164. What if I stab someone or kill myself? Harm OCD
In this episode, Carrie explores the struggles of Harm OCD, including fears of harming others and self-harm, and how these intrusive thoughts are tied to OCD. She shares practical ways to separate thoughts from actions, showing you how to confront these fears and find a deeper sense of peace.
Episode Highlights:
- What Harm OCD is and how it manifests as thoughts about harming others, even loved ones.
- How these intrusive thoughts, while deeply unsettling, do not equate to a desire or intent to act on them.
- How shame and stigma can trap Christians, leaving them feeling isolated and fearful about their faith.
- The difference between Suicidal OCD and actual suicidal ideation, and why understanding this distinction is crucial for treatment.
- The importance of separating thoughts from actions and understanding that negative thoughts don’t define who you are as a Christian.
Episode Summary:
Today, we’re diving deep into harm OCD—a theme that can bring up fears of harming yourself or others. It’s common to struggle with these thoughts, but it’s important to know that having them doesn’t mean you will act on them.
If you missed episodes on contamination, health, or scrupulosity, I recommend going back to listen. Even if those themes don’t match yours, the ICBT techniques we discuss can be incredibly helpful for all forms of OCD. For example, practicing skills on a different theme can ease anxiety and offer more objectivity when learning to heal.
In harm OCD, people may have terrifying thoughts about hurting others, like, “What if I lose control and harm my loved ones?” These thoughts often come as “what if” questions or vivid images, which can be really disturbing, especially when they arise while interacting with loved ones. But remember: these intrusive thoughts don’t reflect your true desires.
The key here is to understand that having a thought doesn’t mean you’ll act on it. Just because a thought comes into your mind doesn’t mean you desire to follow through with it. God calls us to bring these thoughts and emotions to Him, trusting Him to align our true desires with His will. He transforms our hearts, helping us act out of love and obedience.
Tune in to the full episode for more insights on overcoming harm OCD with faith and practical tools.
If you’re ready to tackle harm OCD and deepen your healing through ICBT, I’d love to help you on this journey. Visit my website at carriebock.com. You don’t have to fight this battle alone.
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Transcript
Welcome to the themes and treatment series of OCD. Today we’re talking about harm OCD. Maybe you fear harming yourself. Maybe you fear harming another person. We’re going to tackle both of those today.
Hello and welcome to Christian Faith and OCD with Carrie Bock. I’m a Christ follower, wife and mother, licensed professional counselor who helps Christians struggling with OCD get to a deeper level of healing. When I couldn’t find resources for my clients with OCD, God called me to bring this podcast to you with practical tools for developing greater peace.
We’re here to bust through the shame and stigma surrounding struggling with OCD as a Christian, sharing hopeful stories of healing and helping you replace uncertainty with faith. I’m here to help you let go of the past and future to walk in the present abundant life God has for you. So let’s dive right in to today’s episode.
We’ve already covered contamination, health, scrupulosity. Go back and listen to some of those episodes. Maybe even if you don’t have those themes, it might be helpful for you to hear some of the other ICBT information that’s woven throughout those episodes. It might be beneficial to your particular theme.
Sometimes we will have people practice the skills of ICBT on a different theme than what they actually struggle with. It reduces the overall anxiety in the treatment process, and it allows people to have more objectivity as they’re going through and learning. In harm OCD specifically, people can have thoughts about stabbing another person, and this may come in the form of like, what if I lost control and just hurt my loved one?
Or, what if I mentally snap and drown all my children in the bathtub because I heard a news story about it? And these obsessions may come in verbal what if questioning. Or they may come in more of a pictorial format. And obviously that can be very frightening if you’re dealing with these images and thoughts that are popping into your head at various times when you’re interacting with loved ones.
And one thing we know is that there’s not a direct correlation between having these thoughts and the types of information that you’re consuming on TV, movies. You might not be watching any type of violent content. You’re not listening to crime podcasts. You’re not trying to dwell on these types of stories.
You’re not reading dark horror novels, but somehow these thoughts are still in there, and they’re stuck. As with all themes of OCD, there probably is some element of shame. How in the world am I having all of these thoughts that I don’t want and I don’t want to act on? And what does that mean? Because I’m a Christian and I know that I’m supposed to think about things that are good and lovely and excellent, worthy of praise.
How do I get this stuff out of my mind? So there may be different things that you do to try to neutralize those thoughts, either in a mental compulsion way, like thinking about something different, you might repeatedly confess those thoughts, might try to think of, uh, positive thought, you might end up doing some type of research on the internet about people who have lost control or snapped or done things that people thought they would never do.
Another compulsion is avoidance, avoidance of knives, avoidance of being in the kitchen. You may even avoid being around certain people, even though you love them, but you’re afraid somehow of harming them. That avoidance, unfortunately, though, just reinforces and strengthens this idea that you’re unsafe in some way or that you can’t be around these people because you’re going to hurt them.
And that’s not what we’re wanting, right? You may have intense suicidal OCD. Of course, this is really scary to tell anyone about because you think if I tell someone I’m having these thoughts about harming myself or killing myself, that automatically means that I’m going to be locked up in a mental hospital and it’s going to be a terrible, horrible, awful experience.
What’s the difference between someone who is truly suicidal and someone who has suicidal OCD? Typically, suicidal individuals are ambivalent. There may be a part of them that wants to die or kill themselves and then a part of them that doesn’t. If someone is struggling with suicide, those thoughts tend to come and they may come on very strongly.
But if given enough time, they will dissipate and die back down. This is why we talk so much about suicide prevention, about talking people through that ambivalence process and helping them find reasons for living and staying alive. Someone who is dealing with suicidal OCD would adamantly say that they do not want to die or do not want to kill themselves, but they’re afraid.
They have an intense fear that they’re going to do something to hurt themselves. Also, the thoughts may not dissipate. They may continue to come back as this person engages in the compulsions. Also, there may be just lack of any reasons that they can identify for why they’re having these thoughts. When someone is Dealing with genuine suicidal ideation, they will have a sense of hopelessness.
They may have a sense of feeling like they’re a burden. This is not what someone with OCD would say. Obviously, there may be some overlap and gray areas here, and if you genuinely are concerned about harming yourself or you have a loved one that you’re concerned is going to kill themselves, then obviously you need to have intervention professionally for someone to be able to go assess and figure out what’s going on and what the plan needs to be.
It is important to note that many people have these thoughts at various points in their life and don’t act on them. What I would want people who are struggling with harm OCD to know is that thinking about something is not the same as acting on it, or feeling an intense emotion does not mean that you’re going to act on that.
So, for example, you can be intensely angry at someone or have intrusive thoughts about harming them, but never act on those things. Just because you have a thought doesn’t mean that you have a desire or an intent to follow through with that thought. Let’s look at a couple of real life examples. One of these I actually used in Christians learning ICBT.
I think as Christians we get so scared sometimes of our thoughts and emotions if we feel like They’re somehow not in line with what God would want us to think and feel. And I really see these as an opportunity for us to bring these things to the Lord so that He can align our true desires and intentions towards Him, and we can act out of those true godly desires and intentions that He wants us to have.
That’s a work of Holy Spirit transformation that happens in our life. It’s not just something that spontaneously happens. It’s part of our submission to his will and desires. Let’s say that someone deeply hurts me, and I can think of people in my life who have deeply hurt me. I might have a thought like, oh, I just want to get revenge on this person, or I want them to suffer the way that I’ve suffered, and I have an intense emotion of anger.
But at the same time, I know that I’m desiring to please God, and I know that in order to do that, I need to forgive this person and be able to let the offense go. So I take my thought process and my emotion and even like my urge to get revenge, I bring that over to God and pray through it. I pray for that person.
I pray for God to change my heart. God works in my life and I. Submit my desires and my will to him so that I can be in alignment with obedience with what God wants me to do. And God changes my heart so that I’m able to forgive that person, even though it started out really rough with that thought and intense emotion, it ended in a positive action space.
My point is that in OCD, things get really blended. Thoughts and actions get blended. We call that thought action fusion. You may see thoughts and urges as the same thing as desires and intent, and those are two different things. So it’s really important to pull those pieces apart for yourself, that you can have thoughts, emotions, like urges.
that don’t end in a particular action that OCD is telling you and convincing you is going to happen. There are plenty of times where we might not want to get out of bed in the morning, or we might not want to do a particular task, like exercise. We know that it’s good for us, and so we hang on for the goal in the long term, and we don’t act according to that particular feeling or that particular thought that we’re having in the moment.
And if you recognize this in an everyday process, that helps you be able to apply it to OCD and find the confusion there. I think there’s a lot of confusion in the church on this issue related to trying to control our minds and what we’re thinking and trying to control our emotional state. And if we are truly abiding in Christ, we do not need to work that hard.
Hear me out on this. It’s God that’s doing the work within us. We don’t have to try and control or squash every quote bad thought that we think comes into our mind. You’re going to have negative thoughts at times, you’re going to have difficult emotions, come up, submit those to the Lord, seek his truth, respond in healthy biblical action.
Another key is to not make so much meaning about what a particular thought says about who you are as a Christian or says about your spiritual condition. If you are struggling with harm OCD, know that God knows you’re struggling with these thoughts. I pray that he shows you what your true desires and intentions are underneath all of that mental chatter that OCD is trying to engage you in.
And if you can learn to not Engage with those thoughts to not get sucked into that OCD story. They’re going to die down, and they’re going to become irrelevant for you. The very thing that you might be trying so hard to control, if you’re able to step back and let go, that’s the process that’s going to allow those thoughts to die down, not trying to jump in and fix them, or solve them, or eliminate them, or do something about them.
I realize that is easier said than done. If you are struggling with harm OCD, know that help and treatment are available. You do not have to go through imaginal script writing if you don’t want to. I am in Tennessee and would certainly love to talk with you further about this. You can reach me on my website at karibach.
com. OCD warriors, until next time, may you be comforted by God’s great love for you. To receive weekly encouragement, find out about our monthly Meet the Podcast host Zoom meetings, and receive information on exclusive sales, become an email insider today. All you have to do is go to kiribach. com and scroll towards the bottom of the page.
You’ll find a spot to put in your email and receive a free download in your inbox from us. Until next time, may you be comforted by God’s great love for you. Christian Faith and OCD is a production of By The Well Counseling. This podcast is for informational purposes only and should not be a substitute for seeking mental health treatment in your area.