Emily Austin helps support high-functioning millennial and gen z women in managing Anxiety and Obsessive Compulsive Disorder (OCD). Together, we’ll tackle intrusive thoughts, self-doubt, and obsessive behaviors, empowering you to build confidence and reclaim control over your life.

“It’s All In My Head” – What Mental Compulsions In OCD Really Look Like

April 2, 2026

You Might Not See Compulsions, But They’re There

Spending a lot of time in your head might feel completely normal to you, which is exactly why mental compulsions can be so hard to spot.

You may have always been the person who is self-aware, intuitive, a planner, or type A — so constant analyzing, replaying, and trying to “figure things out” just feels like how your brain works.

This can look like:

• replaying conversations or interactions

• analyzing your thoughts or feelings

• checking bodily sensations or symptoms

• trying to mentally solve something over and over

If you notice yourself getting stuck in loops of trying to figure something out, these may actually be mental compulsions within the OCD cycle.

What Are Mental Compulsions?

Compulsions in OCD can be either external (visible behaviors) or internal (mental behaviors). Mental compulsions are thought-based actions done to reduce anxiety, doubt, or distress — or to try to find certainty. Even though they happen internally, they are still very much part of the OCD cycle.

You may have heard the term “Pure OCD” or “Purely Obsessional OCD.” While this term isn’t used as widely anymore, it refers to a presentation of OCD where compulsions aren’t obvious or visible. But research and clinical understanding show that compulsions are still present — they’re just happening mentally.

This type of OCD often involves intrusive thoughts around:

• relationships

• identity

• morality

• health

• or other deeply personal, high-stakes themes

Because of this, it can feel especially confusing, isolating, and even shameful.

Common Mental Compulsions (That People Don’t Realize Are Compulsions)

• Replaying conversations

• Analyzing what a thought “means”

• Ruminating

• Checking feelings (love, attraction, certainty)

• Comparing (past vs. present, partner vs. others)

• Checking arousal or physical sensations to “prove” something

• Mentally reassuring yourself

• Trying to solve or figure out the thought

• Googling or asking ChatGPT for answers

Why These Feel Like “Just Thinking”

For many people, these patterns don’t feel like compulsions — they feel like being thoughtful, self-aware, or responsible.

You might be someone who:

• values logic and insight

• wants to make the “right” decision

• is used to thinking things through carefully

And culturally, we’re often taught to:

• analyze

• research

• weigh options

• ask for advice

So this kind of thinking can feel productive — even helpful. But with OCD, it becomes repetitive, urgent, and hard to step away from.

Why Mental Compulsions Feel So Hard To Stop

Mental compulsions are hard to stop because they work — at least in the short term. They give you a temporary sense of relief, clarity, or control. Your brain then learns:

“That helped. Do it again.”

Over time, this reinforces the cycle.

Even though it feels like you’re solving something, what’s actually happening is:

• the thought gets labeled as important

• your brain becomes more alert to it

• the urge to engage with it comes back stronger

There’s also often a strong sense of urgency — like you need to figure this out right now. But OCD doesn’t allow for true certainty. The goalpost keeps moving, and no amount of thinking ever feels like “enough.” So the loop continues.

What Actually Helps (Even If It Feels Uncomfortable)

Your brain is trying to protect you — it just gets a little overzealous. When these patterns have been reinforced over time, they become automatic. This is where Exposure and Response Prevention (ERP) comes in.

ERP involves:

• gently facing intrusive thoughts or fears

• not engaging in compulsions (like rumination, Googling, or reassurance seeking)

Over time, this helps your brain learn:

• you can tolerate uncertainty

• you don’t need to solve every thought

• not every thought requires action

The goal isn’t to find the answer — it’s to stop trying to answer it.

ERP involves:

• gently facing intrusive thoughts or fears

• not engaging in compulsions (like rumination, Googling, or reassurance seeking)

Over time, this helps your brain learn:

• you can tolerate uncertainty

• you don’t need to solve every thought

• not every thought requires action

The goal isn’t to find the answer — it’s to stop trying to answer it.

Working Together

Mental compulsions aren’t just “overthinking” — they’re part of the OCD cycle.

With increased awareness and the right tools, it is absolutely possible to step out of these patterns.

If you’d like to learn more about OCD and how it shows up, you can read more here.

If you’re interested in working together, you can also schedule a complimentary consultation through the link here.

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IMAGINE YOUR LIFE WITHOUT ANXIETY CALLING THE SHOTS
IMAGINE YOUR LIFE WITHOUT ANXIETY CALLING THE SHOTS
IMAGINE YOUR LIFE WITHOUT ANXIETY CALLING THE SHOTS
IMAGINE YOUR LIFE WITHOUT ANXIETY CALLING THE SHOTS
IMAGINE YOUR LIFE WITHOUT ANXIETY CALLING THE SHOTS
IMAGINE YOUR LIFE WITHOUT ANXIETY CALLING THE SHOTS
IMAGINE YOUR LIFE WITHOUT ANXIETY CALLING THE SHOTS

emily austin, LCSW

If you’ve made it this far, chances are your mind doesn’t ever really shut off. You might look like you’re holding it together on the outside, while inside you’re stuck in cycles of overthinking, second-guessing, or trying to make sense of thoughts that won’t let go.

My practice was created for people who feel thoughtful, capable, and driven - yet quietly exhausted by their minds. Whether you’re here to learn more about anxiety and OCD, explore therapy options, or simply feel understood for a moment, you’re in the right place.

You can learn more about my approach, explore the areas I specialize in, or take the next step when (and if) it feels right for you.

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anxiety

For the women who do all the things but feel like they’re still falling short. Let’s work on silencing self-doubt, setting boundaries, and finding peace in the chaos.

Obsessive Compulsive Disorder (OCD)

If you’re tired of intrusive thoughts controlling your life, we’ll tackle the mental loops keeping you stuck and build resilience to uncertainty. Discover how Exposure and Response Prevention for OCD can help.

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