How long should you do ERP? I have the best luck it seems with writing short stories about my husband and my worst fears (marrying him being a mistake, never knowing for sure if he’s “the one”, never feeling better and being miserable my entire life.” Sometimes I read it just a couple times and my anxiety is very high and after just a couple times through, I feel “normal.” Is this a sign to move on to something different or should I keep exposing myself to it? Also, I tend to get anxiety when I realize the story isn’t scaring me anymore. How can I do exposures to tackle that giant?

Hi! I've been on my OCD healing journey for about half a year and I have seen a lot of success. I'm reaching out for advice, I am very willing to do exposures because I know the more I do them, the more I get better, but I struggle with the response prevention part. I don't know how to control my brain when it comes to facing the fears especially since most of my compulsions are mental. I can tell myself the typical things "I am okay with the uncertainty of this happening", etc. but its like my brain doesn't believe them. I've been stuck in this disconnect for a while and would love advice you have heard from a therapist or learned that has really help you.

I used to get caught in a loop with existential thoughts very frequently. Every question made my stomach drop: (TW: existential questions) … … ... "Why does anything exist at all? What will death be like? Is anything even real? Is there any meaning to this? Is the universe infinitely big, and if not, what's beyond it? Are there multiverses? Has the universe been around forever? Will the universe end for good, or will it keep going forever? What is forever like? What even IS reality?" It would get so overwhelming that I remember lying on the floor in a fetal position for hours because I felt like there was no escape. I spent most of my days reading articles and watching videos about theoretical astrophysics and philosophy in a desperate attempt to "figure it all out." Of course that only made me more anxious, raised more questions, and kept me trapped in the cycle. Things started to improve once I learned to turn TOWARD reality, rather than away from it, and ERP really helped me do that. I learned that these questions weren't the problem. I learned that I can actually handle the anxiety that arises when exposed to these ideas and concepts. I don't have to figure anything out to make the anxiety go away; it arises and passes away on its own. Ironically, bringing myself into the present moment and becoming more aware of reality helped me escape the cycle of existential dread. Because of that, this topic no longer takes over my life. If I'm triggered by something I see, hear, or think, I may still feel a little twang of anxiety, but then it just goes away. "Maybe, maybe not" has been the single most useful phrase of my life. Do you ever get trapped in a cycle of existential questions? Are you worried that the ERP approach would be too scary to handle? If so, I'm happy to give my advice.

I find while doing exposures, rarely does my anxiety lessen. It usually amps up and stays that way for the remainder of the day. I could be having a fairly decent day, but dutifully do my exposures and then the rest of my day is anxiety filled. I guess that’s just how it is now? Also, I’m wondering if my therapist even believes I have OCD. I totally understand my therapist cannot provide reassurance. But it’s to the point it seems my therapist acts like I actually did the thing I fear. I feel so isolated.