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.
Can You Have OCD and Know Your Fear Doesn’t Make Sense?
Many people with OCD recognize that their fears don’t fully make sense, yet still feel unable to let them go. Learn why insight alone doesn’t stop OCD and how Exposure and Response Prevention (ERP) helps people respond differently to doubt and uncertainty.
“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.
Why Can’t I Stop Thinking About It? Understanding Rumination
Do you replay conversations, second-guess decisions, or analyze the same thoughts for hours without finding an answer? Learn what rumination is, why it’s so hard to stop, and how it differs from productive problem-solving.
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.
Why Trying Not to Think About Something Makes It Stick Around
The harder people try to push intrusive thoughts away, the more attention those thoughts often receive. Learn why unwanted thoughts can become more persistent and how OCD can keep the cycle going.
Understanding Backdoor Spikes in OCD
Many people with OCD experience periods when symptoms improve, only to become alarmed when anxiety suddenly returns. Learn what backdoor spikes are, why they happen, and how OCD can turn recovery itself into a new source of doubt.
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.
Why Can’t I Stop Thinking About It? Understanding Rumination in OCD
Rumination is a common mental compulsion in OCD that can feel like problem-solving but often keeps people trapped in cycles of doubt, uncertainty, and overanalysis. Learn how rumination works and why it can be so difficult to stop.
What Is Thought-Action Fusion?
Many people with OCD become frightened not only by what they think, but by what they believe their thoughts mean. Thought-action fusion is a common OCD process in which people begin treating thoughts as though they are morally equivalent to actions or capable of causing events to occur.
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 Is OCD?
OCD is much more than cleaning and checking. Learn how obsessions and compulsions work, why OCD feels so convincing, and how evidence-based treatment helps people break the cycle.
Why Is Uncertainty So Hard to Tolerate?
Do you feel like you need to know for sure before you can move on? Learn what intolerance of uncertainty is, why it plays such an important role in anxiety and OCD, and how treatment helps people stop chasing impossible certainty.
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.