10/14/2026
OCD themes like harm and sexual obsessions are often referred to as “taboo.” People with these types of OCD themes do not want to act on these thoughts. The thoughts are incredibly disturbing because they go against the value system of the person with OCD. Compulsions or rituals are then focused on trying to get rid of the disturbing thoughts, or to provide reassurance that they won’t be acted upon.
A person with harm OCD is no more likely to act on an obsessive thought than someone with contamination OCD is to contract HIV from a doorknob. Lack of understanding around the different subtypes can lead to years of delay between onset and diagnosis. The gold standard of treatment is Exposure and Response Prevention, regardless of the content.