OCD and “Unacceptable” Intrusive Thoughts: You are Not Alone

OCD and “Unacceptable” Intrusive Thoughts : You are Not Alone

Written by Johanna Younce, MA

When most people think about Obsessive-Compulsive Disorder (OCD), they think of the stereotypical symptoms: needing everything to be perfectly organized or “just right” and fear of contamination. While these are valid and common presentations of OCD, there are other types of symptoms that are less often discussed. One of these symptom types is the fear of unacceptable thoughts or repugnant obsessions, which feel incredibly scary and threatening to people with OCD. This type of OCD can cause an immense amount of shame and fear, and I believe we need to discuss it more openly to decrease the shame and give less power to these thoughts.

What does “unacceptable thoughts” mean? This type of OCD involves sexual, aggressive, and religious/moral obsessions. These obsessions involve very taboo thoughts that are hard to talk about, even with people who we are closest to. Many people with OCD have these unwanted, intrusive thoughts and think they are the only ones. However, research has shown that about 94% of people experience intrusive thoughts. That’s almost everyone! Almost every single person has intrusive thoughts from time to time. It is extremely common; People just don’t talk about it because it is so taboo and uncomfortable. 

So, wait, if so many people have intrusive thoughts, why do only some people have OCD? Thank you for asking; That is an excellent question. The difference is that people with OCD place an enormous amount of meaning on and responsibility for these thoughts. In other words, they interpret the thoughts differently. When most people experience unacceptable intrusive thoughts, they brush them off and recognize them as random and meaningless. People with OCD often think that having the thoughts must mean that they are terrible, awful people. But this simply isn’t true! The fact is, we cannot control what thoughts come into our heads, and sometimes the thoughts are taboo and uncomfortable, and that is ok. The same goes for dreams: Having a dream about something does not mean it is something you want to happen.

To further the cause of normalizing unacceptable intrusive thoughts, let me share some thoughts (in the form of either words or images) that I have had or have heard from others:

• An image of pushing someone down the stairs
• An image of driving one’s car off the road and into a lake
• “Do I love God enough?”
• An image of having sexual relations with one’s father or mother
• An image of having sexual relations with one’s sibling
• An image of having sexual relations with [fill in the blank with someone it would be inapproporiate to have sexual relations with]
• “If I swallow my saliva during Ramadan, am I not fasting?”
• An image of stabbing one’s eye into the corner of a desk
• An image of molesting a child
• “What if I’m secretly a pedophile?”
• An image of stabbing oneself, a loved one, or a stranger
• An image of a spider crawling into one’s vagina
• “What if I said that prayer incorrectly?”
• An image of Jesus Christ with an erection
• “What if I murder my spouse or partner?”
• Imagining the number “666”
• Images related to devil worship
• An image of throwing one’s baby out of the window
• An image of drowning one’s baby
• An image of or urge to throwing oneself into oncoming traffic
• The thought of swearing in church
• “Am I gay but haven’t realized it yet?”
• “Am I wrong about being gay and am actually heterosexual?”
• “What if I somehow accidentally poisoned my child?”
• “What if I somehow ran someone over with my car and didn’t notice?”
• Images of beastiality
• ...and much more.

Reading this list may have made you uncomfortable. You may have even found yourself judging either yourself or others for having these thoughts. The important thing here to remember is that these thoughts are intrusive, meaning they come into your mind without intending them, and they are unwanted, meaning they are not fantasies or desired outcomes. Just having these thoughts pop into your mind does not mean that you want them there and that you like to think about them. Fantasies are things that you enjoy thinking about (and every part of you enjoys it; there is not one part that feels anxious or thinks it is wrong). My random thought of myself driving off the highway this morning is meaningless and it does not worry me because I know that thoughts are just thoughts.

I hope this has helped you feel less alone in your more taboo thoughts or dreams. Almost everyone has them, and they are not meaningful. You are not alone, and you are not an evil person. 

Remember, thoughts are just thoughts.

To hear more about one individual’s experience with unacceptable obsessive thoughts, check out NPR’s Invisibilia Podcast’s Season 1, Episode 1: “The Secret History of Thoughts.” To learn more about intrusive thoughts and OCD, visit the International OCD Foundation website.

If you feel you would benefit from talking with a clinician who specializes in OCD call OakHeart at 630-570-0050 or email us at Contact.OH@oakheartcenter.com.