Intrusive thoughts that feel disturbing, unwanted, or inconsistent with your values
Mental rituals, checking, reviewing, or reassurance seeking that consume time
Avoiding people, places, situations, or information to prevent distress
Fear of causing harm, losing control, or being a bad person despite not wanting to act
Taboo intrusive thoughts involving harm, sexuality, religion, or identity that bring shame or fear
Persistent doubt and uncertainty that feel impossible to resolve
Repeatedly searching, confessing, asking for certainty, or mentally reviewing to feel safe for a moment