- User type
- Therapist
- Date posted
- 5y ago
Hi OCDLatter-daySaint. I feel the longer appt times are helpful, especially in the beginning when you are learning the basics of ERP. I have to say, the homework is very important. Learning how to do the ERP at home is paramount to you staying successful. If a certain part of the homework is difficult or you keep finding yourself shying away from certain parts or even all of it, talk to your therapist about ways to navigate around these roadblocks. There is almost akaways a reason we put things off or shy away from certain things. I would work on increasing my awareness of any negative thoughts and triggers. Problem solve those away and then get right back to your ERP. Good luck!
Thank you Terrie! We talked a little bit about once and he hasn’t put too much pressure on me since I have adhd and depression and am really hard on myself. So it makes sense now...if I were doing things outside my appointments I’d be progressing a lot faster. Good to know. Thank you!
@OCDLatter-daySaint Your are welcome! I wish you lots of success. In my experience, My clients who know how to do ERP on their own, practice more and almost becomes a new habit. As soon as they get triggered, they recognize the obsessive thought pattern that follows and they go right to Exposure Response Prevention. Also, something to note that may be helpful - the trigger or thought pattern can change all of a sudden. You may start having a new theme of obsessive thoughts and that’s not unusual. Go back to your training, as long as you are recognizing the pattern you can go right into your ERP training and stop the toxic cycle! I know I make it sound easy and everyone here knows it’s not! But your consistency will make it much easier! Good luck to you, keep rolling along and you will be on this site telling your success stories. ?
Hi j420. I’m sorry you are struggling. It sounds quite severe. I have worked with many OCD clients that suffer from Harm thoughts - HOCD. The harm thoughts can be about you or others, either way it’s a difficult form of OCD. The ERP works the same way. You will be triggered to think the suicidal thoughts. It could be a physical trigger, it could be an emotion like loneliness. As soon as the thought enters your mind, don’t go to the compulsion of checking. Checking in with yourself, going online, seeking reassurance from family and friends. Instead, stay with the actual thought, question it - because it’s not a fact, it is a thought. Stay with the uncertainty, maybe I feel this way, maybe I won’t feel this way. Maybe I can feel better. Once the anxiety starts to lessen and you start to calm down, stay present. Do your grateful list. Turn your thoughts to a positive if that’s possible. Did you know that it is a proven fact, much research has be done to prove if you even try to do a grateful list, you increase endorphins and feel better for a second. Stuck with your thought, prevent the compulsion by doing your response prevention and stay present. I hope that is helpful to you today!
I've got a therapist but it's becoming so expensive!! I got let go from work mainly because I've been having such a hard time functioning with all this. That's why I'm asking for things to try on my own. My work I thought was pretty good but now because I got let go I really think they just didn't want the headache of me. It's hard to prove that
I hear that story often. It’s difficult to function daily like normal when your mind is so busy thinking these negative thoughts. I know therapy can be costly when your insurance doesn’t cover the sessions. I’m glad you are here and hopefully get something positive from others sharing similar stories. Thank you for your honesty and sharing your story!
Any updates on NOCD premium in other states?
We’ll be in 17 states by March 1st and many more soon after!
Can you do self monitoring without worksheets? What would you suggest? Thanks
Yes you can do self monitoring without the worksheets but I find it’s easy to forget and that the worksheet really helps to separate the trigger from the obsessive unwanted thoughts and from the following compulsion. Does that help?
Terrie123. I got a notification that you commented to me but when I try to open it to read it, it says the post is gone
Maybe it was me replying above or she replied to a different post?
Let me check it out when i get back to my office and I will get back to you. Thanks for letting me know.
?
I checked it out and I’m still not certain if it was someone else posting to that conversation or not. I will watch for this to happen again. Thanks for bringing it to our attention.
I’ve been working with my therapist for years. We recently started doing ERP and are having success now. But I read Steve’s thing about being over OCD in weeks and couldn’t believe it. Am I doing something wrong? I mean I have adhd and don’t ever do homework...so to really only focus on therapy during aooointments. Is that why others have progressed faster than me? Could it be my ocd is worse than these other people?
How come your therapist didn’t start doing erp till recently?
I'm LDS too
@ocdmaybe Sorry my reply didn’t go under your post
@OCDLatter-daySaint No worries!
Well we did some before. But I’m not sure why we didn’t do more. I’m quite the talker so I think I would come in and just talk a ton about what I was dealing with and what to do when it happened. So we did a lot of cognitive behavior therapy (CBT). We started doing ERP a bit but then my insurance wasn’t paying for my appointments so he is letting me work with him at his home (the hospital lets him do that with patients who’s insurance won’t cover it) at a cheaper rate. I told him I wanted to do more and he said we could get a lot more done with 2 hour appointments and we started doing ERP again and that’s when things have really picked up. But I wonder if it could be even better?
I'm so depressed. It scares me how bad I'm depressed but at times I feel I don't care anymore. Has anyone had suicidal themed OCD here?. I've been told and listened to the OCD stories podcast and they say it is a real form of OCD. How do you practise erp with this or loose the anxiety that comes with it.??? PLEASE
Suppose to say Stick with your thought! Good luck ?
Terrie. How would you suggest response prevention again? It's hard to understand because it feels so real. Depression.... Let me ask you this.... So except the uncertainty that I might do it or might not? Maybe hold a dangerous tool? What exactly do you mean about staying present?
The uncertainty of this feeling is very uncomfortable.
So Terrie are you saying part of the compulsion with this is asking friends, family for assurance that I'm ok or even just telling them I'm depressed. Please respond to this. Thanks
Hi j420. I would not suggest doing anything dangerous. Just trying to give examples of ERP to someone who is not a client is a challenge. That’s why it’s so important to do ERP with a professional. If you read some of the posts in the community, many users have commented about trying ERP on their own and it not working. I hope that you will be able to find a therapist that can work with you. To answer your other question about seeking reassurance. Having support people in your life is a blessing. We are so lucky to be able to talk to others when we are feeling sad, hopeless, frustrated. It’s a positive thing to be able to share your feelings with others. That’s different from a compulsion. Seeking reassurance, asking over and over and over the same theme of thought. Thats a compulsion. I hope that is helpful.
Thanks
Now that we’ve kicked off the new year, I find myself reflecting on where the OCD community is today—how things have changed for the better, as well as my hopes for the future. Ten years ago, it was almost impossible to access a licensed therapist with specialty training in OCD using health insurance. Most professionals simply didn’t understand what OCD actually looks like, so over 95% of OCD cases weren’t correctly diagnosed. As a result, insurance companies weren’t able to see how widespread OCD actually was—or how effective exposure and response prevention (ERP) therapy was at treating it. Instead, people with OCD had to pay about $350 or more per session, all out of pocket, for their best chance at getting their life back. I know this from personal experience. OCD turned my life completely upside-down, and I reached out desperately for help, only to be misdiagnosed and mistreated by professionals who didn’t understand OCD. When I finally learned about ERP therapy, the evidence-based treatment specifically designed for OCD, I learned that I’d have to wait for months to see the one OCD specialist in my area, and I couldn’t afford the cost. But I was fortunate. My mom found a way to help us pay, and I finally got the help I needed. Otherwise, I don’t think I’d be here today. In a few months, I started seeing improvement. As I continued to get better using the skills I learned while working with my OCD specialist, I learned I wasn’t the only one with this experience—in fact, millions of people across the country were going through the exact same things I was. That’s why we started NOCD. Since 2015, we’ve always had one mission: to restore hope for people with OCD through better awareness and treatment. The OCD community needed an option for evidence-based treatment that they could afford and access, no matter where they live—an option that also provided necessary support between sessions. And the entire healthcare industry needed to understand how OCD actually works. As I write this post, I’m more enthusiastic than ever about our mission. Just recently, we’ve partnered with Blue Cross Blue Shield of Illinois, Texas, New Mexico, Montana, and Oklahoma. To put this into perspective, 155 million Americans can now use their insurance to access NOCD Therapy. This year, I have high hopes for the OCD community. More and more people will be able to use their insurance to pay for NOCD Therapy, and we’re working hard to give everyone who has OCD the ability to access the treatment they deserve. In addition to providing ERP Therapy, our OCD-specialty therapists also support our Members in prioritizing their overall well-being. With a focus on developing important lifestyle habits, including diet, exercise, mindfulness, and healthy sleep hygiene, they help our members build a strong foundation for lasting mental health so people are more prepared to manage OCD long-term. For every person who gains access to a therapist specialized in OCD for the first time, 2025 could be a year that changes their lives. If you or a loved one is suffering from OCD, please comment below or schedule a free 15-minute call with our team to learn more about how to access evidence-based OCD treatment and ongoing support using your insurance benefits.
I get asked about the name NOCD a lot. People might want to know how it’s pronounced, and they’re curious about our story. Every time, I’m excited to share a bit about what the name means—in fact, it’s an opportunity for me to talk about something everyone should know about OCD. First things first: it’s pronounced “No-CD.” And it actually means a couple things, both central to our mission: To restore hope for people with OCD through better awareness and treatment. The first meaning of our name is about awareness: Know OCD. Though we’ve come a long way, not enough people truly know what OCD is or what it’s like. How many times have you heard someone say “Don’t be so OCD about that,” or “I wish I had a little OCD. My car is a mess!” Things like that may seem innocent, but they trivialize the condition and keep most people with OCD—around 8 million in the US alone—from getting the help they need. The second meaning of NOCD is about treatment: No-CD. To go a bit deeper: Say “No” to the compulsive disorder. On one level, this is also related to knowing OCD—noto means “to know” in Latin. This inspired the name NOTO, the operations and technology infrastructure that powers NOCD the way an engine powers a vehicle. But this meaning goes even further. It has to do with how you can manage OCD symptoms—learning to resist compulsions. This is the foundation of exposure and response prevention (ERP) therapy, the most effective, evidence-based form of treatment for OCD. Learning how to resist compulsions with ERP changed my life, and it taught me how important it is to get treatment from a specialty-trained therapist who truly understands how OCD works. I’ll give you an example. When I was 20, my life was going according to plan. I was thriving on the field as a college quarterback, doing well in school, even winning awards—until OCD struck out of nowhere. I started having taboo intrusive thoughts, things that horrified me and went against my core values and beliefs. Desperate for help, I saw several different therapists—but no one diagnosed me with OCD. At one point, I was instructed to snap a rubber band against my wrist whenever I had an intrusive thought. It was supposed to stop the thoughts, but it only made my symptoms worse. Driven into severe depression, I had to put my entire life on pause. Once I started ERP with a therapist who understood OCD, I learned why: you can’t stop intrusive thoughts from occurring. Everyone has them—and the more you try to get rid of them, the worse they get. Anything you do to suppress them is actually a compulsion, whether it’s counting in your head, snapping a rubber band against your wrist, or using substances to drown the thoughts out. To get better, you have to learn to resist compulsions and accept uncertainty. OCD doesn’t get to decide how you live your life. How do you educate the people in your life about OCD? Whether friends, family, or strangers, I’d love to hear how you share your understanding and raise awareness about OCD.
I want to beat OCD because I have seen and felt the benefits of clearing my brain from unnecessary, pointless, thoughts. OCD is like 0 calorie food. It’s pointless. No nutrition or benefits come from my obsessions or compulsions. I don’t care to have answers to everything anymore. I catch myself just trying to stress myself out so that I have some worry to feed on. But like I said, it’s a 0 calorie food. I get nothing from it but wasted time and energy. My brain feels more spacious when I’m not consumed by OCD. I’m present. My personality has room to be herself without making space for bullshit. I tell myself now that worry is poison. I think Willie Nelson was the person I got that quote from? Anyways, that imagery of worries being poison for the mind has been transformative for me. I’m evolving. 💖 Thanks NOCD community.
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