Question & Dancer: September 2017

question-and-dancerI’m an artist not an expert, one who is learning to embrace questions more than answers.

These are some questions I got last month. Ask yours here.

Recently I’ve found out a website called This Way Up which offers an online CBT course to help people self-treat OCD. The link is here:
https://thiswayup.org.au/how-we-can-help/courses/obsessive-compulsive-disorder/
Do you think this is helpful? The price is very reasonable, especially for those like me, who live in a developing country that doesn’t have any OCD exert.
Thank you very much!!!Hi friend, hmm … it’s hard to say without being able to access the materials. However, I will say that their description of ERP has a faulty premise. They say, “People with more than one episode of OCD and who are ready to confront their fears very gradually to find out that what they fear does not occur.” That makes it sound like exposure therapy is intended to make you certain, when the reality is that exposure therapy is intended to make you okay with uncertainty. Don’t get me wrong: I know that the first one sounds better, especially to someone with OCD! But certainty (in the way OCD sufferers want it) is not actually possible, and it’s far, far, far better to start moving down the path of accepting that. Ironically, it may actually provide you with more certainty about some things!

That said, I would rather recommend to you the nOCD app, which is FREE and put together by people I trust, people who deeply understand OCD and ERP. Click here for more info.

I wanted to know if hocd can start at 11 years old. Also, can an hocd sufferer fear the social repercussions of coming out. I wanted to know this because I am 13 and I’ve never had a boyfriend and a crush. But I’m not attracted to the same sex either. This causes me great anxiety. Does this sound like hocd or a person in deep denial?

Hi dear, personally, my OCD started when I was about seven years old (and HOCD is one theme of OCD). That said, if you are not feeling attracted to either gender, you might just be too young (it varies SO MUCH from person to person– I have friends who were boy-crazy at age 6 and friends who didn’t care about men until they were in their 20s) or you might just be asexual. Neither of those is wrong, by the way. But if you are suffering from intense anxiety, you should certainly pursue a diagnosis, whether it’s OCD or something like generalized anxiety disorder. Talk to your parents about seeing someone about your anxiety. You don’t even have to tell them what it is about.

I also have another question, what’s the difference between denial, internalized homophobia, and hocd. Its gotten so bad I wonder if its actually hocd.And can hocd cause false attraction and arousal, even though I know I’m not attracted to the same sex. I feel like Iread reassurance so much that I feel like I have everyone else’s symptoms of hocd. It causes intense anxiety. I don’t want to be gay.

I am not an expert on any of these subjects, although of course I know a bit about HOCD simply because I know so much about OCD. What you’re doing– seeking reassurance, checking, etc. to decrease the anxiety– is a textbook description of OCD though. Definitely pursue getting a diagnosis and doing exposure therapy! I know it can be scary (terrifying!!) to talk about this, and for some reason, HOCD feels even more “taboo” to many sufferers than other OCD themes.

Hello, sorry I keep posting, I also wanted to know how do I know I’m not gay. ( I’m a girl.) And do gay people worry about these types of thoughts. I worry so much I get cold sweated, . And when it passes, I feel drained mentally. I fear that at school that I will fall in love with a girl. Which makes me feel frustrated and depressed. My family on both sides have anxiety and ocd. Please answer!

Hello dear, again, what you’re describing sounds a lot like HOCD, but you would need a psychiatrist or psychologist to diagnose you officially. Consider these posts, okay?

HOCD: Letter to Loved Ones
Doing ERP On Your Own
nOCD, an ERP App/Hero

My HOCD left shortly but came back and now I’m scared. My thoughts seem to be so real when I know they’re not. I only want to be with men but I can’t help but look at clues that lead to what if all along I’ve been gay unknowingly. I’m trying to seek help but I’m only 16 and am too scared to ask my parents for help bc they never believe me when I say something’s wrong. 

Hi dear one, firstly, as hard as it is, I recommend not thinking about these things as “leaving” and “coming back.” If you have OCD (which is sounds like you do), it doesn’t come or go– although various obsessions can!– but OCD can be subdued and maintained through something called Exposure and Response Prevention (ERP) therapy. Please read all three of these posts, which I think will be helpful for someone in your situation:

HOCD: Letter to Loved Ones
Doing ERP On Your Own
nOCD, an ERP App/Hero

Hi Jackie! I’ve been doing self-directed ERP for HOCD and taking an SSRI and i am feeling much better right now. However,  I was wondering if you could give me some insight on using the ‘community standard’ as a therapy tool? I think it could be helpful to me (as you too have pointed out to me in a reply to one of my questions). Some examples of applying it maybe?

Yes! This is a great question. Here is an example from my own life. When I bought my new house, I thought briefly about scraping off the popcorn ceiling in the living room and even tried it on a small spot. When someone mentioned “asbestos,” I started freaking out that with that small spot I’d cleared, I had somehow released all this hazardous material into the air in my home. I was worried that every time a friend came over to my new home, I’d be exposing them to this– and what caused me even MORE fear was thinking that I really wouldn’t KNOW if I was slowly killing my visitors until they actually died. I could tell that this was my OCD, though– taking something tiny and making it into a HUGE DEAL. So– the deal with the “community standard” is to basically ask “Would the majority of people in my community (excluding those with anxiety disorders) agree with me that this was a huge deal?” I suspected the answer was no. The next day, I lined up three of my dear friends, laid out the situation to them, and asked what they suggested I should do. All of them said, “Meh, move on. No big deal.” So, you see, the community standard was that this was not something to worry about … and so I was not permitted to worry either. (This might sound impossible at first, but with practice, it honestly gets easier. Sometimes I literally assemble a “community” and go with the majority– but usually I can tell on my own what the standard would be. If I know that anyone without an anxiety disorder is going to say “Um, that’s weird. Why are you worried about that?” then I already know the community standard.)

Does that make sense?

Jackie, Imma about to die. I started with HOCD, Harm OCD, now its trasgender Stuff, the deal is, i was sexually abused, bullied, so hard that i wanted to be a guy as a young kid cause being a woman was hard, have had attracion for women, it all leads as i am a butch lesbian woman. Where is god?

Oh my dear, dear, dear one! I am so sorry for the pain you’re in. I know that OCD is tormenting, and to deal with that alongside the other trauma you have experienced, … it’s just too much. Are you in therapy, friend? I would make this a priority. If money is tight, look into walk-in therapy clinics in your area. There is a lot to unpack in your life. As to your question of where is God … that is a question I myself asked for years and years and years as I felt so alone and so abandoned. It wasn’t until much later that I felt I could answer that question. For me, God was there all along, sustaining me in my unsustainable years and quietly guiding me toward the freedom I found through exposure therapy and in remembering just how much Jesus suffered and how much he could relate to my agony. That answer might not feel useful to you, and I wouldn’t blame you if that was true. Please don’t give up. In addition, take a look around and try to keep your heart open to people you sense you can trust. God works through people like this too– people who are full of compassion, patience, joy, and wisdom. Keep your eyes wide open, friend.

I am also a Christian struggling with OCD. My OCD takes many forms.  Currently the worst is obsessing over the safety of the entire world. Coughs-what if someone is choking? Small items like change on ground-child could choke? People not driving perfect-could be a accident.  List goes on!  Recently began ERP. Feeling so anxious and sick all the time.  How’d you handle this during treatment? 

Hello! I have a book character who has the same OCD themes– in fact, in one scene, he is systematically chipping away at the ice on the Minneapolis sidewalks, scared someone would slip and fall. In another scene, he is thinking about a guy at a bus stop who was smoking, wishing he had said something about the dangers of smoking, and wondering if there was a way to find that person again. Of course, I think that you and I (even with our OCD!) theoretically realize those are a bit much, yes? And yet, I have been where you are, feeling the weight of the world on my own shoulders. It’s exhausting. You are doing the right thing by pursuing ERP. In ERP, your anxiety will likely flare up and get a bit worse before it improves. But please hang in there. Try for 12 weeks straight and see how you feel. For me, 12 weeks later, I was living an entirely different life.

Hello, I have been diagnosed with HOCD twice. It is causing me so so so much anxiety. I have lost all attraction to men and now worry I was never attracted to men in the first place. I’m now worrying that I’m not coming out because of what my boyfriends friends would think, which I know is a coming out tendency. I’m worried that I’m thinking this as it’s not an hocd tendency. I want my old life bk

It’s not an HOCD tendency? I think just about every person I’ve ever known with HOCD has had those same thoughts actually. Everything that you describe sounds like textbook HOCD … in fact, you’ve been diagnosed with it. Twice. Next step: ERP!

I’m an 18 yr old male suffering from (I’m under the impression that it is) HOCD for a couple of weeks, now. I’ve managed to mostly calm anxiety/panic attacks, but I still get uncomfortable feelings, thoughts, and groinal responses when looking at guys (especially my friends.) I’m scared that this means that I actually am attracted and am just hiding it. Does it? If not, what can I do to stop it? 

Hi friend, the anxiety and panic attached to this makes it far more likely that you’re dealing with HOCD than anything else. The best treatment for HOCD (or any type of OCD) is exposure therapy, which you can do with a therapist OR on your own, with the help of a book, OR by using an app. Check out these links:

HOCD: Letter to Loved Ones
Doing ERP On Your Own
nOCD, an ERP App/Hero

I don’t have access to any OCD therapists so I’m unable to know for sure if I have HOCD or not. Over time I’ve been doing small things to stop my anxiety over gay thoughts (and it seems to be working.) But no matter what they keep interrupting everything I do, and now I’m beginning to worry that my lack of anxiety means I secretly want to be gay. I’m even starting to doubt that I even have HOCD.

“Unable to know for sure” … this is the core of OCD, friend: having intense anxiety over uncertainty. And since OCD is the doubting disease, it might not surprise you that almost everyone who has it has doubted at one point or another if they really did have OCD. 🙂 Have you done your research? Here are a few places to start:

HOCD: Letter to Loved Ones
Doing ERP On Your Own
nOCD, an ERP App/Hero
Interview with a Former HOCD Sufferer
Another Interview with a Former HOCD Sufferer
A Third Interview with a Former HOCD Sufferer
A Fourth Interview with a Former HOCD Sufferer
Q&A with Former HOCD Sufferer
HOCD Story: Meet Mae, Part One
HOCD Story: Meet Mae, Part Two

Thanks for all the questions, folks! If you have questions for me about anything, ask here.

As always, I leave you with these, some of my favorite questions in one of my favorite poems, “Questions about Angels.” Click here to hear Billy Collins himself read it. (P.S. It starts with questions, ends with a dancer.

Question & Dancer: August 2017

question-and-dancerI’m an artist not an expert, one who is learning to embrace questions more than answers.

These are some questions I got last month. Ask yours here.

Is it normal for you to feel as though you’re losing your attraction to the sex you’ve always desired bc of HOCD? I know I want to be with a man and only a man but focusing on checking and reassuring myself has started to make me lose my passion for the opposite sex:( will my attraction ever come back (I hope so)? And is it also normal to lose your sex drive bc of HOCD? 

Friend, you are describing HOCD. All this is typical for HOCD and can be treated with exposure therapy. The joy and passion that you so desperately want can be yours again if you work hard through ERP.

I’ve done ERP and reduced my HOCD symptoms drastically. Yet, I still have some worries about my sexuality. I’m no longer sure if this is normal lingering of OCD doubts or a real concern- my compulsions are less but i still do remunerate and  try to imagine my self in a same-sex relationship to cope. I don’t know if this inability to find clarity means that there a real concern as well as the OCD. 

Hi dear, it sounds like you are on the right track! I say keep up the hard work of doing exposure therapy– and don’t forget the “response prevention” part. That means keeping yourself (as best you can) from all the ruminating and checking. I am not a therapist, but I know that for my own ERP, I practiced approximately 40 minutes a day for 10 weeks before everything “clicked” for me.

Hi Jackie, I have hocd. Unfortunately there are no OCD specialists near me or anyone certified to do ERP training. The therapist I see now is only a trauma specialist but it was the best I could do. I know I can always do ERP on my own but I’m too scared and it feels too overwhelming. What should I do?

I can completely understand feeling scared and overwhelmed, my dear one. How would it feel if you were to just begin by exploring ERP, by learning about it but not actually doing it yet? I would recommending getting a book about ERP and reading it strictly for the sake of education. You will still be moving yourself forward, and perhaps it will take some of the fear and mystery out of ERP for you.

I recommend a few books to choose from here.

Hi, recently I’ve been seeing a lot of hocd related questions on your blog. Does it surprise you how many people suffer from hocd? Most people don’t even know what it is, or even believe it to be a real issue. 

You know, at first it surprised me, but after a couple years of hearing from primarily HOCD sufferers, I am no longer shocked. I suspect that people might end up on my blog because HOCD is not talked about as frequently elsewhere on the internet. I don’t know if that is true, but I do know that if you google HOCD, my blog appears twice on the first page. This month I received 16 questions via my blog, and 15 were about HOCD. I promise you: it is very, very real.

my OCD is currently under control but i wonder how it is i’ll ever learn to live with this mind of mine? the endless doubt- never knowing whether something is just OCD or Real?

Hello dear one, wow, I can remember feeling that same way, and for SO LONG too. Life is no longer like that for me, and I trust that you can have the same experience. Part of it for me was having doubt lose its power over me (this was via ERP therapy), and part of it is starting to recognize which of my thoughts fit the “community standard” and which did not.

I talk a little about “community standard” here.

Jackie, I feel so lost and scared. I’m a female with hocd and there are sometimes when I get terrifying thoughts like, I should just try being with a female and not care because I might like it, and then I see a female I know in my head. My worries never end. Besides doing ERP, what other advice can you give me?

Well, of course ERP is always my #1 suggestion. Other things that might help can include medication like an SSRI. Many people with OCD have found relief via mindfulness, but that is not something I have explored much on my blog, since I always recommend ERP. If you are not ready for exposure therapy, consider at least taking the time to read a book about it. Education is a great weapon against OCD.

Jackie, the phrase “don’t knock it till you try it” is really scaring me because I have hocd and this is making me feel like I should try a same sex relationship!!
😦

I know what it’s like to have a phrase seemingly take the rug out from under my feet. But try not to assign so much meaning to a phrase. There are certain things that phrase makes sense with– like trying new vegetables or taking an art class. There are plenty of things it doesn’t make sense with– like trying cocaine or quitting your job to start a crocodile petting zoo. It’s just hard for someone with OCD to sort through it all. The best suggestion I have is exposure therapy. Lots of details here.

Hi Jackie, I have had hocd for a while now. I was texting a friend from church (we are both females) and suddenly I got a thought that, I keep checking my phone because I want her to text me back. I like the attention she’s giving me etc. it’s got me all worried now that maybe I’m crushing on her? Or this is attraction?

Hi dear, this is so similar to many stories I have heard about how HOCD suddenly flared up for them … thinking a friend looked pretty that day, wanting to hear from someone, etc. We assign too much meaning to it. Theoretically, I’m sure you know that most people love attention from their friends, love to hear from them, especially if the conversation is an exciting one. But most do not suddenly worry that means they like that friend romantically. That is where someone with OCD shows how differently their brain is wired. You can rewire it through ERP.

Okay I am 100% sure I’m straight but this is where it gets weird. For some reason nothing was turning me on so instantly my mind thought I was gay. Dumb, right? I thought it’d eventually go away but it got worse. When I’m not thinking about it I can watch normal videos fine but when I watch a video of a male and it pops up I think I’m about to get turned on but mind you, I’m completely soft.

I know this can feel so scary, as if you’ve lost all attraction, but that is commonly reported by people with HOCD. The only question you (technically) asked is, “Dumb, right?” To which I would say, “No. Not dumb. Just HOCD.”

Hi Jackie, I have hocd and it’s terrible. Every time I hear or watch something that just has a normal positive message of, “be your true self, never hide who you are and love yourself ” I automatically think that I’m gay and should come out and not be afraid. Is this just my OCD?

It sure sounds like it. Many people with OCD twist well-intentioned words, giving them too much meaning. The best thing that you can do for yourself is pursue exposure therapy. Read more at http://www.jackieleasommers.com/OCD.

I’m a female with hocd. Why does it FEEL like I’m gay when I know I don’t want to be with girls, when I know I don’t want to be in a relationship with them? Often times my brain feels like it tries to convince me to even like a pretty girl I know! Please help I’m so confused 

It feels that way because of OCD. In non-OCD minds, there is a gate that opens and closes easily– thoughts can come and go as they please, and with fairly little stress. But in an OCD mind, a thought enters and the gate locks shut, which means that that thought just goes around and around and around and around. It is hard to find relief. With exposure therapy (ERP), that gate begins working properly again.

I’m worried. I have hocd and sometimes when I do get my attraction to guys back I’m a female btw, I now worry I’m bi??? Because I’m still thinking about girls and being afraid to look at pretty ones and worrying if I might like one. So I’m all confused that now I’m bi since I’m thinking about both??

I know that this probably sounds like the opposite of what you want, but the truest relief and freedom comes from not having to be certain about these things. I detail the benefits of that here. Please, please read it. I think it might help to make ERP make more sense.

Jackie I have hocd and I’m scared because I keep getting groinal responses every time I look at girls. It feels so automatic like I can always expect for it to come and I’m so aware of it. I have read that a lot of other people experience this too but I’m still pretty worried. 

It feels like your body is betraying you, doesn’t it? You’re right– that’s a very common experience for those with ERP. Start by not assigning it too much meaning, and please read these interviews with Hannah, who formerly struggled with HOCD. I think they will help.

Interview with a Former HOCD Sufferer
Another Interview with a Former HOCD Sufferer
A Third Interview with a Former HOCD Sufferer
A Fourth Interview with a Former HOCD Sufferer
Q&A with Former HOCD Sufferer

Hi I’m 15 years old, I’ve never thought I was gay/bisexual before. Always like boys (I’m a girl by the way). Never had a girl crush. But now everytime I see a girl I think Could I kiss her, have sex with her or could i see a future ( like dating or marriage) with her? Whenever I think about it I frown and get upset. I have OCD/Anxiety disorder, which I was diagnosed with.

Hi dear, a very common experience amongst those with HOCD. I recommend ERP. This might help: https://jackieleasommers.com/2015/07/29/hocd-a-letter-to-loved-ones.

Hi I’m 14 and I found out I have OCD I’ve told my parents and I had a really bad panic attack bc of thinking I will hurt my family then months go by and my sister called me a lesbian to impress her crush. Then I have theses thoughts of being bisexual but I’m not bc I like guys and not girls I freak out bc if I see a girl who is pretty my thoughts are all like your bisexual and I know I’m not 

Hello friend, I’m so sorry that your sister did that. I’m guessing she didn’t know what kind of agony it would cause for you. Please read this post and consider sharing it with your family if you think it might help: https://jackieleasommers.com/2015/07/29/hocd-a-letter-to-loved-ones.

Is it part if HOCD to experience an errection while watching gay porn? Like first there is an extreme tension in the chest followed by an errection. 

Yes, this can definitely happen! Exposure therapy is the answer!

Jackie, I have hocd and I’m worried about the whole “sexuality is fluid” thing. I know it’s different for everyone, but the it’s scaring me that I often see for example, celebs who have been with the opposite sex, just start relationships with the same ones and say they like it? So now I’m wondering, well what if I do the same, and I end up liking it too?? 

Hi friend, I hope this post will help.

Hey. So I know that many of us look up to celebs and think they’re very pretty or love their movies and songs etc. I have hocd, but I’ve always really liked Jennifer Lawrence. I was watching an interview of hers and suddenly it made me feel like I am gay for her and wouldn’t mind being in a same sex relationship with someone like her. Now I’m very confused/worried. Help??

Is it causing you anxiety? If so, it may very well be HOCD. Check out these posts about it and see if you can relate!

HOCD
A Closer Look at HOCD
Interview with a Former HOCD Sufferer
A Big Ol’ HOCD Post
Another Interview with a Former HOCD Sufferer
A Third Interview with a Former HOCD Sufferer
A Fourth Interview with a Former HOCD Sufferer
Q&A with Former HOCD Sufferer
HOCD Story: Meet Mae, Part One
HOCD Story: Meet Mae, Part Two

Hi Jackie, I’m a teen with hocd. Recently I decided I’m not gonna be scared of the thoughts and to stop avoiding stuff that triggers my anxiety. However, as I was doing exposure today by watching a coming out video which explained how the girl didn’t enjoy sleeping with men, I suddenly got worried wondering. well what if I’m the same? I’ve never had a bf. How do I know I’ll even like it??? 

I know that people with HOCD can see or hear one thing and then– BAM!– their minds are off to the races, so to speak. You are doing the right thing by not avoiding stuff that triggers your anxiety; next, you need to stop doing things that alleviate that anxiety (the compulsions, whether that means seeking reassurance, checking your body for reactions, etc.). This is how exposure therapy works. Read more at http://www.jackieleasommers.com/OCD.

I consider myself a straight man suffering from HOCD. i am completely cured, but when I think of having romantic attraction to same sex, i feel grossed out but at the same time I feel a sensation in my groinal area. It has occurred atleast 3 times now. I have not experienced anything similar for girls being a boy. So, is this a sign of being gay or is this just a groinal response?

Does it cause intense anxiety for you? That sounds like HOCD. You say you’re completely cured, but OCD is not cured typically (though I have heard of a couple miraculous recoveries). Usually it is just managed and maintained.

Hi! 4 years ago my obsession about my sexual orientation started. A couple of months ago I heard about HOCD & felt completely identified. I was wondering whether is possible to have this disorder without being previously diagnosed with OCD. I’ve been through my past trying to find OCD signs & some things made me think that they were ocd’s behaviors. I also went through anorexia. What do u think?

Remission
Healed Not Cured: Remission & Relapse
OCD in Remission
Life after Treatment
When to expect a relapse
Am I Bitter?
Lies I Sometimes Still Believe
Managing OCD-in-Remission

Im a female with hocd but I’m not trying to ask for reassurance, but more so recognize the way OCD likes to behave. Whenever I read a book or watch a video in the perspective a guy, and he’ll be talking about a girl, just ordinary stuff, it makes me feel as though I’m in his situation and I can see myself with the girl, and it makes me anxious. Is this my hocd? 

Sounds like it, yes. I’m a young adult author, and right now, half of the book I’m writing is from the male perspective. It can definitely be interesting to write about “oh she’s so gorgeous,” etc. 🙂 If the anxiety becomes intense, please don’t hesitate to pursue exposure therapy, which you can learn about at http://www.jackieleasommers.com/OCD.

Do you know many people who did self-oriented ERP and succeeded? Thank you very much Jackie :D.

The best example I know is Shannon Shy, who is now president of the board of directors for the International OCD Foundation. Follow him here. He is endlessly encouraging.

Thanks for all the questions, folks! If you have questions for me about anything (but especially faith, creativity, and mental illness), add yours here.

As I said, I’m an artist not an expert. I will leave you with these, some of my favorite questions in one of my favorite poems, “Questions about Angels.” Click here to hear Billy Collins himself read it. (P.S. It starts with questions, ends with a dancer.

Question & Dancer: This & That

question-and-dancerI’m an artist not an expert, one who is learning to embrace questions more than answers.

These are some questions I got last month. Ask yours here.

I have hocd, and I’m a 17 year old girl. I was wondering, is it weird if I still get crushes on guys during this? sometimes I doubt if I even do like them and the feelings feel fake and forced. Other times, no. Since my hocd started I haven’t been able to really like a guy. If I do, my crush goes away quickly. This makes me worried and makes me think that I can never truly like a guy ever again. 

Dear one, not weird at all. HOCD will do whatever it can to confuse you. Please be sure to read about HOCD and ERP at http://www.jackieleasommers.com/OCD.

Hi Jackie! My question concerns telling my significant other about my HOCD. I have already told him a bit about my same sex attraction fears (around 1.5 yrs ago) but at the time, I didn’t realize it was HOCD. Now that I know HOCD is the culprit I am wondering if you have any advice as to how to explain… I am afraid he won’t believe its HOCD and indefinitely doubt my affection for him. 

This is definitely up to you. I think this is the one of the hugest fears for someone with OCD. I did write a letter you can give to your SO to try to explain things better. It’s available here: https://jackieleasommers.com/2015/07/29/hocd-a-letter-to-loved-ones.

I just want to say, a massive thank you. I´ve been on hell for the past six months, or maybe more. i even thought about killing myself. and i trully did search for so many blogs, but they are mostly about guys so i didnt feel like i found answers. But this is the first site that is from a girl. Made me feel like there is hope. I hope eventually i get to tell you how truly straight i feel i am.

Thank you for your sweet message. I promise you there is hope, and I look forward to hearing from you after you’ve undergone treatment. In the future, if you are feeling suicidal, don’t hesitate to call the National Suicide Prevention Lifeline at 1-800-273-8255 or chat with them here.

I feel like I have accidently made vows to give up things that i enjoy and i didnt want to give them up. I have OCD, but would the vows be binding? For example: “if i step on a crack, i have to stop doing this activity” but sometimes i feel like i mentally agree to it for a split second after the thought comes in my head. Like its 90% intrusive, but 10% my intentional.

I experienced this intrusive vow-making too, back when I was in high school, and it was a dark, dark time of my life. I don’t think that you are bound to these because it is OCD making the vow, not you. In any case, it is better not to focus on “solving” the vow-making but on treating OCD with exposure therapy. Best wishes!

Another vow question. I just feel so stressed because I really feel like I have to give up my two favorite activities according to the vows. After that I am left with no form of enjoyment. Even when I try ERP,  i feel like i am sinning by breaking promises to God and I dont even enjoy doing the activities anymore because of the anxiety.I feel like there is no hope. What do I do?

I also worried that my ERP might be sinful. I hope this post will help you: https://jackieleasommers.com/2014/08/03/ocd-scrupulosity-is-erp-sinful.

Hi Jackie, I have hocd. What worries me a lot is that I don’t have any attraction to guys (I’m a female). I want to like someone but I feel empty and don’t feel any attraction even though they might be perfect for me. What do you think?

Hello lovely, this is perfectly normal for someone with HOCD, and you can defeat it with exposure (ERP) therapy, which you can read about at http://www.jackieleasommers.com/OCD. There are resources there too in case you can’t afford therapy but would like to do it on your own.

Jackie, I’m a female with hocd. I know it is common for people to lose attraction to the opposite sex during this, but will I ever like another guy again?? It honestly feels like I won’t. 

Oh dear one, yes, I truly believe that you will. ERP therapy can help. You are not alone by any means, and I hope that as you read through the questions in this post, you will see that.

Hello! I believe that I have been suffering from HOCD for the past 8 years (this started when I was only 12, unfortunately). I’ve never been diagnosed or treated. However, my question is: is it normal/common for OCD compulsions to change over time?? 

Yes indeed! As obsessions and compulsions shift, we call this “theme hopping,” and you can read about it here: https://jackieleasommers.com/2014/01/19/theme-hopping.

I’ve been told I have HOCD. I have worried about this  on and off. My first time I was 12 & I remember crying to my parents & I think I said something along the lines “I’m staying straight & then I don’t have to be made fun of” now that scares me because that means I’m afraid of society & that’s what gay people go through. Now I feel like I want to be straight just for society reasons. Please help

It is very common for people with OCD to think back on old memories (even ones that have never bothered them before) and suddenly become fixated on them. Sounds like your experience is very consistent with OCD/HOCD. Have you explored ERP therapy? You can read about it at http://www.jackieleasommers.com/OCD!

Hi, I’m a 16 year old girl who has been suffering with HOCD for roughly 8 months now. I have come to the conclusion that the only way to overcome this is through therapy, but I’m scared to ask for help and recieve it. How do I ask my parents? I feel like if I sit them down to ask them for help, they will assume that I’m coming out or they’ll try to get too much information out of me. Help!

I hope that this will help, my dear: https://jackieleasommers.com/2015/07/29/hocd-a-letter-to-loved-ones.

How can I begin ERP for my HOCD by myself?

Hi friend, you can read about self-directed ERP therapy here: https://jackieleasommers.com/2014/10/05/self-directed-erp-therapy.

Should I open up to family & my boyfriend about my HOCD? It terrifies me to think about telling them about it. Can I deal with it alone?

You can choose to do whatever makes YOU feel most comfortable. Please don’t overthink this (I know that’s a silly think to say to someone with OCD, but I want to give you permission to do what you choose). The links in the answers to the two questions just above yours will be useful (I hope!) in choosing whether it is a better option for you to tell your family and boyfriend or whether to go after ERP therapy alone. Best wishes.

Jackie, I’m scared. I had a dream last night in which I married a female I know. (I’m a female with hocd). It was very detailed, including me being with her in bed. This is the second time this female has appeared in my dreams, I have no idea why. I was unhappy in my dream but I’m lost and terrified that this is a prediction to my future???

I know why: because you have HOCD and have been obsessing about this. It makes sense that it would carry over into your dreams. In this interview with a former HOCD sufferer, she talks about having the same experience: https://jackieleasommers.com/2013/10/20/interview-with-a-former-hocd-sufferer. It is not a prediction of your future, dear. It is natural for our waking concerns to sometimes leak into our dreams.

Can HOCD turn into straight OCD, i´ve spent many times on internet which made it worse. and since truly gay ppl have straight ocd, its now like i kinda have that. To be honest i am about to take sleep pills. Hope there is light

There is light. I promise. Firstly, if you are feeling suicidal, don’t hesitate to call the National Suicide Prevention Lifeline at 1-800-273-8255 or chat with them here. OCD can twist and morph through the weeks and years, so that is not unusual. It will do what it can to make you miserable until you learn to be comfortable with uncertainty. The best method for doing so is the evidence-based approach of ERP (exposure and response prevention) therapy, which you can learn about at http://www.jackieleasommers.com/OCD.

Where’s the best place to get diagnosed in the Twin Cities? I’m positive I have HOCD but I’ve never been diagnosed with any form of OCD and I’m worried I’m in denial.

Hi friend, here are a couple resources for you:
https://jackieleasommers.com/twin-cities-ocd
https://jackieleasommers.com/2017/07/24/qa-with-an-erp-therapist

If I’m struggling with hocd, do you think I should stay away from psych forums? I’m already getting help for therapy and medicine though. But do you think it’s my way of just reassuring myself? 

Yes, I really do think it is unhealthy for you to be on the psych forums. Part of your ERP should be avoiding compulsions, and I think this way of seeking reassurance is one. I’m so excited for you that you’re doing therapy and meds though! Are you doing ERP and not talk therapy, I hope?

Please read the following: https://jackieleasommers.com/2014/11/16/talk-therapy-vs-erp-therapy.

I have Hocd been going for 4 months.i always got aroused from girl and lez porn,but I did not wanted to do anything with girls.I once thought about kissing a girl and these things are fuelling my hocd.Yesterday I was horny.I decided to watch lesbian porn to check and I got really aroused i tried to think about having sex with a girl and I felt real arousal like i feel with men.Is my hocd or Im bi?

Does it feel intrusive and unwanted? This is part of how we define OCD.

What do you think of group therapy like DBT for OCD? Specifically hocd

I’ll admit that I’m not very familiar with DBT, though I have heard great things about it, especially in regard to treating things like borderline personality disorder. The evidence-based #1 treatment for OCD is exposure and response prevention (ERP) therapy, a type of cognitive-behavioral therapy (CBT).

Have you read, “All the light we cannot see” by Anthony Doerr? “Everything Everything” by Nicola yoon? And “Unbroken” by Laura Hillenbrand? Those are very good reads. Also, what’s your most favorite book of all time? 

I have read the first two, and I own the third book, but I haven’t had a moment to read it yet! My most favorite book of all time? Man, that’s difficult! I am going to go with Saving Francesca and its companion The Piper’s Son by Melina Marchetta. But everything Marchetta writes is magical. I also love The Chronicles of Narnia by C.S. Lewis, The Book Thief by Markus Zusak, The Scorpio Races by Maggie Stiefvater, The Last Unicorn by Peter S. Beagle, Peace Like a River by Leif Enger. (Sorry, it’s just so hard for me to only say one!!)

https://jackieleasommers.com/2014/08/04/read-these-10-novels-and-we-can-be-friends

Jackie I’m scared. I find myself constantly fearful because of my OCD. I have hocd, and I’m always terrified of the “what if..” although I have never questioned my sexuality, I feel as though nothing helps convince me I’m not gay. Some days I’m just depressed. My mind also wanders a lot. I’m not ready for ERP, but what should I do?

If you are not ready for ERP, the next best thing you can do is start to learn more about OCD and ERP. Education matters. It’s an incredible way to fight back. Track down some books and learn. You begin to steal back power this way.

I’m a female junior in high school, and I sometimes feel hopeless if I will ever get a guy. Every where I look people are in relationships. I’ve never had a boyfriend or even a first kiss. I know god always has a plan, but how can I trust him and know I won’t be alone forever?

Hi honey. I’m 35 and single. I completely get it, I promise. In fact, just this last week, I found myself asking my friends this same question, “will I be alone forever?” I guess that is where trust comes into play. We just don’t know, do we? BUT I do believe that when we love and honor God and follow him, he is the one who gives us our desires– in two ways. He gives us the actual desire– and then fulfills it too. I am being inarticulate. Let me try again. I think that God has given me the desire to be in love. I trust that he will also fulfill that God-given desire with a partner.

Is it normal for HOCD to play a part into ur relationship and make u question ur feelings for a person when u know in ur heart that you love/are attracted to them? Where when ur having guilt&questioning yourself about ur sexuality bc of HOCD u feel like maybe ur not in love w ur s/o or that ur not attracted to them when you know you are but ur intrusive thoughts try to make u think otherwise. 

HOCD and ROCD both cause havoc in relationships, yes. The best thing you can do is to treat the OCD itself with exposure therapy. You can do this, if not for yourself then for your relationship.

I have had HOCD it’s only getting worse. im starting to feel like I’m not in control of my mind. Sometimes Ill convince myself I want to be w a girl when really I just think they’re pretty! I feel like I have to accept being gay to get rid of these awful thoughts&everytime I try to I get so mad bc I know that isn’t me. I’ve always wanted to be with a man, never a woman. I’m scared of my own mind. 

Oh dear one, you are not alone. I promise there is help and hope and light. In exposure therapy (ERP), your brain gets rewired in a healthy way, a way that allows room for uncertainty. That might sound terrible, but it is one of the greatest gifts ever: to be able to let thoughts come and go without having to be sure about everything. It’s a new life. It’s freedom. Please read more at http://www.jackieleasommers.com/OCD.

Thanks for all the questions, folks! If you have questions for me about anything (but especially faith, creativity, and mental illness), add yours here.

As I said, I’m an artist not an expert. I will leave you with these, some of my favorite questions in one of my favorite poems, “Questions about Angels.” Click here to hear Billy Collins himself read it. (P.S. It starts with questions, ends with a dancer.

Question & Dancer: I Promise There is Hope

question-and-dancerI’m an artist not an expert, one who is learning to embrace questions more than answers.

These are some questions I got last month. Ask yours here.

Ok I am so confused lately. I am a 27 year old male and has had what I consider to be HOCD for at least 4 years now When I was younger people used to ask if I was gay, and that never bothered me until more recently since I started to have this OCD. More recently however I am starting to doubt myself because it is starting to feel realer and realer. Wanna do ERP but I am very anxious about it.
I was so anxious to do ERP too! In fact, I almost bailed partway through– right before everything ended up “clicking” for me. Read up about it beforehand so that you have an idea of what to expect. I always say that you will be ready for ERP when the hell of daily life with OCD is worse than the anxiety over ERP. I will say this: it was one of the greatest things I have ever done for myself. Twelve weeks of ERP vs. twenty years of OCD (with no end in sight)? There’s a clear winner there.
Can HOCD actually begin to feel real? At the start, it caused me loads of anxiety but now I’m starting to believe it and it scary 😦
Hello dear, yes, I think that most people with HOCD get to that point. I’m sorry for all your fear and anxiety. ERP can help.
Hi! I did the harder exposures for HOCD (I’m a girl by the way) and it really terrifies me to the point of tears while doing the exposure of looking at a androgynous female. It bothered me immensely but I stayed with it. However, I felt fearful and anxious at the same time because I actively avoid it because of the fear of attraction. Is that still HOCD?
If you are fearful that you are sexually attracted to females, it’s quite likely HOCD, yes. I remember crying while doing exposures too. Please don’t quit the exposures– but also, please do be kind to yourself. Give yourself a treat: ice cream, a nap, a new pair of shoes. What would you do for your best friend if he or she was going through all this? Treat yourself just as kindly. But don’t give up on the exposures.
Hi Jackie, I’ve had hocd for over a year now and it’s been rough. For the past three months I’ve been using this new medication and I believe I’ve gotten better. But, whenever I get my intrusive thoughts my brain doesn’t spike much of a reaction anymore and I’m not as scared. This is making me worried because I feel like my fear shows I’m not gay but now I’m not so sure. Can medicine do that?
I feel like this is such a nasty paradox with OCD! We get so much torturous anxiety– and we hate it– but then, if the anxiety lessens or goes away, we start to fear there’s a reason behind that. Please remember that the goal is to not have those extreme reactions when you have intrusive thoughts, so you are moving in the right direction! Thoughts are just thoughts. Everyone has weird thoughts, but most people can just let them go, whereas for those of us with OCD, we hold onto them and give them too much meaning and make ourselves sick ruminating. Let the thought just be a thought. It is good that the anxiety lessens in time.
Jackie, is this a compulsion? Every time I get worried about my hocd thoughts, my reaction is to go God and pray that I’m not gay. I know I don’t want to be gay. I just want to be a straight female and have a guy. But I feel like god is my only true hope for getting better although I’ve been doubting him a lot with all of this hocd stuff
Ritualistic prayer was also one of my compulsions. I would pray to “ward off” blasphemous thoughts and curse words that would pop into my head. But I also could tell a difference between my true, heartfelt prayers and the automatic ones that I was using as a compulsion. I kept doing the former, but the latter ones, I stopped. At first, because it was so automatic, it was very hard to stop, but I would actually interrupt myself and think No. I do not need to pray ritualistically. I didn’t think it would work– but it did!
How long did you personally have hocd for?
I had a brief bout with HOCD in junior high. My primary obsessions through the years were religious ones though.
Jackie I feel like my hocd gets MUCH worse when my period roles around. Could this be true? I just feel way more depressed and my intrusive thoughts get more frequent and intense.
I really do believe this can be true, even though I don’t know enough about the science behind it.  But on my period, my hormones are all out of whack, and everything seems more intense and stressful and emotional for me. I feel sadder and lonelier on my period, and sometimes I have bad cramps, so I’m in actual pain and cranky about it. I am definitely not my best on my period or in the days right before it, and I’ve had the same experiences with my OCD being worse then (I’m not sure if it’s worse– or if I’m weaker– during those days!).
Jackie I’ve had hocd for a while now. How did you stay strong? How did you not cave in and truly lose hope by believing you’re gay?
I spent 15 years with OCD before I was finally diagnosed, then another five before I began the exposure therapy that gave me back my life and freedom. How did I stay strong during that time? Honestly, I was not strong a lot of that time. I cried a lot, but I also surrounded myself with the most incredible people: family and friends and mentors and roommates who let me lean on them in my weakness. My Christian faith is also a ballast for me, although OCD went after that pretty hard, and I had to rely on the faith of my friends and family, if that makes any sense. Make sure that you have an incredible support system, one that won’t enable you but that will let you be honest about your struggles and will love you, even in your darkest, weakest, most hopeless moments.
I lived with my friend Desiree for seven years, and she saw me through some of the very worst times with my OCD. She wrote this post about it, in case you’re interested!
Jackie, my therapist and my mom both say I try and convince myself that I’m truly gay ( I have hocd). I just can’t help being very doubtful all the time. Even when I like a guy through all of this I still doubt if everything is fake. Advice?
This is what the doubting disease does– it poisons everything! The very best advice I have is to treat it with exposure and response prevention (ERP) therapy, which can be done with a specialist or on your own with the help of a book from the library. Be sure to check out my posts at http://www.jackieleasommers.com/OCD for more details and book suggestions!
Hi Jackie I’m a female and I have had hocd for nearly 13 months now. I stare at girls so much! In my head I constantly hear myself saying “wow she’s so pretty” and I can’t stop thinking that. It haunts me later in my day as I keep seeing any girl in my head from school. What should I do?
This is what OCD/HOCD will do until you either switch to another obsession or treat it. I recommend treating it with exposure therapy! Please check out my posts about HOCD and about ERP at http://www.jackieleasommers.com/OCD. It changed my entire life.
I’ve had hocd for a long time now and I know ERP is the right thing but I’m too scared to do it. I just don’t feel mentally mature or ready enough to do it. What do you think? Should I just face it head on?
This is such a good question. I didn’t feel ready for it for a while either. When I felt I had exhausted all my other options, I knew it was time. Most of the time, ERP is not done via “flooding” (which is what I think you mean by “face it head on”) but rather via a strategic hierarchy. You start with the things that make you least anxious and work up to the doozies later on. I think this is probably the best way to go after ERP; it builds confidence early on when you win a few smaller victories, plus your brain begins to change, giving you more tools for attacking the harder things later. I remember on my first day with my ERP therapist, he said we would work up to X, and I thought, “If you think that I will EVER, EVER, EVER, EVER do X, you’ve got another thing coming, mister.” And yet, about 12 weeks later, I was there. Terrified, yes. Anxious, yes. But it had gone from being utterly impossible to being possible-but-scary. And after that, my OCD snapped in half. I’ve had freedom for nine years now.
How do I know if my therapist is good? Upon graduating college, I have developed extreme anxiety and HOCD. I found a therapist who preaches ERP but does not have good reviews online. I met him for the initial consult and liked him but how do I know whether I should trust him.
Do the reviews say that they don’t like him personally or that he doesn’t know his practice? You don’t need to like an ERP therapist for ERP to work. In fact, at the time, I thought my ERP therapist was a monster. (Now he is my hero.) Our personalities did not jive and, of course, he was asking me to do things I didn’t want to do (this is the nature of ERP therapy!). Make sure that you have educated yourself on what ERP should look like, so that you will be able to recognize if he is guiding you correctly. As far as whether or not he’s likable … meh. Not what matters in this situation.
Read about my reunion with my ERP therapist, seven years after I last left his office.
I feel really sad. Some days my hocd is not that intense and I’m sure I’m straight but other days its bad.When I’m convinced I’m gay, I get very depressed. I withdraw and stop doing anything, and spend the majority of my time in bed. They tell you in therapy that if you hate the idea of being gay, that you don’t like the idea of being with the same sex then you’re not gay. Do you agree with this?
I hate to speak in too wide of generalities, but if I am interpreting your question correctly, I would say yes IN GENERAL. Again, I don’t know that it is helpful to speak in such wide-spreading generalities. I did ask some of my friends (both with HOCD and others who are gay) to answer a variety of questions so I could compare them. I thought the results were interesting. Friend, please consider exposure therapy to treat your HOCD. It is the #1 treatment for OCD recommended by all OCD experts, and it changed my life. I know those depressed days spent in bed all too well. You can move past this.
Is there really a light at the end of the tunnel? I feel hopeless. I have hocd and hate my life because I just feel depressed. I want to be better but I can’t bring myself to give effort. I get told, happiness is a choice. But I feel like this doesn’t apply to people who suffer from OCD?
Friend, I promise there is light. And hope. And freedom. Exposure therapy can help you get there.
Ahhh yes, the choose happiness thing. Blah. Let me say first that I agree with you.
Here is my post entitled I Don’t CHOOSE to be Unhappy. Later, post-ERP, I wrote a post where I talked about choosing to be happy. The very next day I posted again and this time included what I called a “thoughtful caveat”:
P.S. I want to clarify: this post is not in contradiction to this one. I still believe that many people with brain disorders do not have the capability to simply choose to be happy. But I am finding in my own life that medication and OCD treatment and talk therapy and prayer are tools that are making that more and more possible for me. I am one of the lucky ones who has had so many opportunities and resources. They are opening up new doors for me that were locked even just a year ago. Would love to hear your thoughts.

Thanks for all the questions, folks! If you have questions for me about anything (but especially faith, creativity, and mental illness), add yours here.

As I said, I’m an artist not an expert. I will leave you with these, some of my favorite questions in one of my favorite poems, “Questions about Angels.” Click here to hear Billy Collins himself read it. (P.S. It starts with questions, ends with a dancer.)

Question & Dancer: HOCD Edition

question-and-dancerI’m an artist not an expert, one who is learning to embrace questions more than answers.

These are some questions I got last month. Ask yours here.

I’ve gone through CBT and recovered somewhat from very intense HOCD. However due to the intense stress i have been through for the last few months and still do experience i find that i am behind on my university work. I have the options to defer my exams but am ashamed to do so as i would have tell friends and family that i have been struggling. I. any advise?

Defer your exams, dear. Take help and grace when it is offered. If your friends and family ask about what’s going on, you can simply tell them that you’ve been dealing with some anxiety and stress, but that you’re working through it with someone. If they pry, that is on them. It is your story, and it is your right to share it or not share it. That said, I have found so much freedom and so much support in being honest with my closest friends and my family.

If this post helps, share it with those trusted people.

I’m doing self- ERP of just scrolling through my feeds and reading/acknowleding LGBT stuff. However, after 3 days of mild anxiety and generally feeling like it wasn’t as scary anymore, I came acorss a post that spiked me and I (disappointingly) did my complusions (aka internet searching and reassuring myself). How did you deal with major setbacks in your ERP?

First of all, please try to not think of this as a major setback, friend. This is just part of the healing experience; everyone has good days and bad days, even people who don’t have OCD. Be gentle with yourself. Here are a few posts I’ve written about relapses and setbacks:

Healed Not Cured: Remission & Relapse
OCD in Remission
Life after Treatment
When to expect a relapse
Am I Bitter?
Lies I Sometimes Still Believe
Managing OCD-in-Remission

Can OCD go from mild to moderate? I feel like my OCD themes from when I was a child were not as stressful as the one I have today (I’m an “new adult” I guess, from book genre terms), and I was just wondering if that’s a thing?

I would say so, yes. For me, the longer my OCD went untreated, the more my obsessions seemed to elevate in intensity. I would guess that part of that was because I was growing and learning and becoming wiser. OCD goes after the things that we value most, so it naturally makes sense that– as a new adult– you are figuring out those values and that OCD will find new targets as you do so.

Don’t delay treatment. For me, the obsessions and anxiety got worse and worse (though, of course, there were times of reprieve … but don’t mistake that for OCD being gone; it is just taking a break and gearing up for the next big attack!) until I did exposure therapy.

Why You Need CBT/ERP

I am a long way into my CBT and have recovered to a large extent, but i wanted to know if you could describe what some of the common feelings/lingering HOCD symptoms that remain during the later stages of treatment. I have limited anxiety and compulsions but i still feel this sense of uncertainty about my sexuality, and i don’t know it that should still be there this late into treatment(6 weeks)

Honestly, it sounds like you are way ahead of where I was at 6 weeks in. For me, something finally clicked at about week 10 or 11. After that, nothing in my life has been the same. Please keep up the hard work!

Hi Jackie! I have HOCD am trying to do ERP on my own (temporarily)! I’ve been exposing myself to all types of things.I started getting bored with some of it so I thought I’d make it harder, if I exposed myself to woman in a swimsuit I would ask “am I attracted to her? am I aroused by her?” and start imagining scenarios to see if I liked it. Is this ERP or a checking compulsion? I’m confused.

Looking at the woman in a swimsuit is the exposure– but asking those questions is a compulsion. Try looking at the woman, thinking through a scenario, but NOT judging anything or assigning meaning to it. Tell yourself they are just thoughts. I wonder if it would help for you to read my ERP script and then try copying it but for your own compulsions? I used this script for my imaginal exposures.

I’ve been going through what I think is HOCD and have recovered to an extent due to ERP and CBT. But I still have doubts about whether it was ever OCD or whether it is a real sexuality crisis (I still have spikes but not much anxiety). I was wondering if this is normal in OCD recovery and if you knew any steps I could take therapeutically to help overcome what I think is a last hurdle.

Hello dear one, I’m not sure if those of us with OCD ever seem to make it over the last hurdle. It might be more helpful to think of “the next hurdle.” Don’t be discouraged by that please: I promise that my life post-ERP is incredible and nearly obsession- and compulsion-free, but I also know that I do still have OCD, and I have little setbacks at least once a year. A couple questions above this one, I posted several links about remission and relapses that might be helpful for you to read!

My HOCD has got better with ERP (self-directed, as i cant afford a psychologist) but i still have spikes and now feel like i’ll ever know my sexuality (definitely not with the clarity i did before) i’ve tried hard to accept that maybe i’m bisexual, but i cant and end up remunerating on that as well. Any advice on what i can do now? I just want the joy i had about relationships and love back:(

ERP is meant to make you more comfortable with uncertainty, not to take away the uncertainty. I know that sounds awful (ha!), but it really isn’t. Please read this post, friend:

Gaining Certainty through Embracing Uncertainty

Hi jackie, Im a TOCD and HOCD sufferer. HOCD is ruinning my life, at first it did feel like ocd but now it seems so real that I actually feel Im gay which makes me sick because Ive always been boycrazy. Im 18 years old and never been in a relationship which gives ocd a lot to work with. And I cant feel attracted to boys anymore which is the most scary thing ever for me. Att: rosie

Hi, its rosie again, the thoughts that used to make me sick dont disgust me anymore, and I cant picture myself in a future relationship with a boy, which scares me a lot bc is all that I ever wanted, i used to watch lesbian porn but never thought of being in a relationship with a girl other than friendship, i dont know what to do Im depressed and lost, all i want is my heterosexual life back.

Hi Rosie-dear, I thought I’d reply to both of your questions at once. First of all, this is all very, very normal for an HOCD sufferer. I am not saying that it doesn’t suck (it does!), but it’s all common to the experience, and I hope you can find comfort in that. Secondly, please find hope in knowing that many, many HOCD sufferers who were in the same shoes as you are now experiencing freedom and joy and confidence in their sexuality via exposure therapy. If you go to http://www.jackieleasommers.com/OCD, you can read a LOT more about what exposure therapy (or ERP) is, how it works, and how you can even do it on your own (with the help of a library book) instead of a therapist.

I have had questions about homosexuality and curiosity about it when I was little and this is what scares the hell out of me now. No straight person would repeatedly question things like that, would they? Lesbian porn made me orgasm faster than my preferred gay porn (I’m a straight girl that likes gay man porn and I think thats normal). That has nothing to do with anything, right?

I would imagine that most straight people do question that. And straight people with HOCD repeatedly question their sexuality. (By the way, I’ve heard from so many people with HOCD who have gone back and combed through their childhood to find evidence. This isn’t helpful.) I recommend reading a book about OCD and seeing if it sounds like you. Chances are very high that it will. If so, then consider exposure therapy, either on your own or with a specialist. At http://www.jackieleasommers.com/OCD, I have info about both types.

Jackie I’m so done with all this hocd stuff. I’m not strong enough to deal with this. I’m sad everyday and I have so much doubt. I feel like, as a female who has been straight her whole life, I can never see myself liking boys again. I just want to give up and accept I’m gay :(((

You say you want something and then follow it with frowny-faces, so I don’t believe you. This is what I believe, because it matches with where I was at for so many years: you want to be sure; you want either black OR white, but you do NOT want to wait in the gray. The gray, the uncertainty, is what gives you anxiety. And this is the root of OCD, dear one. But guess what, the rescue and the freedom is actually found in the gray area. That sounded so impossible to me. It might sound that way to you too. But uncertainty is how you beat OCD, and you do it via something called exposure therapy. Please read the following:

Gaining Certainty through Embracing Uncertainty
Embracing Uncertainty
Uncertainty is the Key

I remunerate endlessly about whether I am having an actual sexuality crisis or HOCD. Any idea as to what distinguishes the two? because, i simply cant tell anymore.

Anecdotally, my friends who are gay would probably not have called it a crisis. My friends with HOCD definitely would because of the intense anxiety that accompanies it. Have you read any books about OCD? Please do. I bet you will find yourself in the pages.

Jackie, I’ve had hocd for a year now and I don’t really know how much I can handle anymore. Recently I’ve been going through a phase where I wonder if I’m bi. I am a 17 year old female who had never questioned her sexuality. It’s on my mind a lot even if I’m in the stages of waking up from sleep the thoughts of being gay run in my head before I even open my eyes. I feel hopeless:(

Hi dear, please don’t feel hopeless. You are 17 and have the world ahead of you, and I promise there is hope. If this is causing this kind of anxiety, it is very likely to be HOCD. Have you had a chance to read a book about OCD yet? I recommend something like the following. Don’t let yourself get too anxious to do this. Remind yourself that you are simply collecting information at this point.

Stop Obsessing by Edna Foa

Amazon | B&N | Fishpond

Freedom from Obsessive-Compulsive Disorder by Jonathan Grayson

Amazon | B&N | Fishpond

The OCD Workbook by Bruce Hyman and Cherlene Pedrick

Amazon | B&N | Fishpond

Obsessive-Compulsive Disorders: A Complete Guide to Getting Well and Staying Well by Fred Penzel

Amazon | B&N | Fishpond

Jackie, I feel a lot of trouble turning to god during my hocd time. I feel distant from him and can’t attend church much because I’m a busy teen with school. I feel like deep down inside I still wonder if hocd is really a disorder and I’m doubtful of God being able to help with stuff concerning sexuality. Every time I try to pray i just hear “you can’t pray the gay away” in my head

Firstly, this is a verse I held dear to me during the worst seasons of OCD: “If we are faithless, he remains faithful, for he cannot deny himself.” This is from 2 Timothy 2:13. I don’t believe that “praying the gay away” is what you are trying to do, dear. I know this feels hard to do because the theme of homosexuality is what is at the forefront of your mind right now, but remember that that is just a theme— the real issue here is OCD. It can theme hop actually, so we focus on OCD, not on the theme. OCD is the root. Pray about OCD. Pursue ERP. And then pray about that as well. 🙂

Lord, I am terrified about what I am being asked to do through this therapy, and I worry that it might be sinful.  But there is at least some part of me that believes this is connected to OCD, so please cover over all I have to do with your grace. I am doing these things in the hopes of restoring my right and healthy relationship with you. Please be honored by my therapy and my choice to fight for my freedom (which you won on the cross) and my relationship with you (again, made possible by the cross). Be glorified in my therapy, and cover anything sinful with your incredible grace. Make me strong enough to complete my exposures. Provide the strength I need to press through this scary therapy, and let these hard exposures and choices (that may sometimes seem wrong to me) glorify you. Amen.

Regarding, false attractions with HOCD. I feel these strong inclinations towards certain women (only celebrities) who i admire and find myself continuously worrying/checking if it’s more than that. I feel like I’m denying a crush. It doesn’t feel like a natural crush, like i usually have. But i do recognise that i have a genuine obsessions of sorts with them. Could this be another HOCD symptom?

I think so! It sounds so similar. Does it give you anxiety? Do you try to do something to make the anxiety go away? (Could be almost anything– telling yourself that you don’t actually like these celebrities, picturing yourself kissing them to “test” your reaction, etc.) If so, that sounds like HOCD to me.

Jackie, I have had hocd for a really long time now and I honestly feel like it never gets better. Im a girl and I feel like I will never like another guy again. It honestly feels like torture because I feel like I’m gay and I just need to accept it. I’ve been praying so much but I never seem to see God’s hand in this aspect of my life. What do you think?

I think that God is always at work, even when we don’t feel him or see what he is up to. So, it’s okay if you don’t have faith enough to believe that right now– I have faith enough to believe it for the both of us, and I am excited for what he will do in your life, dear. I undersatnd what it is like to feel like things will never get better. I promise I get that: I suffered for 20 years, 15 of those being undiagnosed. But just 12 weeks of ERP therapy broke my chains. Have you looked into this yet? Read up about it at http://www.jackieleasommers.com/OCD!

I am doing ERP and CBT – albeit on my own, guided by a book, but i have this need to come out as gay or bi-sexual (even though i know i am not). In some ways i feel like i’ll never be free/ rid of my obsessive thoughts till i do this. it like i want to confess to something i know i am not/haven’t done. Is this normal with HOCD and is there any way to deal with this, like a specific CBT technique?

Confession is actually a pretty common compulsion– and here, it feels like what you’re talking about would fall under this category. Remember that in ERP, you need to do your best with the RP (response prevention)– in other words, resist the compulsions. In your case, this would be the compulsion to confess or to come out. If you keep doing your exposures and keep resisting the compulsions, your brain wiring will change in the very best way. Keep it up. Don’t give up or give in.

Hi,I need help! I think i have hocd but i’m not sure. All started when a classmate put her head on my shoulder. In that moment i was so scared, my heart beat really fast and in that moment I thought if i was lesbian. I always had crush for boys, but i never had a boyfriend. At the beginnig this things last for like two days, and then i was okay. But now is like a month that i live like this.

You should read some of the HOCD stories on this website! Your story sounds very similar to Hannah’s– she thought her friend looked pretty one day … and then her mind was “off to the races” for months. I’m sure you feel alone, but you are not. First of all, please note that all but one of the questions above are in regard to HOCD. Secondly, please read these stories. I think they will really help give you some clarity and direction.

Interview with a Former HOCD Sufferer
Another Interview with a Former HOCD Sufferer
A Third Interview with a Former HOCD Sufferer
A Fourth Interview with a Former HOCD Sufferer
Q&A with Former HOCD Sufferer

HOCD Story: Meet Mae, Part One

HOCD Story: Meet Mae, Part Two

 

Thanks for all the questions, folks! If you have questions for me about anything (but especially faith, creativity, and mental illness), add yours here.

As I said, I’m an artist not an expert. I will leave you with these, some of my favorite questions in one of my favorite poems, “Questions about Angels.” Click here to hear Billy Collins himself read it. (P.S. It starts with questions, ends with a dancer.)

Question & Dancer: When OCD Makes You Doubt You Have OCD [& More]

question-and-dancerI’m an artist not an expert, one who is learning to embrace questions more than answers.

These are some questions I got last month. Ask yours here.

 

Is it normal to become hypersensitive to the looks of your same sex with the onset of HOCD? even if you’ve known and seen the person before they just appear a lot more attractive now? Is that a symptom of a. change in sexuality or another Possible HOCD Symptom?

This is very common. Many (most?) with HOCD will be hypersensitive in this way; some seek out opportunities to “check” their reaction to the same sex (if the person with OCD is straight– obviously, this would be the opposite if the person with OCD identifies as a homosexual person) while some avoid that gender entirely. Both checking and avoidance are compulsions. Follow my HOCD tag here.


I am 54 years old recently my ocd has become worse for last 6 months since i changed my job and because of ocd anxiety i am not able to work at present. My ocd is mostly god related i have to pray and touch god photos everytime i pass through them and think i have not prayed prope rly and become anxious. Also there are lots of thoughts coming and going in my head always about touching god photos etc and i am not satisfied with my praying i tried medicines and they made my condition worst,Please help me Sir

Exposure and response prevention (ERP) therapy is the very best treatment for ANY form of OCD, including this. My OCD was also related to my faith; I suffered for 20 years before just 12 weeks of ERP gave me back my life (and a growing relationship with my God). Lots of resources available for you at www.jackieleasommers.com/OCD!

Is it normal to feel no attraction or interest in romantic relationships when suffering with HOCD, even when recovering (reduced obsessions and compulsions, but the feeling of not knowing your sexuality and not being attracted to the gender you always have been attracted to?

I hear this all the time!

Hi Jackie, I have been suffering from hocd for a while now. One of my biggest problems besides the intrusive thoughts and fear I can’t shake off is the EXTREME SADNESS I have. I feel like I get sucked into this dark hole where I can’t get rid of feeling hopeless and sad. I lose all motivation to do my homework and just feel angry at god. Have you ever felt this way? If so, what did you do to help yourself?

Hi friend, sounds like you might be dealing with depression in addition to OCD. The same thing happened to me. Sometimes the depression is a result of the OCD– treating the OCD effectively will “remove” the source. But sometimes that’s not the case; in such a case, it can be more important to deal with the depression first in order for the sufferer to gather strength to fight the OCD. An OCD specialist can help you with this. Perhaps this is a personal preference, but I always recommend treating depression with medication. Depression is a chemical issue, so I fight back with chemicals, often an SSRI. For those who can’t afford a prescription, the supplement 5-HTP is the closest natural alternative to an SSRI.

Hi Jackie, Did you ever feel like your ocd would never end? As a current hocd sufferer, I feel a lot that it’s never going to be over. I question and doubt even the most logic of facts I’ve been told to use in order to help cope with the intrusive thoughts. Everyday it’s a new “what if” question and it makes me terrified and sad.

Yes yes yes yes yes. This was actually one of the biggest horrors of my OCD: the fear that it would always be that way, that it would never end. I’ve written a post specifically about this.

Hi! I have one question: could HOCD bounce to another theme even though I’ve been dealing with it for two months and eventually couple of weeks ago, it wasn’t as severe as it was for the first month? Sometimes I feel like my attraction men is back (I’m a girl) but I still react negatively when HOCD thoughts come up. HOCD targets my insecurities as well.

Theme hopping is pretty normal, at least it was for me. I would spend maybe three or four months obsessing about something until it was basically like my brain would collapse— maybe it was the mental equivalent to the body passing out from pain. It would quickly find something new. It always would. That’s why we don’t treat the theme– we treat OCD.

a week ago I was still dealing with HOCD, but while putting my niece down for a nap, I had a sexual intrusive image of her followed by “should I…?” ever since then my mind has been obsessing about this nonstop. I know what I am capable of and would never harm a child. I can’t stop googling, crying and asking for reassurance. What should I do? Does this sound like POCD?

Indeed it does! And, if you read the answer just above this one, you will see that often OCD hops from theme to theme until it is effectively treated with exposure therapy. ERP is always the best course of action; many more details and resources at

www.jackieleasommers.com/OCD. You are absolutely correct in knowing that you would never harm a child. You wouldn’t. In fact, if you were that kind of person, you would not be “googling, crying and asking for reassurance.” I am not worried about you being a pedophile. I only want you to be treated for OCD, friend. You can do this.

I think I have had HOCD for about 6 months now, and my attraction still hasn’t come back for men. However, before I would get major spikes when reading coming out stories, and reading online forums would say something along the lines of HOCD is just a cover up for those in the closet. I no longer feel major spikes when reading this material though. Is my mind is coming to terms with being gay?

HOCD is a theme of OCD, an anxiety disorder; homosexuality is a sexual orientation. They are not the same thing at all. The first is an illness; treat it with exposure therapy.

In general, are our thoughts representative of our true selves?

Not when someone has OCD.

I’m so scared and tired. I don’t know how long I can take this.

Don’t give up. But do seek treatment. I remember being in your shoes– exactly those shoes. Exhausted, terrified, living either at a fever-pitch of anxiety or else at a low flat-line of depression. But I got rid of those shoes in 2008. I will never walk in them again. 

Is it possible that you can develop mental illness like OCD, even though you might not have issues with OCD in the past? I also have another question: do you think people who second guess whether or not they OCD take longer to seek treatment or even a diagnosis? Plus, could cultural and community surroundings prolong getting help?

I’m not sure if I have any friend with OCD who would say that they have had it from birth– or at least, that it hadn’t manifested itself from birth. For many of us, there is some sort of trigger that kicks into gear at some point. Mine began at age seven.

And yes, statistics estimate that it takes 14-17 years from the onset of OCD symptoms until someone is correctly diagnosed and effectively treated. For me, it took twenty.

I think that number is affected by pride, doubt, how few people (even therapists!) know to direct an OCD sufferer to exposure therapy, and how difficult exposure therapy is. In addition, cultural and familial stigma also prevent people from getting treated.

I know a family– the most incredible, amazing family– in Michigan. When their pre-teen daughter exhibited symptoms (obsessions and compulsions), the parents immediately sought help, learned about OCD and ERP, and got their daughter into an intense ERP program at the Mayo Clinic. I praise God that my beautiful young friend M didn’t have to suffer for 17 years before all that happened. I praise God for parents like R and D.

I realized one of my compulsions is ruminating, but its so hard to catch myself ruminating until Ive ruminated for a good hour. Ive tried to catch myself early but I’m wondering if you have any tricks to stop it from happening? Its hard because rumination just happens immediately after a scary thought&I dont even realize I’m doing it until its too late (rumination also decreases my anxiety)

I had some compulsions that were auto-responses, and the trick my ERP therapist offered to me to stop it didn’t seem like it would work. Except it did work. When I realized what I was doing I would say, “NO!”– interrupt my thoughts this way– “I don’t need to do XYZ right now.” Sometimes I would have to do that multiples times just in the course of a minute. But it worked. My auto-responses eventually stopped.

I feel so alone in this (HOCD), i feel like i’ve lost all identity and sense of self. I’m getting treatment- its not the best, (I am a student so i cant afford much) but i don’t feel much better. I don’t know what to do, i feel so lost

I am so sorry you feel this way, but you are still fighting. You are looking out for yourself and keep seeking help, and I am proud of you. When you say you’re getting treatment, are you referring to exposure therapy (ERP)? If not, that is what you need to do. Talk therapy is not helpful in treating OCD. ERP, on the other hand, can be done on your own.

I believe I am suffering from HOCD but I am terrified to go to a therapist for them to tell me I am gay. I have a wonderful girlfriend that I do not want to leave and do not want to do anything sexual with men. However I’m scared that I am somehow lying to myself although I’ve been perfectly straight my whole life. Any advice for me?

Yes, read one of these books and see if you can identify yourself. If so, then do the exercises. Listen to yourself: you love your girlfriend and don’t want to do anything sexual with men … yet you are concerned. That is HOCD, friend. (And yes, you will feel a short flood of relief from my saying so … but you will begin to doubt it again soon. That will continue to happen until you treat it with ERP.)

Stop Obsessing by Edna Foa

Amazon | B&N | Fishpond

Freedom from Obsessive-Compulsive Disorder by Jonathan Grayson

Amazon | B&N | Fishpond

The OCD Workbook by Bruce Hyman and Cherlene Pedrick

Amazon | B&N | Fishpond

Obsessive-Compulsive Disorders: A Complete Guide to Getting Well and Staying Well by Fred Penzel

Amazon | B&N | Fishpond

Hey, I have a question for you, Jackie (I love your website, by the way; it’s insightful and it’s helped me a lot in recent months). Is this guy a charlatan, or is this actually good advice for someone suffering with HOCD looking to use ERP as treatment? https://www.youtube.com/watch?v=kJ7RfcRrXS8 I’d love to hear your thoughts. Thank you!! 🙂

Not a charlatan. His steps were basically think about your fear (Exposure) and feel the discomfort (Response Prevention). This is what ERP therapy is. His later steps talk about doing this again and again until it no longer is so upsetting. This is how ERP happens. You can see all these details in the story of my own experience with ERP. Even more details here.

This is regarding HOCD. I was wondering if it is possible to have wondered if you are gay in your childhood. I started freaking out about my sexuality around 8th grade. I am 20 now… still freaking out and still unsure of what I am. I’m scared to be gay and I was wondering if HOCD makes you looks into your past for evidence of being gay and actually believing it?

This can and does happen with HOCD. This happened to Hannah, who has been interviewed on my blog several times. Her HOCD kicked in in junior high as well.

Interview with a Former HOCD Sufferer
Another Interview with a Former HOCD Sufferer
A Third Interview with a Former HOCD Sufferer
A Fourth Interview with a Former HOCD Sufferer
Q&A with Former HOCD Sufferer

I have had Hocd in and off for three years and I often doubt that i have it. I often find that I have fairly bad spikes and want reassurance… what is the best way to stop yourself from compulsively confessing or seeking reassurance?

I am assuming that you have read all the other responses above and so you will now know about ERP therapy. I recommend finding a group of supporters who will help hold you accountable– my friends knew exactly what my main compulsions were (mine also were confession and seeking reassurance), and they knew that they should not “aid and abet.” Remember that when you perform compulsions, you are actually siding with OCD and against yourself.

Thanks for all the questions, folks! If you have questions for me about anything (but especially faith, creativity, and mental illness), add yours here.

As I said, I’m an artist not an expert. I will leave you with these, some of my favorite questions in one of my favorite poems, “Questions about Angels.” Click here to hear Billy Collins himself read it. (P.S. It starts with questions, ends with a dancer.)

Question & Dancer: OCD & Family, Romanticizing Mental Illness, and What to Expect in OCD Remission

question-and-dancerI’m an artist not an expert, one who is learning to embrace questions more than answers.

These are some questions I got last month. Ask yours here.

How do you explain OCD to your family? Especially when you’re not sure whether or not your family has mental illness?

First I’ll say that I think that it’s up to each individual to determine whether or not they’d like to share– and how much. With OCD, many of our obsessions are taboo, which– quite honestly– makes the idea of sharing seem terrifying. I hear from a lot of younger sufferers too, who are under their parents’ roof and parents’ health insurance, which complicates treatment.

I heard from so many teens with HOCD that I wrote this post in 2015 so that they could share it with their parents and not have to say a word themselves. I’d be happy to write a general OCD one, if you guys think that would help.

As for me? I gave my mother a copy of Kissing Doorknobs by Terry Spencer Hesser– a copy in which I had underlined all the quotes that resonated with me. At that time, it was the best I could do to explain what I was experiencing. These days, I’m more articulate– but I have lived for longer with my diagnosis, been through treatment, and come out shame-free. I know many aren’t there yet.

Is HOCD a physical illness as well as mental?

Briefly, yes.

Hi, does OCD make you want to confess something even when it’s not true?

I have Pure-O, and confession was one of my biggest compulsions. I would confess to bad thoughts, things I thought might be sinful, anything that my OCD took and throttled me with. And yes, sometimes those were things that I didn’t even need to apologize for. But the anxiety would grow so intense that the only “release” was to confess. I got a lot of weird looks in those days.

Here is the thing: if you (like most people with OCD) can understand when you’re thinking or doing something off (you know it is not quite logical, even if you have created a weird sort of logic for it; or if you know it is something that the general public would not care about or confess), then don’t. This is fighting back against your OCD with the tools of exposure therapy. It will, for a time, feel like the anxiety will go so high that things will never be okay again, but that is the lie of OCD. The anxiety will diminish, and you will be okay. Stay in the cold pool long enough to adjust, and eventually the water will not feel cold anymore. But this can only happen by staying in the pool.

I read your post about OCD and creativity. Could those two ideas be linked to intelligence?

Great question. You’re likely referring either to this post or to this one.

Research has shown that high IQ is correlated with anxiety. Anecdotally, many people with OCD are also very creative (did you know popular YA authors John Green and Maggie Stiefvater both have OCD, along with unpopular YA author Jackie Lea Sommers? ;-))

HOWEVER, OCD is not something to be embraced. I know that in the past, I thought if I didn’t have OCD, I wouldn’t be as funny or quirky or creative. John Green, in a talk I once heard, shared that he also had that false understanding for a time– that his OCD was what fueled his creativity. He’s written about that here. Please read it; it’s very good.

The point is that– whether or not there is a link between OCD (bad, awful thing) and creativity and/or intelligence (good, excellent things)– we need to be careful not to romanticize mental illness or to give props to it. If you are smart or intelligent, kudos go to you, not to the disorder.

I treated my OCD in 2008, and now I am more creative, more me, more productive, more intelligent. So it wasn’t OCD that made me what I am at all. In fact, OCD was holding me back. Don’t romanticize mental illness. Treat it.

Hi…this is a weird question, but I’m worried ERP won’t work on one of my particular obsessions. I made some account on a website and now feel the compulsive urge to delete it because maybe I don’t like the username and it’s “contaminated.” But at the same time, I don’t want to delete it because I’ve invested some time into building it up (it’s a writing website, more articles you write higher rating you get)…but I’m worried if I don’t delete it, this anxious feeling will never go away!

That is a lie: the anxious feeling will go away … and possibly sooner than you’d think. ERP works great for situations such as these. You can do this.

With OCD, can it be possible that you don’t know the difference between what thoughts are even yours anymore or the OCD’s?

That is possible– and sometimes happens to me when I’m in sort of a manic state.

Most often, I can tell the difference. I know that one thing feels a bit ridiculous. And this is a hallmark of OCD (except in very young children): that people with OCD usually have some understanding that what they are obsessing about is not something that most people would worry over.

My ERP therapist taught me to look at these things through the lens of the “community standard.” That is, how would most people react in this situation? Because if my reaction is way off from that, then for ERP, I need to go with the community standard instead, even if it’s scary or hard.

When I am in the throes of an obsession, I sometimes can’t tell what the community standard is. I have literally sat down my friends or coworkers, explained the situation, asked for the standard response, and then BELIEVED IT and DONE IT, no matter how difficult. Because this too is part of exposure therapy, the very best treatment for OCD. (If you’re not familiar, you can read up on ERP at http://www.jackieleasommers.com/OCD.)

I have thoughts about death and how we will all disappear after this…and if life is meaningless or not I’m diagnosed with OCD and i had HOCD , harm ocd , etc… Is that a new theme or is that something new ?

This sounds like an existential theme of your diagnosed OCD. This was a huge part of my own experience, and what my first novel is about! See http://www.jackieleasommers.com/truest.

With your OCD, do you ever feel that you’re wearing a mask everyday?

Not anymore– but before, YES YES YES.

I used to talk about this with high school students in the midwest, and I would read this poem aloud.

I’ve been struggling with ‘Pure-O OCD’ for a while and because my compulsions are almost exclusively mental, I’m afraid I’ve been automatically engaging the negative sensations associated with the thoughts I get. Although I know the thoughts are very irrational, I can’t seem to be mindful enough to sit with the negative emotions and not have them affect my mood. Little by little, over the years the thoughts are triggered by almost any activity I’m involved in and I feel like I’m running around in a circle and not making much progress. Activities and events that are supposed to be enjoyable are viewed by my brain as hurdles and obstacles to overcome. As far as CBT goes, I tried following the 4-step method by Dr. Schwarz which help a little to put me in the right mind set but I haven’t had much sustainable success. Being a Christian, I feel like I’m wasting time giving in to the negative pull the thoughts I get have on my behavior, which in turn, rob me of valuable time spent acting as a true follower of Christ. Based on your experience with Pure O, what would you say is the best CBT method to effectively manage it? Is it ERP or mindfulness, or a combination of both? Thank you

While I know a lot of OCD sufferers who practice mindfulness, the #1 treatment recommended by all OCD experts is ERP (exposure and response prevention) therapy. Your story sounds so, so, so, so similar to my own. I went around in circles for 20 years before doing ERP. After just 12 weeks of ERP, I have had tremendous freedom, peace, joy, and spiritual growth for the last 9 years. You can do this!

I hope you’ll take the time to read my post about Post-ERP Spiritual Growth. It really summarizes all the healthy changes that came about in my life and faith after treatment. Blessings!

I feel like I might have OCD..maybe ROCD for a while, but that cleared up so I’m unsure about that. I’m 13 years old (a girl) and I think I have been dealing with hocd since the end of 6th grade (11 years old). I have been with my boyfriend for 7, almost 8 months. This hocd is getting better…I think. I always feel like there is another person in my mind telling me that I’m gay. I sometimes don’t feel as disgusted as I usually do when that happens, and that scares me even more. I wish I could tell my boyfriend, but I feel like he would think I actually am gay. Also, Recently i have the tendency to look at girls’ butts and boobs! Is this normal? Is it not hocd? It bugs me so much, and I feel so disgusted and guilty. I’ve never wanted to kiss, date, or do anything sexual with a girl. Whenever I see a girl, I think “she’s pretty.” And then I start questioning myself. And I think “is she attractive? Do u want to do stuff with her?” And soon it calms down. But it comes back as quickly as it goes. It’s so scary. I want it to go away for good. I told my dad two years ago when it wasn’t as bad. So he doesn’t know the full story. My mom knows and I told her recently. She doesn’t understand how horrible it is. I don’t want to tel her everything I question and feel because I don’t want her thinking that I am gay. Even though she would be fine with it. But I’m not. I want that therapy. I’m on medication for anxiety, but it’s not helping too much. This hocd causes me anxiety and depression. I went through a really bad period of this about a month ago, for two weeks. I wanted to die, and I’d use my nails to scratch myself. I don’t know what to do. I wish I could tell my parents, friends and boyfriend, but I don’t know what they would think. Please help me. I want an OCD free life.

Oh sweetheart, please read my answer to the first question above. I think it will help you. Consider sharing this post with your parents. ERP works; it truly does. You are thirteen and have so many exciting things ahead of you– your whole life! The earlier you treat OCD, the sooner you can get to enjoying things again. If you really feel like you can’t tell your parents about your OCD, and if you’re driven, you can treat it yourself at home, using one of the books listed in this post. Don’t give up, honey. Gosh, I can remember being in the same hell that you’ve been living in when I was your age. It feels so horrible and hopeless and exhausting. But you won’t be there forever. ERP will help. Hang in there.

Want to know more about consequences of years of compulsive behavior and thinking haunting life…even after ocd is gone

This is a really good question, one I’ve not been asked much before.

First things first, OCD is very rarely ever gone. Except in the case of a miracle, OCD is a chronic disorder that a sufferer has until death. That said, ERP therapy can subdue it to the point where it feels gone, which is just about as good as the real thing, right?

I’ve written a pretty detailed post about remission and relapses here. While I think it will answer an aspect of your question, the spirit of your question seems to be: what lingers?

For me, not much. (Thank God!) OCD has little to do with my daily life anymore. That said, there are seasons (and in fact, I’m in one right now) when it is like opening a rarely used door in my life only to find that OCD has actually been chilling out there for years, just waiting for you to reenter that old room. (For me, it’s dating. I haven’t dated in a while, and so I haven’t had to deal with the whole ROCD thing. It’s okay. I’m battling it, and I have all the confidence in the world that I can subdue it because I’ve done it successfully now for nine years.) For me, the 12 weeks of ERP therapy I underwent had a far longer-lasting influence on my thought patterns than the 20 years of obsessions and compulsions that came before. It is that powerful. Learn more about ERP at http://www.jackieleasommers.com/OCD.

Thanks for all the questions, folks! If you have questions for me about anything (but especially faith, creativity, and mental illness), add yours here.

As I said, I’m an artist not an expert. I will leave you with these, some of my favorite questions in one of my favorite poems, “Questions about Angels.” Click here to hear Billy Collins himself read it. (P.S. It starts with questions, ends with a dancer.)

 

Question & Dancer: Compulsions, Doubt, & HOCD

question-and-dancerI’m an artist not an expert, one who is learning to embrace questions more than answers.

These are some questions I got last month. Ask yours here.

Donnann asked: How do i deal with intrusive thoughts in the form of questions which sometimes i feel like i need to answer? They give me anxiety not finding an answer either by googling or asking reassurance.

Hi friend, asking reassurance (of friends, strangers, Google, the internet, etc.) is, in this case, a compulsion. Compulsions will never be the solution for an OCD sufferer. In the moment, it might feel good, but it is not a lasting solution. I’ve shared a metaphor before about OCD as an arsonist, setting fires in various corners of our brains. Compulsions are short-sighted in that they try to put out individual fires. It is impossible to keep up this way because while you are putting out one fire, OCD the Arsonist is setting another three. Exposure and Response Prevention (ERP) therapy, on the other hand, goes after the arsonist itself. Compulsions are band-aids; ERP is surgery.

Aurora asked: Is it common for HOCD sufferers to begin questioning whether they really have OCD?

Incredibly common, and not just with HOCD. I think that just about every person who has OCD of any stripe has, at one point or another (or a thousand points), wondered if he or she really does have OCD. Remember, OCD is called the “doubting disease.” It lives up to its name in the fullest sense, even down to a diagnosis. I know that, even when I was diagnosed with OCD and then read a book about it in which I saw myself over and over in the examples, I still faced that question. Everyone I know who has OCD has had this same concern. You are not alone!

Susan asked: What do you do when in church and the bad thoughts come?Also how do you stop ruminating?

This is not going to be a popular answer, but here it is: you let the bad thoughts come. You let them just be thoughts and don’t assign any special value to them. You let them exist and you do not fight them. OCD feeds off resistance. When we quit resisting, it gets bored with us. You learn how to do this in a healthy way via Exposure and Response Prevention (ERP) therapy. Just twelve weeks of ERP set me free after 20 years in bondage to OCD. After I learned to stop resisting and to not give bad thoughts too much value, they quit coming as often. In the first 18 months after doing ERP, I had no obsessions or compulsions. In the years since, I do very little ruminating (maybe one or two obsessive relapses each year, no more than a couple hours each). Compared to my nearly constant ruminating for two decades, this is peace and freedom.

Briana asked: Am I ever going to find someone?

Briana, you and me both, girl. I’m window shopping on eHarmony. How about you?

Halima asked: What have I done to deserve this?

Nothing, dear one. Illness sometimes just is what it is. That said, as one of deep Christian faith, I do have lots of thoughts on this. But I don’t believe it is a punishment at all.

Halima asked: How do you manage your OCD in different times of the day when the feelings of doubt and uncertainty are the most crippling?

It has been nearly nine years since I underwent the ERP therapy that changed my life. I very rarely experience that high-intensity, crippling doubt anymore, even though I was well acquainted with it for two decades. When I do have these attacks, I go back to my ERP toolbox: I accept the thoughts, I do not assign special value to them, I refuse to succumb to compulsions, I assess what the community standard is (or ask friends if I cannot tell this myself), and then I go forward with that standard. I make this sound so easy, and I know (believe me, I know!) that this is not easy, not at the beginning. In exposure therapy, you are trained how to do this, and your brain is actually re-wired so that you are able to do this. The brain actually physically changes. That might sound scary, but for me, it has allowed me to be the very best version of myself in all ways: I am more curious, more thoughtful, more productive, more creative. ERP did not erase my questions. It gave me the tools and strength to approach them in a productive way. Before I would just chase questions around and around and around, like a dog chasing its tail.

I also think naps are awesome. 🙂

Anonymous asked: What if you do see a major loss of attraction to the gender you’ve always been attracted to but don’t see a spike in false attractions to the same sex?

This sounds like so many HOCD stories I have heard over the years. The answer is still the same: exposure therapy. I invite you to read more about this from Hannah and Mae, a couple of former HOCD sufferers who each went through ERP:

Interview with a Former HOCD Sufferer
Another Interview with a Former HOCD Sufferer
A Third Interview with a Former HOCD Sufferer
A Fourth Interview with a Former HOCD Sufferer
Q&A with Former HOCD Sufferer

HOCD Story: Meet Mae, Part One

HOCD Story: Meet Mae, Part Two

Anonymous asked: Hocd or never was? – I was diagnosed OCD about 7 years ago. Had many OCD behaviours, fear of aids, terrified I’d commit a crime and would be arrested, checking I haven’t hit someone with my car, checking food, washing my hands and lips because I felt dirty or was too close to something I deemed dirty. My biggest one is hocd. I was treated for it and had good success, thoughts were still there but I coped. But since starting uni and wanting a career as a beauty therapist it’s come back big time. I have a recurring obsession about a past friend who I still sometimes see that I’m attracted to her. It will kind of rotate friends and aquaintanxes until they’re spent and then come back to her as a ‘failsafe’ as my mum calls it. But recently, I foolishly looked for reassurance on a message board, and found a post that said after therapy for hocd you might find out your gay and apparently that’s ok. Now I’m terrified to do my ERP/CBT homework. I’m also thinking it keeps resurfacing because I’m actually attracted to women and must accept it. I sometimes don’t feel disgusted anymore and not anxious and that makes me even worse. I’m just so scared that I will turn out gay, have to leave my boyfriend give up on my future family with him. I’m so scared sometimes I feel not scared anymore. I’m so lacking sleep right now. I’ve referred myself to a therapist again, but I’m terrified he or she will reveal I’m gay. I’m so afraid, please help? I read your interview with a former hocd sufferer and pray that can be me soon.

This is a very common fear for people going through ERP/CBT– that it will actually “reveal” something about them, whether that is related to their sexual identity, their “life of crime,” their “evil nature,” etc. It’s important to remember that OCD goes after the things that are most important to us, the things we deeply value. That is what makes it so hard to do ERP. If OCD went after things we didn’t care about, it wouldn’t cause that anxiety and all the questions. Stop assigning special value to these thoughts (“it must keep resurfacing because it’s actually true”); it keeps resurfacing because you have OCD and your sexual orientation is of utmost importance to you, that’s all. I’ve talked to MANY HOCD sufferers, and I’ve never heard one of them say they wish they hadn’t done exposure therapy. I am doing my best not to offer reassurances in this response (I don’t cater to compulsions!), but it’s hard! I will just say that I don’t think you can go wrong with ERP.

Thanks for all the questions, folks! If you have questions for me about anything (but especially faith, creativity, and mental illness), add yours here.

As I said, I’m an artist not an expert. I will leave you with these, some of my favorite questions in one of my favorite poems, “Questions about Angels.” Click here to hear Billy Collins himself read it. (P.S. It starts with questions, ends with a dancer.)