Is OCD Curable? It is commonly accepted that OCD is a chronic condition for which there is no cure. This idea is frequently used as an excuse for incomplete treatment, especially of compulsive rumination. Many patients who have completed ERP no longer do any physical compulsions but still ruminate. These patients are often told that the reason they’re not completely better is that OCD is a chronic condition, when the real reason is that no one has taught them how to completely stop ruminating. So, am I saying OCD is curable? Let’s answer that question with another question: Would you say someone who engages in absolutely no compulsion or avoidance has OCD? I would say they don’t. I would say that OCD consists of compulsion and avoidance, and that therefore, by definition, no compulsion or avoidance means no OCD. The counterargument I would expect is that this person would still have intrusive thoughts. But this argument falls apart when you break down ‘intrusive thoughts’ into (1) uncomfortable thoughts that occur to you, and (2) any engagement whatsoever with these thoughts — i.e., compulsive rumination. While an uncomfortable thought occurring to you isn’t controllable, this is also not a symptom of OCD; it’s a symptom of being human. And any engagement whatsoever with the thought is controllable and is a compulsion — and we said this person doesn’t do any compulsions. So would you say that someone who engages in absolutely no compulsion or avoidance — who sometimes has uncomfortable thoughts like all other humans, but doesn’t engage with them at all — has OCD? I would say they don’t, or at least they don’t right now. Thus, drawing a clear distinction between a thought occurring to you, and any engagement whatsoever with that thought, leads to the conclusion that a person can completely eliminate their OCD. So does this mean OCD is curable? Well, it’s definitely much more curable than people think it is. But if the word ‘cure’ means that something is permanently better, I wouldn’t say OCD is curable, because OCD will only remain better as long as compulsion and avoidance are completely eliminated. Consider the imperfect analogy of someone who gets their cholesterol under control by changing their diet.* Have they been cured? Only as long as they maintain the changes that made them better. While it might sound daunting, eliminating compulsion and avoidance does not entail an ongoing struggle. In fact, once a person sees that they have complete control over these behaviors, staying away from them becomes easy. This is why, in my mind, the goal of treatment is not only to eliminate current symptoms, but to help the patient see that they are completely in control of their behavior, including their mental behavior. That way even if they do fall back into compulsion or avoidance in the future, they know they have the ability to get back on track immediately. So I’m not sure whether I can say that OCD is ‘curable,’ but I know that it is possible to get completely better, to the degree that OCD is no longer a part of your life or even something you think about. And this is the standard that I think every patient and therapist should strive for. * The difference is that the dietary changes cause a change in the cholesterol, while the elimination of compulsion and avoidance are themselves the elimination of OCD.

I kinda of have a two part question. 1-Has anyone here just gotten better? 2-How do you know if ERP is working? My ocd goes through phases, and always has even before ERP. There are times where I just feel completely normal. Is ERP supposed to lengthen those times of feeling better? If I have times where I feel 100% normal, then why is OCD incurable? Something in my brain is going back and forth to think irrationally and then back to thinking rationally.

To anyone who has POCD and has had a successful recovery, how does your day to day life look like now? Do you still have those thoughts in the back of your mind and just not let them bother you? Or have you gone about your days without even thinking about it at all? Has your life somewhat been back to normal? Do you still have harder days? And how often? Have you gained trust and confidence in who you are? Do you not allow OCD to make you question yourself? The reason I ask is because I worry that though I might get “better” I still will have hard days like every other week. Like having to have good days but deep down knowing you’re going to struggle with this for the rest of your life. Because personally I just can’t possibly imagine having to knowingly do ERP everyday for the rest of my life just to not crumble and fall apart. Yes I might be “better” at handling it, it will still be something I’m gonna have to be focusing on not allowing OCD to take over. I just want to live my life how I used to. Not having to try everyday to fall apart, ignoring thoughts, forcing myself to be uncomfortable, having to resist questioning things, and faking being okay with what I’m going through. It gets tiring having to do those things everyday. It’s so much easier to just give up. I’m doing my best to not give up. But the thought of having to fight OCD everyday and knowingly sounds much worse than just giving up. I feel like I’m a pretty reasonable person so having to live through this just doesn’t sound worth it and I think it’s pretty messed up to shame someone for wanting to “give up” if you know what I mean. So If there’s no true good outcome after consistent hard work. I think mental illnesses can be just as bad as a physical illness. But we don’t shame them for giving up a treatment because there’s no actual cure. We understand they can’t deal with the pain anymore and want to be set free. But when it comes to mental illness, being set free is looked down upon. But maybe there is no cure or good outcome and all we want is to be set free.

Good evening everyone! Long story short- I had Health OCD 12 years ago but was never diagnosed. No idea how that’s even possible, I had every sign and saw 2 licensed psychiatrists but they labeled me with GAD. Knowing what I know today, it was 100% Health OCD. I fought it for 3 years until one day I literally surrendered. No training and no NOCD…but I remember breaking down sobbing and accepting that my fate might be terminal. Obviously I’m still here and my fate wasn’t terminal and over time it went into remission. For 12 years! Gone! Amazing! Looking back, I still had minor signs but my maintenance dose of Cymbalta kept me straight and steady. Until I decided that I didn’t need Cymbalta anymore and I got off it cold turkey last January. Well, it came back with vengeance and brought a new theme. I finally got a proper diagnosis and found NOCD. It’s helped me but I’m still fighting - after two major relapses. I’m doing all my techniques but the voice is still loud in the mornings. The ruminating is still there. It definitely ebbs and flows and I’m questioning my meds again- Cymbalta seemed to help the last time… Anyway, I got to thinking about how I managed to heal the first time and how I just gave up, literally. I am wondering if that’s what it takes? My new theme has me fearing a local stalker- that he will come after me. I know…it’s not about the theme. But, as much as I want to surrender and get better…my fight or flight is trying to keep me safe from this evil convicted felon. Those of you who have succeeded, did you finally have to give up too? Or can you use the ERP and meds to eventually quiet it? Thank you and much love.