Qbert

Date posted: 5y

I'm really struggling to understand if I need an OCD therapist or Sex therapist. I have an OCD therapist currently but my problem is avoidance of sex, feeling inadequate, anxiety about performance, and it seems ERP aimed at my psychological ED is making things worse. if there is an OCD advocate that reads this could u advise me.

alex1

Date posted: 5y

froggy123

Date posted: 5y

A sex therapist sounds like it could really be helpful!!

js94

Date posted: 5y

Ive been to one and they can only help so much. They dont specialize in OCD and dont really understand the condition. Eventually she referred me out to and ocd specialist. I had the same issues as u. Performance anxiety, inadequacy, not feeling like "a man" etc

Qbert

Date posted: 5y

@js94. did u find the OCD specialist could help in that area? it's so confusing to me. she tells me I'm too much in my head and its logical that sexual problems happen when u aren't present in the moment and able to let go, yet ERP is about exposing yourself to your anxieties. it doesnt make sense to me.

Qbert

Date posted: 5y

she wants me to constantly think of sexual dysfunction and ED. how am I supposed to get in the mood to feel good about sex if I'm constantly focused on dysfunction

Qbert

Date posted: 5y

I just resign myself to avoiding sex. it's a compulsion in itself

js94

Date posted: 5y

Yes u two will work on it together as in any other ERP, exposing urself to the fears and anxieties. We have too much in our heads its difficult to enjoy the present.

Qbert

Date posted: 5y

I'm on session 8 with this OCD therapist and I am doubting if shes a good fit for me.

js94

Date posted: 5y

Why do u think that?

Qbert

Date posted: 5y

I guess because I get conflicting messages from her like "you're too much in your head and its causing sex dysfunction" but then shes telling me to not avoid thinking about sex dysfunction and to let those thoughts happen. my libido is already low - that kills any desire to try and have sex

alex1

Date posted: 5y

Well you are in your head... the performance fears are the obsession. And the compulsion is avoidance so ERP is to entertain the fear while not doing the compulsion. You don’t like that because you are getting anxiety and you’re used to doing your compulsion (avoiding it). Happens to me to

alex1

Date posted: 5y

@alex1 My therapist says try to think about the core fear during ERP. While doing that, think about all the different things that go through your head. Don’t push anything away. If you feel tension in your body, try and let it loosen but don’t stop thinking about what’s giving you anxiety. Only move on when you’re bored of thinking about it or your mind wanders

Elizabeth

Date posted: 5y

I saw on Psychology Today that Bethann Detwiler does OCD treatment and sex therapy. I’ve never been to her but my therapist is in the same practice as her.

js94

Date posted: 5y

Where is she located

Elizabeth

Date posted: 5y

Her Main Office is inside Spring Run Presbyterian Church (6601 Woodlake Village Parkway | Midlothian, Virginia, 23112).Her Satellite Office is located at Sycamore Presbyterian Church (510 Coalfield Rd | Midlothian, Virginia, 23114). The counselor’s usually meet in the church but they are not a part of the church. Due to the virus, she’s doing video chat counseling sessions. If you email her, she shoud explain how. Here’s the link to her contact info http://www.wellspringrva.com/contact

Qbert

Date posted: 5y

@alex1. so what's troubling is if ERP is to not do compulsion when experiencing obsession, it would mean not avoiding sex, but sex is barely possible because of my ED, so I'm supposed to put myself in a disappointing and humiliating situation and not feel bad about myself? I carry that around with me all day. depressing

alex1

Date posted: 5y

You may just be going to far up the hierarchy too quick. If sex (and losing an erection) gets you to a 10 on your hierarchy, then maybe you need to find an exposure that doesn’t induce so much anxiety. Your goal is to get to a 4-6 in your exposure. Identify what your core fear is (sounds like shame/humiliation, but maybe something else is your fear?). During your exposure focus on that fear

alex1

Date posted: 5y

Also, does your partner know about these struggles? If not, it may be worth sharing these feeling with them. It may take stress off you. That’s a decision you need to think about before doing it, but if they’re understanding and empathetic, I don’t see how it is a bad idea

Qbert

Date posted: 5y

I can clearly see how ERP can work for othgger types of OCD, but for this problem it seems to worsen it. I've visited a sex therapist before and they wanted me to not focus on the ED.

Qbert

Date posted: 5y

I'm done with ERP therapy. another failed sexual attempt because I have no sex drive because I'm supposed to think of ED all day.

Qbert

Date posted: 5y

hi alex1. I have my next appointment tomorrow with her. I'll explain the situation. my partner understands and tries to help but doesnt really understand. shes understanding. I have an appointment with psychiatrist next week when we discuss meds. I'll tell him. my sex drive sucks and that's a known killer.

Qbert

Date posted: 5y

I'm not sure shes as experienced as I thought. she never went over a hierarchy. we just went right to impotence and she said sit with the anxiety

alex1

Date posted: 5y

I’m sorry to hear you did not have a good experience. Did she specialize in ERP? I know how exhausting it is, add on top of that having a therapist that doesn’t understand you. If you try therapy again, ask the therapist if they specialize in ERP therapy. Also, it may help you, your partner and your relationship to have her sit in on a therapy session to understand how your brain works. I know when I did that, it helped my partner understand much better than me explaining. The therapist is a better explainer than me! But your partner would have to be ok with that, I’m sure some people would get freaked out by it or find it overwhelming. I wish you the best of luck!

Qbert

Date posted: 5y

thanks. I'll consider having her sit in a session. the therapist said shes experienced. its exhausting to figure out what the real problem is. is it meds? is it bad ERP? is it psychological? os it my age (50)? is it I've been in this relationship for 28 years? honestly I'm not really freaked out by giving up sex. I'm so uninterested. my wife thinks it's the luvox I started - on month two. I'm on other meds too so I'm not sure if that's the real culprit

andrea_sam730

Date posted: 25w

Intrusive thoughts during self pleasuring :/

I’m really struggling with something related to me ocd, and I would appreciate kind and supportive advice. If you can’t relate or don’t think anything you have to say would be helpful, I kindly ask pls refrain from commenting this is a really sensitive topic for me. Recently, I’ve noticed a pattern that feels something extremely new and distressing. The first time it happened I remember telling myself before self pleasuring that I am in control no matter what thought comes into my mind because I wanted to prove to myself that these thoughts are just from OCD and I know who I am and an intrusive that came out of no where, and i suddenly felt an intense fear that I was acting on it. In the moment I genuinely felt like I did. And afterword, I panicked and started questioning myself. This SAME FEELING has happened three times in a row each time, the intrusive thought was unwanted and random, and completely against my morals most recently it involved pocd and it feels even worse because it generally felt like I acted on it the thought in the moment while I was self pleasuring the panic doesn’t hit until afterwards when I stop :/ I start thinking that maybe I generally made a mistake and I’m now just realizing that it’s wrong because it generally feels like that :( but when I actually think about it again goes against my morals and values doesn’t make sense it feels incredibly real, and I can’t seem to shake this feeling off that I may have acted on it I’m terrified because I never wanted these thoughts in the first place. And I definitely didn’t choose them. If I had known, I would’ve had these intrusive thoughts I wouldn’t have self pleasured in the first place but it’s extremely hard to convince myself that this may be OCD because I feel like I have no other reason to believe that I didn’t act on it :/

POCD

issphra 🫶🏻

Date posted: 23w

Help, Meta OCD/POCD?

I’ve been feeling the urge to avoid intimacy or purposefully engage (for reassurance that I won’t give into a compulsion) because of intrusive thoughts and fear that I’ll “check/test” my reactions. My OCD is making me so scared that I’ll purposefully think of a child and try to see if I like it. It’s so complicated but I guess I’m mentally checking if I would mentally check during intimacy. I’ve even envisioned myself checking and it’s making me so nauseous. I know it’s a compulsion like any other but the sound of “touching yourself to the thought of a child” sounds atrocious and vile. I’m terrified I’ll automatically start checking next time I am being intimate. I truly feel so worried. If anyone has gone through something similar, I’d appreciate hearing your experience. Or if anyone has any advice?

misereri

Date posted: 22w

Urgent: i need yalls opinion

Sometimes I think " do I like kids?" "Would i get aroused if I saw content with kids?""What if I'm a pedo and cant accept it?" "What if I'm ok with these thoughts?" "What if I'm not distressed enough " "What if I enjoy these thoughts?" , i avoid kids as much as i can, i cant look at them bc I'm scared I'm gonna have some groin like response. I keep testing if I'd get turned on or if I'd have some groinal response to sexual scenarios with kids. Sometimes I think that if I took my life this would be over and i wouldn't have to think about this and i wish i doubted something else instead of things like this. I had similar situations just with different topics such as if i loved or found sexually appealing a guy while in a relationship and i kept asking myself those questions for months and i avoided going to school for weeks and when I went I'd cry and have anxiety attacks. I had it with past actions i obessed over and felt the need to exploit every detail and be honest because otherwise i was being a fraud. I had it for sexual things that happened when i was a child. Im not diagnosed with ocd but should i tell this to my local counselor? Can someone help? Give me advice or tell me anything?

POCD

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