Has anyone successfully treated avoidance as a compulsion without being able to identify the obsessions behind it? I’m a few decades into OCD and understand rationally that the obsessions and compulsions aren’t related in reality so I stopped performing compulsions/engaging obsessions over time and slowly descended into this prison where I can’t and don’t do anything.

It is not the thoughts or urges that scare me anymore. It is the way I feel like I’ve absorbed the compulsions into my identity :( I am doing them so automatically that it feels like I am choosing them freely and they’re me. and because of that, it feels like I AM the OCD now, not just someone with OCD. I think I’m just deeply trapped in a loop. I was trying to survive unbearable fear so I started scanning. Then I started pre-scanning. Then checking if I pre-scanned. Then I check how I feel during all that. I run to beat my OCD to the “punchline” (intrusive thought, urge, sensation) because I’m so scared all the time. So scared that I don’t even feel it anymore. I feel numb and all that’s left is this jittery residue and numbness. Now it’s all tangled together in a huge knot. I feel so extremely lost. I think this may just be meta OCD, but I’ve never ever felt so gone before :( I’m really scared.

So I've been working to address my OCD for about a month now. So far, I haven't been working on it with a therapist and have instead been trying to create my own exposure exercises. The primary obsession I'm working on is the fear that I'm somehow flawed or invalid on a fundamental level. The best way I can describe it it is that its similar to the feeling you get when you have germ OCD and you feel contaminated, except my whole existence and being feels contaminated, so to speak. I've identified a list of triggers, and a list of compulsions (pretty much all mental) that I've noticed myself performing. I started out by doing imaginal exposures and scripts where I'd write out triggering fictional scenarios and read them over and over, combined with mindfulness techniques to focus on my breath and bring myself back to the present when I noticed myself performing compulsions mentally. At first it worked to some extent, but eventually I started to feel like the stories I was writing about this obsession weren't triggering any anxiety anymore or a very low level. So I stopped reading them and focused solely on improving my ability to stay present and identifying compulsions as I perform them, and disengaging. Now, I'm at the point where it seems like my general anxiety levels throughout the day are lower, and the triggers I've identified are producing noticeably less anxiety. But that makes me wonder if somehow I'm just secretly doing mental compulsions without knowing it? Is only a month of rather disorganized and unstructured ERP enough to produce this much improvement? To avoid giving me re-assurance, I'd appreciate if you guys don't directly answer those questions, maybe just provide some possibilities or your own experiences so I can get a better idea of where I'm at. Any info would be appreciated. Thanks!

I am newly diagnosed with OCD as a 33 year old female I was fat oses with bipolar at 15 and never really identified with it much and totally relate to ocd. I wish i would have known long ago so I could have gotten treatment earlier. Now that I know and am aware and can see what’s off and what are compulsions and my insatiable need for reassurance it’s so overwhelming- it feels like my mind is a prison and attacks me with a new pure o quest as soon as I wake up I’m optimistic I’ll be able to get better but it just feels like it’s time sucking and joy stealing disorder I know I’m not alone here I feel like a crazy person replaying and replaying things I want to know if you can relate or if you have been at this for a while and actually feel like you are breaking free from this Thanks for the read