Had enough

I have contamination OCD that causes me to excessively wash my hands/clean items with disinfectant wipes. I know I just need to start with small exposures but how do I do that without spiraling? I tried a while back by just touching the outside of my dishwasher and not washing my hands after and it led to me being unable to even exist in my house. I basically lived on my couch for three weeks as it was the only 'safe' space that I had not touched with my dirty hands. I had to take a week off work to clean my house to make it somewhat liveable. I still haven't got round to cleaning everything though so things like my kitchen are still no-go zones that I don't enter. I just don't know how to start ERP without it making everything worse. Any advice would be appreciated. I am not seeing a therapist at the moment due to financial constraints.

My therapist isn’t specialized in OCD. I’m her first OCD client. She told me she’s taking courses in ERP and specifically sexual OCD since a lot of my themes are sexual in nature. I want help, I need help. It feels like every time I meet with her I get set back. I make progress a lot on my own. Sitting with discomfort, trying to accept the thoughts and uncertainty. But every single time I meet with her, it feels like I’m explaining OCD to her. She even went as far as to suggest that some of my thoughts that bring me distress are mine. I am not a cheater. They are not mine. Why on earth would they not be intrusive if I was in tears about having this thought? I feel bad. I really do because I can see that even though I can very much see her mistakes, I can also see that she’s trying to help me. I’m just so scared of getting worse. I’ve been in therapy for 5 weeks now. I feel like had it been with a specialist, I would be doing so much better. Instead it takes me days to come backs to whatever progress I’ve made alone after meeting with her. She’s a great person, she tells me she experiences intrusive thoughts too and she doesn’t have OCD which helps me feel less alone but I don’t think that’s enough for me. She’s always available for a call whenever I’m in extreme panic. I just don’t think this is working. I trust her and I tell her everything, but it feels like she’s just listening to me talk the whole time. We’re doing a workbook but she gives me absolutely 0 input. I just read my replies and she just sits there. I don’t understand the point in that. I feel so anxious right now. She wants me to get properly evaluated for anything that may be going on because on top of the severe OCD, I was also diagnosed with PMDD, GAD, and MDD by my primary care doctor but I guess she doesn’t trust those diagnoses? My psychiatrist also told me I have ADHD, which I’ve suspected my whole life but it sounds like my therapist doesn’t know how to handle OCD much less OCD, MDD, GAD, PMDD, and ADHD. She’s questioning the validity of my diagnoses instead of helping me figure out how to deal with all of it. This is so suffocatingly difficult. I’m also a huge people pleaser so how on earth do I end this thing?

Looking back, I realize I’ve had OCD since I was 7. though I wasn’t diagnosed until I was 30. As a kid, I was consumed by fears I couldn’t explain: "What if God isn’t real? What happens when we die? How do I know I’m real?" These existential thoughts terrified me, and while everyone has them from time to time, I felt like they were consuming my life. By 12, I was having daily panic attacks about death and war, feeling untethered from reality as depersonalization and derealization set in. At 15, I turned to drinking, spending the next 15 years drunk, trying to escape my mind. I hated myself, struggled with my body, and my intrusive thoughts. Sobriety forced me to face it all head-on. In May 2022, I finally learned I had OCD. I remember the exact date: May 10th. Reading about it, I thought, "Oh my God, this is it. This explains everything." My main themes were existential OCD and self-harm intrusive thoughts. The self-harm fears were the hardest: "What if I kill myself? What if I lose control?" These thoughts terrified me because I didn’t want to die. ERP changed everything. At first, I thought, "You want me to confront my worst fears? Are you kidding me?" But ERP is gradual and done at your pace. My therapist taught me to lean into uncertainty instead of fighting it. She’d say, "Maybe you’ll kill yourself—who knows?" At first, it felt scary, but for OCD, it was freeing. Slowly, I realized my thoughts were just thoughts. ERP gave me my life back. I’m working again, I’m sober, and for the first time, I can imagine a future. If you’re scared to try ERP, I get it. But if you’re already living in fear, why not try a set of tools that can give you hope?