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Could I have OCD?

OCD isn't always what you think it is.

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Maybe it's the counting thing. Maybe it's checking the stove 5 times. But for a lot of us? It's the thoughts that won't stop spinning. The endless "what ifs." The guilt loops that hit different.

 

The internal pressure that no one else can see.

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OCD can look like:

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  • Intrusive thoughts that feel impossible to control

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  • Rumination spirals that eat up hours

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  • The need to arrange, count, or check (yeah, the "classic" stuff too)

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  • Perfectionism that paralyzes you, or puts you in "freeze" 

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  • Obsessing over something you said / did / might do

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  • Needing certainty about things you can't control

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And here's the thing: Being neurodivergent or queer? That can actually make OCD feel even more isolating. Your brain might be working overtime for a lot of reasons. That's valid. That's also treatable.

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You don't have to white-knuckle through this alone.

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Evidence-based treatment actually works. I-CBT is a great tool to start addressing OCD directly.

 

It helps you understand the thought patterns, doubt sequence, and stop the compulsions before they happen. By addressing the root cause, your brilliant brain and it's reasoning...

 

Beyond that, somatic approaches and EMDR can help process the fear and tension your body is holding onto.

 

When you work with a therapist who gets you, understands your identity, and can meet you where you're at, that's when real change happens.

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Ready to see if we're a good fit?​​

Let's connect 

Julia therapist EMDR IFS somatic and trauma

Julia Hughes, LICSW, MPH, MSW

any/all

Text for a free consultation

314-806-3557

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I am residing on the traditional, ancestral, and unceded territory of the Osage Nation, the Illini Confederacy (including the Cahokia, Kaskaskia, Michigamea, Peoria, and Tamaroa peoples), and other Indigenous nations who have stewarded this land for generations. These lands—now known as St. Louis, Missouri—were home to complex societies long before European colonization, including the ancient Mississippian culture that built the nearby city of Cahokia, once one of the largest urban centers in North America.

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These Indigenous communities lived, loved, and thrived along the Mississippi and Missouri rivers, maintaining deep relationships with the land, water, and all living things. I honor the enduring presence, cultures, and contributions of Indigenous peoples—past, present, and future—and commit to respecting their sovereignty and right to self-determination. Liberation for all. Land back. 

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