Therapy for POCD

If you have been struggling with thoughts relating to POCD, I appreciate you might be hesitant to seek help, possibly due to deep shame and fear relating to the thoughts in your head. This article explains treatment options and reiterates that regardless of the thoughts, it is still OCD, and help is available.

If you haven’t already done so, you can read my guide to POCD and the following articles should be useful to educate yourself on the topic.

Stop Intrusive Thoughts

Online course to help manage intrusive thoughts

POCD (Pedophile Obsessive-Compulsive Disorder) is a complex subset of OCD (Obsessive-Compulsive Disorder) that affects individuals who experience unwanted and intrusive thoughts or obsessions related to paedophilia. These thoughts are ego-dystonic, meaning they directly conflict with an individual’s values and self-image. POCD can cause significant distress, leading to intense anxiety, guilt, and shame. As a result, individuals may engage in avoidance behaviours and suffer impairments in their daily functioning, including disruptions in their work, social life, and personal relationships.

Understanding the nature of these thoughts as symptoms of a disorder rather than desires is a critical step in seeking appropriate help. If you or someone you know is struggling with POCD, it’s crucial to recognize the importance of professional support. One of the most effective forms of treatment for POCD is therapy. In this article, we’ll delve into the therapeutic approaches used to treat POCD, how therapy can aid those dealing with this disorder, and what individuals can expect from the treatment process.

What is POCD Treatment?

POCD treatment is a specialized form of mental health therapy tailored to assist individuals who experience persistent intrusive thoughts, significant anxiety, and distress related to paedophilia. Unlike other forms of OCD, where compulsions may be more visible, POCD often involves hidden mental rituals and compulsions, making it particularly challenging to identify and treat. This type of therapy aims to not only address the distressing symptoms of POCD but also to uncover and work through the underlying causes, which can include cognitive distortions and heightened feelings of responsibility.

Therapeutic interventions for POCD are designed to break the cycle of obsessions and compulsions by providing individuals with effective coping strategies to manage their symptoms. These strategies are developed through various evidence-based techniques, which can be tailored to each individual’s unique needs and circumstances.

image of session with words Therapy for POCD and MoodSmith logo

Types of POCD Therapy

Several types of therapy have been proven effective in treating POCD, each with its own methodology and focus areas:

  • Cognitive Behavioral Therapy (CBT): CBT is a type of therapy that focuses on identifying and changing negative thought patterns and behaviours. It is often used to treat a wide range of mental health conditions, including OCD and other anxiety disorders, and has demonstrated effectiveness in treating POCD. CBT can help individuals learn to distinguish between their thoughts and actions, reducing the distress associated with intrusive thoughts. For a more detailed account on CBT for POCD please see this post.
  • Exposure and Response Prevention (ERP): ERP is a specialized form of CBT that specifically addresses the obsessions and compulsions associated with OCD and POCD. It involves gradually exposing individuals to their fears in a controlled and therapeutic setting and teaching them healthy ways to respond to their intrusive thoughts without resorting to compulsions. This process helps to diminish the anxiety associated with the thoughts over time.
  • Acceptance and Commitment Therapy (ACT): ACT emphasizes accepting unwanted thoughts and feelings rather than attempting to control or eliminate them. It encourages individuals to commit to actions that align with their values despite the presence of distressing thoughts. ACT helps individuals build psychological flexibility and fosters the development of coping skills to manage their POCD symptoms more effectively.
  • Mindfulness-Based Cognitive Therapy (MBCT): MBCT combines traditional CBT elements with mindfulness techniques to assist individuals in recognizing and altering negative thought patterns. By teaching individuals to be present and non-judgmental observers of their thoughts, MBCT has shown promise in treating anxiety disorders and may offer benefits for those with POCD.

How Therapy Can Help with POCD

Therapy can be an invaluable asset in managing POCD symptoms and promoting overall mental health and well-being. Here are some of the primary ways therapy can assist individuals with POCD:

Provides a Safe and Non-Judgmental Space

One of the most significant advantages of therapy is the opportunity it provides for individuals to discuss their thoughts and feelings in a secure, non-judgmental environment. People with POCD often wrestle with intense feelings of shame and guilt, which can act as barriers to discussing their struggles with friends or family. A therapist offers a confidential and empathetic setting where these thoughts and feelings can be expressed openly, facilitating the healing process.

Helps Identify and Challenge Negative Thoughts

Negative thought patterns and beliefs often fuel POCD, leading individuals to misinterpret their intrusive thoughts as indicative of their character or potential behaviour. Therapy enables individuals to work with a trained mental health professional to pinpoint these thoughts and rigorously challenge them. By learning to recognize, confront, and question these negative thoughts, individuals can diminish their influence and regain a sense of control over their lives.

Teaches Coping Strategies

In addition to providing emotional support, therapy equips individuals with practical tools and coping strategies to manage their POCD symptoms. These may encompass relaxation techniques, mindfulness practices, and exposure and response prevention exercises. Mastery of these techniques can offer individuals a greater sense of empowerment, enabling them to navigate their thoughts more effectively and reduce the associated anxiety and distress.

Addresses Underlying Issues

POCD often coexists with other underlying issues such as past trauma, low self-esteem, or generalized anxiety. Therapy allows individuals to delve into these issues and process them with the guidance of a trained mental health professional. By resolving or mitigating these underlying factors, individuals can cultivate more adaptive coping mechanisms, which can contribute to a reduction in the frequency and intensity of POCD symptoms.

What to Expect in POCD Therapy

POCD therapy typically consists of weekly sessions with a therapist who has specialized training and experience in treating OCD and related disorders. Depending on personal preferences and the therapist’s availability, these sessions may take place in person or via teletherapy platforms.

During therapy sessions, individuals are encouraged to explore their thoughts and feelings associated with POCD. Therapists may employ a variety of techniques, such as cognitive restructuring, exposure and response prevention, and mindfulness exercises, to help individuals cope with their symptoms. Additionally, therapists often provide homework exercises for individuals to practice skills and techniques outside of the therapy sessions, reinforcing the progress made during therapy.

It is crucial to acknowledge that therapy for POCD is not an overnight solution, and significant improvements may take time to manifest. Patience and dedication to the therapeutic process are essential for achieving the most beneficial outcomes.

Finding a Therapist for POCD

Finding the right therapist who is well-versed in POCD treatment can be pivotal to the effectiveness of therapy. Here are a few steps to help locate a qualified therapist for POCD:

  • Research: Begin with researching therapists in your local area who have expertise in treating OCD and related anxiety disorders. Recommendations from your primary care physician or trusted acquaintances can also be valuable.
  • Check Credentials: It’s important to confirm that the therapist is properly licensed and has experience with POCD specifically. Inquiring about their training, therapeutic approach, and success with treating POCD can provide additional insights.
  • Consider Online Therapy: For those residing in rural areas or who prefer the convenience of online sessions, seeking an online therapist who specializes in POCD treatment might be a viable option.
  • Schedule a Consultation: Many therapists offer initial consultations free of charge, which can be an excellent opportunity to ask questions, discuss your concerns, and gauge whether the therapist’s style and approach are compatible with your needs.

Additional Support for POCD

While therapy is a cornerstone of treatment for individuals with POCD, there are other support options available that can complement the therapeutic process. These include:

Support Groups

Support groups can be an invaluable resource, offering a sense of community and understanding to individuals with POCD. Sharing experiences with others facing similar challenges can lead to feelings of solidarity and provide practical advice for symptom management.


In some instances, medication may be prescribed in conjunction with therapy to help alleviate POCD symptoms. Collaborating with a psychiatrist or healthcare provider experienced in treating OCD and POCD is crucial to determine the most appropriate medication and dosage for your specific situation.


Engaging in self-care practices is vital for individuals with POCD. Activities promoting physical and emotional well-being, such as regular exercise, mindfulness meditation, and quality time with loved ones, can help mitigate stress and anxiety, improving mental health.


Therapy serves as an essential element of the treatment plan for POCD. It facilitates symptom management, the development of effective coping strategies, and the enhancement of overall mental health. If you or someone you know is grappling with POCD, reaching out for professional assistance is a step towards recovery. With the appropriate support and treatment, individuals with POCD can learn to manage their symptoms and lead fulfilling lives.

Scroll to Top