


Obsessive Compulsive Disorder
What is OCD?
Obsessive Compulsive Disorder (OCD) involves persistent, unwanted thoughts, images, or urges that can feel intrusive or distressing, along with repetitive behaviours or mental rituals that are used to reduce anxiety or create a sense of relief.
These experiences can take up a lot of time and energy, and may begin to impact daily life, relationships, work, study, or overall wellbeing. Many people with OCD recognise that their fears or behaviours might not fully make sense, yet the thoughts can feel powerful and difficult to ignore, and the urge to carry out rituals can feel very strong or hard to resist. Over time, this cycle can become exhausting and take up significant mental and emotional space.
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OCD is often a response that is trying to protect you from harm, responsibility, or distress.
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How might OCD feel or show up?
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Intrusive thoughts, images, or urges that feel disturbing, frightening, or out of character
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A strong sense of doubt or uncertainty that feels hard to tolerate
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Repetitive mental or physical behaviours aimed at reducing distress or preventing harm
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Seeking reassurance or mentally reviewing past actions
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Feeling responsible for preventing something bad from happening
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Avoiding situations, people, or thoughts that trigger distress
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Feeling stuck, trapped, or exhausted by your own mind
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These experiences can feel isolating, particularly when the thoughts do not align with your values or who you know yourself to be.
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How can therapy help OCD?
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Exposure and Response Prevention (ERP)
ERP supports gradually learning that distress can rise and fall without needing to engage in compulsions, while moving at a pace that respects readiness.
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Acceptance and Commitment Therapy (ACT)
ACT helps you relate differently to intrusive thoughts, allowing them to come and go while choosing actions aligned with your values rather than fear.
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​Compassion-Focused Therapy (CFT)
CFT supports reducing shame and developing a kinder inner relationship, especially when OCD is accompanied by harsh self-judgment.
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Reaching out for support with OCD can feel scary or overwhelming at first, especially when it means talking about fears or gently changing coping patterns that have helped you feel safe. In therapy, we move slowly and together, taking small, manageable steps and building skills and confidence at a pace that feels steady and right for you.
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Additional support and resources
If you would like to learn more about OCD in your own time, you might find this helpful:
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International OCD Foundation
Clear, accessible information about OCD, treatment options, and self help resources
https://iocdf.org/about-ocd/
