keep your head up. They tell me there’s a light at the end of this tunnel.

Ok, so first of all, I’m undiagnosed. However, I’ve been pretty certain for a while now that what I’ve been struggling with is OCD. My problem though is that it’s not easy to get diagnosed, and in some cases, it would require me to pay money. It frustrates me that I have to pay to deal with my mental health. Is it worth it for me to get diagnosed? I know I don’t need a diagnosis to start healing and working on these things, but I also don’t want to be “self diagnosing” the problem, because that makes me feel like a liar and an imposter. My other problem is that I fear my family doctor won’t properly diagnose me. I came to him about mental health related issues once before, and he read off a very generic list of mental health symptoms. when he got to what sounded like the ‘OCD’ section, we asked one or two very generic questions that had nothing to do with my themes, and since I couldn’t relate, I just answered no to them. He then told me I was fine, that I was just a “type A personality”, and that I was just being too hard on myself. I fear that my doctor might not be very knowledgeable or up to date on current information regarding OCD, and this might make it increasingly difficult for me to get diagnosed. Another problem is my symptoms seem to come and go. I often have an obsessive cycle that can last months at a time, and then it just goes away. Sometimes I won’t experience any symptoms for years. This makes me feel like I don’t actually have OCD or that it’s not ‘bad’ enough to be diagnosable.