It is common that OCD causes people to have thoughts that lead to extreme guilt and anxiety and, no matter how hard the person tries, those thoughts and feelings won’t go away. This guilt may have been initially caused by a traumatic experience, but your OCD will latch on and make the feeling worse. This is known as “Responsibility OCD.” The gold-standard treatment for all subtypes of OCD, including Responsibility OCD, is exposure and response (ERP) therapy. During ERP therapy, the person struggling with OCD is exposed to the stimuli that causes them to feel anxious and guilty, and they are prevented from engaging in their compulsions and rituals. For example, part of ERP can be to purposely think the exact thoughts you would prefer not to have, and then actively resisting any urges to “push out” or “get rid of” those thoughts. Over time, with repeated exposures, your brain learns that experiencing those thoughts doesn’t have to mean anything about you as a person, and there is less of an emotional reaction to them. ERP therapy should be done together with an OCD therapist. With trauma-related OCD or OCD that is co-occurring with PTSD, you may also need a different type of therapy. It’s best to speak with a NOCD therapist or another mental health professional to determine the best treatment plan. There is hope and happiness at the end of this journey.

Common posts on here are "i had a thought" "why am i thinking this" "what if" and these are all OCDs way of making you doubt yourself while taking you round and round in never ending circles at the same time. Regardless of the theme you are facing, there is no "figuring out" or "making sense" of a thought, because it isn't a real situation - it's a passing word or image or scenario without any meaning attached. You can't control your thoughts and the more you "don't want to have them" the more they will appear. For instance, tell yourself not to think about "apples", it will be the first thing that comes to your mind, because that's just how our minds work. Once you categorise a thought as "bad", every time it comes into your mind, your anxiety level will go up and this makes the thought seem real. Because if it "Feels" this bad, surely it must mean something or must have happened - But none of this is true. All we have to do is naturally notice thoughts as they come up, and rather than try to assess or ruminate over the content, we can almost shrug them off. It's the only way to accept thoughts as simply thoughts and nothing more. Anxiety drives the intense feeling and the more attention you give to thoughts, the more power they have over you. No random thought can change your real intentions. OCD is never ever satisfied, so the only way forward is to accept the uncertainty of never knowing "for sure" and to class the unwanted thought as irrelevant. OCD says "quick..bad thought..feels horrible.. what does it mean.. fix it". But in reality there is nothing bad here or nothing to be fixed, it's a false alarm. Once you learn to respond to a thought calmly by working on anxiety, it gets easier over time. It's your perception of your thoughts that needs to change, you believe they mean something about you, but random things pop into our heads all the time - both things we like and things we don't. OCD also latches onto what we care about most and it always comes with a feared consequence, so think about what yours is, e.g "what happens if my worst fear comes true" you can then practice imaginal exposure which is imagining your worst case scenario over and over until you become desensitised to it and no longer fear it - therapists use this technique in sessions. Everyone in the world has thoughts, the thoughts are not the issue, you just get more of what you focus on, up until the point that you can change your attitude towards the thought. If I asked you if you went upstairs today you would have an answer straight away, however if I asked you a question related to your OCD theme, your anxiety would increase and you would doubt yourself, because that's OCD doing the thinking for you. Once you give it less power it becomes a less significant part of your day. It's so easy to give into compulsions as they feel like a "quick fix".. but as I mentioned, ocd is never happy, which is why it wants us to continue to check and seek reassurance. Once you start reducing and gradually stopping compulsions, whether this is rumination, checking, or a physical action (whatever you falsely believe is "keeping you safe" from your feared consequence) you will see it's not necessary to do them, and that the time consuming little things you have taught yourself to do have no effect on what actually happens in real life. Thoughts prompt feelings and feelings prompt actions - meaning - thoughts cause anxiety and anxiety drives unnecessary actions. As a side note, I overcame contamination ocd (I was in a very very bad way and now the theme doesn't bother me anymore). I still have OCD and it can affect me slightly at times, but i can manage it in a way that it doesn't interfere with my day and without the need to carry out compulsions. Please practice, because I promise it helps, it's super scary at first and extremely difficult but the end result is worth it. ERP therapy is also very helpful.

I’ve been struggling with religious OCD for the past month or so (blasphemous intrusive thoughts, fear of going to hell, etc). I’m a Christian. I’ve been in ERP and I’m learning to let the thoughts just be which is hard, but I’m struggling with the overwhelming feelings of guilt about having the intrusive thoughts. I know the thoughts aren’t from me and don’t reflect my true self, but sometimes if feels like I’m bringing the thoughts on if that makes sense. Does anyone have any advice on overcoming the guilt? OCD is also telling me I’m never going to get over this and my relationship with God will never be the same. I just want to be able to praise God without all of this and it’s making me incredibly sad and lonely. Any words of encouragement are appreciated.

I had just posted a summary of ERP for a group member, and I thought it might be useful for everybody. Here it is below (with a little extra added)…. ERP therapy is researched-based. Most other therapies don’t work. There have been people who have been literally stuck in their houses (from their OCD) who gained their lives back through ERP therapy. NOCD does ERP therapy exclusively. You can find it in other places too, but you have to ask around. There are two tenants of ERP therapy: The first one has to do with the repetitive thoughts inside our heads. These thoughts are actually defined as “obsessions”. You are not supposed to do anything with the obsessions. You are supposed to let them run through your head freely, without trying to fix them or stop them. Imagine a tree planted by a river. The leaves fall off and float down the river. You can see the leaves falling, but you don’t try to stop them or pick them up. You don’t try to fix them. You just let them float away. This is really important to do with your obsessive thoughts. The more you try to fight them off, the worse they get. I used to have blasphemous sentences running in my head 24/7. I felt like I had to put a “not” next to each sentence in order to “fix” it. But this just took hours of my time every day, and it was very scary, because I was worried that if I messed up, that I would go to hell. It was very freeing to learn later that I could just let those sentences run freely through my head without trying to fix them. The second part of ERP therapy is all about “denying your compulsions.” Every time OCD tells you that if you don’t do things a certain way that something really bad will happen, that is a compulsion. Once you recognize what your compulsions are, ERP therapy will have you practice stopping doing all of those things. For some people, that will mean stopping washing their hands or touching lights switches or, in my case, putting “fixing” words in their head. Compulsions are safety behaviors. During ERP therapy, you will practice stopping engaging with safety behaviors. All this is very hard to do and scary, so during therapy you will be given tools to help you deal with the fear. Often ERP therapy will take people from being non-functional to functional. I highly recommend it. ————————————————- PITFALL #1: After you have been doing ERP for a while and become somewhat successful, the OCD will try subtle little tricks to bring you down again. The first one is to tell you that your thoughts are REAL and not OCD, and therefore you can’t apply ERP therapy. Don’t fall for this trick! All thoughts are just thoughts. They are all meaningless. Don’t try to figure out what is real and what is OCD. Just treat all thoughts with ERP therapy. PITFALL #2: The second pitfall is that OCD will tell you that you can’t move forward unless you have absolute certainty that you will be safe. Hate to tell you this, folks, but there is no certainty in life. You will never know for SURE that you or your loved ones will be “safe” from the OCD rules. Therefore, you have to move forward in the uncertainty. It’s hard, but it gets easier with time and practice. We got this, guys !!!!!!