Another imagined scenario at work tonight when washing my hands at the break room sink - every time I finished rinsing my hands, my brain convinced me I had taken them and rubbed them all over the sink. Like cleaning the sink with them in place of a wipe or something. Just over and over. So naturally my response is, oh darn let's wash them again. I was in there forever. This has happened to me when people are in there too and it's so mortifying because I can't stop, and I know people can see me. People waiting to use the sink (or bathroom if I'm in there) makes my compulsions SO much worse. It's just exhausting.

I got the intrusive thought "What if you unknowingly ran into your kitchen, pumped soap in your hands & rubbed it on your TV". My compulsions now are trying to figure out if I did that, looking for potential soap rubbed on the TV. How would you apply ERP to this scenerio? I'm confused about how it works to break the cycle.

I'm stuck in an OCD cycle and having a hard time trying to figure out how to treat it with ERP. Basically what happens when I go to the bathroom, shower, walk past the kitchen sink, my mind goes "You've just ran over to the soap/shampoo bottle, and pumped soap on yourself for no reason." I think that's a weird thought, where did that come from. Next, I'll sometimes re-rinse my hands, body, etc. to make sure I haven't just ran and pumped soap on me for no reason. For ERP I get confused if I'm just supposed to let the thought "you've just ran over to the soap/shampoo bottle and pumped soap on yourself for no reason" be there and not react with compulsions. Or if I need to pump soap on me and not rinse it off, making pumping soap on me the new norm? I don't know, it's confusing to me.

Does anyone else struggle with hand washing/contamination OCD? I feel like it’s not talked about enough that OCD although it’s a mental illness it can have a very real physical impact on a person as well. For me, I used to struggle with compulsive hand washing. It wasn’t so much that I would touch something, and need to wash my hands, it was more so I would just sit at the sink and need to do it over and over again until it felt “right”. But I have gotten better with it, and have done a lot of exposure therapy for it, but my hands and arms still suffer from the brutality of it with the harsh soaps and excessive washing. It feels like my hands and arms are always really dry and despite how much I try to moisturize, just from the amount of time I spent doing it my skin was really damaged. Let me know if anyone has struggled in a similar way?