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my parents just made me have a phone call with some psychologist and without going into detail about my POCD, and the psychologist said she doesnt think i have OCD. and im having a breakdown. i dont know what to do.

I found out more information about my husbands past and my brain is like what if you can’t handle it. What if you never loved him. And it keeps picking out flaws about him. My brain keeps trying to get the connection back but I’m very dissociated. I try to not do mental compulsions. But I feel like everything I’ve done is compulsive all my life. This is the hardest crash I’ve had with OCD in 15 years. I found out info after we got married that wasn’t a dealbreaker at all. But it went against my irrational beliefs I guess you could say. But I try to explain OCD to my husband and it’s hard to just “get over” stuff. He is a great person and kind and I know that editing the relationship the retroactive jealously and same things would apply. This only happens when I get really close to somebody. And ocd wants perfection. How have people gotten over this with very severe ocd with legit every theme? Especially with no emotions and constant anxiety. I also don’t work or anything. OCD has crippled me. But this is the worst theme I’ve had in a long time and it hit me 2 weeks ago. The thoughts keep looping in my head and all I feel is anxiety. I don’t want to hurt our relationship. I am feeling really guilty about myself too. And trying to run towards the anxiety. But it’s all consuming. 24/7. Plus other life stressors. I try to distract and I try to do other things. But I’m not even here. This isn’t his fault at all and it’s an internal battle. I also have shit self esteem. I confessed some of the thoughts to him even. Which is a no no. 😞

I am very new to this app and to accepting that I likely have OCD. I am not diagnosed yet, but I have suspected that I have it for years now. I think ignoring it/feeding the reassurance loop led to my first really bad panic attack a few days ago that put me in the hospital and essentially forced me to stop hiding my struggle from my loved ones. I had another one last night, and out of habit I’m already hiding my feelings from my loved ones. I’m having thoughts that I know are OCD but they’re very hard to get past because they feel so logical? Some examples: -I shouldn’t tell anyone because it wasn’t as bad as the one that hospitalized me -my loved ones are already tired of hearing me talking about it and I feel bad burdening them -I just had the last one and if I tell people about this one I’ll look like I’m attention seeking -I don’t want people to ask what the trigger was so I shouldn’t bring it up if I don’t want to have to answer that question I’m naming them here not for reassurance, but to help myself hopefully label these things as OCD per usual trying to keep me from getting help. The hardest part of this journey so far has been accepting that there are so many things that feel like normal, rational thoughts and feelings that having been hurting me and feeding a vicious cycle for years on end. It feels unreal because these things have become such subtle integrated parts of my life and my routine, and telling myself those things are harmful just feels wrong. It’s like what I have considered my “gut feeling” for years isn’t actually my intuition looking out for me, but is an overactive fear response that has been isolating me from everything and I’ve never questioned it because the isolation, the reassurance, feels good and like the right thing to do. How do I push past these thoughts and be honest with my loved ones about my struggling? How do I rewire my brain to stop the reassurance seeking and compulsions when it’s the only thing that’s made me feel better all these years?

I've recently found a way of dealing with my intrusive thoughts and compulsions, but now that I don't get anxious about the thoughts I feel oddly empty, like I keep wondering whats going on, why is this not hitting me like it used to. What do I do with myself now? I don't miss the way these thoughts had a choke hold on me, but I feel like I need to fill my life with something better, but i just don't know what. Has anyone else had this happen?

Has anyone tried to read this book and put forth the principles of it? I’m trying so hard because I am deep in the bowels of an OCD spiral and dissociation and I feel like I have no life purpose because I’m jealous of everything. But I’m trying to gain self confidence and not judge my partner or others on their past and trying to not let self limiting beliefs get to me. It’s going to be a lot of work. I feel like I’ve never tried to make my own self happy ever and tried to protect myself (my inner child). But this book says that our beliefs aren’t entirely influenced by trauma? I dunno. It uses Rational Emotive Behavior Therapy.

I am a woman, my partner is a man. Two nights ago I was at a house party / movie night with my friends while my partner was at work. Many of the people there are also mutual friends of my partner’s. They all know my partner and I talk about him frequently. One of the people there was a (male) mutual friend who came over to my apartment beforehand to pick me up, waited for a few minutes while I finished up some chores around the apartment, and then we went shopping to pick up food and supplies for the party. During the party, this friend got EXTREMELY drunk. He was saying some pretty outlandish/unfiltered stuff the whole night about the movie were watching, laughing uncontrollably on the floor, that kind of stuff. I don’t drink, so I was 100% fully sober the entire time. The party pretty much consisted of everyone sitting on the couch for the whole night, watching movies and eating pizza and drinking. I do remember there being a point where I was kind of sunk back on the couch, the friend was sat next to me, and we made eye contact and he said something (I can’t remember what) and I remember feeling like we was a little too close for comfort. This must have lasted for less than a minute (everyone was kind of squeezed together on the couch since there were lots of us and a pretty small couch). I remember there being another point where his leg/foot grazed my leg, so I recoiled instantly, and then it happened again and I kept moving my leg away so we weren’t touching. I’m fairly certain that this was a complete mistake, as like I said, there were lots of people squeezed together on one couch, and he was very uncoordinated. Finally it was getting too late, so I called my partner and asked him if he could come pick me up since he was on the way back from work. While on the phone, several people at the party were yelling “HI” to my partner over the phone (pretty much everyone there was also friends with him). Then this friend, who like I said was VERY VERY drunk by this point), yelled (to my partner over the phone) something like, “YOU CAN HAVE MY SLOPPY SECONDS.” I was very very very caught off guard and confused. I instantly hung up the phone because I didn’t want my partner to get the wrong idea that there was something going on. After I hung up, the friend said “Oh come on I’m sure he would have found that very funny!” I was very bothered for the rest of the night and then went home shortly after, when my partner picked me up. The entire ride home, I kept replaying those words in my head over and over again, and I kept replaying the whole night over and over in my head, wondering if something had happened between us and I’d somehow forgotten within minutes or hours?? For the entirety of the next day, and the day after that, I keep ruminating on that night and trying to replay all the events that happened, what order they happened in, what exactly I remember, etc. I have absolutely no idea why my friend said that over the phone, especially since neither of us has ever expressed any sort of romantic or sexual interest in one another. When we met, I had already been with my partner for well over a year, and I talk about my partner frequently. My partner is also friends with this friend, and the three of us have had some good times together. This friend is also absolutely NOT the type of person to be sleazy, a womanizer, a homewrecker, etc. Perhaps I’m leaning into stereotypes too much here, but I should note that pretty much everyone at the party (including this friend) has mild to moderate autistic tendencies, and the friend group was brought together because we all met in a heavily anime/DnD/politics based club at a university. I say all this to illustrate that the atmosphere at the “party” was definitely NOT the type of atmosphere where anybody was hooking up, hitting on each other, flirting, etc in any way (of course I’m not saying that people in these demographics can’t hook up, but just that it was a cozy movie night with respectful friends, not some sort of crazy party). It’s the third day after the party now, and I’m still ruminating on this. I still have no idea why he’d say that, and I’ve replayed it so many times in my head that I’m wondering if maybe I just imagined it, or misheard it, or maybe he didn’t know what that phrase meant, or maybe I misinterpreted it or something. I mean, we were showing a mature cartoon movie that night that both me and this friend absolutely love, and both of us were making jokes all night about being attracted to several of the characters in the movie. Some of the jokes this friend was making about the characters were very sexual, so maybe his comment had something to do with that? Maybe he was extrapolating some sort of “sloppy seconds” meaning from the characters to me?? I’m not sure. Either way, I’ve been sitting, replaying and ruminating for days and of course I’ve fabricated lots of false memories. I’ve run through all the possibilities. Did I kiss the friend? Did we cuddle on the couch? Did he have his arm around me? What if, in those few minutes that we were alone in my apartment before we left, what if I took him into the bedroom and did something with him while my partner was gone? I do remember having intrusive thoughts about THAT before he even came over. I’ve been dealing with on-and-off ROCD for the entire 3 years that my partner and I have been together, and it always ends up coming back to an obsession related to cheating and false memories. It’s so hard to know what’s real and what isn’t, especially since it’s so easy for me to picture these things happening in my head. I’ve been absolutely lost in unrealistic obsession-induced delusions before, to the point where there was a time where I was legitimately convinced that I had cheated on my partner with a friend 18 months prior, and even went as far as messaging this friend to ask if anything had happened between us. Of course the answer was no, and things were so awkward after that. I just don’t really know what to do. I keep imagining scenarios where me and this friend were getting handsy or touchy, and I’m starting to come up with so many false memories. It’s stressing me out and I keep compulsively replaying them. What bothers me is that when he made the sloppy seconds comment, I remember feeling some sort of guilt that almost felt like it was already there? Like preexisting guilt? Which leads me to wonder why I already had felt guilty if I hadn’t done anything? I even feel like I almost remember there being a point during that night where I thought something along the lines of “Okay, I’ll allow this.” And I am so confused and trying to figure out what I was allowing. It feels very difficult to enjoy time with my partner when I have this fear in the back of my mind that I’ve cheated. Every time I try to conjure up a memory of me cheating with this person though, I always come up with a different one and none of them make any sense. What was said between us, what was done, etc? I keep making up the details as I go. The other thing is: every single person at that party knows my partner and respects/likes him. Surely if we were doing something inappropriate, someone would have said something? Surely I would have felt worried that someone would tell my partner? Surely I’d feel anxious by now about my partner finding out? I don’t know: deep down, I think I know it’s a false memory. But the situation feels so weird and unsettling that I’m considering either talking to my partner about it or confronting this friend. My next therapy session isn’t for another 2.5 weeks.

How do you obtain knowledge when you doubt your knowledge? What a vile riddle.

As a teenager and in other ways up until age 21, I was just an absolutely horrible person. It wasn't just a one time event that I regret, it was a lifestyle. I was a hedonist and a narcissist to an unbelievable degree and didn't even realize it. I read people's stories on here related to their real events and I just feel that I've done so much worse so it fuels this feeling that I'm unredeemable. And again it's not like I just made "one mistake." I was living under such a cloud of self-delusion and non-confrontation that I couldn't even embrace that what I was doing was wrong. Something pulled me out of that one night and I was forced to confront my actions (I believe it was God) but I've been living in this hell that is obsession ever since. I'm so guilty and ashamed and I'm desperate to find redemption. I can't forgive myself and I can't understand why I was the way I was or how on earth I even covered up what I was doing from others and even from myself mentally. I would just put a veil in my mind and not even think it was an issue. It's more likely than not that I am what I fear I am, so I guess trying to unconditionally accept the possibility of being what I fear is the only real way through this. Realistically I deserve all the suffering I'm receiving but I realize I can't have that mindset if I'm to have any hope of recovery. This is unbelievably isolating and I can't talk to anyone because of the risks involved. All I can do is try to limit compulsions, try to (somehow) accept the possibility of the worst case scenario and do my best to serve others.

OCD master post Do's and don'ts of ocd: Don't : Try to ignore (avoidance) Try to make sense of it (Ruminate) Act on it (compulsion) Argue with it (basically Ruminating) Distract yourself in spite of it (avoidance) All of the above will make ocd worse and does not work. Do: Acknowledge it Accept uncertainty Redirect your attention once acknowledged to something else Have healthy distractions available (try to use different ones every now and then to avoid creating a compulsion) Exaggerate the thought until its ridiculous, borderline unrealistic and funny. Respond with "maybe, maybe not", " sure", "cool", "thanks, you do you, I'm gonna do my thing, feel free to stay though" The above responses can train your mind to not deem them as threats and over time will trigger the fight or flight response less and less. You'll most likely make mistakes here and there but as long as you stay vigilant and don't get complacent, this should help. Ironic process theory and our internal alarm system: https://youtu.be/xoSlOnUuw-U?feature=shared Ironic process theory is to do with attachment and the idea of non-existence. The more we try to not think about something that already exists as a thought the more it'll prove it exists and demands your attention. With attachment, people tend to ignore or argue against in spite of the thought. If you do this you are doing it because of the thought, therefore giving it more life. Thirdly your brain will start to set an internal alarm via thoughts and hormones or even bodily reactions every time you are stressed, just to see if you're not stressed about that trigger even if it's not what triggered you in the moment. To combat this, you'll need to find a way to deal with the thoughts directly and let them be and get through it via Erp, or being able to accept the thought as a thought and redirecting your attention without attachment (despite or regardless of the thoughts) Erp done effectively: When you do Erp in therapy sessions, it's done in a controlled way and on your own terms. A lot of people make the mistake of only doing it in therapy with only ocd related themes. Truth is, you can do it with any level of discomfort and it's good to practice whenever you can as long as you're mindful of other people. When you're doing it out of therapy and on your own terms, you challenge a potential trigger and then welcome the feeling that follows. I find welcoming or accepting the feelings existence helps a lot. I would welcome the fear and all the horrible feelings until I'm crying and trembling and on the edge of a panic attack, the feeling always fades and trains your brain not to deem it as a threat anymore. No more ocd firedrills. Why practice is valuable. Imagine you have a boxing match with an opponent coming up, and that opponent is tough. They train every day, and you don't train at all. Who do you think will win when the day of the fight comes around? The opponent of course. So train yourself so you stand a fighting chance or risk getting your butt kicked every time OCD enters the ring. Hormones and circadian ryhtm: So the circadian rhythm is your internal body clock. Your hormones learn patterns and release at certain times of day. Usually based on the amount of sunlight exposure you get. Cortisol the stress hormone is the one to wake us up and if you do not find a way to deal with those hormones first thing, your ocd alarm will go off and bring up scenarios or thoughts to fill in the gap as to why your body is stressed. ERP, Exercise, breathing meditations, cold plunges are great for the morning to eliminate excess cortisol. Sunlight helps too, roughly 30 minute exposures is enough to help keep your circadian rhythm healthy. Melatonin kicks in when it starts to get dark or you've went through your hormone reserves for the day. The more you go through in a healthy way, the better you'll sleep. Rough neuro science explanation : https://youtu.be/BJshegpcFv8?feature=shared So your brain will use one of 2 pathways to process external stimuli. The direct pathway, being the shortest route to process in case of a threat or perceived threat. This pathway is dominant in those who have ocd. The there's the indirect pathway which takes longer but is related to rationalising thoughts. This pathway is used less by people with ocd. This pathway requires sufficient seratonin levels in order to be used and that's why SSRIs are popular medications for people with ocd. Food and drink consumption: So I tested myself based on lots of personal research around what we put in our body and how it effects ocd. Sugar, fructose and glucose levels spike quite quickly depending on your source. It can lead your body being stressed and releasing the corresponding hormones to notify you are stressed, then your brain will try fill in the gap whether you're aware of this or not. Whole fruits tend to be the best source as they contain fibre, acting as a slow release of energy rather than flooding your system. Caffeine has the same effect without question, and also screws up your circadian rhythm if not taken at sensible times. Trans fats, saturated fats and processed foods are also bad. These may not effect your brain as quickly as sugar or caffeine but stress your body over a slower and longer period. All of the above are not just inflammatories for your muscles and organs, they are neuro inflammatories, making it much harder for your brain to use the indirect pathway for rationalising your thoughts, therefore supporting the direct neuropathway and your usual OCD patterns. The foods I started to eat are heavy in anti inflammatories to help my brain function better, anti oxidants to help lower the stress in my body, and food that support seratonin production to promote the use of the indirect neural pathway. The list below is vegan friendly, but you can look into this to suit your preferred needs ●Tryptophan - leafy greens, sunflower seeds, water cress, soy beans, pumpkin seeds, mushrooms, brocoli, peas ●vit b6 - nutritional yeast, muesli, avacado, pistachio nuts, butternut squash, banana, quinoa, brown spaghetti, chestnuts, hazelnuts, oranges, tahini, potatoes, chickpeas, kidney beans, peanuts ●higher b12 complex - yeast extract, Soya milk, almond milk, tofu, tempeh, seaweed, beetroot ●Vit D - portobello mushrooms, shitake mushrooms, orange juice, soya yoghurt ●zinc - beans, cashew nuts, Lentils, chia seeds, linseed, hemp seeds, wholemeal bread, blackberries, pomegranate juice, spinach, strawberries, pecan nuts, Brazil nuts, oatmeal ●Complex carbs - quinoa, brown rice, peas, corn, sweet potatoes, barley, lentils, nuts, legumes ●Thiamine / Vit b1 - beans, peas, legumes, nuts, brown rice ●Monounsaturated fats - extra virgin olive oil, other oils, nuts and avacados ●Vit c - guava, peppers, kiwi, mango, papaya, strawberries, brocoli ●Polyphenols - berries, dark chocolate, cocoa powder, nuts, flax seeds, olives, green tea, artichoke, red grapes, spinach ●Antioxidant - Brocoli, spinach, carrots, potatoes, artichoke, cabbage, beetroot, kale, spices ●Anti inflammatories - olive oil, avacado, walnuts, tomatoes, dark chocolate, leafy greens, brocoli, ginger, turmeric, berries, grapes, chia seeds, pepper, garlic, spirulina ●Raisins, red wine, grapes You can eat all of this and not feel the effect of the benefits. You need to tell your body to produce seratonin through what you do. Stuff like exercise, meditations, and walking in nature will help do this. Mindfulness and being in the moment: So our brains do not know the difference between a real threat and a perceived threat and will react the same regardless of how we can rationalise it. A lot of us are stuck in the past or the future and mindfulness promotes being present. The past and future are both illusions of the mind. They are not happening now but our ocd brains react as if they are real. Anything that is not happening now isn't real. So practicing anything that will pull you closer to the present moment will help to ground you in reality. Everything that doesnt exist in the present is infinite and we cannot be certain of any of it, all we can be certain of is the here and now. Core values, self judgement and breaking the cycle : A lot of us are stuck in cycles, going around and around. These cycles are due to a lot of our core values and the thoughts/ past actions not lining up with the. These can be caused by trauma and/ or conditioning. Usually we can't let go because something clashed with the way in which we judge things, but the problem doesn't actually lie in our focus, but the values in which we judge them. The problem isn't what we weigh, but the scale itself. This is where it can get tricky, especially if what we think feels justified. It's not that your judging the scenario, actions or thoughts incorrectly, it's that your values are a bit on the extreme side. For example, I had harm ocd for 2 years and it was telling me to hurt everyone and everything in every way possible. This theme came about because I had a random intrusive thought once that clashed with my extreme values on morals having been raised by a reformed ex gangster and animal rights activist. The fault was caused by the conditioning I received. So when you go into therapy, please try to understand your conditioning and challenge them through Erp and some self compassion because it's not your fault. Where the fault lies does not matter, because that doesn't change what you need to do. You have to heal yourself regardless of it all.

does anyone else have this? when I had panic attacks in the past I’d fear death, but now I’m more afraid of losing myself and being taken over by some psychotic version of me. It makes every panic attack that much more debilitating , because I’m fearing losing my brain, my future, everything…and never going back to normal.

I really need help. I am severely dissociated to where I can’t feel joy for anything at all. I’m stuck crying all the time. I have a history of emotional abuse from my father growing up so it’s made it really hard to trust people. He verbally abused me and never made me feel good enough. Then he died when I was 21 and I dont remember him telling me he loved me even then. Or a time when he meant it unless I accimplished something. It always felt empty. I tend to sabotage relationships and don’t mean to and find flaws in everything. I even get jealous of children and never wanted any in fears that I wouldn’t be as loved as much as them. And fear I would bring on the traits to them that my father did to me. I realize everything I do is an OCD compulsion and also I have such deep rooted fears. Fear of the future, but also the past. I loop about my husbands appearance even though I love him dearly and I dont want to think that way and it makes me sick. I think about the past and how he brought up things in confidence after we got married because he trusts me and he felt ashamed, but it still spiraled me out due to my own insecurities and my brain is like “what if you never accept his past and can’t move on from it”. Finding out new info spirals me out even if it’s something I know he legitimately cannot change or control and it was not anything that someone should not have been able to move on from. Even though I have a past myself???? That is 20x worse than his. My brain adds extra meaning. I constantly fear that I’m being cheated on or will be left, or how things can go wrong at any point. I’m afraid of having kids because of what I just mentioned as well as the fear of medical intervention and something going wrong. I’m afraid of people dying. I’m afraid of people hating me and I’m a huge people pleaser. I feel like everything in life I’ve never done for myself, and I have a huge fear of being by myself. I have constant compulsions and have since I was a child. But right now I’m at a breaking point and I’m like what do I want to even live life for if I’m so jealous and afraid of everything. And I never do things for self enjoyment. I have like no self identity at all and I always feel like I have to tell people about my achievements or how I feel in hopes that the little girl inside me will be heard. Am I too far gone with having these thoughts and also complex PTSD with the OCD? I feel like I’m stuck in a perpetual hell. I haven’t had a breakdown this bad since I was 11 years old. I spent 4 months crying and crying not knowing what was happening to me. Then I snapped out of it somehow. But I’m an adult now and it feels like my life is crumbling around me. I’ve been so scared to work because of fear of criticism due to the emotional abuse which I’m just now putting together… and also because of not trusting myself. I always ask for outside opinions. And I fear things going wrong all the time. I quit my last job due to POCD because I was working with children. And now that I’ve reached a point where I feel like there’s just ambiguous questions with no answers I felt a switch flip in my brain. For the worst. All my emotions shut off and it’s just been hell on earth with constant thoughts and dread and self loathing. I’m so tired of feeling afraid and alone. And I know a lot of it is a bunch of inner pain. I’m not even really looking for sympathy I just feel like I’m beyond help because of all I’ve been through. I can’t feel hope right now and it’s really scary. I have had pretty much every OCD theme there is and have lived my whole life in constant fear and anxiety. ROCD (main theme right now), POCD, HOCD, SOOCD, Health OCD (big one right now), existential OCD, religious OCD, fear that my husband and I won’t be together after we pass. Or that I’ll be replaced by another person if I were to die. Or if he dies before me. Plus I feel sad when friends say certain things or anything triggers abandonment. I am so caught up and I know it takes a mindset shift for this to all get better, but how with so much working against me? I’m so terrified. And I’m self hating so bad.

Hi everyone. I’m having a spiral and really need advice. Today I went shopping and saw an actor I have been watching since I was a child. I used to watch this particular show ten years ago and since my ocd got worse I went back and started watching the show again for the last few months. Anyways I saw the actor and got a picture and everything was fine. I’ve come home and my mind is working overtime trying to ruin it. I keep having intrusive thoughts that someone recorded me and I looked bad and now they will embarrass me . Or I walked off awkwardly. Or the actor didn’t want a picture and I disturbed him. Or my clothes looked weird. Please can someone convince me otherwise. I realise I can’t even watch the show tonight as it’s making me panic 😭

Hiiii, I’m Sara 💖 and I have Severe OCD 🧠, Severe Excoriation Disorder ✋, ADHD ⚡, GAD 😰, and Major Depressive Disorder 🌧️. I love using emojis if you haven’t noticed lol. To keep this as straightforward as possible I want to focus on the OCD and dermatillomania part today. I hope this can help some people 💬 and maybe give others a better understanding of what it’s like to live with these two issues! ☺️ I have always struggled with skin picking, especially on my face 😔, and it has made my acne worse and caused scarring. 🤕 I did not realize until my therapist told me that it can be connected to OCD. Sometimes I do not even notice I am doing it, and other times I am aware but cannot stop. 😓 For me, the OCD side is often tied to perfectionism or needing that just right feeling. 🫠 From thoroughly washing my face and hands, overusing or meticulously applying products to make sure the “ritual” is done perfectly takes both time and money. To having picking episodes which causes scars to heal slower⏳ and to also leave me with a “pepperoni face” 🍕 from all the red and raw wounds or with widespread hyperpigmentation that lingers for months. Oof 😅 ERP IS A LIFE SAVER!!! 🛟 Addressing that OCD pattern is a big part of ERP, Exposure and Response Prevention 🚪. ERP helps you face the discomfort without picking or fixing, so over time your brain learns the urge does not need to be acted on. 😤 Behold~ another technique, HRT! Habit Reversal Training can still be part of treatment, but timing matters ⏰. If OCD is the main driver, starting HRT too early, especially if it leans on avoiding triggers, can unintentionally strengthen the OCD cycle 🔄. That is why ERP often comes first, and HRT is added later once the compulsion has weakened. 🤗 Skincare time! Oooo la la la 🤭 For wound care 🩹, I keep it simple. When the skin is still open, I use a gentle cleanser 🫧, a moisturizer 💧, and Aquaphor directly on the wound, then keep it covered to protect it from bacteria 🦠 and UV exposure 🌞. Once the wound has closed and turned pink 🌸, I use a gentle cleanser, a moisturizer, a scar cream, and SPF daily to prevent discoloration and help the scar fade. Fidget toys 🪀 do not work for everyone (Ik people who love it 😍), but ERP paired with steady skin care has made the biggest difference for me ✨. If possible, I recommend seeing a dermatologist 🩺 to help heal your skin and give you tools for long term care, and ask directly if they understand skin picking and OCD and will keep that diagnosis in mind while treating you. Progress is absolutely not linear 📉📈. You will have times when you pick or have an episode, even when your skin has been looking great. 😥 That does not mean failure ❌. In OCD, compulsions are rewarded in the moment because anxiety drops after you do them, so the brain learns that the behavior works 🤥. ERP builds new learning that competes with the old habit rather than erasing it, which means stress, hormones, sleep loss, or strong cues can still light up the old pathway at times ⚡. The goal of therapy and strategies is not to create a life with zero urges 🚫, but to help you navigate 🧭 life with OCD by reducing how often urges show up, how intense they feel, and how quickly you recover when they happen. Most important part EVERR 😮‍💨🥰 The most important part of this process is practicing self compassion 💕 and remembering that no one is perfect 🌼. Every lapse is information you can use for the next step forward! 🫂 Thanks for listening to my Ted talk! 😄 (edited)

Hiiii, I’m Sara 💖 and I have Severe OCD 🧠, Severe Excoriation Disorder ✋, ADHD ⚡, GAD 😰, and Major Depressive Disorder 🌧️. I love using emojis if you haven’t noticed lol. To keep this as straightforward as possible I want to focus on the OCD and dermatillomania part today. I hope this can help some people 💬 and maybe give others a better understanding of what it’s like to live with these two issues! ☺️ I have always struggled with skin picking, especially on my face 😔, and it has made my acne worse and caused scarring. 🤕 I did not realize until my therapist told me that it can be connected to OCD. Sometimes I do not even notice I am doing it, and other times I am aware but cannot stop. 😓 For me, the OCD side is often tied to perfectionism or needing that just right feeling. 🫠 From thoroughly washing my face and hands, overusing or meticulously applying products to make sure the “ritual” is done perfectly takes both time and money. To having picking episodes which causes scars to heal slower⏳ and to also leave me with a “pepperoni face” 🍕 from all the red and raw wounds or with widespread hyperpigmentation that lingers for months. Oof 😅 ERP IS A LIFE SAVER!!! 🛟 Addressing that OCD pattern is a big part of ERP, Exposure and Response Prevention 🚪. ERP helps you face the discomfort without picking or fixing, so over time your brain learns the urge does not need to be acted on. 😤 Behold~ another technique, HRT! Habit Reversal Training can still be part of treatment, but timing matters ⏰. If OCD is the main driver, starting HRT too early, especially if it leans on avoiding triggers, can unintentionally strengthen the OCD cycle 🔄. That is why ERP often comes first, and HRT is added later once the compulsion has weakened. 🤗 Skincare time! Oooo la la la 🤭 For wound care 🩹, I keep it simple. When the skin is still open, I use a gentle cleanser 🫧, a moisturizer 💧, and Aquaphor directly on the wound, then keep it covered to protect it from bacteria 🦠 and UV exposure 🌞. Once the wound has closed and turned pink 🌸, I use a gentle cleanser, a moisturizer, a scar cream, and SPF daily to prevent discoloration and help the scar fade. Fidget toys 🪀 do not work for everyone (Ik people who love it 😍), but ERP paired with steady skin care has made the biggest difference for me ✨. If possible, I recommend seeing a dermatologist 🩺 to help heal your skin and give you tools for long term care, and ask directly if they understand skin picking and OCD and will keep that diagnosis in mind while treating you. Progress is absolutely not linear 📉📈. You will have times when you pick or have an episode, even when your skin has been looking great. 😥 That does not mean failure ❌. In OCD, compulsions are rewarded in the moment because anxiety drops after you do them, so the brain learns that the behavior works 🤥. ERP builds new learning that competes with the old habit rather than erasing it, which means stress, hormones, sleep loss, or strong cues can still light up the old pathway at times ⚡. The goal of therapy and strategies is not to create a life with zero urges 🚫, but to help you navigate 🧭 life with OCD by reducing how often urges show up, how intense they feel, and how quickly you recover when they happen. Most important part EVERR 😮‍💨🥰 The most important part of this process is practicing self compassion 💕 and remembering that no one is perfect 🌼. Every lapse is information you can use for the next step forward! 🫂 Thanks for listening to my Ted talk! 😄 (edited) (edited)

I really need help. Almost 3 years ago I was in a discord server with some kids at my school, and it was normal to send funny photos of our face to the group chat. I sent a few silly pictures of me but they are just really embarrassing and stupid. One time, a kid from the group chat sent me a photo I sent and it’s just so bad looking back, and I was really worried about him sending it to others and etc. Later I deleted my account in fear of it being there, even though I couldn’t find it in the group chat at that point. Roughly a year later, I was invited to join this group chat again so I did (2 months ago), but I was looking at the beginning of the groupchat and I saw these photos and it made me start panicking and just worrying if other have these photos saved and if they sent it to other people. It’s been 3 days since I found this and I can’t stop thinking about it, and just worrying because no one can remove these photos without deleting the groupchat, and I know the owner won’t do that. I just keeping thinking about the people in the groupchat seeing these photos and sending it to others because it’s insanely embarrassing to a point where I’m crying thinking about it, and I don’t want others to ever see it. Is there anything I can do to remove these photos?

I relate more to this than OCD which furthers my “OCD doubt”

I feel like the thoughts and feelings are getting stronger, to the point where they feel like they are my own and that I want them and want them to happen. Recently I’ve even had feelings of ‘wanting to be gay’ and that I ‘don’t want to be straight’, or that being with a woman would be nice even though that’s literally the one thing I don’t want otherwise I wouldn’t be constantly thinking about it day after day surely and if I wanted it I would just know? I feel numb and sick and terrified that I’ll just be what I’ve feared all this time. Why does my brain do this. I feel like I’ve lost so much already, I couldn’t concentrate on university work and I’ve had to delay my degree for a year, I’ve lost my purpose, and I feel so ashamed that I can’t tell anyone the real reason for it (I just told everyone the course was too much stress and was causing me anxiety) and it just feels like it’s getting worse to the point that it’s actually coming true, and I’m going to have to leave my boyfriend because I can’t be with him anymore. Why do the thoughts sometimes feel good? Why does it feel like real attraction? Why why why does it feel like DISAPPOINTMENT with the idea of never being with a woman wtf this is literally what I don’t want and never have? Even just writing that out my brain is telling me ‘it is’ and ‘I’m lying’ and I just can’t even believe myself anymore. I’ve tried telling myself the whole maybe maybe not but it just doesn’t work. It feels like if I accept I like woman I’ll want to be with one and leave him. Why does the idea of being with a man not fill me with excitement like it used to why do labels terrify me I genuinely just want to give up I still haven’t even told anyone about this cause I just feel like they won’t understand and that they will just think I’m struggling with my sexuality and the worst thing is I don’t even know what I want anymore cause of the thoughts and feelings I don’t know what to believe what if I am actually just struggling with my sexuality cause nothing feels right anymore

Is anyone else just confused by their ocd all of the time?? I was diagnosed 2 months ago and I feel more confused than ever. I have no idea what’s an intrusive thought, when I’m ruminating or doing mental compulsions or what my “themes” are. I guess I don’t really have intrusive thoughts the way it seems others do and I don’t struggle with themes that are extremely taboo or frightening so I’m always just extremely confused and frustrated. I feel like I just have a lot of intrusive doubt and I think a ton but don’t really know when I’m ruminating or not?? I have comorbid depression and anxiety so I’ve no idea what’s what. Do other people struggle with this?? How do I try to begin to identify these things or know if what I’m doing mentally is a compulsion or not?!

I’ve recently started dating a guy. It’s been a little over a week and I’m already questioning my feelings for him. Our first date went pretty well, but since then I’ve been obsessing over the fact that my feelings for him aren’t strong enough and that they’re sometimes flat. This is very distressing because I dated someone last year for 3 months whom I never really developed much feelings for, and it was very traumatic for me because I felt like I was leading him on (which to be fair, I never told him my feelings were up and down until 3 months in). The amount of guilt I hold over that is tremendous. But fast forward a year later, and I’m dating this new guy who I seem to like and want to continue getting to know, yet here are those same doubts and loss of feelings. It’s so discouraging. The only difference this time is the thoughts aren’t as distressing, and I also never left the first date questioning my feelings for him. Looking back at my relationship from a year ago, I feel like I never really formed a connection, both emotionally and physically. It was very slow paced and I really wasn’t that interested in him. With the new guy, I have interest and I do like him, but these doubts and dull feelings make me not want to see him—they create so much anxiety and dread. He will text me good morning and I don’t get excited but instead bad anxiety (which to me seems abnormal especially when first dating/starting a relationship, but I could be wrong). And so I’ve been led to believe that these doubts and feelings MUST mean I’m not interested in him, and any further interactions are purely me forcing myself to like him. My question here is—and I must admit this is me trying to seek reassurance—there must be a difference between GENUINELY not being interested in someone and then OCD TRICKING you into thinking you aren’t into someone. Where and how is that distinction made? I’m seeing him later this evening for a date and have been feeling nervous. There’s excitement underneath, but it’s very hard to feel with all this anxiety. I’ll be giving him a letter I wrote explaining how OCD impacts me in relationships. He already knows I have the disorder, but doesn’t realize its extent. I know I’m ritualizing by giving him this letter, but I personally feel I owe it to him out of pure respect. And especially after that last relationship where I told the guy 3 months in that my feelings fluctuated.

Can ocd convince you momentarily you want your intrusive thoughts only to snap out of it