- 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
Hey guys, I hope you’re well! My names Matt, and OCD has struck me again 😂 When I was 10 years old I had to attend therapy as I was having excessive intrusive thoughts. P.s. I didn’t even know this was possible at the age of 10! I then completely forgot about it, until 2.5 years ago when I started experiencing ROCD. I really couldn’t understand why I was feeling/thinking this way however, I soon after remembered my struggles as a child and then realised my OCD had returned. Also, my mum has serious OCD so I guess that could be why too. I had a a really hard battle with my emotions and mood due to this however, the last 1.5 years had been really good and I managed it well. I got married and had the best day of my life. 3 months ago, a thought about having an affair in my head appeared, and BOOM, it’s back again. I’m struggling a lot right now however, I’ve accepted that this could be a re occurring theme throughout my life, and it’s time to learn to deal with it again. I’m back on medication and have started ERP therapy, so hopefully it’s on the up from here. I’m not here to list off my triggers and thoughts as this would be me seeking reassurance however, I’m here to show that recovery is certainly possible!
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.
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?
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