Expert Help for Obsessive-Compulsive Disorder

Behavioral Wellness Clinic
6-D Ledgebrook Drive
Mansfield Center, CT 06250
Office: (860) 830-7838

Monnica Williams, Ph.D.
Clinical Director

Offering expert treatment for all types of OCD, including sexual obsesions. Our OCD treatment program is typically 20 sessions. We offer twice-weekly sessions and intensive programs. Intensive program can be in person or combined with Skype. State of the art medication management is also an option. Low cost options available. [More.]

Sexual Thoughts in OCD

Sexuality Concerns in Obsessive-Compulsive Disorder (OCD)

Many people with obsessive-compulsive disorder (OCD) have sexual obsessions, or unwanted sexual thoughts. This may include sexual orientation fears, which is sometimes referred to as sexual orientation OCD (SO-OCD) or HOCD. Theses are not the same as fantasies or being homophobic.

Sexual thoughts in OCD may include the following:

  • the obsessive fear of being or becoming LGBTQ
  • intrusive, unwanted mental images of upsetting sexual behaviors
  • the fear that one may become a pedophile
  • the fear of becoming sexually aggressive

The Worst Kind of OCD

Although people with OCD may obsess over any number of concerns, one of the most upsetting types of OCD involves worries about causing sexual harm to a child, sometimes called pedophile OCD or POCD. Although this type of OCD typically receives little attention from the media, the Power to Change recently aired the story of a man whose POCD was so severe he contemplated suicide before he was treated by Dr. Monnica Williams. Hear his story online and learn about OCD treatments from Dr. L. Kevin Chapman. Read his story or watch it now.

OCD Therapy Going Nowhere?

Although any medical doctor can take your blood pressure, only a few can do heart surgery. Likewise, any therapist can help someone who is feeling a bit blue, but only a few can effectively treat OCD. OCD treatment is a type of therapy that requires a specialized protocol called Exposure and Ritual Prevention (ERP or EX/RP). Learn about the Top Mistakes Made by OCD Therapists.

Top Seven Myths About OCD

One stereotype is that people with OCD are neat and tidy to a fault. Actually, nothing could be further from the truth. Although many people with OCD wash because they are concerned about dirt and germs, being tidy is actually not a typical symptom of the disorder. Almost two-thirds of people with OCD are also hoarders... Learn more about the Top Myths about OCD.

Take The OCD Self Test

The OCI-R is a short, reliable, scientific test of common obsessive-compulsive symptoms. This measure was developed by OCD experts. Take our OCD Self Test.

About Obsessive-Compulsive Disorder

Mental Compulsions

Although obsessions without overt rituals are now considered relatively common among people with OCD, this OCD symptoms has generally been understudied and until recently has been considered resistant treatment. Beliefs regarding the importance of thoughts and the need to control them are common in people with this type of OCD. The meanings associated with unwanted thoughts may be related to views of self, i.e. "Having a bad thought means I am a bad person."

People with mental compulsions are usually coping with thoughts are that are unacceptable or taboo in nature (sexual, harming, religious thoughts), or worries about illness and health. Rather than perform an overt ritual, such people will engage in these covert rituals and mental neutralizing. This might include repeating silent prayers, replacing "bad" thoughts with "good" thoughts, or erasing unpleasant mental images. They might also engage in excessive prayer or confession, perform some form of mental checking (e.g., reviewing one's behaviors), and/or engage in excessive self-reassurance. These mental compulsions result in the same temporary relief from anxiety, and are thus are thus equivalent to more overt rituals.

People with OCD tend to be introspective and may spend a great deal of time and effort ruminating about the origins of their disorder. In fact, this sort of rumination can also be a mental compulsion.

Common mental rituals

  • Special words, images, numbers, repeated mentally to neutralize anxiety
  • Special prayers (short or long) repeated in a set manner
  • Mental counting
  • Mental listmaking
  • Mental reviewing (e.g. reviewing conversations or actions)
  • Mental erasing of unwanted mental images
  • Mental un-doing
  • Self-reassurance