I have severe Pure O. It’s around my OCD thoughts themselves (OCD about OCD). I can’t stop noticing my thoughts - 24/7 - and it brings me deep anxiety. I fear my life is to be lost to this looping existence and the longer this goes on the more evidence accumulate that this is true. My compulsions include deep rumination about the problem, Googling, buying books on OCD and well, doing posts like this. I’m with an OCD specialist who specialises in ERP. I’ve done a lot of the E but I think I’ve been struggling with the RP. I’ve reduced the active/positive compulsions but I really cannot stop my brain looping and ruminating - which is by far the worst of it. In a situation like this - do I (a) try and stop the thinking/rumination or (b) learn to accept that thinking/rumination? Because I find it almost impossible to do (a) - it tends to get worse when I try and stop it. Any help folks can give would be gratefully received.

Been struggling with existential OCD lately. Very hard to describe the thoughts/feelings, but it is a constant feeling of being stuck in my head. Like what is consciousness and where do I think from? Like I think it’s OCD, maybe it is maybe it isn’t. But if it is, what would be good ERP exercises? Just existing (lol)? And what would be my response prevention? I’m not even sure what mental compulsions I may be doing.

Hi! It’s pretty difficult for me to get the courage to post this but I’m really struggling to figure out if what I’m experiencing is OCD or Anxiety or neither. I think I have the “pure O” type of OCD where most of my compulsions take the form of ruminating and trying to figure out something all in my head. When I hear this talked about in forums or online the intrusive thoughts don’t really match mine- I worry often about things that seem more “grounded” if that makes sense. A common one for me is my own identity- i will spend long amounts of time stuck in my head trying to figure out my feelings (often sadness or other real emotions I have and patterns I have) and why I feel that way and what in my life caused that and how it’s impacting other things in my life. I also think often about which parts of my personality are the real me and which aren’t. Sometimes this takes the form of strictly ruminating and sometimes I have fake conversations with people I know. It’s intense and I feel I have to figure it out but with no specific intrusive thought that says something like “you have to figure this out or all of your loved ones will die” but it’s very intense. I think also often of all of the decisions I need to make in the future and how they’re going to affect those I love and care about as well as how much I’ll regret them. I imagine all of the ways I think my actions will emotionally hurt others and how to make the least harmful decision, but to me this feels like a valid concern but go over and over and never come to a conclusion. I often just get scared and never make any move because I don’t see an option that doesn’t hurt someone somehow. But again I’m having a hard time identifying the intrusive thought behind it. But I also don’t choose to think about these things most of the time. This is almost all decisions but especially big life decisions. It’s such a struggle because they are things I eventually do have to make decisions about. There is so much more to it that would take too long to explain but in general a lot of my fears revolve around pleasing others/ understanding others emotions to ensure they’re okay, my own identity and personality, and work/school performance. Someone mentioned OCD to me because in my head it feels like I have to solve these things and will go over and over them but I seriously can’t figure out if it’s anxiety, OCD, or none of the above. It’s all very disruptive to my life. I am never not thinking or not trying to figure something out and I feel as if I have no control over it Anyone have any insight?

How to stop it It's fueled my ocd to the extent that I am confused whether the thought came just because of ocd or it's me who is thinking it Purposefully I'm suffering from pure ocd magical thinking ocd Pls reply