Am I a Bad Person for Having These Thoughts?
One of the hardest things about OCD is that it can make you question who you are as a person.
You may have a thought that is disturbing, violent, sexual, inappropriate, or completely inconsistent with who you believe yourself to be. And then another thought quickly follows:
Why would I think that?
And then:
What if having that thought means something about me?
That's often where people get stuck.
If you've experienced this, there's something important to understand: having an unwanted thought is not the same thing as wanting it to happen.
OCD Is More Than Being Organized or Particular
OCD stands for Obsessive-Compulsive Disorder. Unfortunately, we often hear the term "OCD" used casually.
Someone likes their desk organized and says, "I'm so OCD."
That's not really what OCD is.
OCD involves obsessions and compulsions.
Obsessions are intrusive, unwanted thoughts, images, sensations, feelings, or urges that create distress.
Compulsions are the things a person does to try to reduce that distress or gain certainty.
Sometimes compulsions are easy to see, such as checking the stove repeatedly, washing your hands, or making sure a door is locked.
But many compulsions happen completely inside someone's head.
You might replay a memory over and over.
You might analyze whether you really meant something you said.
You might check how you feel toward someone.
You might mentally review whether you could have hurt someone.
You might repeatedly ask yourself, Would a bad person think something like this?
You might Google for answers or ask other people for reassurance.
These can all become compulsions.
"But Why Would I Think It If It Doesn't Mean Something?"
This is one of the traps OCD creates.
Human beings have strange thoughts.
Our brains generate an enormous amount of mental information throughout the day, and we don't control everything that pops into our minds.
Imagine standing near the edge of a balcony and suddenly having the thought:
What if I jumped?
Or holding your baby and having an image of accidentally hurting them.
Or being in church and suddenly having an offensive or blasphemous thought.
Someone without OCD might think, Wow, that was weird, and move on.
But OCD asks another question:
Why did I have that thought?
Then:
What if part of me actually wanted to do it?
What kind of person thinks something like that?
How can I be absolutely certain I would never do that?
Now the problem isn't necessarily the original thought anymore.
The problem becomes trying to obtain certainty about what the thought means.
OCD Tends to Attack What Matters to You
OCD often attaches itself to things that are deeply important to us.
If being a good person is important to you, OCD may make you question your morality.
If your relationship is important to you, OCD may make you question whether you really love your partner.
If your faith is important to you, OCD may focus on religious or blasphemous thoughts.
If protecting your children is incredibly important to you, OCD may produce disturbing thoughts about something happening to them or even thoughts about you causing harm.
This is part of what makes OCD so painful.
The thoughts can feel completely opposite to who you believe yourself to be.
And because they bother you so much, you desperately want to prove that they aren't true.
Unfortunately, that's often what keeps the cycle going.
OCD Can Look Very Different From Person to Person
There are many common themes or "subtypes" of OCD. These aren't separate diagnoses. They're different ways OCD can show up.
For example:
Harm OCD: What if I lose control and hurt someone?
Relationship OCD: What if I don't really love my partner? What if I'm with the wrong person?
Sexual orientation OCD: What if I've misunderstood my sexual orientation? How can I know for sure?
Pedophilia-themed OCD: A person experiences unwanted sexual thoughts or sensations involving children and becomes terrified that the thoughts mean they are sexually attracted to children.
Religious or scrupulosity OCD: What if I've sinned? What if God doesn't forgive me? What if that thought was blasphemous?
Contamination OCD: What if I'm contaminated? What if I make someone else sick?
"Just right" OCD: Things may need to feel complete, even, correct, or "just right" before the person can move on.
There are many others.
The theme can also change over time.
Someone may spend several years worried about contamination and later become consumed with questions about their relationship.
The subject changed.
The OCD cycle didn't.
The Compulsion Is What Keeps OCD Going
Here's where OCD can become confusing.
Doing a compulsion usually works.
At least temporarily.
You have an intrusive thought. Anxiety rises. You perform a compulsion. You feel some relief.
For example:
Intrusive thought: What if I'm secretly attracted to someone I shouldn't be?
Anxiety: What does this mean about me?
Compulsion: You mentally check your body's reaction, replay previous experiences, Google the meaning of attraction, or ask someone for reassurance.
Eventually you think:
Okay. I'm probably fine.
Your anxiety comes down.
Then, perhaps an hour later:
But what if I wasn't completely honest with myself when I checked?
And the cycle starts again.
Each time we respond to the obsession by trying to get certainty, we unintentionally teach the brain:
That thought was important. We needed to do something about it.
Why Traditional Talk Therapy Can Actually Make OCD Worse
This is especially important when choosing a therapist.
Traditional talk therapy by itself is not an effective treatment for OCD, and certain kinds of talk therapy can unintentionally reinforce it.
Imagine telling a therapist:
"I'm terrified that I'm secretly a bad person because I had this horrible thought."
A well-meaning therapist might respond:
"Of course you're not a bad person. You would never do something like that."
You feel better.
But what just happened?
You received reassurance.
If reassurance is part of your compulsion, therapy just participated in the OCD cycle.
The same thing can happen when therapy spends session after session analyzing why you had a particular intrusive thought.
For OCD, endlessly analyzing the content of the thought can give the thought even more importance.
OCD loves that.
The question becomes less about "How do we prove this thought isn't true?" and more about "How do I respond differently when my brain demands that I figure this out?"
How Is OCD Treated?
One of the primary evidence-based treatments for OCD is Exposure and Response Prevention, commonly called ERP.
ERP helps people gradually face the thoughts, situations, sensations, or uncertainty that trigger their OCD while learning not to perform the compulsions they normally use to feel better.
The goal isn't to convince yourself that the feared thing could never happen.
It's learning that you don't need absolute certainty in order to move forward.
That can sound intimidating, which is why good OCD treatment should be collaborative and tailored to the individual rather than simply throwing someone into their worst fear.
What If I Also Have a History of Trauma?
This is an important consideration in my own work with OCD.
Not everyone who comes to me with OCD has OCD alone. Some people also have significant childhood experiences, attachment wounds, or complex trauma.
For some of these clients, I may incorporate experiential and emotion-focused work alongside OCD treatment rather than relying exclusively on traditional ERP.
Sometimes we need to understand what the person's nervous system has learned about danger, uncertainty, responsibility, shame, rejection, or control.
For example, someone's need to prevent mistakes may exist within an OCD cycle while also connecting to a much older emotional learning that mistakes lead to criticism or rejection.
That doesn't mean we spend therapy analyzing every obsession to figure out where it came from. That can become another form of rumination.
Instead, treatment can address both the OCD cycle and, when appropriate, the deeper emotional experiences that may also be contributing to someone's distress.
The Goal Isn't to Get Rid of Every Intrusive Thought
This surprises people.
Successful OCD treatment isn't necessarily about reaching a point where you never have another disturbing thought.
Remember, people without OCD have intrusive thoughts too.
The difference is often what happens next.
Instead of:
Why did I think that?
What does that say about me?
How can I prove I would never do that?
I need to make sure.
You gradually learn to recognize:
There's that thought again.
And you don't have to solve it.
That's a very different relationship with your thoughts.
So, Am I a Bad Person for Having These Thoughts?
If you're looking for me to give you absolute reassurance, OCD would probably love that.
That's exactly the trap.
A more helpful question might be:
Why do I need to be completely certain about what this thought means?
Intrusive thoughts can feel incredibly real and incredibly disturbing. But a thought showing up in your mind doesn't require an investigation.
You don't have to argue with every thought.
You don't have to prove every thought wrong.
And you don't have to figure out exactly what every thought says about you.
Sometimes recovery begins when we stop treating every thought like a question that needs an answer.
At Asbury Counseling, I treat OCD and related anxiety disorders in adults. Treatment may include ERP and other evidence-based approaches, and for clients who also have complex trauma or difficult childhood experiences, I may incorporate experiential and emotion-focused approaches based on the individual's needs.