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.

Hoarding vs. OCD

Brief History of Hoarding

The concept of hoarding has been around for nearly a century with roots in the psychoanalytical realm. Freud characterized it has part of the "anal" stage, which was characterized as being withholding. It was believed that people with this anal personality were well on their way to developing obsessive-compulsive disorder (OCD), thus the anal retentive personality. Pieces of this anal retentive personality are currently found in the Obsessive-Compulsive Personality Disorder (OCPD) diagnosis in the DSM-5.

Differential Diagnosis

Obsessive Compulsive Personality Disorder (OCPD) is a style of relating that is characterized by orderliness and inflexibility. You might describe such people as "uptight" or "anal". The definition of OCPD does not necessarily fit most hoarding cases. According to the DSM-5, people with OCPD have an "inability to discard worn-out or worth less objects even when they have no sentimental value." However, hoarders seldom save only worthless and worn out things, they also save many items because of their emotional or sentimental value. For this reason it has been suggested that removing the hoarding criteria from the OCPD diagnosis would improve its validity.

Until recently, hoarding was considered a form of OCD. OCD is comorbid in 16-35% individuals with compulsive hoarding. While hoarding does seem to be related to OCD, a large number of people with hoarding problems do not display other OCD symptoms. One study showed that out of 217 hoarding patients, only 18% met diagnostic criteria for OCD and several other disorders were also present (Major Depressive Disorder 50%, Generalized Anxiety Disorder 24%, Social Phobia 24%).

The thoughts that are associated with Hoarding and OCD are different:


  • thoughts are intrusive and repetitive
  • a compulsion to perform a ritual to gain control
  • anxiety and distress accompany OCD
  • OCD symptoms go through peaks and valleys
  • OCD patients can be more insightful about the OCD symptoms


  • thoughts are a part of person's everyday normal stream of thought
  • thoughts are not repetitive
  • thoughts are not distressing or unpleasant
  • there is no urge to get rid of clutter
  • no urge to perform a ritual to control the thoughts
  • distress is brought on by the prospect of having to discard possessions
  • hoarders experience positive emotions when they acquire objects
  • grief is felt when an attempt is made to discard objects
  • Hoarders possess less insight about their problem than do OCD patients

More about clinial hoarding disorder.