One category of OCD which we frequently see at Light On Anxiety is Intrusive, Egodystonic Thought OCD or Harm OCD.  Harm OCD is no different from other forms of OCD in that one experiences frequent, uncomfortable intrusive thoughts and associated behaviors to decrease emotional discomfort and attempt to gain control over the thoughts. But what is unique (and so devastating ) about Harm OCD is that it strikes where it hurts most. Harm OCD goes after one's values and sense of identity and injects thoughts that conflict with everything one holds most true and life enhancing about themselves.

Egodystonic Thought/Harm OCD involves unwanted and repeated thoughts, feelings, images, and sensations (obsessions) related to causing harm or violent acts to others, or losing control and engagement in behaviors or mental acts in response to these thoughts or obsessions (compulsions).

Symptoms of Egodystonic Thought OCD:

1. Frequent disturbing intrusive thoughts, feeling, ideas or sensations relating to causing harm or violent acts to others or self, and/or losing control (obsessions)
2. Intrusive thoughts are inconsistent with the individual’s values, beliefs and sense of self Example intrusive thoughts: 
   •  "I will snap and stab my family."
   • "I hit someone with my car while driving." 
3. Repeated behaviors that one feels compelled to engage in, such as checking, avoiding, reassurance seeking or mental rituals in order to reduce or manage anxiety symptoms (compulsions).
4. Obsessions and compulsions cause emotional distress and/or impairment in functioning Feared consequence is that one will continue to feel indefinitely anxious or uncomfortable, become "worse", and/or lose control.

Take this assessment to further explore if the symptoms you are experiencing are in line with egodystonic thought/Harm OCD.