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Answer by Dr. Laura
PhD Mental Health Nurse & Sexual Assault Nurse Examiner
Thanks for following up about this. First, I want to gently acknowledge that OCD is doing exactly what it does best right now...finding a new angle to pull you back into the cycle of doubt, guilt, and rumination. That's important context for everything you're feeling in this moment.
One of the most well-documented features of OCD is its ability to generate intrusive thoughts that feel like memories, or to distort and rewrite actual memories until you can no longer tell the difference. This is especially true during severe episodes. The uncertainty you're feeling (e.g. "I don't know if this is real or OCD") is itself a hallmark of how OCD operates. It thrives in that gray area and wants you to keep searching for certainty you may never find.
Here's what I want you to hear clearly: talking to a therapist, specifically one experienced in OCD is the single most important step you can take right now. A therapist trained in OCD will not judge you. They hear these kinds of fears regularly, and they understand that the terror you feel about being a bad person is the OCD talking, not evidence of who you are. You do not need to have all the answers about this memory before seeking help. In fact, trying to figure it out on your own is likely feeding the cycle.
Reaching out to your sister for reassurance right now, while in an OCD spiral, would likely function as a compulsion rather than a genuine resolution, and it carries the risks you've already identified. A therapist can help you work through this in a way that protects both you and your sister. You deserve that support, and seeking it is not an admission of guilt...it's an act of courage. 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.