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.
Why Do I Overthink Everything?
Do you feel like you overthink everything? Learn why overthinking happens, how it differs from productive problem-solving, and how anxiety, rumination, and OCD can keep repetitive thinking going.
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.
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.
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.
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.
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.
When AI Becomes Part of the OCD Cycle
AI can be a valuable source of information, but for people with OCD it can also become part of the obsession. Whether it takes the form of reassurance-seeking, compulsive research, rumination, or endless self-analysis, AI can unintentionally reinforce the very cycle people are trying to escape.
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.