My existential OCD is ruining my life. I'm trying ERP and meds but I tell myself that "if nothing is real, what's the point anyway?" I think deep down I know everything is real but sometimes I question reality. Then I get worried I'm schizophrenic and delusional. I guess I don't know what to do from here.

m at the point where every night I contemplate going to the ER for my terrible thoughts. For the past 2.5 years I’ve been struggling with extremely bad existential ocd/nihilism. One day I woke up and had a nihilistic thought and since that day I’ve had severe nihilistic and suicidal thoughts. I truly don’t wanna do anything because in the end we die. In the end life is meaningless because we die. I feel almost delusional bc these thoughts feel true. Anything I do my brain goes “why are you doing this? It’s not gonna matter” I’m getting married in June and I don’t feel anything. I don’t wanna do anything. I don’t care to. I have to quit my RN job at the hospital because of this terrible theme. I don’t see a point in anything. Life doesn’t make sense. Death terrifies me. And life feels meaningless. My life is ruined. I hate ocd I hate it.

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.

Suffering from solipsism ocd where I think that everything around me is fake and that I’m stuck in a simulation as the only conscious being. I also have thoughts that there is a higher power that is controlling everything around me and that I’m the main character in a video game. Everyone and everything around me is an npc or generated to keep me in the “game”. This is the worst ocd theme that I’ve had to deal with thus far. Is there anybody else that has had this? and what ERP techniques can I use? Need some ideas. Thanks.