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been meaning to say thanks for the links Tee. The concepts you discussed have been presented over the last couple years, down to specifically mentioning CBT (I think that was πrat). it’s a classic “fall through the cracks” situation though; you have to want the therapy to get it, “first step is realizing you have  a problem”, and all that. coming to an online forum is a classic avoidance strategy, it has the appearance of acting on the situation but accomplishes very little. But you’ve given it a name. “Existential OCD” would have never occurred to me. It sounds like something made up.

It reminds me of a podcast about the brain I heard a few years ago. A guy watched too many horror movies and couldn’t get images of himself acting like a horror movie villain out of his head. He couldn’t even pick up a knife without images popping in to his head. His psychiatrist told him that his obsession was not due to him being a potential axe murderer, it was because he was hyper good. Once he started worrying about being bad, he couldn’t stop. His therapy, DON’T TRY THIS AT HOME, was to hold his hands around the neck of his dog, and begin to trust himself that he wouldn’t do any harm.