Does anyone know how long it can take to get rid of pure OCD?

I’m wondering if this has happened to anyone else… I’m 28 years old. I was diagnosed with OCD when I was very young and it took a while, but I overcame it. I haven’t had any compulsions in 20 years. I’ve had some horrible things happen in the past, but nothing brought back my OCD. The only thing I struggle with is overthinking and making decisions. Im about to take a sabbatical from my work for a year to travel because the last year of my life has been by far the happiest and most confident iv ever been. I went to see a therapist a couple weeks ago who was an OCD specialist, I just wanted some tips and tricks for decision-making while I’m on my trip. She warned me that my OCD might get worse before it gets better, but I thought that she just meant with decision-making and overthinking. They have this program set out that I didn’t really wanna do but she told me it works really well so I decided to try it. It’s two sessions a week and the first two sessions were sort of just talking about my old OCD and doing questionnaires. I really related to some of the questionnaire questions, and the therapist was actively telling me that I definitely had OCD the whole time which made me feel bad. After our second session, my OCD came back full swing like when I was a child. I cant stop thinking about doing compulsions every waking second. It’s been two weeks. I’ve been to her several times and nothing is helping, I’m resisting the urge to do compulsions as much as I can and I feel like I’m fighting for my life. Nothing is helping and I’m burning out. I wake up and cry everyday because of how uncomfortable and out of control I feel. I never thought this would happen and im so mad at myself for ruining my trip. I feel like I’ve ruined my life tbh and even if I do get better, I’m always gonna be bothered by the constant fear that even at the highest and most happy points in my life it could just come back at any second with no warning signs.. I thought I knew how to deal with it and had the tools, but nothing is working this time and its ruining my life. Today I asked about cancelling my trip altogether, and I might be going on medical leave. Has this happened to anybody and do you have any tips for me?

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?

My earliest memory of OCD was at five years old. Even short trips away from home made me physically sick with fear. I couldn’t stop thinking, What if something bad happens when I’m not with my mom? In class, I’d get so nervous I’d feel like throwing up. By the time I was ten, my school teacher talked openly about her illnesses, and suddenly I was terrified of cancer and diseases I didn’t even understand. I thought, What if this happens to me? As I got older, my fears shifted, but the cycle stayed the same. I couldn’t stop ruminating about my thoughts: What if I get sick? What if something terrible happens when I’m not home? Then came sexually intrusive thoughts that made me feel ashamed, like something was deeply wrong with me. I would replay scenarios, imagine every “what if,” and subtly ask friends or family for reassurance without ever saying what was really going on. I was drowning in fear and exhaustion. At 13, I was officially diagnosed with OCD. Therapy back then wasn’t what it is now. I only had access to talk therapy and I was able to vent, but I wasn’t given tools. By the time I found out about ERP in 2020, I thought, There’s no way this will work for me. My thoughts are too bad, too different. What if the therapist thinks I’m awful for having them? But my therapist didn’t judge me. She taught me that OCD thoughts aren’t important—they’re just noise. I won’t lie, ERP was terrifying at first. I had to sit with thoughts like, did I ever say or do something in the past that hurt or upset someone? I didn’t want to face my fears, but I knew OCD wasn’t going away on its own. My therapist taught me to sit with uncertainty and let those thoughts pass without reacting. It wasn’t easy—ERP felt like going to the gym for your brain—but slowly, I felt the weight of my thoughts dissipate. Today, I still have intrusive thoughts because OCD isn’t curable—but they don’t control me anymore. ERP wasn’t easy. Facing the fears I’d avoided for years felt impossible at first, but I realized that avoiding them only gave OCD more power. Slowly, I learned to sit with the discomfort and see my thoughts for what they are: just thoughts.