What OCD Really Feels Like
By Lauren Spinella, LPC
What OCD Really Feels Like
By Lauren Spinella, LPC
When people hear "OCD," they think of color-coded closets, ultra-clean kitchens, or people who just “like things neat.” But for those who live with Obsessive Compulsive Disorder (OCD), it’s not about being tidy or quirky — it’s about battling relentless, intrusive thoughts that hijack your brain and demand certainty where certainty doesn’t exist.
Let’s talk about what it actually feels like to have OCD.
💭 It Starts With a Thought You Didn’t Ask For
Imagine your brain throwing out a random, disturbing, or completely out-of-character thought. Something like:
“What if I hurt someone?”
“What if I said something offensive and didn’t realize it?”
“What if I cheated on my partner and forgot?”
“What if I accidentally left the stove on and my house burns down?”
Most people would shrug these thoughts off as weird and move on. But with OCD, your brain grabs onto the thought and won’t let go. These thoughts are often not just thoughts, either...they are specific, detailed visuals of incredible scary and disturbing scenarios.
🔁 Then Comes the Spiral
You don’t want the thought. You know it’s irrational. But you can’t stop thinking about it. And you deseperately want to because it's so upsetting. So you start doing things to attempt to make the thought go away, to neutralize it's scariness and reassure yourself that things are okay, to ease the intense anxiety and discomfort you feel, and/or to prevent this scary fear from coming to fruition.
You start mentally reviewing things you said, things you did, things you might have done. You try to "figure it out" — you analyze, you seek reassurance, you replay scenarios in your head.
You might:
Ask your partner, “Are you sure I didn’t upset you?”
Google endlessly for answers.
Avoid situations that could trigger the same thought.
Create little mental or physical rituals to feel “safe.”
And even if you get temporary relief? It never lasts. The doubt creeps back in, louder than before.
😔 It’s Exhausting, Isolating, and Misunderstood
You might look completely fine on the outside. But internally, you're fighting a war with your own mind. It’s draining — like having an alarm going off in your head all day, warning you of something that’s not actually happening.
Worse, OCD is often misunderstood. People say:
“We all have a little OCD.”
“Just stop thinking about it.”
“You don’t look anxious.”
"You're messy, you can't have OCD."
But OCD isn’t a personality trait. It’s not about liking things clean or symmetrical. It’s about anxiety, fear, and the desperate need for certainty.
📘 The Many Faces of OCD
OCD isn’t one-size-fits-all. It can show up in many ways:
Contamination OCD: Fear of germs, illness, or "spreading harm."
Relationship OCD (ROCD): Obsessive doubts about your partner or relationship.
Sexual Orientation OCD (SO-OCD): Intrusive thoughts about identity or attraction.
Harm OCD: Fears of hurting others or yourself — even if you don’t want to. Also PCOD (Pedophila OCD), the fear of being a pedophile or harming a child.
Religious/Moral OCD (Scrupulosity): Obsessions around being a “good person” or moral enough.
Just-Right OCD: A need for things to feel or be “exactly right.”
These aren’t just preferences or quirks. They’re unwanted thoughts and mental loops that trigger deep distress and interfere with daily life.
💡 What Helps
Living with OCD can feel like being trapped in your head. But there is help, and hope.
Working with a therapist trained in treating OCD and in evidence-based treatments for OCD, like ERP (Exposure and Response Prevention), is huge. Therapy can help you understand your OCD, and take your life back.
Additionally, working with a psychiatrist can help get medication support to reduce symptoms. And as with any mental health challenges, having a strong support system can make all the difference. Loved ones getting educated on OCD (maybe even joining in on a therapy session!) can help them figure out the right ways to support someone suffering with OCD (rather than unintentionally feeding their obsessions and compulsions). There are also support groups in the community for those struggling with OCD.
💬 Final Thoughts
Having OCD isn’t about being clean, organized, or quirky. It’s about living with a brain that gets stuck in loops of fear and doubt. It’s exhausting, frustrating, and often incredibly lonely.
But you’re not alone. And as much as it can sometimes feel like it, you're not doomed to suffer forever.
With the right support, healing is possible — and you can live a full, meaningful life with OCD.
📍 OCD Support Resources:
Crisis Text Line: Text HOME to 741741 for 24/7 support
Psychology Today: Find OCD-informed therapists near you
If You’re Struggling…
Remember: reaching out to a licensed mental health professional is the best way to get personalized, safe, and effective care.
If you're in NJ and looking to start your therapy journey or have more questions, reach out!
-
*This post is for informational purposes only; it is not intended to advise, assess, or treat any mental health condition, and it does not establish any therapeutic relationship. Always consult your own healthcare professional if you are struggling with your mental health and before you implement anything you read on the internet.