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by Annabella Hagen, LCSW

When I met Marie, she shared how faith and her connection with a Higher Power had always been important in her life. Her parents taught her that faith could be an anchor during hard times.

But Marie also had a genetic predisposition to obsessive compulsive disorder (OCD). When doubts and fears began to take over, she slowly lost confidence that she could ever feel peace again. Without knowing it, the more she tried to reason with the thoughts, fight them, or seek reassurance, the stronger they became.

Her OCD changed themes as she grew up. The voice within whispered different fears at different times:

“You may hurt the kids you’re babysitting.”
“You caused your granny’s pneumonia because you didn’t wash your hands well enough.”
“Am I going blind?”
“Why do these ugly images come into my head in sacred places? I must stop them.”

She tried to “fix” her doubts. But the more she focused on them, the more they grew. They distracted her from what mattered most — including her relationship with her Higher Power. She blamed herself for not feeling close to God. She felt ashamed and spiritually broken.

Many people with OCD blame themselves for their unwanted thoughts. They panic.

“Why would I think this?”
“What does this say about me?”
“Am I a terrible person?”

No matter what Marie did, she could not find certainty. She could not get enough reassurance. She wished she could control her thoughts and feelings. Because she couldn’t, she became very hard on herself. Her self-compassion slowly disappeared.

But here is something important: every human being — whether they have OCD or not — experiences disturbing thoughts, images, or impulses at times. Research going back decades, including studies like Rachman and de Silva (1978), shows that intrusive thoughts are common in the general population.

The difference is not the content of the thoughts. The difference is how often they come, how intense they feel, and how much distress they cause.

When someone without OCD has a strange thought, they may feel uncomfortable and say, “That was weird,” and move on.

But someone with OCD feels a strong need to solve the doubt. They may analyze it, argue with it, pray repeatedly, seek reassurance, or try to push it away. Without realizing it, these efforts make the thoughts louder and more frequent. This is how the OCD cycle grows.

Understanding this can bring hope. It means the problem is not your faith. It is the pattern.

And the good news is that OCD is not only genetic or neurological. It is also behavioral. That means you can learn to respond differently!

Thoughts and feelings are like the weather. They come and go. When we fight them or try to control them, they often stay longer.

You can learn to let them be.

Through Exposure and Response Prevention (ERP), you can practice moving toward what matters most — your faith, your family, your values — even when doubt is present. Instead of trying to silence the thoughts, you can choose not to follow the urge to fix them.

The first step is awareness.

You may already notice the unwanted thoughts. But can you notice how you respond?

Ask yourself gently:

  • Do I try to get rid of emotional pain right away?
  • Do I avoid situations because they trigger anxiety and doubts?
  • When I feel an urge, do I automatically act on it?
  • Can I see that thoughts are just thoughts, not facts?

These small moments of awareness begin to weaken the cycle.

As you practice new responses, you can begin shaping new pathways in your brain. Slowly, you can move closer to the connection with your Higher Power that you have been longing for.

Thoughts come and go. What matters most is what you choose to do.

You can act in faith and trust your Higher Power, even when the OCD voice is loud. That voice feels powerful, but it is not your identity. It does not define your relationship with God.

Change takes time. It takes practice. But it is possible. And it is worth it!

And you can find your way back!

Remember, OCD may try to use your faith as a weapon, your faith is not the problem—the disorder is. OCD is a health condition that seeks certainty where faith invites trust.

If you find yourself in a cycle of “loud” thoughts and repetitive compulsions—like over-praying, seeking constant reassurance, or fearing you’ve lost your connection to the divine—know that healing is possible.

To help more individuals like Marie navigate these challenges, the International OCD Foundation has released a comprehensive new brochure specifically for people of faith.

Download the “OCD is Not What You Think It Is” Brochure here or visit the Faith & OCD Resource Page to find more specialized support and information.

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