An online acquaintance reached out to me saying they think they’re experiencing intrusive thoughts - I did my best to help and provide resources in our country. However they said a few things that imply the thoughts may not be ego-dystonic (thoughts of just doing it, etc.). I’m just wondering what my role is here. I want to help them, but I’m not sure what they’re experiencing sounds much like intrusive thoughts. But if it is, I don’t want to trigger them and make them worse by validating that their fears are true! I understand this is a bit confusing, but if anyone could shed some light on the right move here I’d really appreciate it!

I think when people are saying OCD is egodystonic is really triggering me and I was just wondering if this has happened to anyone else? I’m going through a really bad relapse and right now I’m trying to figure out if my thoughts are truly egodystonic, like I how do I know I won’t act on them, how can I trust my emotions and everything. I feel really confused and I feel like I don’t know who I am anymore or how I carry on with life because it’s so long and I’m so unsure of everything that’s going on in my head. Like how do I know that this is OCD and true desires/urges. I’m so confused.

I had my second session with a therapist and they told me they don’t think I have OCD. They think that I have just intrusive thoughts. They also said they don’t do diagnosis. I also noticed they did not ask me questions about my different themes.This has made me so confused. Even though I had a terrible fear that a therapist will tell that I don’t have it, (which is the main reason why I had not gone to one) I did suspect I had it because I identify with many of the symptoms. On the website it says that they treat it but I don’t think they are like a specialist. On the first session they described OCD mainly as needing to have things symmetrical and fear of contamination. I have a feeling that they don’t know much about it. I also didn’t mentioned all the themes I think I have because I’m scared to be misunderstood. I am not sure what to do. I can’t afford seeing an OCD therapist at NOCD. Can anyone give an insight, has something similar happened to you? Thank you!

Hi Everyone! I hope whoever is reading this is having a good day so far :) So for years now I’ve had very bad intrusive thoughts about things that I have done or embarrassing things that I’ve said or have happened and it’s mortifying and debilitating on a daily basis. Specifically these thoughts are mainly things that have occurred from 2018-2020 and some are more simple just as a stupid joke I made or being way too loud on calls while my family was trying to sleep and others being way more complex such as past relationships and how I’ve hurt some of the people I care the most about and when I have acted on intrusive thoughts and these thoughts will appear with no triggers at all I’ll just wake up and already have something I did just nagging me. I don’t want to live like this anymore and I’ve tried working through it with self compassion but sometimes the things I said or did back then it’s very hard to forgive myself for and I’ll reminisce on it for hours on hours, gaslight myself into believing that’s not how it happened and try to change the memory itself, or just suppress it entirely. I know those habits aren’t healthy and truly I want to get better but I don’t know how to overcome some of these thoughts. I have talked to my fiancé about this a few times and even today we talked about it and he fully supports me and is helping me work through it. I might also contact my sister too, I don’t talk to her overly too much but ever since I was little she’s thought I’ve had ocd and was one of the people who made me consider that I might have it (I’m still undiagnosed but I’ll try to when I have the money and time) and I know she could maybe provide some insight. Another thing that is troublesome about the situation is my other family members specifically my mom aren’t the most helpful and can trigger thoughts. To put it in perspective on how her thought process is and some background info she is an ER nurse and has been for 30 years due to this she believes she knows mainly everything there is about mental health and she gets extremely upset when I don’t take her advice or set boundaries. She’ll force me to talk to her about my problems and when I don’t want to she’ll pin me in a corner where I’m forced to and last summer I had a really bad episode and was really overstimulated and I just finished taking a shower and due to the water on me, my hair being wet (my hair is naturally curly and it takes forever to dry and it’s very draining taking care of even with a keratin treatment) and all the intrusive thoughts I was having and she forced me to talk to her and I did open up for the first time about my thoughts and brought up how sometimes I have thoughts of hurting my animals and it makes me physically sick. Her response to this was threatening to call the cops on me saying it was a behavioral thing and I was doing it for attention. I have never hurt any of my animals but later that day my cat came into my room and a few minutes later she comes up just gives me the death stare and after a few seconds just asks me “are you going to go kill snickers?” In the most condescending tone and she’s always like this daily where she’ll force advice onto me or get upset and yell and then reinforce thoughts I’m having. I just want to know first how to stop the thoughts from so frequently and how to heal in an environmental where it keeps reopening wounds despite trying to place boundaries? I’m sorry this is really long I usually do go really in detail about things and it’s just how I’ve always been. If anyone has any questions feel free to ask and I’ll answer them to the best of my ability. I really appreciate the time you took to read this and thank you for your help! 🥰