Help

It seems like there’s so many different forms of OCD that i’m truly left wondering what i’m seeking help for, and if this is even going to work for me. How do you know when you’ve had “false memory OCD”, “relationship OCD”, or even “suicidal OCD” i feel like i’m just so mentally twisted that i’ll just take whatever kind of help there is , even if this isn’t really what’s wrong with me? How would I even get my own boyfriend to understand what i’m going through if I’m diagnosed with OCD?

I know this may sound silly to be concerned about, but I have suicidal ocd. I get intrusive thoughts. And ruminate heavily. I feel like lately I cannot stop thinking about suicide 24/7. Until I fall asleep that is what’s on my mind. I had a med change a week ago and that’s when this started. Is this just a phase of my ocd? I am not wanting to kill myself- I don’t have a plan. I am just fearful

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.