Skin picking

Possibly tmi but one thing i’ve been really struggling with lately is using the bathroom and I mean #2. It seems like one of the worst germs to me. First of all I wipe and wipe and wipe more than I assume a person without contamination ocd does but I feel like I must know that its completely clean. Also, I then feel that when I shower and wash down there that my hands are contaminated and I need to wash them multiple times and I spend way too much time doing so. I know this is abnormal but I have trouble understanding how someone without contamination ocd would deal with this situation. I wish I could watch the process of how I should wipe and then how to wash that area in the shower. If anyone else has struggled with this, what did you do to improve? I feel like I don’t know what a “normal” routine would be that is considered clean enough.

for the past 12 days i’ve really been struggling with feeling contaminated, over washing my hands yet they never feel clean, washing them so hard that i start to sweat and my arms give out. i feel like parts of my body are contaminated from being outside. instead of showering and washing my face like a normal person im avoiding myself because im afraid. im afraid that my hands will get contaminated and i wont stop washing my hands. (i know it doesn’t make sense but im experiencing a lot of stress that’s causing my bladder muscles to tighten and i can’t hold in my pee, i need my hands to be clean to even lower my pants) if i get stuck in a handwashing cycle ill pee myself and i never feel brave enough to start. this week has been very hard for me, struggling to eat, sleep, and bathe. i feel i have to move very carefully just to navigate life in a way that won’t stress me out. the fear of touching these areas and my brain constantly convincing me i did had been very hard on me. i know the answer is obvious but i don’t know how to build up the confidence to do these things. i’ve been in a very stressed out and suicidal state for the past month i really dont want to trigger any negative feelings but this isn’t any better. what can i do to just… i guess not be afraid and go for it?

I am typing as I sit on the couch after a mental breakdown due to the frustration and fear I have with my Suicidal OCD intrusive thoughts. I know so much about why this is happening from therapy, research, and self help books that I feel like knowing this much about my condition is almost making it harder to recover. It’s like I feel like since I logically understand my problem, why can’t I change my response to it? I know logically that these thoughts are stuck in a loop because I have assigned meaning to them and am so scared of the concept of harming myself, yet ERP/CBT hasn’t yet helped much with my ability to tolerate the anxiety. I have moments where I feel good but the sense of impending doom and feeling like I “am bound to hurt myself” always comes back. At least for the last 2-3 months since this theme and OCD flare started. I don’t have any physical compulsions that me or my therapist have been able to identify except *maybe* researching too much. But other than that, my compulsions are all mental. However, I can’t pinpoint what exactly they are. It’s also important to note that I don’t avoid anything. I still use knives when I need to, I don’t hide them like others with this theme do. Yes they can trigger anxiety but I don’t actively avoid them or other items that trigger/have potential to harm me. When I do audio exposures (listening to my voice saying I am going to hurt myself), I hold a knife to my wrist to intensify the ERP, per my therapists request… and still the same or similar level of fear behind suicidal and harm OCD thoughts is there. Has anyone dealt with this and can help provide some insight as to what helped you? Anything is helpful here except negativity.