What Is OCD Really Like — and How Can Therapy Help?

If you’ve ever felt trapped in your own mind — by intrusive thoughts, constant doubt, or rituals that feel impossible to stop — you’re not alone. And no, you’re not “crazy,” broken, or attention-seeking.

You're likely living with OCD (Obsessive Compulsive Disorder) — and it’s a lot more misunderstood than most people realize.

What OCD Isn’t

OCD isn’t just about being “super clean” or needing your bookshelf color-coded. That’s the stereotype. Real OCD often looks like:

  • “What if I snapped and hurt someone I love?”

  • “Did I actually do that terrible thing and forget?”

  • “I need to check one more time... just to be sure.”

These are called intrusive thoughts — unwanted, distressing thoughts that feel completely out of alignment with your values. (That’s why they hurt so much.) People with OCD usually feel ashamed of their thoughts — not empowered by them.

The OCD Cycle

OCD creates a painful loop:

  1. A scary or uncomfortable thought pops up

  2. You feel intense anxiety or shame

  3. You try to “fix” it through a compulsion (checking, asking for reassurance, replaying events, avoiding things)

  4. You feel a little relief — until the thought returns

  5. The cycle starts all over again

It’s relentless. OCD targets what matters most to you — your values, your safety, your relationships — and convinces you that you must do something to make the anxiety go away.

How Therapy Helps: ERP

The gold standard treatment for OCD is called ERPExposure and Response Prevention. And yeah, that can sound intimidating, but I promise: it’s about building self-trust and freedom, not pushing you into anything before you’re ready.

ERP helps by gradually exposing you to the thoughts, situations, or feelings you usually avoid — while teaching your brain that you don’t have to engage in compulsions to be safe or okay.

For example:

  • If you usually ask for constant reassurance after a distressing thought, we practice sitting with the thought and riding the wave of discomfort — together.

  • If you check the stove multiple times before leaving the house, we slowly reduce that checking, while helping your nervous system learn it can handle the uncertainty.

ERP works best when it’s collaborative, consent-based, and trauma-informed. That’s how I approach it.

Why I Trained in This

I chose training in ERP with Thrive OCD, a program created by therapists who also live with OCD. This wasn’t just professional — it was personal. I wanted to support my clients more deeply, especially those navigating:

  • Intrusive or unwanted thoughts

  • Compulsions that feel “mental” instead of visible

  • OCD tied to trauma, identity, neurodivergence, or shame

  • Misdiagnoses or years of not being believed

I integrate ERP with my broader trauma-informed and somatic work, which means we go at your pace — with compassion and care.

Want to Learn More?

I love to share resources that are actually helpful. This OCD and ERP Starter Pack from Thrive OCD is a free PDF with easy-to-understand explanations, examples, and even worksheets to explore your own experience with OCD. You can download it here or ask me about it in session — we can work through parts of it together.

You're Not Broken. You're Just Caught in a Loop.

And loops can be broken.

If this feels like your story, and you're ready to do this work with someone who gets it — let’s talk.

Reach out here: https://www.notanothertherapist.co/contact

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