![]() Acting on thoughts of extreme harm and violence – you may have thoughts of causing extreme violence or harm to others, and worry about whether it has happened in the past or may happen in the future.Thoughts or doubts about doing, saying or writing something awful, improper, or embarrassing – you may be concerned about doing this despite having no desire to.Doubts about your sexual orientation – you may obsessively worry about your sexual orientation, despite having an understanding of your identity.Doubts about whether you truly love your partner – you may fret about whether your partner is the right person to be with, or whether they are the right person to marry, despite loving the person and wanting to be with them.Thoughts about killing yourself – you can experience these thoughts without having any desire to carry out the act. ![]() Immoral or sacrilegious thoughts and images about God and blasphemy – you may obsessively worry about these thoughts despite having no desire to offend God.Unacceptable thoughts or images about sex or violence – you may be worried about having these unacceptable thoughts despite having no history of sexual deviancy or violence.You may also feel guilt and shame if you struggle with unacceptable thoughts, which can include the following: You may believe that seeing or hearing an unlucky number, tragic news story, or a place, thing or person that is associated with harm, unluckiness or unhappiness will lead to harm or bad luck for others Or after you leave work, you may worry that an action or non-action you carried out in the day has led to a fire or flood An urge to prevent harm or bad luck You may obsess over thoughts that you have knocked over a cyclist or pedestrian when driving. At work, you may worry about a mistake you’ve made, or a mistake you could have possibly made Uncertainty over causing an accident or disaster You can also think that you have left an electrical appliance on at home or forgot to lock the front door. You may worry about an email that you sent has been misconstrued as rude or offensive. What obsessive thoughts can lead to feeling guilty? Making a mistake or doing something wrong Also, there is professional treatment available that can help you tackle your symptoms and deal with the impact that they are having on your health and wellbeing. If you are dealing with OCD and are experiencing guilt because of your symptoms, it is important to understand that people will want to support and connect with you. You may have also found that you are starting to withdraw from others as the guilt and shame become too much and you worry about how people would judge you if they ever found out. The belief that you have done something wrong can lead to you being extremely self-critical, where you punish yourself for thinking in an ‘unacceptable’ way, such as in a sexual or violent manner, or for causing potential harm to other people. Certain symptoms can trigger this feeling, such as having sexual or violent thoughts or believing that you are responsible for causing harm to others. Many people with OCD experience extreme guilt. Page medically reviewed by Dr Ian Nnatu (MB BS, PG DIP (CBT), MSc, FRCPsych, MRCPsych) Consultant Adult Psychiatrist at Priory Hospital North London
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