Complex with Kimberley Wilson

OCD: When should you worry about intrusive thoughts?

Dec 10, 2025
Dr. Nina Higson-Sweeney, a psychology researcher specializing in child and adolescent mental health, shares her personal journey with OCD, diagnosed at age 10. She dives into the complexities of intrusive thoughts, defining the distinction between everyday worries and clinical OCD. Common themes such as harm and identity are explored, alongside the importance of recognizing when these thoughts become problematic. Nina emphasizes effective treatments, including CBT, and promotes a message of help-seeking to reduce stigma around mental health.
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INSIGHT

Intrusive Thoughts Are Common But Not You

  • Intrusive thoughts are common and not proof of character or desire.
  • OCD is distinct when those thoughts become persistent, distressing and controlling.
ANECDOTE

When Doubt Feels Persecutory

  • Damien's engagement triggered intense doubts about his sexuality that felt uncontrollable.
  • The thoughts escalated into self-harm urges and wanting to remove his tattoo during the honeymoon.
INSIGHT

OCD Combines Obsessions And Compulsions

  • OCD comprises unwanted obsessions and ritualized compulsions to reduce anxiety.
  • Intrusive themes vary widely: harm, religion, sexuality, contamination or identity concerns.
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