I just met with a nurse practitioner to talk about trying an SSRI. I have been to a psychologist for counseling who diagnosed me with OCD and made me feel super see. This new nurse practitioner seems super nice and thoughtful but I think she may have been skeptical of my OCD diagnosis because I don’t do as many “visible” compulsions I display more mental compulsions like reassurance, neutralizing, avoidance etc. I struggle sometimes because my life makes so much more sense to me in the context of OCD and I want to believe I truly have it

It sounds like you do have it based on your compulsions and your gut feeling. Mental compulsions are also a part of OCD. I’ve had all kinds of compulsions but right now most of mine are mental. It’s so so important to have psychologists and psychiatrists that truly understand and specialize in ocd, I learned that after a while. And for mental health purposes, I would trust the psychologist more than the nurse. 