Note: All parts of the guide have been updated as of Sep 2022 after much discussion from those suffering from SOCD and my own experience. In particular I have considerably adjusted the ERP approach, as I now believe that is better to simply avoid doing any explicit rituals, rather than trying to literally do nothing, which seems to have been causing some issues for people.
This unit is part of a guide. To see all units in the guide, click here.
This is may be the most important unit in this guide. Doing exposures is really at the heart of recovering from any OCD, and its particularly the case with sensorimotor OCD. The idea is to do the exposure without doing any particular compulsion or ritual; either sitting with the awareness or carrying on with whatever you were doing. I recommend three kinds of exposures, all of which you should do every day initially:
1) Conscious Exposure
This is where you will schedule some time out (at least 5 minutes) and invite the awareness of whatever sensations are troublesome, without really doing anything else. You can do this while going for a walk or a drive or just sitting outside, but it should be something where your mind isn’t too occupied. Doing nothing in particular will give you the best chance to have a more intense exposure, whereas if you are busy doing something else you won’t notice the sensations as much. One thing you can do is set an alarm every minute during this period so you keep getting reminded of it.
Previously I said you should focus on the sensations during this in a mindful kind of way, but I believe this can become a kind of ritual. Instead, just encourage the awareness to be there as much as possible so you can get a good quality exposure in. You will forget it from time to time during this period and that’s fine.
While you do this, you should not do the rituals or compulsions you were doing previously. (ideally you know which compulsions to avoid from 2.1). For example if swallowing is my issue and my ritual was to always monitoring and try swallow every 20 seconds, then I would not do that. Instead I’d just sit with the awareness without having a particular strategy to ‘deal’ with my awareness. I might swallow sometimes if there’s a lot of saliva, I might not, but it doesn’t really matter. The point is just to avoid any particular ritual you were doing to ‘solve’ the problem earlier, and get comfortable with that awareness there without needing to ‘solve’ or avoid it.
At this point, don’t worry about the fact that you’re not doing things ‘normally’ right now. That doesn’t matter. Get used to having these sensations without having a particular strategy to deal with it. This is the skill of learning to do nothing in particular in response to your trigger. But don’t stress about perfectly doing nothing; it’s not about that, it’s just about avoiding the rituals you were doing previously (and it should be pretty clear if you are doing them or not).
You may feel a lot of anxiety doing this, perhaps more than you are used to. This is okay, and isn’t a sign that it’s not working. This is because you are exposing yourself to the fear. Sometimes it may last for quite a while, even for hours after the exposure. Don’t be surprised if this happens; it’s part of the process. It should get easier.
Exercise 2.2.1: Schedule a time daily to do conscious exposure. It should be at least 5 minutes a day. Do this every day until there’s absolutely no anxiety during and afterwards. After about a week, you should notice this becomes much easier, but keep going.
2) General exposures (aka consistent reminders)
This is where we expose ourselves to the thought, but continue on with whatever activity we are doing. Like in the conscious exposure, we are trying to expose ourselves to the awareness without doing any rituals, but here we are carrying on with our daily activities.
What this means in practice is that you’ll place reminders and notes in your life such that you are constantly reminded of whatever sensation you fear. For example, if I’ve got an issue with breathing, I can put a post it note on my desktop monitor or to do list with ‘Breathe :)’ on it, or set an alarm 4-5 times a day to remind me of my SOCD with breathing. The idea is you are constantly exposing yourself to this thing you are fearing. Just doing this has a significant effect; it’s like facing it head on instead of running away. I like to think of this as smashing the OCD over the head with a hammer; it won’t be able to handle this onslaught of exposure.
The key here is just carry on what with you are meant to be doing after you are reminded of the sensation. If you are working, keep working, if you are watching a movie, keep watching it. It may feel uncomfortable or not the same as usual, but that’s the idea. Don’t unnecessarily continue to focus on it though; just resist from doing any of your compulsions. Also, don’t worry about how you can’t do things ‘normally’; just do it to the best of your ability with the awareness there.
This kind of exposure is important as it helps you in normal life. You will get triggered every so often, and you’re learning to just get on with your life. Your mentality should be to embrace the SOCD; every time you remember it thinking “Great, welcome back; I’ve been wanting you to be here”. Each exposure is an opportunity to become stronger, so you should be welcoming it.
One side tip here is to use sarcastic scripts (potentially based on thoughts you know you’ve had) to enhance the exposure like “Oh well, you’re right OCD, looks like my life is going to be ruined because I’m conscious of my nose”. If you can make a bit of a joke out of it, that’s good.
Exercise: 2.2.2 Create reminders in places you frequent (desk, computer, car, bedroom etc) and set alarms throughout the day so that you are constantly ‘triggered’ throughout the day. If a certain obsession is no longer giving you a lot of anxiety, change these so it reminds you of whatever obsession is. Get a bit creative with this to make sure you’re being reminded of it. The more, the better.
3) Exposure during trigger activities
You’ll probably have found there’s certain situations where you are triggered a lot or certain activities you struggle with. For some people their OCD with their eyes makes it hard to read, or for others with their saliva makes it hard for them to socialise. Sometimes these are activities you typically enjoy, like watching a movie, and the SOCD is ‘ruining’ the experience. Often you might have avoided these situations because of the anxiety involved.
Once you’ve identified certain situations, repeat the exercise from 1.2 where you challenged your thoughts. For example with reading, someone might say ‘I can’t read properly’, or ‘it’s ruining the enjoyment’. Again, interrogate this. You probably can actually read pretty decently even with the SOCD there, as long as you focus on reading. It might affect you a bit, but not much. The anxiety might be unbearable, but if you could remove that, you probably can read okay.
Then it’ll be about exposing yourself in these situations. Again, just remind yourself of the obsession at the start of the activity, and then go on with it. Embrace any time you brain reminds you of the obsession, but don’t stop to focus on it, carry on with your activity. You can also periodically set up reminders (using an alarm or otherwise) during the activity so you are reminded of it.
This applies to both situations where your mind is stimulated and you have something to concentrate on (e.g. while you are watching a film perhaps or talking with friends), as well as where your mind doesn’t have anything much to focus on (e.g. when you’re lying in bed or when you’re just going for walk). You should ensure you practice exposure in both kinds of situations.
One thing to be aware of is that you may have very little anxiety in general, and even think you don’t have much of a problem, but then a certain situation or environment will really trigger you out of the blue. Until you do repeated exposures to that situation in particular, the fear will not be removed. So pay special attention to what situations affect you the most.
Exercise 2.2.3: Work out what situations/activities are triggering for you. Repeat the exercise from 1.2 where you wrote the trigger, the automatic thought, and how it can be challenged. Schedule reminders at the start and during these activities so that you can be exposed as much as possible while doing them. Finally, do the activities themselves, perhaps more than you usually would if possible.
Feel free to ask any questions about these exposures and any challenges that arise doing them.
Today I had only one problem of breathing but now i have blinking swallowing problem after reading these posts please help i am sad…
Hi Akash,
I’m sorry to hear that :(. It’s not my intention to trigger people. But ultimately for recovery you want to be able to be okay with and accept any kind of ‘sensations’ or ‘awareness’, whether it’s the ones you mentioned or something else. This kind of OCD often jumps from one kind of awareness to the other, and the way you overcome one is the way you overcome all of them. Feel free to ask any more questions.
This happened to me in 2013 and my SOCD transitioned from breathing to breathing, blinking, and swallowing to eventually a medication taper and blinking-type SOCD.
I do not understand for the mindfull exposure. I cannot avoid blinking for more than 2 min. Swallow for 20 min i can. Is swallowing a compulsion/ritual and the trigger is awareness of saliva? Should i be avoiding swallowing on the mindfull and also the general exposures? Isnt saliva and swallowing the hole obssesion? And the fear , rumminations, trying to figure out the compulsions and rituals i should avoid?
Hi Aadil, thanks for the reply.
The reason I’m asking is that the moment where I swallow naturally is not happening at all. I can let the saliva for as much time as I want, but my awareness is locked on saliva + swallow. Your text presents the the swallow as a ritual for relief. so do you see the swallow as a compulsion? Should I try to swallow less and less, leaving the saliva there as much as I can?
I also have this same question
Hi, I have a question regarding the mindful exposure. You mentioned that no matter how much the urge to breathe, dont do it. As i am having this problem of breathing, in this case, do you mean that i try not to breathe and hold my breathe? Since the mindful exposure is to focus consciously on the sensation right, why should we be avoiding the urge to breathe consciously when i am doing this kind of exposure?
How do I not breathe consciously once I am conscious of my breathing?
Thank you very much
So for swallowing I should try not to swallow? It feels odd because I don’t feel particularly anxious, but I still have this problem.
I think deep down I want it to go away and haven’t completely accepted it, even though I am not as anxious. I have the breathing too, but less than the swallowing.
Also I feel my throat is sore, could it be because of the swallowing? I was starting to calm down but then I felt my throat being sore and that’s when it worsened again.
Thanks for this guide, it gives me a bit of hope.
Yeah it could just be you have a mild form I suppose. You want to get to a state where you don’t feel even that 5-10% discomfort/anxiety imo.
I’m not sure about soreness as such. Certainly when you are aware of things, things can still to feel a bit weird, but i’m not sure about soreness specifically. But again it’s about learning to be comfortable with whatever all that; if you’re scared of avoiding some soreness linked to swallowing and start getting worried, that can be a problem. Ideally we want to accept whatever happens when we are aware of these things. Things sort themselves out when we let go.
Ok, So I have the blinking OCD which has semi paralyzed me from engaging in activities – I am actually off sick from work because of this – so my understanding is this, the exposure you recommend is for me to do everything, ie watch a movie, go out, read, go to work, even with the anxiety (even as I type this now with a shaky feeling) keep doing activities with the Blinking awareness banging in the background and basically try not to react to the awareness, even try and humour it? give it no value? or embrace it? go to work with it screaming at me from the background like a child but do not react, instead carry on? is this what you mean Aadil? how long can it be expected to take for your mind to get used to this?
Hello Igor,
As another person who has went through and recovered from Somatic OCD, I agree with everything you said except from your advice on breathing. While waiting for swallowing and blinking to happen automatically really helped, I found myself getting more anxious than anything by holding my breath for as long as I can. Instead, to improve my breathing, I tried to copy the pattern of a normal breathing speed (Googled it, it’s a breath every 4 seconds or something similar I don’t remember) until my body adapts to it. I don’t know how correct that was but it was good with me.
Cheers for making this!
Thanks for sharing your experience. That I guess makes sense, trying to just let it flow rather than holding it.
I’m currently having some trouble avoiding rituals. I expose myself throughout the day but I find it hard to stop doing compulsions like analyzing or trying to breathe in a certain way. I tend to tense up a lot as if to breathe manually. I’m trying to thread the needle between not trying to suppress the sensation and trying not to do the compulsion of “manual breathing.” Any advice is appreciated.
Hi Seth. Indeed what you’ve mentioned is one of the things which makes this OCD a bit more complicated, as it’s not clear how to ‘let go’. I would say, it’s just about letting go of having any ‘conscious strategy’ to deal with it.
Even if you’ve given up any strategy, you might still be conscious of your breathing at times, sometimes fully, sometimes partially, sometimes not at all. My view is that it doesn’t matter. Sometimes you’ll do a more conscious breath, sometimes not at all etc. But you don’t consciously do anything, you just carry on with your life. I would say also once the anxiety falls, things in a way take care of themselves.
Okay, I think I get what you’re saying. For me, the anxiety has lessened, but I still feel like I’m stuck on certain health fears that are preventing me from feeling like I’m breathing “correctly” or in a way that won’t lead to drastic health consequences. I guess that is a matter of continuing to work on changing those irrational beliefs.
So, do you think that when I feel, for example, like I’m tensing up or feeling short of breath because I’m essentially breathing really shallowly, I should simply allow that without having a strategy to deal with it? I find that I often will monitor the cadence of my breath and almost force myself to inhale or exhale, but it feels like I’m doing it automatically. It bothers me but it’s a bit difficult to stop.
Thanks so much
Hi Seth,
Yes that’s right. Don’t worry about something happening subconsciously or if you occasionally just do a breathe because if feels better. That doesn’t matter. What matters is something you consciously do as a strategy to deal with it, like starting to try to breathe ‘correctly’ once you feel something is off. It is a bit weird, but it would be about carrying on imo despite some weird feelings (and any associated anxiety). It doesn’t require anything too complicated or that much thought imo.
And like a lot of things it’s more about practical action than thinking…things seem to sort themselves out when you do the right actions.
Thank you so much for putting this together, this is really helpful even if to know that I am not the only one that suffers from this.
I have recently relapsed after many years and didn’t follow anything in particular before.
However now I am trying to move forward positively to become ‘normal’ again.
One area of advice I could use right now is that I enjoy to walk but right now I am controlling almost every breath. Any advice on how I can reduce/avoid this as I think this could be a major milestone for me?
Thanks in advance!
Hi Damon. I think reading through the guide will help.
Don’t worry about being ‘normal’. It’s okay to have some ‘control’ over it, as if you are conscious you can’t help it. Learn to be okay with it not being ‘normal’ and feeling a bit ‘weird’. It’s about not trying to ‘solve it’ through some strategy of monitoring/control; that ironically makes it worse. Just go out there and enjoy the walk as much as you can, with however it feels. The change in mindset and goals is what is required
Thanks Aadil!
Since my post I have been trying this and seen some improvement. When I put so much emphasis on certain things it can make it more difficult as I tell myself I must resolve this to enjoy activities to the same level again. I am trying to change my mindset and not avoid things!
Great to hear my friend. It can be a bit of a journey but I think you’ll get there soon enough!
I didn’t really understand if, in the case of saliva, I should spend as long as I can just accumulating the saliva without swallowing. and that?
Hi Jose. Sorry for the late reply. Not exactly. I would say just expose, and let whatever happens happen. It is okay for you to swallow straight away, as well as after some time. It doesn’t matter. Just expose and don’t consciously do anything in particular to deal with it.
Like how?
Hi Ferdi. Sorry for being so late. I just mean to say, it doesn’t matter what you do. The idea is to stop trying to manage it. Just invite in the awareness and carry on, it doesn’t matter so much what you do. If its really uncomfortable, feel free to swallow. What you shouldn’t be doing is trying to avoid the awareness or get it back to ‘normal’.
Thx so much for the replies, i’ve been through hell lately, because i can’t really understand your guide, you said just expose yourself to the sensation and do nothing, i’ve breathing ocd for many years and now i’ve developed blinking as well after reading peoples comments on this website, i’m currently on medication, but only slighly help, it so debilitating and consuming, what i want to ask is what you said just invite the awareness and do nothing, but every time i invite awareness, i become fixated on the sensation and thus becoming rituals, that made my conditions even worse, could you explain more detail about inviting awareness and not doing anything or rituals? Also what do you mean about don’t do anything consciuosly in particular to deal with the sensations if you invite the awareness? i think i lost my way here, thx in advance Aadil
Hi Ferdi,
I’m sorry it hasn’t been useful. I think I’ll like to rewrite a few things in future to make it clearer.
When you invite awareness, it will be natural to be fixated on the rituals for sometime. That is unavoidable and is okay. You just keep carrying on, being aware of it and even controlling it. Trust me when I say that once the anxiety goes down, things sort themselves out.
When I say don’t do anything consciously, I’m probably not saying that in the best way. What I mean is don’t do anything to avoid the sensation of being aware; e.g. if you don’t like blinking awareness, closing your eyes to avoid it. Don’t try to ‘figure’ out what normal is or feel you need to ‘monitor’ it so it is okay. It’s about facing your fears and discomforts
Thx SO much Aadill, now my ocd kind of jumping around between blinking, breathing and swalowing, most often at the same time, make me feel like overwhelmed and exhausted, and my focus spread thin between them
Sometimes jumping about means one in particular is getting weaker, so the SOCD is switching to something else. Keep on exposing to whatever is causing you the most trouble (or all at the same time). Hopefully a sign things are getting better
Thx again Aadil for the replies, i know i hit rock bottom at the moment, but hopefully i am getting better, it’s already so hard to deal with one obsesion, but having all of them at the same time make it much worse, and recently i dont feel the need to blinking, the urge is just lost, and i’m affraid that i go blind for not blinking anymore
Hello, wonderful article and I’m glad you’ve accepted Sensorimotor ocd for what it is. I’m currently in the stages of acceptance, but I ruminate about whens the right time to do so and so activity. For instance, I am currently undergoing swallowing and for the longest time have been swallowing constantly without much thought. Recently, I thought to change it up and not swallow even when the sensation is there. I believe this was a form of rumination/compulsion as I’m trying to control when to swallow, and it’s casuing me extensive disbelief/minor anxiety. Should I just swallow whenever the sensation is there? I know people have told me to sit with the sensation, but it feels wrong. Also, it isn’t so much that I need to swallow but I have backed-up mucuses that cause me to swallow to temporarily relieve them. Have you experienced the same thing? Sorry for the long message.
Hi Ally,
Sorry for the late reply.
Sounds like you are well on the way to getting better. The questions you have are typical of someone going through swallowing OCD.
I think don’t worry too much about ‘how’ you swallow. It doesn’t really matter; you can do it when there’s a lot of saliva or when there’s a bit. It’s actually a ritual to keep trying to figure it out, so let it be, without necessarily having to be 100% on the way to do it. The only thing is you shouldn’t totally avoid having the awkward sensation of the saliva (like by swallowing all the time or something). I would just move to something that’s natural, like swallowing when it feels uncomfortable or something, but not being too fixed on it.
If the compulsion is producing more saliva and then have to swallow or spill it how you think i can prevent it ?
I’m afraid of trying this and get worse do these methods have a number of successful stories and happy ends?
Hi there. Yes there are many success stories…I’ve heard from many who have had significant improvements, and there’s me too. There are principles which do work, but it takes time, hang it there. My prayers are with you.
To answer your other question about saliva, the idea is not to do the ritual or compulsion. It’s okay if you have to swallow or spit because it’s a lot, that’s fine. It’s more about trying to stop what you have been doing, usually to avoid the sensation or figure it out.
Honestly, thank you so much for this. I was wondering tho I was doing better by allowing the sensation but then I got the thought “when do I swallow?” and it made me panic over what to do; if I swallow with the thought, will that mean the thought will keep coming back every time I need to swallow? So then do I hold off from swallowing intentionally, and delay the swallow and do it in a bit, but that makes it difficult to focus on the things I want so is that too much control? I was curious for your answer?
Hi there. Classic issue. My answer would be it doesn’t really matter ‘when’ you swallow. There is no ‘right’ answer; part of the problem is trying to figure it out. It doesn’t matter; you can swallow when you feel like or not.
it’s okay if it comes with the thought, or it doesn’t. Just carry on.
THANK U SO MUCH!! when I have the thought ‘when do I swallow’, I now worry if it will keep me in awareness looking for when do swallow and I won’t be able to stop it? That the thought itself is the issue keeping my attention on swallowing and panicking giver when to swallow
But for real, you’ve helped me heal so much, I genuinely owe you so much for this.
What you mean?