The Journal
What Is Sensorimotor OCD? (Somatic OCD)
Do you feel like you can’t stop noticing your breathing, swallowing, blinking, or another bodily sensation? Learn what sensorimotor OCD (somatic OCD) is, why the awareness becomes so distressing, and how ERP can help.
“What If This Isn’t Really OCD?” Understanding Meta OCD
Sometimes OCD targets the disorder itself. Learn how meta OCD can create endless doubt about whether your symptoms, treatment, or diagnosis are “really OCD” and why trying to find certainty often keeps the cycle going.
What Is Relationship OCD (ROCD)?
People with Relationship OCD (ROCD) often feel trapped in an endless search for certainty about their relationship. Learn how ROCD affects relationship doubts, attraction concerns, reassurance-seeking, and obsessive questioning.
What Is Sexual Orientation OCD? (SO-OCD/HOCD)
Do you constantly question your sexual orientation, analyze your reactions, or seek reassurance about what your thoughts mean? Learn what sexual orientation OCD (SO-OCD/HOCD) is, how it differs from genuine identity exploration, and how ERP can help.
Postpartum OCD: Why Am I Having Scary Thoughts About My Baby?
Scary thoughts about your baby can be terrifying, but they don’t necessarily mean you’re dangerous. Learn about postpartum OCD, why intrusive thoughts become so distressing, and how ERP helps break the cycle of obsessive doubt and compulsions.
What Is Just Right OCD?
Do you feel like you have to keep repeating something until it feels “just right”? Learn what Just Right OCD is, how it differs from perfectionism, and why the urge to repeat behaviors can become so difficult to resist.
What Is Hit-and-Run OCD?
Hit-and-run OCD involves persistent fears about accidentally injuring or killing someone while driving and not realizing it. Although the fear centers on driving, the core issue is often a need for certainty and repeated attempts to determine whether harm occurred.
Understanding Moral Scrupulosity: When OCD Targets Morality and Responsibility
Moral scrupulosity is a form of OCD characterized by excessive guilt, moral doubt, and a relentless need for certainty about being a good person. People may become trapped in cycles of rumination, reassurance-seeking, confession, and compulsive self-evaluation that never fully resolve their doubts.
Understanding False Memory OCD
False memory OCD is a form of Obsessive-Compulsive Disorder involving obsessive doubt about past events, actions, or memories.
The person becomes preoccupied with the possibility that they forgot something terrible, misremembered events, caused harm unknowingly, behaved immorally, or committed a serious mistake without realizing it. The fears often feel vivid and emotionally convincing, even when objective evidence is limited or absent.
What’s Existential OCD?
Existential OCD is a subtype of obsessive-compulsive disorder involving repetitive, distressing questions about existence, reality, consciousness, identity, or the meaning of life. The problem is typically not philosophical curiosity itself, but the compulsive need to reach certainty, resolution, or complete understanding.
People with existential OCD may become stuck in repetitive mental loops involving questions such as:
What if nothing is real?
What if life has no meaning?
How do I know other people truly exist?
What if I can never feel certain about reality?
What if consciousness itself is dangerous or unstable?
These thoughts are often experienced as intrusive, distressing, difficult to disengage from, and highly repetitive.
Understanding Real Event OCD
Most people can look back on mistakes, awkward moments, poor decisions, or times they hurt someone and eventually place those experiences into a broader context of being human.
In real event OCD, however, the mind becomes trapped in obsessive guilt, doubt, reviewing, and self-punishment surrounding something that actually happened.
Health OCD: When the Fear of Illness Becomes Obsessive
Health anxiety involves persistent worry about illness, symptoms, or medical conditions. Although reassurance and checking may provide temporary relief, they often keep anxiety going by reinforcing the search for certainty.
What Is POCD? Understanding Pedophilia-Themed OCD
POCD is a form of Obsessive-Compulsive Disorder related to the possibility of being sexually attracted to children, becoming a danger to children, or having hidden desires that the person finds horrifying.
The core problem in OCD isn’t the presence of the thoughts themselves, but the compulsive attempts to achieve certainty, eliminate fear, or prove something with absolute confidence.
People with POCD often become trapped in cycles of fear, hypervigilance, mental checking, reassurance-seeking, avoidance, self-monitoring, and compulsive analysis. The experience is often emotionally consuming and profoundly isolating.
What Is Contamination OCD?
Contamination OCD involves intrusive fears about contamination and compulsive attempts to eliminate uncertainty about safety. Although many people associate Contamination OCD with germs and cleanliness, the core issue is often persistent doubt about contamination, illness, exposure, or harm.
Understanding Harm OCD
Many people with obsessive-compulsive disorder (OCD) experience intrusive thoughts about harming themselves or other people.
These thoughts are often deeply unwanted, frightening, and emotionally devastating. People may become terrified that the thoughts mean something dangerous about who they are or what they might do.
This presentation is commonly referred to as harm OCD.