What does recovery for harm OCD look like?

Looking back, I realize I’ve had OCD since I was 7. though I wasn’t diagnosed until I was 30. As a kid, I was consumed by fears I couldn’t explain: "What if God isn’t real? What happens when we die? How do I know I’m real?" These existential thoughts terrified me, and while everyone has them from time to time, I felt like they were consuming my life. By 12, I was having daily panic attacks about death and war, feeling untethered from reality as depersonalization and derealization set in. At 15, I turned to drinking, spending the next 15 years drunk, trying to escape my mind. I hated myself, struggled with my body, and my intrusive thoughts. Sobriety forced me to face it all head-on. In May 2022, I finally learned I had OCD. I remember the exact date: May 10th. Reading about it, I thought, "Oh my God, this is it. This explains everything." My main themes were existential OCD and self-harm intrusive thoughts. The self-harm fears were the hardest: "What if I kill myself? What if I lose control?" These thoughts terrified me because I didn’t want to die. ERP changed everything. At first, I thought, "You want me to confront my worst fears? Are you kidding me?" But ERP is gradual and done at your pace. My therapist taught me to lean into uncertainty instead of fighting it. She’d say, "Maybe you’ll kill yourself—who knows?" At first, it felt scary, but for OCD, it was freeing. Slowly, I realized my thoughts were just thoughts. ERP gave me my life back. I’m working again, I’m sober, and for the first time, I can imagine a future. If you’re scared to try ERP, I get it. But if you’re already living in fear, why not try a set of tools that can give you hope?

People who went from a really bad time with OCD to a better time now. Is it really possible? What was your theme? Did you take medication?

harm ocd is the bane of my existence. people always tell me that if you have anxiety over a thought, that’s ocd. and these intrusive thoughts cause me IMMENSE anxiety. i’m constantly looking for reasons why i’m not what these thoughts tell me i am. but WHY DOES IT FEEL SO REAL?? it’s like i can’t reassure myself that this isn’t me and i don’t want to do it, but i also look for reasons why it’s not me. my brain is constantly telling me “if you don’t act on this, you’ll never feel free”. WHAT EVEN IS THAT?? and why does it feel real?? anytime i think about getting therapy, i constantly think that it’s not going to help me positively but help me realize i am this person. i just wish someone with harm ocd could get into my brain, understand me, and tell me everything will be okay. i wish someone in recovery could tell me that they’ve been where i am, felt the same feelings, thought the same thoughts, and got through it when they thought they wouldn’t. i feel like i’m drowning in it. another thing is i think about how my mom knows a surface level understanding to this form of my ocd, but if she knew it all, i’m scared she’d never look at me the same. i’m scared she’d be scared of me and think i need psychiatric help. IM TERRIFIED.