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OCD subtype guide

Harm OCD: Fear of Hurting Others

The thought feels terrifying because it goes against your values. The fear is not proof of intent.

Harm OCD involves unwanted thoughts, images or urges about causing harm. These thoughts can feel intense, but the distress often shows how deeply you value safety and care.

Common Intrusive Thoughts

  • What if I lose control?
  • What if I hurt someone I love?
  • What if this thought means something about me?
  • What if I am dangerous?

Common Compulsions

  • Avoiding people, objects or situations
  • Mentally checking your intentions
  • Seeking reassurance that you are safe
  • Trying to suppress or neutralise thoughts

Therapy focus

How structured support helps

Support focuses on reducing avoidance and reassurance, changing the response to intrusive thoughts, and practising uncertainty tolerance.

What we work on together

1

Map the loop

Identify triggers, intrusive thoughts, emotions and safety behaviours that keep the cycle active.

2

Reduce compulsions

Practise responding differently to fear, doubt and discomfort in a structured, gradual way.

3

Build daily steadiness

Use guided practice to reduce avoidance and return attention to real life with more confidence.

Frequently Asked Questions

What is Harm OCD?

Harm OCD involves unwanted thoughts, images or urges about causing harm. These thoughts can feel intense, but the distress often shows how deeply you value safety and care.

Can online support help with Harm OCD?

Support focuses on reducing avoidance and reassurance, changing the response to intrusive thoughts, and practising uncertainty tolerance.

How do I start?

You can begin with a confidential consultation so the team can understand your concern and suggest the right support path.

Not sure where your symptoms fit?

A confidential consultation can help you understand the pattern and the most useful next step.

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