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What Is Existential OCD?

April 9, 2021

Existential OCD is a subtype of Obsessive Compulsive Disorder where individuals fixate on existential queries they can’t resolve with certainty. These questions often pertain to life, death, and existence and can drive someone into a relentless loop of ruminations and compulsive behaviors aimed at easing their anxiety. Typical questions might include, “What happens when we die?” or concerns about cosmic phenomena like the sun’s position in the universe.

The emotional surge and its real impact

When experiencing Existential OCD, it’s important to recognize that the main issue is not the question itself but the intense emotional response it generates. The real problem isn’t the existential question; it’s the emotional distress and obsessive ruminations that accompany it.

It’s akin to having a fear of contracting a disease like cancer. The fear escalates not because there’s a real, immediate threat, but because of the emotional turmoil and constant worry over a hypothetical scenario.

Addressing the root problem: emotional detachment

One of the key approaches is the necessity to detach emotionally from these existential questions. This emotional detachment allows for the distress and anxiety to subside, leading to greater clarity. Trying to gain absolute clarity on these questions often leads to more anxiety, creating a vicious cycle.

Treatment options

To effectively manage Existential OCD, methods such as Exposure and Response Prevention (ERP) and Acceptance and Commitment Therapy (ACT) are recommended. These techniques, along with the Triple-A Response® method taught at Restored Minds, focus on reducing the anxiety rather than finding answers to the existential questions.

Conclusion

If you wrestle with Existential OCD or any form of anxiety, remember that the real challenge lies in managing your emotional responses rather than solving the unanswerable questions. With the right tools and guidance, you can reduce your anxiety and gain clarity.

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