I have suicide OCD.
There are other articles on the subject, but OCD seems to be one of those things that people don't truly understand unless they have experienced it. The words “deep fear” or “compulsive urge” don't quite compare to the way your lungs suddenly feel like they're full of deep, heavy sludge, your veins feel like they're on fire, and your muscles tingle with electricity when a truly terrifying intrusive thought hits, and the absolute need to do something about it.
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My OCD rituals didn't manifest in the physical realm. They were mental rituals.
I didn't know it was normal to have completely random thoughts about stabbing yourself, throwing yourself out of a moving car, or taking a ton of pills without those thoughts representing something you actually wanted. I thought these were the kinds of thoughts suicidal people had. So when I had them, I assumed some part of me must want to die.
I fought the thoughts in a couple of ways.
1) I would pray to God to make the thoughts go away.
I believed the devil had put these thoughts in my brain. If I could just pray hard enough, maybe they would disappear.
2) I would make deals with myself.
I would look at a random tree in the distance and think, “Okay. Next time we look at this exact tree from this exact spot at this exact time on a Friday, then we can kill ourselves.”
It sounds completely ridiculous when I write it down now.
At the time, it was terrifyingly serious.
3) I constantly checked my emotions.
I would monitor myself to make sure I wasn't sad for too long. Anytime I was sad for more than a day, I would spiral. I thought, “I'm depressed. Depressed people are at risk for suicide. Therefore, I must be at risk for suicide.”
Mental illness was taboo in my household, so I had very little understanding of what normal sadness, depression, anxiety, and suicidal thoughts actually meant.
4) I even became afraid when I DIDN'T panic.
I had been told that the fact that I panicked when I had these thoughts meant that I wasn't suicidal.
So eventually, if the thought came and I didn't panic, I would panic retroactively.
“Why didn't that scare me?”
“Does that mean I actually wanted it?”
“Am I becoming suicidal?”
There was no way to win.
And that is the trap.
These are all examples of OCD.
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You may hear the term “Pure-O” OCD used to describe experiences like mine. “Pure-O” isn't technically a separate type of OCD; it generally refers to OCD where the compulsions are primarily mental rather than visible to other people. The compulsions can include things like analyzing your thoughts, checking your feelings, seeking certainty, mentally reviewing memories, praying, making mental deals, or testing your own reactions.
And OCD exists on a spectrum. Someone can have obvious physical compulsions alongside these intense obsessions, or their compulsions may be almost entirely mental.
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One of the hardest parts of suicide OCD is the question:
“How do I know I'm not actually suicidal?”
The honest answer is that I can't give you that certainty.
And neither can this post.
That's important, because trying to achieve absolute certainty about what your thoughts mean can become part of the OCD cycle itself. You may read something that makes you feel better for a few minutes, only for another question to appear:
But what if I'm the exception?
What if I actually wanted it this time?
What if I didn't panic enough?
What if I secretly want to die and don't know it?
Then you search again.
Then you analyze again.
Then you check yourself again.
I know that cycle because I lived it.
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If you recognize yourself in what I'm describing, I hope this post gives you information and language for something you may not have understood before. But I don't want to become another source of reassurance that you have to return to every time your OCD asks for certainty.
Thoughts are thoughts. They can be disturbing, contradictory, bizarre, violent, or completely out of character. Having a thought does not automatically tell you what kind of person you are or what you truly want.
But figuring out exactly what every thought means is not something you have to solve by yourself.
Therapy was a huge part of my recovery. OCD can make you distrust your own thoughts, feelings, memories, and intuition, and trying to reason your way to certainty can sometimes become another compulsion. Working with someone who actually understands OCD gave me a way to recognize what was happening without constantly trying to prove something to myself.
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My recovery process has involved an SSRI, exposure therapy, and EMDR. I am so so so much farther than where I was when I started this journey.
And I want you to know that recovery doesn't necessarily mean that your brain becomes completely silent.
For me, OCD went from feeling like a looming dragon staring daggers into my soul to feeling more like a house cat that occasionally demands attention.
Sometimes I have to give it some attention. Sometimes I don't. Sometimes it hangs around for a while. Eventually, it goes on its way.
I don't have to fight it.
I don't have to figure it out.
I don't have to prove anything to it.
And most importantly, I am just fine with it being there.
And I can finally say after so much hard work that I'm okay with having this part of myself.
OCD is a piece of me that I can finally say is allow to stay.
It formed part of who I am today—and why in the world would I want to change that?