​When somebody is facing their fear, they repeat this process over and over again their body tends used to it. We’ve seen this in many different ways such as jumping into a really cool swimming pool. At the very beginning it is very cold but their body adapts and get used to it. We didn’t have to spend time convincing ourselves it was going to get better, it just happens. This can be seen when we are using exposure and response prevention. When you are exposing yourself to the upsetting fear it’s going to feel very difficult at the beginning. Overtime, you may face the same fear but notice that the anxiety level is a lot less. This is seen as the habituation model. That we essentially are doing exposures to reduce your anxiety by half or more. You’re getting used to it, you’ve taken the value away from it. When it comes to the habituation model, it’s all about this anxiety reduction in your body adapting just like the swimming pool. We will often use us as a measure of success if you were doing exposures correctly. If you’re anxiety is reducing this is a good thing.

There are definitely some drawbacks from using the habituation model. Anxiety is something that we want to take value away from as well. If we are focusing solely on anxiety and having us go up and down individuals can get stuck in paying attention to the anxiety and wondering if they are doing the exposure correctly or not. Let me start obsessing about the actual anxiety versus the actual fear. Many will start to question and wonder why they’re in anxiety is not reducing. Well evidence shows that the habituation model does work, individuals can you get stuck with these pitfalls often.

This is why there is another approach to exposure and response prevention called inhibitory learning. While this is still being researched there is evidence that shows that this helps reduce OCD symptoms as well. The difference is not the actual exposure you were doing but rather the way you were approaching it. With the inhibitory learning model you are teaching your brain more than reducing anxiety. Exposures are all about what can your brain learned from this experience. It doesn’t matter if your anxiety reduces or not. It might not even matter if you have anxiety while you’re doing the exposure. The whole mindset is all about your brain learning something new. So if I was facing a fear that really caused some anxiety, the way I approach is designed is to face the fear, expose yourself to it and RESPOND differently to the fear. You sole focus is what am I teaching my brain by every movement, words I’m saying, what I’m thinking, how I’m behaving.

If I avoid touching something because it’s contaminated, my brain learned that that thing is dangerous. If I touched it and acted like it wasn’t a big deal and didn’t do any compulsions, then my brain learns it’s not a big deal. You may learn time and time again that you faced your fear and NOTHING happened. That is what the brain is learning. 

If you’re confused by the two, here is an easy way to remember:

The habitual model means your body is getting used to it and your anxiety is reducing.

Inhibitory learning model means your mindset is all about what your brain is learning from the exposure regardless of the anxiety felt.

Realistically, there isn’t the right choice comes to do an exposures. You do what you feel like is best for you. I have used both models together where I focus majority of my time making sure that the person knows that the brain is learning something. We use anxiety as a measure but ultimately it doesn’t matter if the anxiety reduces or not.

If your brain can learn that the fear that you have is not happening and it is it because you’re trying to control the situation what is the compulsions and to me that’s one of the best ways to do an exposure. Let things be. Stop controlling. It feels like an experiment, but the experiment is worth taking for your brain to learn something major. That you’ve never been a danger.

​This video is sponsored by NOCD –  NOCD is great. You get connected with a licensed, OCD-trained therapist right on your phone. They help diagnose what you’re experiencing, you actually do the the most effective treatment for OCD with live video appointments online and you get support in between sessions by messaging your therapist. You can check them out at www.treatmyocd.com

A really common question that I get often is this. How do I know if I’m seeking reassurance?  How do I know what I can ask and what I can’t?   Our entire life  we have been trained to seek for reassurance. We been trained to give reassurance. But if you think about any moments of your life,  when someone gives you reassurance whether this is OCD related or not has it actually helped. And if it has how long does it last? 

 Before you’re about to go on stage in front of a lot of people someone will say you’re going to do great or you got this. Does this automatically change every emotion you have and now you’re super confident and nothing to worry about?  I would guess not. So then why do we give this reassurance.  We do it because it’s a temporary fix someone might feel great for a second maybe 10 seconds but we are who we are.  Before feeling anxious or feeling anxious.  If we have a what if in our mind were going to have a what if in her mind. 

 But because of this natural training we seek this reassurance throughout life.  When it comes to OCD,  reassurance tends to be one of the biggest compulsions that I see. So I can see where individuals are cautious when they’re trying to figure out if they’re seeking reassurance or they just want to know something.

 Here are some indicators that might help you recognize if you’re using reassurance or if you’re generally curious. The first thing you do is recognize your motivation. You have a question in mind that you want answered. If you don’t get the answer to this question are you studying to be okay? Will you move on? We move forward? If you are motivated to find an answer only to feel better or to feel some relief you are likely searching for reassurance. If you’re only wanting an answer because you feel curious about something then go ahead. But again look at your reason for why you are asking. You have to be okay with not knowing the answer.

 You can almost assume that if anxiety is present within an urge to know an answer we are just going to say OCD. Even if you’re wrong. Individuals sometimes come up with this guideline, if I’m feeling anxious whatsoever I don’t get to know this answer right now. I may reevaluate after the anxiety is gone to see how important it is for me to know this thing I want to know.

 Reassurance is not just asking questions. It can be in the form of researching online, checking your body for different symptoms, or even reassuring yourself that everything is going to be okay that maybe thoughts are not facts.
 While reassurance gives that very temporary fix. When some to go through treatment they are really learning not to seek this reassurance. Some may choose to write down every question that they continually ask on a piece of paper and have that handy to remind them that this is not the thing that you’re asking anymore. Some may ask their loved ones or friends to give them an answer like “maybe maybe not”  to a question that you may have asked them multiple times. To remind you all right a message to be asking this. 

 But when individuals choose to not do the compulsion of reassurance, they need to know to do about this. It’s not just sitting through the anxiety and staring at a wall. It’s teaching your body how to respond differently to these thoughts and feelings. So we do this through exposure and response prevention. You are essentially responding differently to the fears that come your way. Through your body language, through thoughts,  and through behaviors.

 So to go back to the original question,  how do I know if I’m asking for reassurance or not. Come up with a guideline for yourself,  if you feeling anxious you’re not gonna do it. If you’re genuinely curious maybe you do.  If you’re questioning if it’s reassurance or not you might just assume that it is.

 Finding a therapist can really help you through this. I’ll leave the link down in the description if you’re looking for a live therapist for an NOCD  and for my online self-directed course for OCD.

 So here’s my question for you,  what things do you find yourself seeking reassurance for?

You are not special!  WAIT! Don’t don’t run away!  I needed to get your attention for a moment. If you leave now you think I’m just a big jerk.  Here’s what I mean by this! 

 So here is what I mean by you not been special. First of all your special.  You matter in your feelings matter. Because you’re even watching this video right now it shows a lot of strength. 
 So what I’m really meaning is that the OCD that you are experiencing is not different.  Individuals can often think that the topic or theme that they are going through this special, it’s different,  no one understands exactly what they are going through,  its untreatable,  I hear all these videos online I see all this advice but it doesn’t apply to my theme. 

Errrrrr!  Nope!  Your OCD is not special or different.  This to me is one of OCD’s biggest lies.  If it can make you believe that you are untreatable and that you are different from what you are experiencing then it’s got you.  Individuals will often tell me that exposures they hear the specific theme just don’t apply to them.  That if people really knew all the details of everything there experiencing they would change the treatment. 

So this is something that is important to note,  something to tell your OCD even if you think it is different than everyone else’s to remind yourself that OCD is OCD.  That follows the same route as everybody else. It’s making you doubt in question yourself and who you are as a person. It’s making you question the threats in the future and if they can come true or not.  It’s giving you an intrusive thought putting a lot of meeting on this thought making you feel anxious that’s wanting you to do something to fix it. 

 Simple as that.  When we see OCD simply becomes simple. If you see OCD is complicated,  different,  or special,  than it has the upper hand.  To take control is to see it simply. Do not see yourself as different or special.  Like I said you as a person are unique and special.  Your  OCD does not get to join this party. 

 So as you’re seeing the videos that I have, your hearing advice given,  and you think it doesn’t apply to your theme. Remember that this is a lie.  Give yourself more credit.  You can even remind your OCD that it’s not special when it’s trying to take the light.  Give yourself the opportunity to do treatment.  I know what people say, “but if you only heard what I’m going through you’d be shocked.  You would say that mine is different.”  Don’t even allow your brain to go there. Instead he focus on living life and enjoying. 
 This tactic the OCDs using is no longer going to be something you fall for.  Treatment is available if you’re looking for a specialist. 

 So here’s my question for you,  have you ever felt that your OCD is different than everyone else’s? 

​How many things do we do in our life because “just in case”. Our brain comes up with an idea of “something bad” happening and we tend to follow it up with….well just in case, I’ll do this behavior. I want to talk about the traps we can fall into when we use “just in case” when it comes to OCD and anxiety.
So if you really think about it, this just in case mentality is the root of a lot of anxiety and OCD. Most people are not doing certain compulsions because they know a hundred percent no doubt in their mind that the thing they're scared of is going to happen. They are doing these behaviors because they want to prevent something that they don’t know could happen.
 For instance, those who may struggle with contamination OCD wash their hands just in case there are germs or contaminants.
 Those who struggle with sexual orientation OCD might ask for reassurance again just in case the person didn’t understand them correctly.
 Someone who struggles with relationship OCD  may just end the relationship just in case it was never meant to go anywhere.
 Someone with real event or false memory OCD may spend a lot of time ruminating, their thinking through all these different types of scenarios just in case they find some new evidence to what they’re thinking.


 These just in case behaviors keep people trapped in their OCD. And what I want is for people to turn this all away around and say just in case my theory is wrong I’m willing to risk it. Risking it means they are using exposure and response prevention. This is something to think about when you are going through your OCD topics or themes. You think about your motivation for why you are doing whatever you are doing. You can follow it up with I’m doing this just in case ….. --  if there is even a  just in case there and you know it’s part of your OCD this is a moment to step back and say I am purposely not going to do this behavior or this compulsion.


 Because what the brain needs to learn is that you are saying I’m going to fix this before there’s ever a problem. The problem that doesn’t happen in all the brain knows is that you had a lot of control over the outcome. This can be completely false because in reality, you may have not had any control. The brain doesn’t know this, this is your job to teach it.  The only way for it to learn is for you to not do the compulsion to respond differently to the thoughts and fears.


 Because what happens is that when your brain says This thing five times or a family member will die. You choose not to. You see that the outcome most likely doesn’t happen. When it doesn’t happen it starts correcting the brain and retraining it to say,  hey you completely lied to me. You said I had to tap five times, and nothing happened. Maybe it’s time for you to stop lying to me.
 Your brain congratulates you for taking care of the just in case moments. Of course, we can never be 100% sure that these bad things will never happen in your life. But that’s not the point, the point is that you may need to risk that the fear in your mind may happen but it’s not because of any compulsion were not doing a compulsion.


 So the next time your brain says just in case. Look around you, if you don’t see immediate danger then you may choose to make a different choice, you may learn to sit through the anxiety,  not ruminate through it, not do any other compulsion…. And see what the outcome is. You may be surprised.
 So here’s my question for you, what just in case things do you do?

This video is a long time coming. Let’s talk about rumination. Do you know what rumination is? I would say most, If not all individuals who struggle with OCD ruminate. The official definition of rumination is “the action of chewing the cud”……
…..
Wait, that’s not it. How about this. “a deep or considered thought about something.” That’s better.  We can all be in deep thought from time to time. It can whisk us away from the present moment. It can distract us from noticing the surroundings around us.  Some have said that rumination is often considered to be a silent mental health issue.  No one can see what’s going on except the person. They often don’t know the harm they may be causing themselves because of this rumination. 

 But why would thinking something very deeply be an issue?  Well,  it only tends to be an issue when it actually starts interfering in a person’s life. When it comes to anxiety, rumination is essentially a way for the individual to gain answers and problem solve whatever they’re feeling anxious about. It’s trying to problem solve the future. Trying to problem solve the “what if’s”. 

 If you think about yourself,  are you ever able to actually come up with a good answer to the things you are ruminating about. I would guess the answer is no. Because we think we have a good answer, we react as if we have a good answer, we do behaviors assuming we have a good answer, and in the end it ends up being different than what you thought.

 Rumination is a huge part of obsessive-compulsive disorder. Individuals who struggle with this often are looking for certainty. They want to know for sure what they are experiencing is true or not. If there really that type of person or not. If they would really do that thing or not. If that catastrophe in the future is going to happen or not. Rumination is thinking about all these things. Thinking about your specific topic or fear when it comes to your anxiety and OCD.  Often rumination is just trying to figure out if what you are experiencing is OCD related or not.  It’s problem-solving through what your brain says is a potential problem.

 Here is an example:  somebody you may experience contamination OCD may attach to door handle. Their brain has attached meaning to this. Here’s the rumination and what my sound like: “ I can’t believe you just touch the door handle. Do you have any people touch the door handle? What if somebody  was sick that touched it?  Do if you touched your face or no after you touch the door handle? No is probably okay to touch it.  But if it’s not okay then I’ll get sick. I get Sick,  then I won’t be able to go to work. If I can’t go to work,   then how am I going to support my family. You know even though it’s probably fine, you should probably wash your hands just in case.

The person goes to wash their hands. 

 I know you washed your hands, did you know if you touched your pants afterwards? I know you trust your phone is a something you probably need to wash?   How about you just change her clothes just in case.   Well I know now you just kept yourself safe,  but did you see that your child just touched the door handle.  What things did they touch.  Maybe need to go ask them,  wash their hands change their clothes washed the door handle. 

 As you can see,  this person is problem-solving they are doing just in case behaviors.  There trying to think through it and prevent whatever the fear is from happening.   Often I see rumination as very automatic. It will throw out these threats to you as quick as it can.  If you go down this road and problem solve or think through the situation.  You are doing a compulsion. 

 The compulsions are the things that are keeping you trapped.  All your brain knows is that you may have saved yourself from whatever fear it says was going to come your way. It is a liar.  You cannot think your way through your fear. 

I say don’t engage with rumination.  Do not give it any power whatsoever.  This is a very tough task. But here are some tips you can use.  Making sure you give your brain the same answer every single time it threatens you. It says you hit someone with your car are you thinking through this whole situation.  Your answer is maybe I did maybe I didn’t. Some choose to agree with the threat to take the power away. They may say, sure I totally have someone of my car.

 I can only imagine the OCD screaming you just gave it that answer, that you agreed with it.  Are you sure you actually love your partner?  Maybe I do maybe I don’t.  Are you attracted to somebody of your same gender?  Maybe I am maybe I’m not.   Will I harm my child?  Maybe I will maybe I won’t. 

 There is not a topic or theme you cannot use this phrase with. Everybody thinks their special and that their specific topic or fear does not apply. To help you not ruminate,  it’s committing to not engage by giving it the same answer every single time.  Even if it feels real,  even if you feel like this one’s different. 

 Some choose have different catchphrases.  That’s not my thing.  Sure man totally.  Thank you for your opinion. 

 These statements  need to be followed up with not engaging in the compulsions.  The individuals that do the compulsions are not really committed to the maybe maybe not’s that they are saying.  Because you cannot say maybe maybe not,  and then go wash your hands because you’re just not sure.  Or avoid the knife because you’re just not sure.  Or go back and check to make sure you did hit a pedestrian because you’re just not sure.  Ask for reassurance again because you’re not sure.  That is the whole point.  You need to be unsure.  Being unsure on purpose as a way to stop the rumination. 

 One of the first parts is recognizing that you’re even ruminating in the first place. You might think about what is my reasoning for thinking through this right now.  Am I just genuinely curious,  or do I feel this urge for this need to figure out this answer right now.  If it’s the urge,  you’re not gonna do it,  you choose not do it.  Is actually your choice.  The thoughts will start coming in that’s the automatic part,  but you engaging with them is completely your choice.  Give yourself that power. 

The Program

 Did you know that I created a very specific course for OCD. It takes you through understanding yourself,  the treatment and a way to maintain your progress.  We talk about rumination,  hierarchies,  exposures,  writing scripts so much more. There are over 41 videos in this thing. I’ll link it in the description. You can preview you it for free. 

Do you ruminate? What do you ruminate about?

How is your memory? Do you remember the important things? Do you remember the bad things have happened in your life?  Do you remember small little details that really don’t matter, but your brain remembers it anyway?  What if you felt the need to remember everything, and when I say everything I mean EVERY-THING. The details,  It can be conversation, the way the room looked, how fast you are driving, something your boss told you, how many notifications came up on your phone, really anything your brain puts power and value to to tell you to remember. If you don’t remember everything your brain may convince you that something bad may happen.  It could just be an uncomfortable feeling because of something that you don’t remember.  It could just be that nagging feeling that there’s something that you forgot that you may be obsessing about because he just simply can’t remember.  
 
It’s not just an annoying thought or feeling, it’s anxiety, it’s anxiety of the unknown, anxiety of the uncertainty.   If you feel like you must remember every detail about a situation, a place, a conversation, or somebody’s life, and you feel anxious if you missed something, or if you simply just cannot remember;  you may struggle with what is called memory hoarding.
 
So what in the world is memory hoarding? We think of the word hoarding, it’s a collection of things, a lot of things, often things that have no value or much purpose. This is the same with somebody’s memory.  Our memories are actually not the best. Just by nature our mind is designed to remember things that it deems important. This is why remember negative experiences in our life, he wants us to learn from these experiences. But how often are we remembering the good?  How often are we remembering the small little details?  My guess would be not too often.
 
 Memory hoarding is when an individual feels the need, the urge, anxiety to be able to remember every detail about the way they may be living their life. It can be something that was said to them. It could be a facial expression. It can be the way that their driving. It could be even the feeling of wanting to know something about someone else.  They may spend a lot of time really focusing on every single moment of the day to make sure they don’t forget something. Really hyperaware of their situations. But, as we know  it is impossible to remember everything and this is where the anxiety likes to live. It lives in those moments and those things that you can’t remember.
 
You may be thinking?  Why in the world would somebody want to remember every detail about something?  But here’s why, they may  feel the need to review their memories to see if they hurt someone’s feelings are not, to know if they harmed somebody or not, to make sure they did not make any mistakes, to make sure you can review and see if there are good person, sometimes to make sure that the memory that they have is true or not.  That it really happened..  They need the memory to help them know if the way they were feeling was accurate or not.  Sometimes they don’t know why they need the memory they just know the feeling comfortable if they don’t have it. Sometimes it is just plain old, I might need to know this information in the future so just in case I’ll  remember it.
 
 This lives in the person’s mind. Hence it being a memory. A mental ritual. Which is essentially problem-solving and ruminating.  They may feel like they need this memory so badly because it’s very all or nothing. If I don’t have is my life is ruined. I do remember it out prevent something bad from happening in the future.
 
Compulsions

 Here are some common compulsions or individuals do. The compulsions are things that help you gain certainty in the perceived fears or threats that come to your mind.
 Obviously one of the bigger ones would be focusing very hard and straining in order to commit something to your memory.
 Carrying around notepads or using your phone to write down notes and details about everything.
 
 Sometimes carrying this around with you anywhere you go just in case you need to recall this memory. People may have bags and bags full of paper of different details and memories just in case.
 
 Reassurance seeking. Individuals may ask others with the memory they are having is accurate or not. They may ask them if they saw the same thing that they did.
 
  Taking pictures or video. A good way to remember detail to take a picture of it. Their phone can be riddled with thousands and thousands of pictures that can be reviewed at any time.
 
 Doing specific random things in order to remember an event or detail.
 
Treatment
 
 So what’s the treatment? Treatment is called exposure and response prevention. Your goal would be to reduce the compulsions you are doing down to a point where you are no longer doing them. You may be risking that you’re going to lose a memory. You actually want to lose a memory. You want to risk whatever that perceived threat is in your mind on purpose to test out the theory to see if it’s true or not.  For instance if my brain says I don’t remember the thing my teacher said so if I don’t write them an email to verify I may not go to college.
 
Using exposure and response prevention we would definitely not send that email. You would actually work really hard to not have that memory.  Allow yourself to feel uncomfortable or anxious if needed. Allow that feeling to go down all by itself without controlling it. Using a lot of maybe maybe not statements to say “I may or may not go to college we will see.”  And have you risk this.
 When the brain is mentally replaying situations, your quickly responding with uncertainty answers or agreeing with the threat.  Something bad may or may not happen.  I’m willing to take that risk and not have this memory right now.  Closing times where you feel like you need that memory and you’re starting to focus, distract yourself do something so you can’t remember on purpose.
 
You are essentially facing your fears and responding differently to them.   The compulsion’s are the things that are going to keep you trapped. But you must respond differently to the upsetting fears you have. Act like you don’t care. Get in the mindset of not wanting that memory.

We talk so much about what to do when you’re in your OCD. But what about when you’re not in your OCD? What is life look like after OCD treatment? You finally feel like you’ve overcome a lot of your OCD symptoms. So what now?
 
 Now it’s time for you to live life. To enjoy the things that OCD has robbed you of. While I want anybody going through treatment to focus their efforts on enjoying life. Many may see this as an all or nothing approach. I cannot enjoy life until OCD is gone.  Stay away from this kind of thinking. There are moments where higher symptoms may come in moments where symptoms will be gone. You can live life and enjoy regardless.
 
 What I find is that individuals who are at the end of treatment and are not feeling many symptoms describe it as kind of a strange feeling. There almost not sure what to do because the anxiety has been there guiding light for years. This told and what to do, how to think, and how to behave. All of a sudden individuals are now set free and needing to learn to live life without these anxiety prompts.
 
 Life after OCD means learning to live in trust in yourself. Trust that anxiety was a liar this entire time. OCD completely lied and had no value. Often individuals need to learn who they are without their OCD.  It feels uncomfortable.  It actually takes a lot of effort to understand yourself without OCD. Just like doing and exposure individuals learn to tolerate this feeling without their OCD. It’s almost like losing a buddy that’s been with them for so long. Even though it’s wreaked havoc on their life some may feel lost without it. This is where trusting in your self goes a long way.
 
Individuals learn to live life again. Do things they never done before. Enjoy life and follow your value system.   It is absolutely okay to feel uncomfortable after  OCD treatment. This feeling will pass the more you start living and enjoying life. Ultimately you are living  your life the way you want to, not the way OCD wants you to. You might start identifying goals that you want to achieve, what you want to get out of your life.
 
 You may need to start working on self compassion. It is not your fault that you have OCD. We don’t focus on  the time lost were missed because of your OCD. We focus on what you’re going to gain.  Start working on any residual depression that comes your way.
 
We also know  if you have OCD then you have OCD. So life after OCD treatment turns into maintaining the progress that you have made.  Meaning, you are willing to do treatment strategies and exposure and response prevention anytime you have an intrusive thought. Anytime you feel like OCD is rearing its ugly head.  So life after OCD really means life.  Feeling relief, gratitude, excitement. But not forgetting about what treatment looks like and maintaining progress.
 
 If I wanted to get really fit, I started exercising and eating healthier. I get to a point where I’m happy and content. I’m living my life. Do I stop exercising? Do I stop eating healthy? If I do I may end up in the unhappy rut  I was in before. Where I might not have to try as hard to stay in this happy zone, I still need to do something to maintain the progress.
 
This is just like your OCD. Remember where you come and what you’ve done. Enjoy life. Have some self compassion, talk about all the successes that you’ve done and where you’re going. Focus a lot of your time on gratitude. The things that you are grateful for every single day.

Existential OCD involves intrusive, repetitive thinking about questions that cannot possibly be answered. Individuals will think about really any question. Most don’t have answers, but they feel the need or urge to find the answer right then and there. Often feeling anxious until they do. Let’s go through the treatment for existential OCD and what it looks like to those experiencing it. ​

It is also difficult to identify existential obsessions, as they can seem like the questions many of us think about often and then carry on with a shrug of the shoulders. Existential obsessions can also be confused with the kind of thoughts encountered by people while they are depressed, constantly going through pessimistic thoughts about how pointless life can seem. And, existential OCD is much more difficult than that.

Typically people with existential obsessions spend hours going over and over these questions and thoughts, and can become highly anxious and depressed. They may be seen as suffering from concerns or existential fears as they seek help, or they may be misdiagnosed as suffering from Generalized Anxiety Disorder. Existential OCD is most likely, however when a person fights ongoing distracting, repeated, constant, anxiety-producing, doubtful thoughts of this nature.

In the general population and the media, many individuals have a somewhat stereotypical view of what OCD is all about. Individuals with OCD are seen as individuals who either wash their hands too much or are super-organized and perfectionist. It can be difficult, therefore to identify the forms of OCD that do not resemble these typical stereotypes. The truth is there are a lot of forms that OCD can take. 

Even if you don't have existential OCD, at one point in time, you could have had existential obsessions, spending hours contemplating why you have your particular thoughts and wondering precisely what these thoughts might mean. This is yet another form of intimidation that follows obsessive thoughts, and never leads to any real responses. Your obsessive suspicions can not be argued, reasoned, examined, or challenged while you have OCD. This is particularly the case for Existential OCD.

Existential OCD includes distracting, persistent thinking about questions that may not be answered and that in nature, may be metaphysical or scary, or both. The questions generally revolve around life's meaning, intent, or fact, or the nature of the universe or even the existence of one's own. In a university philosophy or physics class, these same questions could come up. Most individuals, however may quit such classes or read about these subjects and move on to other thoughts.

The aim is not to escape or stop the "response prevention" aspect of ERP, so you are taught to comply with your existential thoughts and not try to evaluate, challenge, or disagree with them. You are also discouraged, as this is another way of escape, from finding reassurance from others or even yourself. Sadly, avoidance may become a learned habit that becomes very automatic over time. Unconsciously, without even thinking about it you can avoid your triggers.