Written by: Lisa Wagner
Harm OCD, also known as intrusive thoughts OCD, is a type of obsessive-compulsive disorder (OCD) that involves unwanted, intrusive thoughts, images, or impulses related to causing harm to oneself or others. These thoughts can be distressing and cause significant anxiety, guilt, shame, and fear in those who experience them.
Harm OCD is not about wanting to harm oneself or others, but rather the fear of doing so, which can be paralyzing and disruptive to everyday life. The fear is often based on unrealistic or irrational beliefs, and those with Harm OCD typically recognize that their thoughts are irrational but cannot shake them.
Symptoms of Harm OCD can include:
- Intrusive and unwanted thoughts or images of hurting oneself or others
- Obsessive questioning of one’s own morality and ethics
- A constant need for reassurance and avoidance of situations or triggers that may prompt the thoughts
- Physical symptoms such as sweating, increased heart rate, and shortness of breath
- Ritualistic behaviors or compulsions to try and reduce the anxiety associated with the thoughts
- It’s important to note that having intrusive thoughts does not mean someone is dangerous or will act on them. In fact, those with Harm OCD are often the least likely to cause harm because they are so hyper-vigilant and aware of their thoughts.
Treatment for Harm OCD typically involves a combination of medication and therapy. Selective serotonin reuptake inhibitors (SSRIs) and cognitive-behavioral therapy (CBT) have been shown to be effective in reducing the symptoms of Harm OCD. CBT often involves exposure and response prevention (ERP) therapy. Patients gradually expose themselves to situations that trigger their thoughts and learn to tolerate the resulting anxiety without resorting to compulsions.
In addition to professional treatment, there are self-help strategies that can help manage Harm OCD. These include mindfulness meditation, exercise, and journaling to help identify and challenge the irrational beliefs underlying intrusive thoughts.
Living with Harm OCD can be challenging, but with proper treatment and support, it is possible to manage the symptoms and live a fulfilling life. It’s important for individuals experiencing Harm OCD to seek professional help and know they are not alone. With the right treatment and support, recovery is possible.
HERSHFIELD, J. (2018). Overcoming harm Ocd: Mindfulness and Cbt Tools for Coping with Unwanted Violent Thoughts. New Harbinger Publications.
