Pure O, short for “Purely Obsessional” OCD, is a subtype of Obsessive Compulsive Disorder where compulsions are primarily mental rather than physical. People with Pure O experience intrusive thoughts, images, or urges that create intense anxiety. Mental rituals such as rumination, replaying events, or seeking reassurance internally are common.

We help clients recognize these patterns, understand the OCD cycle, and develop strategies to respond differently to intrusive thoughts. Even though the compulsions may not be visible, treatment can significantly reduce the distress and time spent stuck in mental rituals.

Common signs include:

• Constant intrusive thoughts or mental images

• Rumination or replaying events repeatedly in your head

• Mental checking, reassurance-seeking, or problem-solving to reduce anxiety

• Feeling distressed, guilty, or ashamed about thoughts

• Avoiding situations that may trigger intrusive thoughts

We conduct thorough assessments to identify Pure O patterns. Our goal is to help you distinguish OCD-related thinking from normal worry and create a clear understanding of how the condition affects your daily life.

The gold-standard treatment for Pure O OCD is Exposure and Response Prevention (ERP), often combined with Cognitive Behavioral Therapy (CBT) and mindfulness-based strategies. ERP focuses on facing intrusive thoughts without engaging in mental compulsions, gradually reducing anxiety over time.

We guide clients step-by-step through exposures, helping them catch mental rituals as they occur and respond differently. Treatment also incorporates skills to manage uncertainty, reduce distress, and reconnect with meaningful activities.

Progress varies for each person, depending on the severity of symptoms, consistency in treatment, and individual circumstances. Many clients begin to notice improvements within a few weeks of starting ERP, with continued growth as they practice skills outside of therapy sessions.

We provide structured guidance and support to help clients move forward at a pace that feels manageable. By combining exposure work with practical coping strategies, clients often experience significant relief and a greater sense of control over their thoughts.

Yes. While intrusive thoughts may not disappear completely, treatment can greatly reduce the power they hold. Clients learn to resist mental rituals, tolerate uncertainty, and rebuild confidence in their thinking. Over time, OCD becomes less controlling, allowing for a more fulfilling, engaged life.

We support clients in reclaiming parts of life that OCD may have disrupted. Through consistent therapy, skill-building, and guidance, individuals develop lifelong tools to manage Pure O and experience freedom from intrusive thoughts.