How can I start SO-OCD exposure therapy ? What is it like? What does it include? Genuinely curious because I'm weighing my options for treatment. What's the difference between cognitive therapy and exposure? Recommendations?

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?

i am starting NOCD therapy on monday and was just curious on others’ experiences! what happens in your sessions, generally speaking? how do you feel during and after? i’m excited but also nervous to start. i’ve been in talk therapy for years with minimal improvement with my ocd, so im hopeful to start feeling better.

Should I start therapy? What if I say something that they think is odd, strange, illegal, etc.? What if they tell me it is not OCD? These are just a small handful of the things that I have heard from people who are worried about starting therapy. And, it is unfortunate that these types of questions, and the fear of their answers, keep people suffering. If you have these questions, I want to know about them. I hope that you will gain some insight and inspiration to take that step and try out NOCD ERP for your OCD. So, let me hear from you and let's overcome these fears together. Ask me Anything in the comments below.