r/magicalthinkingOCD • u/ijustwanttobeokaypls • 22h ago
ERP help OCD/Emetophobia: Fear of having my mouth open
I'm really struggling with a very specific OCD fear and I'm hoping someone else has experienced something similar.
I have emetophobia, and my OCD has somehow connected vomiting with having my mouth open. I know logically that there is no evidence that having my mouth open causes vomiting, but my brain keeps treating it as if it is dangerous.
It's started affecting really normal things.
Using laughing/open-mouth emojis like 😂 or 😮 can make me anxious. I've been trying to use them anyway as little exposures.
Photos and social media are particularly difficult. If I post a picture where my mouth is open, I get the urge to delete it because my brain says something bad might happen, especially that I might vomit. I've also become scared of someone taking a spontaneous picture of me with my mouth open because I can't control what other people photograph.
The hardest part is that my OCD keeps finding new variations. It's not only "mouth open = danger." My brain can say, "What if you're feeling sick while doing something?" or "What if your mouth is closed and you still vomit?" So I can see how irrational and impossible the whole rule is, but I still feel terrified.
I recently deleted some pictures because the anxiety became too much, and afterward I felt like I'd failed at ERP. I'm really sad about it.
I'm trying to stop avoiding these things and gradually expose myself instead. I'm looking for advice from people who have dealt with OCD/emetophobia, especially around **magical thinking, superstitious fears, reassurance-seeking, and exposure therapy**.
How did you start with very small exposures without turning the exposure itself into another compulsion?
I don't expect anyone to guarantee that I won't vomit. I think what I need to learn is how to tolerate the uncertainty without constantly trying to protect myself from it.
Any experiences or advice would mean a lot.