The hardest thing about ocd treatment is to stop doing the compulsions. I have "pure O" and I do alot of mental compulsions and I've been doing them for a long time and I got used to them. I don't even need to do anything or expose myself to anything to trigger my anxiety. The thought can just pop in my head and I start getting anxious. I know I shouldn't be giving them attention or engaging in them but sometimes I feel it's too hard and I just can't resist. Can anyone give me any helpful advice?

I haven’t started ERP yet. But just curious from others who have, How do you sit with compulsions when they’re mental compulsions? Or just “let them pass”? It seems it’s going to be impossible since none of my compulsions are physical/tangible 😓

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.

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 By the time I join my session they are no longer active.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)?