One of the scariest OCD spirals can start with a simple thought: what if this isn’t OCD at all? For many people, OCD doesn’t just attack fears around harm or contamination — it can also latch onto the fear of “going crazy,” losing touch with reality, or developing something more serious like psychosis or schizophrenia.

In this video, Dr. Patrick McGrath breaks down why OCD targets these fears so aggressively and why trying to prove to yourself that you’re okay only keeps the cycle alive. He also explains the key difference between OCD and psychotic disorders, and how therapy helps people stop treating every intrusive thought like an emergency that needs to be solved.

At NOCD, we specialize in exposure and response prevention (ERP) therapy, the most effective treatment for OCD—a treatment that can help you live a fulfilling life. If you’re ready to take your first step, book a free 15-minute call with us at https://learn.nocd.com/YT

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