How do you open up to your therapist about very taboo OCD themes. I currently struggle with "Race OCD", always worrying if I'm coming across as racist to BIPOC. Racism is something that I find horrendous and awful. I consider myself to be an ally to BIPOC & to work and fight racism. So the fact that I'm worrying over interactions with people is complete opposite to my values. I act awkward around people, and I'm sure my anxiety is coming off as strange to people. I just don't know how to open up to my therapist about this without sounding like a piece of s***.

I am wanting to go to therapy to hopefully lower my OCD symptoms but I am terrified to tell anyone else, like a therapist, about my intrusive thoughts. Has anyone else had this experience and if so how did you get over it?

I feel like one of the worst things about ocd are the disturbing images or the ‘little movies’ that replay in your head over and over again. I have the worst sexual images with one of my family members that actually so bad that I can’t even look in the mirror. And it’s even worse that I have a lovely boyfriend and I’m so disgusted of myself that I feel like I don’t deserve him and I feel like I can’t be with him because of these thoughts, even he is the most precious thing in my life. These sexual images are so horrible and what makes it even worse that in these pictures I always see myself as someone who enjoys it. I know how to deal with this anymore. My mind is trying to convince me that that I actually like these images and thoughts and this is the hardest part, that I’m doubting myself. These images pop up in my head so naturally that I always question myself if I actually don’t like it why it comes so naturally or how can my brain picture things like this if I don’t like it. It’s getting worse day by day. It’s in my head 24/7, can’t concentrate on anything else, I can’t eat because I’m constantly throwing up. And my mom has to sleep with me every night because I’m so disturbed by my own mind. My parents know that there’s something wrong with me, they think I’m depressed but sadly It’s not something I can talk openly about with them. I’m seeing a therapist next week but I’m genuinely scared to open up about these thoughts that I’m having.

So, I know my capacity to get fixated on things. And it's normally something that's relatively remote but, my latest issue is really getting to me and I was wondering if people have any advice. I'm avoiding getting too into specifics, as I don't want this to get reassurance-y but, in essence.. I came to the realisation recently that people who I'd been "friends" (feels like the wrong term now) when I was younger were not very nice people, and normalized a lot of very unpleasant behaviour towards other members of the group. They really normalized it, sold themselves as figures of authority, as older and more responsible and grown-up than others, and looking back, they acted horribly. And coming to this realisation, that I'd been manipulated into just accepting their behaviour has just... broken me. My OCD has latched onto it and I can't stop feeling irreversibly tainted by it. I've talked to others about it, and they've reassured me, told me it's not a big deal and that I hold myself to too high a standard, but none of that sticks. I feel better for a bit, then think 'Maybe when you told them you were skewing it to make yourself look better' or 'Did you leave out a crucial detail'. I keep ruminating over and over, trying to remember exactly how everything played out, trying to figure out if I fed into the behaviour, if I did something bad myself (because y'know, I feel like I was accepting of it at the time, so what does it say about my own values?). I know I need to stop doing all this if I want to improve, but then some part of me keeps saying 'So, you're just going to let yourself off the hook then?' Normally, I can rationalize my own fears to some degree, assure myself something won't happen, but the realness of the situation, and the fact I only came to understand the reality of it because the thought had been bothering me means it feels so much more all-encompassing. I know confessing in itself is a compulsion, but I keep feeling that if I'm not I'm somehow concealing what I 'really am' from others around me, and any positive interactions are me deceiving them in some way. I feel like I can't enjoy anything in life right now, and a good part of me feels I should not enjoy it ever again. If anybody has any advice on it, I'm all ears. Or even hearing if you relate to these feelings, I might appreciate the solidarity at least.