Unwanted sexual and taboo thoughts

People with this form of OCD have intrusive thoughts about things that horrify them: sexual thoughts about children or family members, doubts about their sexual orientation, violent sexual images, or blasphemous thoughts during prayer.

The most important thing to know

These thoughts do not reflect who you are or what you want. People with OCD are distressed by these thoughts because they go completely against their values. Clinicians who treat OCD see this every day and understand the difference between an intrusive thought and a desire.

The rituals

• Checking your body's reactions for "proof"
• Avoiding children, family members, or certain places
• Replaying memories to make sure nothing happened
• Confessing thoughts to others or to a religious leader
• Searching online for answers
• Seeking constant reassurance

Why people don't get help

Many people wait years, afraid they'll be judged or reported. A therapist trained in OCD recognizes these thoughts as OCD. You don't have to describe every thought in detail at first. You can start with: "I have intrusive thoughts that go against my values, and I think it might be OCD."

What helps

ERP works for these themes, just like the others.

This article is education, not a diagnosis. Only a doctor or a registered mental health professional who has met you can tell you whether you have OCD.

Reviewed by the Nuanse clinical committee · September 2026. This page is education, not a diagnosis.