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When you have Harm OCD, it can often feel like you're repeatedly being accused of a terrible crime. OCD is your accuser, but it also acts like a high-powered defense attorney who says, "Look, I can get you a not-guilty plea, guaranteed. I'm going to get all the witnesses and all the evidence and bring it all up in your trial and if you stick with me, the jury will acquit you. 100%." You hear this and think, Great, let's do this. I know I'm not guilty. Let's make sure it's official. Then the OCD says, "Sure thing. By the way, I cost $1000/hour, I bill 24 hours a day, and the case will take a few years, maybe more. In the end, you'll get your not-guilty verdict, probably, but I should tell you, the long trial will decimate you and the verdict might not make that much of a difference. But never mind that, let's get to that evidence of your innocence."
An OCD therapist like me is no high-powered attorney. I'm more like a public defender and my advice is simple: Plead the fifth. In an American court, when you plead the fifth amendment to the U.S. constitution, you are saying that you will not answer a question that could incriminate you. In other words, no matter what OCD asks, just don't answer. You're probably thinking, "No, that makes me look really guilty." Then I explain, "If you don't take the bait and answer OCD's questions, this thing will go to mistrial in a week. No one will remember it. It might as well have been just a forgettable fluke." This approach is what it means to accept uncertainty, and it is indeed scary. It doesn't come with that shiny promise of complete vindication. But it also doesn't cost you a lifetime of obsessing. Accepting uncertainty about your violent thoughts means allowing the possibility that they could be true by not trying to prove otherwise.
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Jon Hershfield (Overcoming Harm OCD: Mindfulness and CBT Tools for Coping with Unwanted Violent Thoughts)