(How can you do ERP when there is a legit concern?) Trigger warning for Contamination OCD/coronavirus. For instance, I’m pregnant right now and have had a resurgence of contamination OCD. (I also have GAD, so I’m never sure which tactic to take with a thought.) Health really is a legitimate concern here, and I’m told I should be more careful. Of course I overdo it, yet ERP seems to be the exact opposite of being more careful and that seems very, very unwise. How do you do exposure for something that your doctor says to not do? How do you do exposure for something like, for another unrelated example, not wearing a mask around other people right now in the time of the pandemic when you’re absolutely required to wear a mask and it’s dangerous to not? ERP basically doesn’t make sense to me. By that thinking I should be changing the litter box and not washing my hands and *I definitely should not do that*. How do you do ERP when there is a legitimate aspect of an actual concern?

For many years I’ve had contamination OCD. I wear many layers of plastic gloves when awake. Take off a layer when needing to do things. Early last year it started getting worse when I began ERP. Much worse. Showering took 1 hour before, now 3-4h or longer. I always have to shower before bed because the bed is a clean safe place. But showering didnt feel clean enough anymore and took so long. I would get stuck repeating things over and over. The humidity was ruining my walls and ceiling. I’d stay awake up to 40 hours avoiding showering and sleeping. So one day I started wearing clothes covering all skin, plastic gloves, sleeves taped, hoodie on. That way I could easily just sleep still on my back on the couch. No more awake 40 hours or stuck in the shower up to 4h + bedtime rituals. But then slowly I found myself unable to do… anything. Stopped going outside, stopped talking to people, can’t even get up some days so I just lay on the couch. Fall last year was very stressful I think it broke something in my head. I don’t change clothes and I make sure the gloves last many days. My hands are suffering. The skin blisters and comes off. I think my nails are now separating from the nail beds, for real. I’ve also spent so many years holding pee when outside the home that now the pelvic muscles are weak and I’m becoming urge incontinent. Can’t do physical exams at the doctors. Can’t seek help. Can’t get out of the couch. OCD is ruining my physical health. ERP did not work. Has this happened to anyone else? What did you do if so?

Hi! I've been on my OCD healing journey for about half a year and I have seen a lot of success. I'm reaching out for advice, I am very willing to do exposures because I know the more I do them, the more I get better, but I struggle with the response prevention part. I don't know how to control my brain when it comes to facing the fears especially since most of my compulsions are mental. I can tell myself the typical things "I am okay with the uncertainty of this happening", etc. but its like my brain doesn't believe them. I've been stuck in this disconnect for a while and would love advice you have heard from a therapist or learned that has really help you.

So I have pretty intense contamination OCD tied to Moral/Real event OCD, and I'm having a hard time with it because part of me does genuinely believe my logic checks out, and I was hoping to get some insight as to how to change the way I see it from other people who sort of get the mindset involved :). To sum it up as well as I can, I basically have a very souped-up version of the same item-event association most people have. For example, let's say you have a HORRIBLE, GOD AWFUL relationship with a person you can't even begin to think of favorably even years after the event. They had gotten you a stuffed animal for your anniversary at some point. You finally "escape" the relationship, and you throw away the stuffed animal. This is seen as a very normal and sound-of-mind action. Here's where things get tricky: For me, throwing out that stuffed animal wouldn't be enough. After all, it touched my table didn't it? And my table touched the floor right? And these things now carry that person's germs. And if I don't get rid of them, then they'll infect my future belongings. This logic isn't entirely flawed either, as even my OCD specialist said he believes in a "weaker version of what I do". How am I supposed to convince myself that what I'm believing is false when the literal psychologist confirmed that what I'm doing is just a more in-depth version of a normal experience? Ex: I have a new outfit, fresh and clean. I'm unbothered and happy, but I knick the side of a table. The table holds awful associations. I get this awful sense of dread. The clothes are now somewhat sullied, and I'll eventually have to give them away. I don't think I'm explaining this as well as I could, but I feel like those notions are there. Anyways, does anyone have any insight as to how to get my mind to genuinely believe that interacting with these things is "safe"?