NOTE: This post deals with sexual obsessions/compulsions. I should also say that I am a male between the ages of 25-35.
I have had severe OCD for over 15 years. I have received ongoing treatment for the past 7 years in the form of medication, CBT, and ERP.
My obsessions involve anything that feels slightly wrong/incorrect/imperfect: unlucky numbers, touching something in the "wrong" way, checking, coincidences, surprises, repetitive body movements and tics, unwanted thoughts, contamination, etc. Anything that reinforces a lack of control or certainty. Because my triggers are so wide-ranging, they can occur any time, anywhere, and without the slightest warning. As such, I am racked with constant and extreme anxiety and fear. You will all be familiar with how distressing this feels.
My main OCD fear is around masturbation, and a fear of being "caught in the act". This fear has crippled me for well over a decade, and it pretty much rules my life. The "unusual physical symptoms" to which the title of this thread refer are the sensations I get in my body from the aforementioned triggers, which cause me to use masturbation as a compulsion, as it is the only thing that relieves those sensations. So what are those sensations? Well, as an example, a couple of nights ago I clenched my bottom in the "wrong" way. Immediately, my genitals started burning, and my bottom tightened. This is what happens when I get triggered. I have always referred to it as "the burning feeling", but it is really a mix of burning and arousal. It is absolute agony. It feels as if my genitals have been lit on fire. At its worst, it affects my ability to walk. The only way to get rid of the feeling is through masturbation (although that itself has to go "right", which is a whole other story).
I have no physical problem. The burning feeling is purely an expression of anxiety, and its relationship to masturbation is magical thinking. My treatment therefore involves resisting the urge to masturbate. The cruelty of my OCD is that masturbation is my biggest fear, but also the only thing that relieves my absolutely crippling physical symptoms. I would estimate that I probably spend about half of my time in physical discomfort, much of it extreme. The other half is spent in fear.
Has anyone else had similar experiences? It is such a difficult thing to talk about, but I am really at my wits' end. Any help would be hugely appreciated, and please feel free to ask any questions.