Understanding Harm OCD and Finding Your Way Back to Yourself
Some fears arrive like thunderstorms—loud, visible, and unmistakable. Others creep in quietly, like fog—unwelcome, disorienting, and hard to explain....
4 min read
KD HOLMES, LPC, EMDR CERTIFIED, BTTI TRAINED
:
Jul 21, 2025 7:25:59 PM
Do you often think or feel something’s off." not dangerous, not dirty—just... wrong. The book isn’t crooked, but it isn’t straight enough. The sentence you wrote is perfectly clear, but something in your chest says, fix it again. You’re not chasing cleanliness or control. You’re chasing relief from a feeling that lives somewhere between your ribs and your gut. This is the world of "Just Right" OCD—a world ruled not by fear of catastrophe, but by the relentless quest for internal harmony.
And the cruel trick? That sense of harmony never stays.
But there is hope. Not in chasing perfection, but in learning to stop running from the discomfort. And for that, we look to Exposure and Response Prevention (ERP) and the Inhibitory Learning Model (ILM)—not as punishments, but as keys to freedom.
"Just Right" OCD often masquerades as perfectionism—but this isn’t about gold stars or tidy desks. It’s about the aching need to make something feel aligned in the body. It’s also sometimes called sensory-focused OCD because it’s more about sensation than logic.
A musician replaying the same note. A student rereading a sentence, not for meaning but for a feeling. A child adjusting their shoelaces until the tension in their chest eases. These aren’t quirks. They’re rituals performed to silence the dissonance inside.
People with this form of OCD aren’t afraid something bad will happen. They’re afraid of the unbearable tension that arises when something is almost—but not quite—right.
And often, they carry the weight of their rituals alone. Friends may laugh it off. Teachers may label it overthinking. Even therapists, if untrained in OCD, may miss the quiet desperation beneath the behaviors. But the truth is, this form of suffering is no less deserving of care than any other.
It starts with a whisper: a visual, tactile, or auditory sense that something’s not aligned. The internal discomfort builds. And so begins the compulsion: to fix, to align, to repeat until it feels okay.
And when you do the ritual, the discomfort fades—briefly. But the brain takes notes. Ah, it says, this feeling is dangerous. Good thing we fixed it.
That relief becomes the reward. The compulsion becomes the teacher. And OCD, like a well-fed fire, grows stronger.
Over time, these rituals no longer feel optional. They hijack minutes, hours, days. They rob energy and attention. And worst of all? They make you feel like a prisoner in your own life.
And like many prisoners, you may start believing the walls are of your own making. You may feel shame. You may think: Why can’t I just stop? But OCD is not a problem of willpower—it’s a disorder of overlearning and misfired alarms.
ERP is a structured form of exposure therapy that invites you to face the very sensations you fear—and resist the urge to fix them. It’s not about flooding yourself with anxiety. It’s about small, intentional steps:
Touching a sticky surface and leaving it be.
Hanging a picture off-center and walking away.
Typing an email with one sentence that feels awkward—and hitting send.
At first, your body might scream in protest. But the longer you sit with the discomfort, the more you learn: I can survive this. I don’t have to obey it.
ERP is a slow reclaiming of your agency. It’s how you learn to stop outsourcing your peace to compulsions.
And it’s not about doing exposures perfectly. In fact, trying to “perfect” your ERP homework is just another sneaky form of avoidance. The goal is progress, not performance. Courage, not certainty.
While ERP helps you face the discomfort, Inhibitory Learning shows your brain a new ending. ILM isn’t about getting used to discomfort. It’s about proving that what you feared isn’t dangerous—that nothing catastrophic happens when you leave the book askew.
It’s built around three key principles:
Expectancy Violation: Do the thing your OCD says is wrong—and notice that your feared outcome doesn’t happen.
Variability: Mix up your exposures. Don’t let your brain anchor safety to one place or way.
Reflection: After each exposure, take a moment to name what you expected—and what actually happened. These are the moments where healing deepens.
ILM also teaches something radical: that discomfort and danger are not the same. You can feel profoundly uneasy and still be profoundly safe.
Wanting things neat is not the same as needing them to feel right to stop the rising tension in your chest.
If it were, you’d have stopped a long time ago. This isn’t about choice. It’s about compulsion—driven by a brain that mistakes discomfort for danger.
OCD wears many costumes. For many, it’s about order, symmetry, or completeness—not germs. And the suffering is just as real.
If you see your child repeating steps, rewriting homework, insisting on rituals that make no sense to you—pause before brushing it off as a phase. Pediatric OCD responds best to early treatment. And ERP for kids works. It teaches them bravery early.
When caught early, these patterns can be softened before they harden into adult suffering. A child who learns to sit with a crooked line today grows into an adult who can tolerate life’s inevitable imperfections.
Recovery doesn’t mean the discomfort disappears forever. It means it stops being the boss. It means you learn to feel the itch of incompleteness—and move forward anyway.
You send the email with the weird phrasing.
You leave the pillow slightly off-center.
You let the note ring wrong and still walk off stage.
And each time, the cage grows looser. The world opens wider.
And one day, you realize: the feeling of "off" came—and went. You did nothing to fix it. And you survived. More than that, you lived.
"Just Right" OCD is a master of illusion. It whispers that peace lies in perfect alignment. But real peace? It grows in the messy middle. In the uneven bookshelf. In the note that rings off but still makes music.
With ERP and ILM, and with the right therapist at your side, you can unlearn the lie that says your worth depends on getting it right. You can build a life not ruled by rituals but rooted in freedom.
You can live a life that is just fine—even when it doesn’t feel just right.
You deserve that freedom. And it’s not found in symmetry or repetition—but in the quiet bravery of letting go.
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