Pure O

  • Pure O, or Purely Obsessional OCD, is a subtype of Obsessive-Compulsive Disorder characterized by intrusive, distressing thoughts without the accompanying visible compulsions. Individuals with Pure O often experience persistent, unwanted thoughts about topics like harm, sexual orientation, morality, or religion, leading to significant anxiety and distress.

  • Though the compulsions are not outwardly visible, they often manifest as mental rituals, such as excessive rumination, mental checking, or seeking reassurance to neutralize the anxiety caused by the obsessions. Addressing Pure O involves recognizing the irrational nature of these thoughts and learning strategies, such as mindfulness and cognitive-behavioral techniques, to manage and reduce the impact of these intrusive thoughts over time.

  • Fear of causing harm: Intrusive thoughts about accidentally harming oneself or others, despite lacking any intent to do so.

    Sexual obsessions: Distressing thoughts or doubts about one's sexual orientation, desires, or morality.

    Religious or moral doubts: Intrusive questioning of one's beliefs, morality, or fear of committing blasphemy or sin.

    Existential concerns: Persistent thoughts about the meaning of life, death, or one's purpose in the universe.

    Health-related anxieties: Obsessions about having or contracting a serious illness, despite medical reassurance or evidence to the contrary.

    Relationship doubts: Constant worry about the authenticity or stability of one's relationships, including fears of infidelity or abandonment.

    Perfectionism: Intrusive thoughts about making mistakes or not living up to personal or societal standards of perfection.

  • Mental rituals: Compulsively reviewing past events or conversations to analyze or reassure oneself about fears.

    Avoidance behaviors: Avoiding triggers or situations that may provoke intrusive thoughts or anxiety.

    Reassurance-seeking: Seeking repeated reassurances from others or online sources to alleviate doubts or fears.

    Mental rituals: Engaging in mental rituals such as praying, counting, or repeating phrases to neutralize obsessive thoughts.

    Information-seeking: Excessive researching or seeking information to confirm or disprove fears or doubts.

    Checking behaviors: Mentally checking one's feelings, reactions, or surroundings for evidence of harm or wrongdoing.

    Compulsive mental review: Constantly reviewing one's thoughts, actions, or behaviors to ensure they align with personal values or beliefs.