- User type
- Therapist
- Date posted
- 5y
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
Good morning to my fellow community members ☕️ I hope everyone reading this is having an enjoyable summer to the best of their abilities 🌞 After responding to a post of mine from three years ago that someone just commented on; I wanted to take the time to put myself out there and share a brief update on where I’m at in both my recovery and remission status. Overall, I’m in a night and day different place with my OCD from three years ago and I’m thankful, grateful and blessed for that 🙏 Many factors have come into play in order for me to be where I’m at today and able to write this very post 💯 However, I have been met with trials and tribulations along the way and it’s been a very challenging process, but I’ve done my best along the way to take each year on with both stride and grace ☮️ And so, I wanted to speak on as of very recently; not going over my entire journey over the past few years. Hence, the title of this post being “Harm OCD Spike” and it’s exactly that. For me, it’s minimal, but it might be major for someone else who is experiencing Harm OCD and so I wanted to share it with you all and let everyone know that no matter where we’re at in our OCD journeys; unfortunately, it’s never going to be 100% perfect because as we all know; nothing in life is ever 100% perfect and that’s just the reality and that’s entirely okay ✅ It’s a tough pill to swallow in general, but especially for someone like me who has been challenged by the subtype of Perfectionism since my teenage years as well. And so, yes; as of late I have noticed a very-slight increase of random Harm OCD thoughts. Very similar and very comparable to others from throughout my past dealing with Harm OCD. That said, I’m aware of them; I don’t at all like the fact that they’ve sporadically presented themselves, but I’m not at all going to beat myself up about them the way I once did and let’s use “Three years ago” for example (referencing the intro to this post) and that in it and of itself is a win 💪 I’ve acknowledged these few random thoughts that have presented themselves based upon now known triggers. And as we all know; anyone, anything, anytime and at any place can trigger us and that also entirely okay because OCD is not specific when it comes to subtypes nor triggers 📢 No one nor anything is off limits when it comes to OCD and as unfortunate as that may be; it’s the factual reality that we all have to acknowledge, accept and embrace 📶 And again, entirely okay 👍 In conclusion, regardless of your random harm thought, the anxiety that comes to follow, the rumination after that, the want to perform compulsions; whether they’re mental and/or physical that we all experience and/or the assurance seeking that we all feel that we both want and need both in that moment and sometimes even after the fact; the fact of the matter is that no matter where we’re at in our journeys, this is ultimately what happens when having to live with this mental disorder/illness and that’s also entirely okay 🫶 I wish, hope and pray each and every single day since formally being diagnosed years ago that one day a 100% cure will be either discovered or made for us, but until if/when that day comes and God willing it does; we all have each other and our entire community with resources like the life changing/saving NOCD, etc. And THAT’S, what needs to be highlighted and focused in on 💛 Not the overall amount of time that OCD either attempts and/or does steal from us 💔 Why? Because we’re stronger than that! We deserve better than that! And we will continue to fight ourselves and our lives because we all owe it to, ourselves 💗 Sending love, compassion and support to all those suffering from the monster and battling the beast that is OCD 💌
Hi NOCD community, I wanted to share my story of my journey so far with OCD to provide perspective to anyone who needs it. I can't believe how far I have come with a huge part because of my NOCD treatment and utilizing ERP. For reference I am a 24-year old male, so for anyone who is like me and on the fence with treatment, trust me it is worth it. If you ever want to talk about OCD and are not sure where to start or need guidance please do not hesitate to reach out to me. I am now almost 2-years into treatment and working on recovery to this day. Sending my support to all. My OCD Story Adolescence Growing up, I didn’t know what mental health was—or even much about who I was. I was somewhat consciously aware, but something always felt off. My life seemed surrounded by reacting to fear instead of exploring or discovering like a regular kid. It felt like there was a switch in my brain that never let me settle in. My earliest compulsions were more physical than mental. One example that likely went unnoticed was how I would obsessively organize and align my toys in a certain way. It may have seemed like I was just being finicky, but now I recognize this as an early sign of OCD. The key is understanding that anything can become a compulsion—it’s not about what you do, but why you do it. In my case, it was always to avoid a bad outcome or neutralize a feeling. Another moment that stands out was in preschool during a performance. I was reciting something I can’t remember in front of an audience—a common childhood fear—but the way I coped was by repeatedly hitting myself in the head with my fist. I wasn’t aware I was doing it, but it calmed me, even though inflicting pain had no logical connection to the fear itself. Looking back, this was clearly a physical tic. My dreams were disturbing too. I’d experience that terrifying space between sleep and consciousness. My parents once had to put my limbs in ice just to fully wake me. And even the process of going to sleep became ritualistic. I had to jump into bed using my left foot, pray a specific way (including naming everyone I didn’t want to be affected by harm), rotate clockwise, shake my pillow four times, and do various actions around my room—cleaning, checking the door, and more. All to prevent the visions in my mind from becoming real. Teenage Years Though my childhood was tough, things really escalated in high school. My family life was chaotic—divorce, shifting homes, and being the older sibling trying to hold it together. I was smart and creative, and I found joy in creative writing, fantasy books, cartoons, video production, and drawing. But the storm really hit freshman year of high school. I was bullied relentlessly—for being shorter, having low self-esteem, and dealing with an undiagnosed mental illness. One night while trying to fall asleep, I noticed my heart beating fast. I panicked, convinced something was wrong. My dad said it was heartburn and gave me soda (caffeine), which only made things worse. I slept maybe an hour, and we went to the ER the next morning. After a full workup and an EKG, the doctor concluded I was physically fine and gave me anti-anxiety medication. But that wasn’t the end. I had more episodes. I became obsessed with the idea that something was wrong with my body. I had blood drawn thinking I had a thyroid issue. I panicked at doctor’s visits, which spiked my blood pressure, fueling more health fears. I was also in an advanced biology class, learning about diseases and cancers—which triggered me to the point I felt like I was going to pass out. Motion sickness and vertigo became a daily fear, and I became terrified it would never go away. That became a core theme in my health-related OCD and deeply affected my quality of life. It was also during this time I developed HOCD (Homosexual OCD). Intrusive thoughts about my male friends consumed me. I couldn’t relax around them or enjoy hanging out. I compulsively told myself I was straight, watched porn to “test” my reaction, and mentally analyzed everything I thought or felt. It was exhausting. It chipped away at my confidence, especially with women, though I know other external factors played a role in that too. Still, I had no education around mental health and assumed this chaos in my mind was normal—or that anyone seeking help had to be “crazy.” I couldn’t have been more wrong. Adulthood Despite all that, I managed to graduate high school with good marks—even finishing at a new school I attended for just eight weeks after moving in with my mom. College was a major turning point. For the first time, I experienced independence and the ability to sit with my thoughts. I still didn’t know what I was dealing with, but being away from a broken home and forging my own identity was incredibly freeing. Freshman year felt like a fresh start…until the pandemic hit. Like many others, I was forced to return home. For someone with OCD, the sudden lack of control and isolation was devastating. I was trapped in my room, stuck in my head, with nothing but virtual classes and uncertainty. Still, I eventually got back to campus, focused on my career in the sports and entertainment industry, and was accepted into a prestigious program while working multiple internships and completing challenging coursework. But with roommates and stress came new obsessions—and still, no diagnosis. I eventually sought therapy for anxiety, realizing my mental state was unsustainable. That’s when two of my most distressing OCD subtypes emerged: Staring OCD and POCD. They worked together in the worst way—fears of inappropriately staring at people, especially children. It felt like I couldn’t exist in public without fearing I’d harm someone just by looking at them. It shattered my self-worth. I couldn’t enjoy life, couldn’t even look in the mirror. The guilt and shame consumed me. I turned to talk therapy, where I was diagnosed with severe anxiety and depression. While sessions brought momentary relief, it quickly became clear I wasn’t getting better. In fact, the act of confessing my thoughts—seeking reassurance—was fueling the OCD. Still, I didn’t have the language for it. After doing my own research (a compulsion in itself), I discovered POCD and Staring OCD. For the first time, I read stories that sounded exactly like mine. I brought this to my therapist, but they dismissed it. Unfortunately, OCD is still widely misunderstood—even among professionals. Because I didn’t fit the “cleaning and checking” stereotype, I wasn’t taken seriously. In 2023—just two years ago—I found NOCD, a teletherapy platform specializing in OCD. I scheduled a free consultation, thinking “Why not?” I was miserable and desperate for relief. The therapist who evaluated me confirmed: I had OCD. She administered the DSM-5 criteria and said I was a textbook case. This was the turning point. Through NOCD, I finally received proper treatment with Exposure and Response Prevention (ERP). I learned how OCD functions, how to track and reduce compulsions, and how to sit with discomfort instead of running from it. It took time—5 to 6 months before I noticed true change—but for the first time in my life, I felt heard. I wasn't alone. NOCD gave me a judgment-free space to unpack the most disturbing thoughts and to not be defined by them. I won’t sugarcoat it—this journey has been painful, frustrating, and nonlinear. I still live with OCD every day. But now I have tools. I’ve continued treatment with multiple NOCD therapists, joined support groups, and practiced exposures: scripting, imaginal scenarios, response prevention, you name it. I’ve learned to live with uncertainty instead of trying to solve the unsolvable. The biggest lesson? Stop trying to figure it out. OCD is emotional, not logical. The moment I stopped trying to outthink it and changed my relationship with it, everything shifted. Today, I’m not “cured,” but I’m grounded. I’m more myself than I’ve ever been. And now, I want to give back. I want to share my story so others know that they’re not alone—and that OCD doesn’t have to rule your life. Whether you're 14, 24, or 44—there is help, and there is hope.
Ever since starting ERP, my SO-OCD and general OCD has lowered. This has been great. I just wanted to have somewhere to share my thoughts and ask questions. For anyone else, have you realized that the SO-OCD and other forms of OCD are all rooted in what people have said in the past that I hadn’t processed, and up to this point believed hadn’t affected me. It was also odd because to me, I had never had a problem questioning my sexuality, even labeling myself as queer. However, this fear plagued my thoughts whether or not I decided to identity as straight, lesbian, bisexual, etc. It was so weird to me because it felt so foreign to how I’ve always been. I hated the guilt I felt over possibly being in denial or in the closet, over being homophobic, and all of that would just lead to constant stress and spiral. I felt so bad dating or being with my friends, on the off chance I was using them or going to cross lines. Progress isn’t linear, but I definetly feel so much better shedding the random fear I had of expressing affection towards my friends or of “using guys” to prove I was straight. Most of the time, I find that the stress comes from something really real. Like my past experiences with an old friend that I had or just not liking the guy I was dating and not wanting to lead him on. Being able to discern the OCD thoughts and stress from regular stress has been like a breath of fresh air.
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