Mindfulness and OCD: A Therapist’s Guide to What Actually Works

By Maria Miller, LPC

Living with OCD often feels like being trapped in an endless loop of intrusive thoughts and compulsive behaviors. While traditional mindfulness practices frequently advise “letting thoughts float by like clouds,” this approach can sometimes backfire for those with OCD, potentially reinforcing the cycle of overthinking and analysis. The good news? There are specialized mindfulness techniques specifically designed for the unique challenges of OCD.

At our practice, we’ve witnessed countless clients transform their relationship with intrusive thoughts using OCD-informed mindfulness strategies. Instead of trying to achieve a quiet mind or eliminate anxiety, these techniques focus on building a new relationship with uncertainty and discomfort. This approach helps you develop what we call “psychological flexibility” – the ability to experience thoughts and feelings without automatically responding to them.

Here are some practical techniques we teach our clients that you can start using today:

  1. The “Notice and Name” technique: When an intrusive thought arrives, simply label it as “an OCD thought” without engaging with its content. This creates distance between you and the thought without trying to suppress it.
  2. The “Uncertainty Timer”: Set aside 30 seconds to deliberately practice sitting with uncertainty about a non-triggering topic, like “I wonder what my neighbor had for breakfast?” This builds tolerance for uncertainty in a low-stakes way.
  3. The “Mental Bookmark”: When caught in a thought spiral, imagine placing a bookmark in your current mental page and saying “I’ll come back to this later if I need to.” This reduces the urgency to resolve thoughts immediately.
  4. The “Physical Anchor”: When overwhelmed, focus on the sensation of your feet against the floor or your hands on a desk. This grounds you in the present moment without requiring complex meditation techniques.

If you’re ready to learn more about how mindfulness can support your OCD recovery, our specialized OCD therapists are here to help. We understand the intricacies of OCD and how to adapt mindfulness practices to work with, not against, your treatment journey. Contact us today to schedule a consultation and take the first step toward a more flexible relationship with your thoughts. Your path to recovery doesn’t have to be walked alone.