Expert Help for Obsessive-Compulsive Disorder

Behavioral Wellness Clinic
6-D Ledgebrook Drive
Mansfield Center, CT 06250
Office: (860) 830-7838

Monnica Williams, Ph.D.
Clinical Director

Offering expert treatment for all types of OCD, including sexual obsesions. Our OCD treatment program is typically 20 sessions. We offer twice-weekly sessions and intensive programs. Intensive program can be in person or combined with Skype. State of the art medication management is also an option. Low cost options available. [More.]

Sexual Thoughts in OCD

Sexuality Concerns in Obsessive-Compulsive Disorder (OCD)

Many people with obsessive-compulsive disorder (OCD) have sexual obsessions, or unwanted sexual thoughts. This may include sexual orientation fears, which is sometimes referred to as sexual orientation OCD (SO-OCD) or HOCD. Theses are not the same as fantasies or being homophobic.

Sexual thoughts in OCD may include the following:

  • the obsessive fear of being or becoming LGBTQ
  • intrusive, unwanted mental images of upsetting sexual behaviors
  • the fear that one may become a pedophile
  • the fear of becoming sexually aggressive

The Worst Kind of OCD

Although people with OCD may obsess over any number of concerns, one of the most upsetting types of OCD involves worries about causing sexual harm to a child, sometimes called pedophile OCD or POCD. Although this type of OCD typically receives little attention from the media, the Power to Change recently aired the story of a man whose POCD was so severe he contemplated suicide before he was treated by Dr. Monnica Williams. Hear his story online and learn about OCD treatments from Dr. L. Kevin Chapman. Read his story or watch it now.

OCD Therapy Going Nowhere?

Although any medical doctor can take your blood pressure, only a few can do heart surgery. Likewise, any therapist can help someone who is feeling a bit blue, but only a few can effectively treat OCD. OCD treatment is a type of therapy that requires a specialized protocol called Exposure and Ritual Prevention (ERP or EX/RP). Learn about the Top Mistakes Made by OCD Therapists.

Top Seven Myths About OCD

One stereotype is that people with OCD are neat and tidy to a fault. Actually, nothing could be further from the truth. Although many people with OCD wash because they are concerned about dirt and germs, being tidy is actually not a typical symptom of the disorder. Almost two-thirds of people with OCD are also hoarders... Learn more about the Top Myths about OCD.

Take The OCD Self Test

The OCI-R is a short, reliable, scientific test of common obsessive-compulsive symptoms. This measure was developed by OCD experts. Take our OCD Self Test.

About Obsessive-Compulsive Disorder


A common manifestation of OCD is repeating obsessions. For example, re-reading the same passage in a book over and over. One might read a page, and then worry that a sentence was missed, so the person with OCD goes back and reads the page over and over, just to make sure nothing was overlooked. Maybe the OCD sufferer is studying a textbook for a test, and then worries an important passage was overlooked. Like other forms of OCD, people with repeating obsessions know that their fear is most likely not the case, but they will ruminate and then justify that since the test is important, the person thinks, "I will look again just in case." And next thing you know, there has been repeated checking, which then happens on every paragraph and page as the repeating behavior is reinforced. This also happens for re-writing, where excessive amounts of correcting is done. Other examples include repeating routine activities such as going in and out of the door, or getting up and down from a chair becasue it just didn't feel right.

Repeating may be done to assuage a fear. Someone may repeat saying the same thing over and over because they were are worried the person they're speaking to didn't understand. So, the fear of being misunderstood in this case is the obsession, and the repeating is the compulsion. OCD obsessions do not always have to be a specific fear however (although this is usually the case). Sometimes an action simply doesn't feel "right," and can be repeated to relieve this tension. So, someone may get up and down from a chair over and over simply because it didn't feel right.

Common Repeating in OCD

  • Re-reading the same passage in a book repeatedly
  • Re-writing (including excessive correcting of writing)
  • Repeat routine activities (e.g., going in/out door, getting up/down from chair)
  • Saying the same thing over and over

Repeating Words Example

One teenage client with OCD had a strong urge to repeat certain words out loud over and over again. For example, on Sunday, the word was "elemental" and she went up to people at church and kept repeating elemental. She says, "It won't get out of my head until I repeat it out loud many times and it finally fades away." She reports that she has experienced this fixation and need to repeat words before, but it is frustrating her more now and irritating her friends and family. She also feels a need to perform things in series of fours and likes to write things four times (such as her name). She feels drained when school is over because she has been trying to suppress the need to say these fixated words out loud all day, and it gets mentally exhausing.