Understanding & Learning to Control Your OCD Anxiety

Symptoms of OCD are:

  • Obsessions - unwanted, repetitive and intrusive ideas, impulses or images

  • Compulsions - repetitive behaviors or mental acts usually performed to reduce the distress associated with obsessions

Although people with OCD know that their thoughts and behaviors are nonsensical and would like to avoid or stop them, they are frequently unable to block their obsessive thoughts or avoid acting on their compulsions. Psychic equivalence occurs when one concludes, “I think, therefore it is!” - what one thinks is an objective rendition of objective reality. Psychic equivalence creates dangerous delusions that warp one’s version of reality and lead to extremely dysfunctional patterns of thinking, feeling, and behaving.

Common obsessions include:

  • Persistent fears that harm may come to self or a loved one

  • Unreasonable concern with being contaminated

  • Unacceptable religious, violent, or sexual thoughts

  • Excessive need to do things correctly or perfectly

  • Psychic equivalence thinking

Common compulsions include:

  • Excessive checking of door locks, stoves, water faucets, light switches, etc.

  • Repeatedly making lists, counting, arranging, or aligning things

  • Collecting and hoarding useless objects

  • Repeating routine actions a certain number of times until is feels just right

  • Unnecessary rereading and rewriting

  • Mentally repeating phrases

  • Repeatedly washing hands

Watch out for and monitor:

  • Repetitive and intrusive thoughts that interfere with your ability to be in the present - can’t focus on what is going on in the immediate moment

  • Rigid beliefs that cause negative expectancies and are not “open for debate” or correction when talking with each other

  • Rigid/repetitive patterns that you believe to be “right” or “correct” but are actually self-defeating

  • Cognitive rigidity - mind is not open for new information that would update your mindset so that our beliefs are more reality based

  • Inability to enjoy family or marital moments if “the list” is not completed

  • Rumination about past, present, and future negative events

  • Problems leaving the past behind - cannot forgive or forget even when the current events have improved

  • Rumination about feeling victimized when the situation has actually improved

  • Feeling like you are stuck in self-defeating patterns that you or others feel are irrational but cannot change

  • Omniscience - you feel that you have the correct perspective on reality and others are wrong

  • Solipism - you believe that others should see things from your perspective

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