How can someone get their anxiety down enough to do exposures without medication? . . . There’s no one-size-fits-all approach to this, but therapists will often work with their clients to design exposures that are achievable before gradually ramping up the intensity. Exposures themselves actually increase anxiety before it decreases over time. But if someone is already so anxious that they can’t begin to do exposures, they may want to consider revising their treatment plan with their therapist (or starting to work with an OCD therapist if they haven’t already). Working with an OCD therapist can help you better understand the long-term benefits of facing your fears through systematic exposures. It will also provide added motivation to endure the increased anxiety that initially comes when you are actively resisting your compulsions.

I have contamination OCD that causes me to excessively wash my hands/clean items with disinfectant wipes. I know I just need to start with small exposures but how do I do that without spiraling? I tried a while back by just touching the outside of my dishwasher and not washing my hands after and it led to me being unable to even exist in my house. I basically lived on my couch for three weeks as it was the only 'safe' space that I had not touched with my dirty hands. I had to take a week off work to clean my house to make it somewhat liveable. I still haven't got round to cleaning everything though so things like my kitchen are still no-go zones that I don't enter. I just don't know how to start ERP without it making everything worse. Any advice would be appreciated. I am not seeing a therapist at the moment due to financial constraints.

Hi everyone. I'm feeling kinda scared because I have to wait a whole month to start ERP therapy, but I feel like I need to start doing exposures now because the longer I wait, the more anxiety I get. It just feels like the OCD monster is getting worse. One thing that helps me is asking one person about an obsession I have...asking a person that I trust, and then doing an exposure after I get the "ok" to do it. I feel like I do need 1 reassurance and then I can go ahead and do it. I know i'm not supposed to ask for reassurance at all, but i dont think you're supposed to do ERP on your own right? Does anyone have any suggestions for what to do while waiting for therapy? PS-the reason there is a wait is bc she's on vacation. After she's back we will meet regularly.

Should I start therapy? What if I say something that they think is odd, strange, illegal, etc.? What if they tell me it is not OCD? These are just a small handful of the things that I have heard from people who are worried about starting therapy. And, it is unfortunate that these types of questions, and the fear of their answers, keep people suffering. If you have these questions, I want to know about them. I hope that you will gain some insight and inspiration to take that step and try out NOCD ERP for your OCD. So, let me hear from you and let's overcome these fears together. Ask me Anything in the comments below.