The Journal

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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