- Date posted
- 4y
Hope everyone is having a beautiful Wednesday! Looking for some advice/encouragement about facing the top tiers of an ERP hierarchy… specifically for HOCD. In my appointment today with my therapist she suggested that it was time to tackle the more difficult triggers on my hierarchy (on the positive side, I think this is progress?)We started to talk about a safety plan and the potential of tackling the more bothersome issues. Of course this spiked my anxiety. However, I’m not completely sure what I would consider as my higher ranked triggers. In past conversations in developing my hierarchy she discussed the potential of going to a gay bar or asking a neighbor of mine about when she left her husband to be with a woman (which really happened and was my initial triggering event that started my HOCD). The thing is I don’t think these type of things are relatable to my underlying HOCD fear. Thinking about going to a gay bar does not spike me with anxiety as I am not nervous around gay people. For me, it’s more the fact that straight people do leave their marriages, even happy marriages with children, to be with someone of the same sex. I am not afraid about going to a gay bar or to have a conversation with my neighbor, I’m more fearful of what could be implied—what if someone saw me (plus with Covid surging, I’m not going anywhere!). What would my neighbor think if we had that conversation? I guess my question is: how have you dealt with moving up the hierarchy? People with HOCD, what are some exercises/ideas you could recommend that were 8, 9, or 10s on your list? Obviously I don’t want my therapist to think I’m avoiding certain things—I’ve been more than open and willing bc with my ERP. I just don’t think those types of suggestions would be beneficial for my HOCD/Pure O. Thanks! ❤️