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Answer by Dr. Laura
PhD Mental Health Nurse & Sexual Assault Nurse Examiner
Thank you so much for reaching out to us. The question you're sitting with, whether the fear is pointing at something real or whether the anxiety itself is generating the fear, is one of the hardest things to sort out from the inside.
Here is something worth knowing about how childhood memory actually works. It is not a recording that either plays back clearly or goes silent. Memory is constructive, meaning we build and rebuild it each time we access it, shaped by everything we have learned, felt, and been exposed to since. Research on this is consistent. What is far more common than genuinely repressed harmful memories is anxiety filling in gaps with feared content, especially in people who are already prone to intrusive thought loops. When you read someone else's story and feel the pull of "maybe I did that too and just don't remember," that pull deserves some gentle curiosity rather than immediate belief.
The pattern you're describing, where uncertainty about the past generates fear, fear generates checking and analysis, and checking provides only temporary relief before the fear returns louder, has a name. It looks a great deal like what clinicians call harm OCD or moral OCD, a form of OCD in which the mind latches onto feared moral questions and demands a certainty that simply is not available. Naming it is not meant to dismiss what you're carrying. It is meant to help you understand why thinking harder about it has not been making it better, and why it won't. The mechanism of OCD is such that the more you search for resolution through analysis or reassurance, the more the brain learns to generate the feared thought again. The absence of a clear memory of doing something harmful is not suspicious evidence. To an anxious mind it can feel that way, but it isn't.
On reaching out to people from your childhood...I would hold back on that, and I say it with care. Even when it comes from a genuine place, contacting someone to ask whether you harmed them as a child centres your need for resolution, not theirs. It could arrive as destabilising or confusing for them, regardless of what actually happened between you. And for the pattern you're describing, it would not bring the closure you're hoping for. It would function as reassurance-seeking, which feeds the loop rather than quieting it.
The sentence you wrote, that it "almost seems impossible to not see myself as not harmful," is worth bringing exactly as it is to a therapist, and specifically one who works with OCD. The most effective treatment for this is an approach called ERP, exposure and response prevention, which works by gently building your capacity to sit with uncertainty without performing the checking behaviours that keep the fear alive. It is not easy, but it is built for exactly this. You deserve support that actually matches what you're dealing with. Thank you for trusting us with this.
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Grounding activity
Find a comfortable place to sit. Gently close your eyes and take a couple of deep breaths - in through your nose (count to 3), out through your mouth (count of 3). Now open your eyes and look around you. Name the following out loud:
5 – things you can see (you can look within the room and out of the window)
4 – things you can feel (what is in front of you that you can touch?)
3 – things you can hear
2 – things you can smell
1 – thing you like about yourself.
Take a deep breath to end.
From where you are sitting, look around for things that have a texture or are nice or interesting to look at.
Hold an object in your hand and bring your full focus to it. Look at where shadows fall on parts of it or maybe where there are shapes that form within the object. Feel how heavy or light it is in your hand and what the surface texture feels like under your fingers (This can also be done with a pet if you have one).
Take a deep breath to end.
Ask yourself the following questions and answer them out loud:
1. Where am I?
2. What day of the week is today?
3. What is today’s date?
4. What is the current month?
5. What is the current year?
6. How old am I?
7. What season is it?
Take a deep breath to end.
Put your right hand palm down on your left shoulder. Put your left hand palm down on your right shoulder. Choose a sentence that will strengthen you. For example: “I am powerful.” Say the sentence out loud first and pat your right hand on your left shoulder, then your left hand on your right shoulder.
Alternate the patting. Do ten pats altogether, five on each side, each time repeating your sentences aloud.
Take a deep breath to end.
Cross your arms in front of you and draw them towards your chest. With your right hand, hold your left upper arm. With your left hand, hold your right upper arm. Squeeze gently, and pull your arms inwards. Hold the squeeze for a little while, finding the right amount of squeeze for you in this moment. Hold the tension and release. Then squeeze for a little while again and release. Stay like that for a moment.
Take a deep breath to end.