Automatic mental compulsions are one of the easiest ways OCD pulls you in without warning — you don’t plan them, you don’t choose them, and half the time you don’t even notice they’ve started. One moment you’re living your day, and the next you’re ten layers deep into replaying a conversation, solving a fear, or trying to think your way to certainty. In this video, Dr. Patrick McGrath explains why OCD makes these loops feel automatic and how to “undo” a mental compulsion by ending it in doubt instead of reassurance.

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