my therapist recommended i write down an anxiety producing thought and then write a rational counter-statement to that thought. the thing is i fear that wont that only fuel my OCD? i asked my therapist this and they said that i should still try it because i have to teach myself to believe rational thoughts. what should i do? a lot of what i learned about OCD is to not give it power or attention but wont this give it attention?

My NOCD therapist (who has been awesome) and I are both struggling to identify ways in which I can practice exposure therapy while in-session, because the vast majority of my OCD symptoms are mental compulsions. For example: indecision and inability to commit to a choice; seeking reassurance on decisions from friends and family; mental review of things that have just happened / social situations; over-thinking and catastrophizing. I also have some other hallmark symptoms (contamination fears, moral scrupulosity, etc) but those tend to be inconsistent too. It’s hard to really practice these during my sessions because so many are in the moment and fleeting. By the time I join my session they are no longer active. How can we establish exposure responses during my sessions, if most of my OCD involves mental rumination and overthinking patterns/thought loops that only occur “in the moments - rather than specific or consistent compulsions (such as hand washing)?

I find while doing exposures, rarely does my anxiety lessen. It usually amps up and stays that way for the remainder of the day. I could be having a fairly decent day, but dutifully do my exposures and then the rest of my day is anxiety filled. I guess that’s just how it is now? Also, I’m wondering if my therapist even believes I have OCD. I totally understand my therapist cannot provide reassurance. But it’s to the point it seems my therapist acts like I actually did the thing I fear. I feel so isolated.

So, my brain brought up a question that really affected my worldview. I solved the obsession, and gained some good wisdom on that could be useful towards unconditional loving self acceptance. Maybe I was being OCD about recovery, and tried to find logical reasons for why progress is important no matter the outcome when I should've just embraced uncertainty. So now I have an answer to the Obsession. But this obsession took me to a pretty dark place. And I know OCD is just gonna throw and equally Bad one at me if I use this information to my benefit because it will essentially be reinforcing the OCD cycle. "Oh, he got the solution he needed to now I need to throw a new obsession at his way." So what do I do with the wisdom I gained from ruminating here? It's useful and practical information, so I don't want to throw it out. But I can't reinforce the ocd cycle.