Have Mental Health Questions? Ask a Psychiatrist Online
Good afternoon! I'm a psychiatrist and I hope I can help you a bit. It's not a silly question at all. I'm glad to know that you are getting some help for the OCD. The question always is, is this a fear or a curiosity? Do you feel worried or anxious when you have these thoughts or does it seem like something you may actually enjoy? If it's truly a fear and an intrusive thought, I would suggest going for a short walk or doing some kind of exercise for 10 minutes. Rate your anxiety before and after. Try to be somewhere that it's not an option to test this thought so that you're not tempted. Listening to some relaxing music is always a good option as well. I hope you get some relief!
So, are you having harm obsessions secondary to the fear that you may enjoy anal stimulation or is the fear itself the obsession? I just want to clarify.
Thanks for clarifying! The key to ERP is graded exposure. So, rating anxiety provoking scenarios in terms of least to most anxiety provoking. For instance, perhaps sitting next to another male on a bus or at a theater, looking at a gay website or video, anal stimulation--just some examples. Rating the scenarios from least anxiety provoking to highest you then start with the least anxiety provoking and tolerate the anxiety with the help of relaxation strategies such as deep breathing, physical activity, music, etc. until it's resolved. Then sequentially move higher up the anxiety scale with provoking scenarios until you they are no longer bothersome. So, I would suggest making a list of situations/thoughts/behaviors that cause the anxiety to spike and then work through the ERP process with each. I hope this makes sense.
I hope you were able to get some relief. Please feel free to contact me if you have any other questions.