Hi all, I’ve had an OCD diagnosis for a while. I did have severe major depression, but ECT put that into remission and that’s great! But the OCD is out of control and my doctors seem confused. Historically, I have had serious harm OCD and extreme guilt. This has manifested as a type of self-harm like compulsion where to reduce the anxiety I feel like I need to head bang or scratch my face as an immediate reaction. I’ve had that for years. I can now control that to some extent but it comes out instead in a lot of cringing and eye rolling and weird hand things where I feel like I have this scary energy that I need to disperse of and that helps reduce the fear. If I hold it in, which I usually cannot, then it all comes out in a big burst when I’m alone. This has gotten so extreme at work in situations where I have a lot of intrusive thoughts about losing control and saying terrible things that it kind of looks like I have a tic, though I know those don’t usually develop after a certain age. I do think this is a progression in a stressful situation and not something new, though. I can’t find much about this online, especially in women, and my doctors don’t really have any ideas. This has definitely coincided with losing control of my thoughts and falling into deep unlikely worst case scenarios and paranoia and doing things to mitigate them like deleting my social media. This is a little scary for me, even as someone with a history of SMI, as I don’t like to call attention to myself and I have always tried to mask my symptoms. I am extremely social too and I feel like people think I have some kind of intense social anxiety which I do not. How should I approach my doctor? Does anyone have any articles? Any ideas what’s going on with me? I’m wondering if I’ve developed some type of physically manifested GAD along with the OCD. Any support would be appreciated. Totally lost.