4 Lies OCD Wants You to Believe (And What to Tell Yourself Instead)
- Nathan Fite
- 5 days ago
- 6 min read
Sometimes the hardest part isn’t the thoughts themselves, it’s the feeling that you can’t trust your own mind anymore.
You catch yourself spiraling over “what ifs,” replaying tiny moments, or needing to check something just one more time before you can breathe.
Even when you know it doesn’t make sense, the fear still wins.
If that sounds familiar, you’re not broken, you’re caught in the loop OCD creates.
At The Anxiety Center, our clinicians in Cincinnati, Dayton, and Indianapolis have walked with hundreds of people through this same struggle, learning that OCD doesn’t define who you are.
This guide will help you see those thoughts for what they really are and learn gentle ways to take your power back.
When OCD Takes Over Your Inner Voice
OCD’s greatest trick is convincing you that your thoughts mean something about who you are.
But intrusive thoughts aren’t moral failings.
They’re mental events, automatic, unwanted bursts of anxiety that trigger compulsive behaviors to find relief.
It’s a cycle:
Obsession → Anxiety → Compulsion → Temporary Relief → More Anxiety
Maybe this sounds familiar.
A client in once told me, “I know the door is locked, but my brain just won’t let me stop checking.”
That’s the exhausting loop OCD creates, and it’s not your fault.
“I tell clients to imagine their thoughts as a movie. You’re sitting in the seat watching. You can walk away. You can come back. They’re not you.” — Cori Henderson, LCSW, TAC Indianapolis Office, Associate Clinician
OCD often hides behind themes like contamination, harm, or morality, but the pattern is always the same: a mind hijacked by doubt.
And yet, you are not your thoughts.
You are the observer behind them.
Evidence: “NIMH defines obsessions as intrusive, unwanted thoughts and compulsions as repetitive behaviors performed to reduce distress or prevent a feared event, which brings only short term relief and reinforces the cycle.”
Source: NIMH, Obsessive Compulsive Disorder
Lie 1: "If I Think It, It Must Mean Something”
What It Sounds Like:
“What if I hurt someone?”
“Why would I even think that?”
“Does this mean I’m a bad person?”
Why It’s Not True:
Intrusive thoughts are symptoms of OCD, not reflections of character or intent.
“People are suffering in silence because they identify with their thoughts. What’s liberating is realizing we can separate you from your thoughts.” — Giorgio Fabbri, LISW, TAC Cincinnati Office, Associate Clinician
Neuroscience backs this up.
OCD involves overactivity in brain circuits that process threat and error detection, not a moral defect.
Thoughts are noise from an overprotective brain trying to keep you safe.
Maybe you’ve felt the sting of shame after a thought popped in out of nowhere, something so out of line with who you are that it made your stomach drop.
That doesn’t make you dangerous or “crazy.” It makes you human.
Try Saying Instead:
“This thought doesn’t define me. It’s just a mental event passing through.”
Evidence: “Large community studies show that unwanted intrusive thoughts are nearly universal, reported by the vast majority of people, not only those with OCD.”
Source: Radomsky et al., Journal of Obsessive Compulsive and Related Disorders, 2014
Lie 2: "I Have to Control My Thoughts or Something Bad Will Happen”
What It Sounds Like:
“If I don’t check, wash, or replay this in my head, something terrible will happen.”
Why It’s Not True:
Trying to control your thoughts actually strengthens OCD.
The more you fight them, the louder they get.
Compulsions might bring momentary relief, but they reinforce the fear that the thought was dangerous to begin with.
“It’s about becoming the observer, separating yourself from the thought and noticing what happens in your body as you relax through it.” — Jeremy Nelson, LPCC, TAC Cincinnati Office, Associate Clinician
Maybe this shows up as needing to rewash your hands even when you know they’re clean, or mentally replaying a memory to make sure you didn’t do something wrong.
You’re not doing this because you want to, you’re doing it because your brain is trying to keep you safe.
Try Saying Instead:
“I can let this thought be here without doing anything about it.”
Evidence: “Clinical guidelines note that compulsions reduce anxiety in the short term but maintain OCD by preventing new learning, which is why treatment targets response prevention.”
Source: American Psychiatric Association Practice Guideline for OCD
Lie 3: "I Can’t Handle the Anxiety”
What It Sounds Like:
“I’ll lose it if I don’t give in to the compulsion.”
Why It’s Not True:
Avoidance and rituals strengthen OCD over time.
But every moment you don’t act on a compulsion, you teach your brain that anxiety can rise and fall naturally.
“The goal isn’t to eliminate anxiety. It’s to learn that you can be uncomfortable and still succeed.” — Michael Siman, IOP Coordinator, TAC Cincinnati Office
Picture this: your chest tightens, your thoughts start racing, and your body screams to perform a ritual just to make the panic stop.
That moment, the space between fear and action, is where healing starts.
Each time you resist, you’re teaching your brain that anxiety isn’t dangerous.
Try Saying Instead:
“I can do hard things, even while anxious.”
Evidence: “Meta analyses show ERP produces large reductions in OCD symptoms, with many patients achieving clinically meaningful improvement.”
Source: Olatunji et al., Clinical Psychology Review, 2013
Lie 4: Nothing Has Worked for Me”
What It Sounds Like:
“I’ve tried therapy and medication. Nothing helps.”
Why It’s Not True:
Not every approach works for everyone, but new, evidence based treatments continue to bring hope.
When you’ve tried everything and still feel stuck, it’s easy to lose hope.
But healing isn’t about finding a quick fix, it’s about finding the right fit.
Exposure and Response Prevention (ERP) remains the most effective therapy we’ve seen for OCD.
It helps people face fears safely, retrain the brain, and regain control of their lives.
Newer treatments like Transcranial Magnetic Stimulation (TMS) and Ketamine Assisted Therapy are opening doors for those who’ve felt trapped for years.
“When someone’s anxiety is so high that ERP feels impossible, these treatments can reduce the intensity just enough to make healing possible.” — Dr. Lindsey Conover, TAC Cincinnati Office, Director of Clinical Services
Try Saying Instead:
“Progress looks different for everyone. My story isn’t over.”
Evidence: “Deep TMS received FDA clearance for OCD based on randomized trials showing higher response rates than sham, and small controlled studies suggest ketamine can produce rapid, short term reductions in OCD symptoms.”
Source: Carmi et al., American Journal of Psychiatry, 2018; Rodriguez et al., Current Treatment Options in Psychiatry, 2022
What to Do With This Guide
This guide isn’t meant to replace therapy. It’s a starting point.
A gentle way to notice OCD’s lies and remind yourself of what’s true.
Here’s what you now have:
A roadmap to identify OCD’s distortions
Therapist backed reframes you can return to anytime
Hope grounded in science and compassion
If one of these reframes made you breathe easier, keep it close.
Healing starts in small, repeated moments of courage.
Maybe the next time your mind whispers “what if,” you’ll pause, and remember you have options now.
Evidence: “Early, adequate treatment is associated with better outcomes and less disability, while untreated OCD is linked to significant impairment in social and work functioning.”
Source: Stein et al., Nature Reviews Disease Primers, 2019
You Don’t Have to Carry This Alone
If you see yourself in these patterns, it can feel exhausting.
But here’s the truth: OCD is highly treatable.
With evidence-based approaches like Exposure and Response Prevention (ERP) and Cognitive Behavioral Therapy (CBT), people learn to reduce compulsions, face fears safely, and rebuild trust in their own minds.
At The Anxiety Center, serving clients in Cincinnati, Dayton, and Indianapolis, we’ve seen firsthand how recovery is possible.
It takes the right support, the right tools, and the belief that you are worth healing.
What feels impossible today can become manageable tomorrow.
The first step is remembering you don’t have to carry it alone.
And if you’re ready to take one small step today, you can fill out a 30-second form to match with a therapist who gets it.
We’ll walk with you from there.
👉 [Fill out our 30-second form] to get started.
Disclaimer: This content is for informational purposes only and does not constitute medical advice, diagnosis, or treatment. Always consult a licensed professional for personalized care.