How do you guys deal with depersonalization as a result of existential OCD? I normally go through phases of OCD tendencies, and my last one was centered on ROCD - I guess the distress of that theme has caused me to dissociate whenever the intrusive thoughts get too much. It just hurts when I look at my boyfriend (or even other people around me new) and my brain tells me they’re not real, or I don’t know them at all. I’m not sure how to experience it without simply crying. Any help would be appreciated.

Lately, I have been able to manage my OCD thoughts kind of. They’re still there but I kind of push them away? I know that pushing them away doesn’t help but it’s been my only way to survive. I get scared often about things like clothes or my voice or how I present myself. I get scared that I want to dress differently or act differently and it scares me. I know for a fact I don’t want boobs or anything like that, but my mind constantly is like “What if?” and it kills me. It has ruined everything for me. Sometimes I can’t even look in the mirror because I get scared that I won’t like what I see. I’ve also been afraid because I find myself relating to many female characters, or I want to act like them. Like Pearl from Steven Universe. I want to be graceful and elegant like her, but I don’t want to be a girl you know? My mind constantly pushes these thoughts of what if and images. Because I am not like most guys. Which I know is okay. It just freaks me out. It makes me question every aspect of my being. I know who I am, but I know that the only way to move forward is to accept that maybe I don’t.. It’s just a lot.

So, I know my capacity to get fixated on things. And it's normally something that's relatively remote but, my latest issue is really getting to me and I was wondering if people have any advice. I'm avoiding getting too into specifics, as I don't want this to get reassurance-y but, in essence.. I came to the realisation recently that people who I'd been "friends" (feels like the wrong term now) when I was younger were not very nice people, and normalized a lot of very unpleasant behaviour towards other members of the group. They really normalized it, sold themselves as figures of authority, as older and more responsible and grown-up than others, and looking back, they acted horribly. And coming to this realisation, that I'd been manipulated into just accepting their behaviour has just... broken me. My OCD has latched onto it and I can't stop feeling irreversibly tainted by it. I've talked to others about it, and they've reassured me, told me it's not a big deal and that I hold myself to too high a standard, but none of that sticks. I feel better for a bit, then think 'Maybe when you told them you were skewing it to make yourself look better' or 'Did you leave out a crucial detail'. I keep ruminating over and over, trying to remember exactly how everything played out, trying to figure out if I fed into the behaviour, if I did something bad myself (because y'know, I feel like I was accepting of it at the time, so what does it say about my own values?). I know I need to stop doing all this if I want to improve, but then some part of me keeps saying 'So, you're just going to let yourself off the hook then?' Normally, I can rationalize my own fears to some degree, assure myself something won't happen, but the realness of the situation, and the fact I only came to understand the reality of it because the thought had been bothering me means it feels so much more all-encompassing. I know confessing in itself is a compulsion, but I keep feeling that if I'm not I'm somehow concealing what I 'really am' from others around me, and any positive interactions are me deceiving them in some way. I feel like I can't enjoy anything in life right now, and a good part of me feels I should not enjoy it ever again. If anybody has any advice on it, I'm all ears. Or even hearing if you relate to these feelings, I might appreciate the solidarity at least.

Medication for OCD? Hello all, 19 male here, this seems like a cool community that isn’t nearly as triggering as reddit. I have pretty severe bouts of existential thinking or fear of going crazy ( psychosis ) after some pretty heavy mushroom trips a few years ago, I know logically I should be fine but I do know what it’s like to lose it and it’s scary. Currently I deal with relationship focused OCD, it’s all day from before I even open my eyes. I want things to work out with my girlfriend badly. Also I can come close to a panic attack sometimes which perpetuates everything. Anyway, I mention the fear of going crazy because the way my anxiety/derealization makes me feel is that I’m not mentally stable cause I feel out of it or unreal. I saw that a lot of anxiety and depression medication can cause psychosis and I feel like I could use some help in getting ahead of my OCD because the compulsions are had not to give into when I’m in such distress/not knowing. Plus overall I just feel like I have no idea how I feel about close to anything. Anyone relate about that ?