Fibromyalgia and fear of pain

I have, alongside my other OCD themes, an intense fear of insomnia. Although this has been improving somewhat — partly thanks to medication and The sleep school on YouTube — I still find myself ruminating about it throughout the day when I have something important the next day, I get stuck in the fear that everything will be ruined — for both myself and others — because my mind is so preoccupied with sleep. + a fear of depression coming back. It honestly feels like a form of sleep OCD. I'm not sure if that’s an official thing, but that’s how it feels to me. A form of erp is the idea of befriending wakefulness. That works great tbh. Things like sleep hygiene, meditation, etc. — tend to backfire because my OCD latches onto them and becomes too obsessive about “doing them right.” I’m genuinely wondering whether ERP — for example in the form of a worst-case-scenario audio loop (imaginal exposure) — could be helpful in this case. I’m hesitant to start unless I know it can actually help. Is there anyone who has experience with this or thoughts about it? I’m not looking for reassurance or tips to fall asleep — only for ideas on how ERP might be applied in this situation.

I suffer since 10 - 15 yrs from specific fears. It was years that my OCD constantly wanted to be checked if I have HIV or not. I had a lot of sex and I thought this is normal. But I ruminated in my backhead about and was testing like 5 - 10 times a year. After the test I felt everytime so relieved. In Corona I was addicted to porn and even I lost control and was watching pretty hard stuff. I was chatting with a girl and we fantasized about really disturbing things. I never wanna meet her and for me was sure it's just kinda onlinestuff. I was in a relationship 3 years now. And I lost fear of HIV. But then came Morality OCD, Real Event (this chat) and after some times POCD. This combination was knocking me out, I felt like the badest person on earth. I did everything wrong and searched for relief and reassurance. It put me to the point of suicidal. I never ever hurting somebody, but my brain was making me a monster. I had to quit the relationship because I just couldn't give her what she deserved. I was in a clinic for 3 months. And we tested medication with ERP (before I took escitalopram for years). Anafranil was working first, then too many side-effects. I tried even without meds, but was so depressed. Now on sertralin for 5 weeks, but only 2 weeks on therapeutic dose 200mg. And wow, now I really feel so confused in the brain. I feel like how big my OCD became. The specific thoughts are not anymore, BUT it sticks on EVERYTHING atm. It's delusional how it feels in the brain. I really hope so deep my brain makes finally a reset and I need to wait it out. I could live with OCD for a long time but the last 1-2 yrs it took absolutely everything. I remark that POCD doesn't stick anymore like before but my brain is now constructing a very bad future because of past mistakes (that I all discussed with family, friends for relief over and over and over again). So it's like my OCD is now Real Event (The sexchat) again. Anyone was on the same point in life?

I have been diagnosed with OCD for a couple years now. I would say my obsessions stem around a fear of pain/getting sick/vomiting. And my compulsions are to constantly check expiration dates on foods multiple times, smell it over and over again, and i take one bite and wait a couple minutes to see if i start feeling sick, as well as eating really slowly in general. it's gotten to the point recently where i would say im entirely vegan except for breads/baked goods, and honey. But i don't eat meat in fear of getting sick, and I don't really eat out at all anymore. I eat a lot of prepackaged foods, and i'm not sure why but fruits make my stomach hurt (maybe a fructose sensitivity i don't know) but it's almost entirely prepackaged. This has hit extremely hard the past few months where i don't even recognize myself. I've always been an insane foodie open to trying new things, now i'm at the point where i eat the same foods every day and wouldn't dare eat out. i feel massive judgement from my friends and i don't think i can explain because they wouldn't understand the gravity of how this impacts me. If i start feeling stomach pain at all i start spiraling and i start having a panic attack. I'm doing talk therapy at the moment and slowly trying to find a routine again. But it feels so demotivating when i wont eat at restaurants without sobbing from overstimulation/nerves, even drinking water at a restaurant scares me. It blows my mind that 3 months ago i would and could have eaten anything! sorry this is so long I am new to an app like this