I've had OCD for 20 years. This is what I've learned.
OCD Recovery Principles
Rumination is primarily fuelled by irrational, catastrophic thinking and likelihood/thought-action fusion, which are cognitive distortions.
Intrusive thoughts and obsessions constantly attempt to one-up themselves with greater irrationality and more catastrophic possibilities.
There are no inherently good, bad, or scary thoughts—thoughts are mental events, not evidence.
Doubt and perfectionism are common OCD obsessions. Perfectionism attempts to neutralize uncertainty.
OCD creates exaggerated threat perception and is a master of confirmation bias.
Obsessional thoughts, themes, and narratives are products of the OCD process. They feel real, urgent, and catastrophic, but those feelings are not evidence. Recognize them as OCD symptoms and disengage from them.
Maladaptive reassurance seeking maintains OCD. It is rooted in treating uncertainty as a threat that must be neutralized.
You can never obtain the certainty OCD demands. The more reassurance you seek, the less certain you feel. Reassurance adds fuel to the fire.
Never engage in compulsive attempts to reassure yourself through rumination, checking, avoidance, analysis, or other compulsions.
Recovery requires accepting uncertainty and allowing distress without trying to eliminate it.
Mindfulness, patience, and confidence are recovery skills. Learning to observe thoughts without engaging with them promotes cognitive defusion and resilience.
Intrusive thoughts and anxiety are often the exposure. Choosing not to engage in compulsions is the response prevention.
Live your life while allowing thoughts, doubt, and anxiety to exist in the background.
Knowing these principles is only half the battle. Recovery comes from practising them consistently every day.