Our 20 yr old son has taken a break from college - dealing with OCD (harm/existential/sexual/others). He also has depression that has joined the OCD. We have tried online counseling with a great counselor from the NY OCD clinic, medication (maybe helped some with lots of fits and starts), in person counseling when he has been home (we are in Alabama and he is in Texas). The online OCD counseling helped some but his depression is causing him to not be able to do the basic things like sleep, eat, get on a routine and he ended up dropping doing the counseling. Last night he agreed to see if there was an inpatient program so I'm going to call the ones I know about today but wondered if you had any advice. This mom is worried and lost and trying to help a 20 year old who wants his autonomy.....but I'm worried about his safety! I originally posted this to Stephen Smith but wondered if any others in this community had advice on next steps too

My son has Pure O religious/scrupulosity with GAD and Bipolar. My son was diagnosed with Pure O religious OCD two years ago. He has to complete a task so that God doesn’t send him to hell if he doesn’t do it. These tasks are dangerous like doing multiple back flips on concrete, or jumping off balconies three times, doing MMA slams on his back three times. The thoughts are telling him if he doesn’t do this he will go to hell. Or he is so worried about blaspheming the holy spirt and loose his salvation. He knows this is his OCD. He knows the scripture and that God is one of peace and love. Been there and done that on quoting scripture and reminding him he is saved. I can see the torture he is going through and it is painful to watch. He also needs to be stuck next to me at all times cuz it makes him feel safe. This is impeding on my life as I feel I have a toddler again, he is 24 and a former 4 star football player. He wants this to stop, he is in therapy and working on it. He was free from these thoughts from November 2023 till April 2025. He is dealing with narcissistic trauma with his father and this triggers the OCD. My question is what can I do to support and help him through these episodes and not agitate him and to help him heal?

Hello, I’m a mother. My son is 17 and he has contamination OCD. We have been trying different ways to support him but he refused to see any therapist. He is struggling with paranoia and intrusive thoughts. Those thoughts make him so angry that he get yelly, throwing and breaking some furniture, and just yesterday he put a hole in the wall. He admitted that these didn’t help him feel any better, in fact it made him feel worse (because he didn’t want to act as such). We are doing our best to support him, talking with him but he refused to talk about those intrusive thoughts and paranoia. What do you suggest me to do? What would be helpful for me to do so he can talk with me more? We desperately want him to get help but he wouldn’t. Thank you in advance!

Good morning! I’ve been diagnosed with OCD for 5 years now, but just began looking for help with therapy. I’ve been well regulated on SSRIs for 5 years, but since my husband got laid off, we moved to a new state, I took a new job in a new field, and we are living with my parents at the moment, I’ve been struggling with depression, anxiety and OCD. Im maxed out on my SSRI, and I also want to push myself to find answers for myself without turning to medication, because with big life changes, I’ve always increased the dosage and never addressed the issues at hand with ERP/coping. I have anxiety everyday while at work. Obsessive thoughts of “am I anxious right now?” “Will I ever feel better?” “Is treatment working?” “Can I do this?” “Am I scared to be alone?” “Am I truly happy here?” These thoughts send me into a space where I’m crying at my desk, struggling to get through the day, and feeling no self confidence. I’m not content with just being in the process and I’m struggling to acknowledge anxious thoughts without ruminating or trying to fix them- I want answers and fixes now and I’m so scared I’ll never feel or get better. Any advice? It’s messy - it’s not straight up OCD, but it also doesn’t feel like generalized anxiety.