Sensorimotor OCD: Navigating the Complexities of Bodily Awareness


Sensorimotor OCD is a subtype characterized by persistent and distressing preoccupations with bodily sensations or movements. People who have this subtype of Obsessive-Compulsive Disorder may experience heightened awareness of bodily processes, leading to a range of compulsive behaviors aimed at alleviating anxiety associated with these sensations.

Characteristics of Sensorimotor OCD

Sensorimotor OCD is defined by a set of distinct features that distinguish it from other OCD subtypes. Some common characteristics include:

  • Intense Bodily Awareness: Individuals with sensorimotor OCD often experience an exaggerated focus on bodily sensations, such as breathing, swallowing, or blinking. These sensations may become a source of obsessive thoughts and heightened anxiety.
  • Compulsive Movements or Checks: To alleviate discomfort or anxiety, individuals may engage in compulsive movements or checks. For example, they may repeatedly flex their fingers, stretch their neck, or perform other repetitive behaviors in an attempt to gain a sense of control.
  • Rumination on Bodily Functions: Individuals may obsessively think about bodily functions and processes that are typically automatic, such as swallowing or breathing. This can lead to heightened distress and a sense of helplessness.
  • Fear of Bodily Malfunction: There may be an irrational fear of something going wrong with their bodies, even in the absence of any concrete evidence of a problem. This fear can be all-consuming and lead to significant distress.
  • Functional Impairment: The obsessions and compulsions associated with sensorimotor OCD can significantly disrupt daily functioning. This might lead to difficulties in maintaining relationships, holding a job, or participating in social activities.

Examples of Sensorimotor OCD

  • Breathing Obsessions: An individual with sensorimotor OCD may become hyper-aware of their breathing, fixating on each inhale and exhale. This heightened awareness can lead to feelings of breathlessness or the fear of losing control over their respiratory functions.
  • Compulsive Stretching or Flexing: Someone with sensorimotor OCD may engage in compulsive movements, such as repeatedly stretching their limbs or flexing their fingers. These actions are driven by the need to gain a sense of control over their bodily sensations.
  • Excessive Swallowing Concerns: Individuals may become preoccupied with swallowing, worrying that they might choke or experience difficulty in swallowing. This preoccupation may lead to constant swallowing or an avoidance of certain foods.
  • Blinking Obsessions: People with blinking obsessions might become obsessed with the frequency of their blinking and wonder if they are not blinking enough, blinking too little, or if they will ever be able to ignore their blinking like other people do.

Empirically Supported Treatments for

Sensorimotor OCD

While sensorimotor OCD can present unique challenges, several empirically supported treatments have shown significant efficacy in managing and reducing its symptoms: Cognitive Behavioral Therapy (CBT): CBT, particularly Exposure and Response Prevention (ERP), is a highly effective treatment for sensorimotor OCD.

Techniques from mindfulness-based approaches, such as Mindfulness-Based Stress Reduction (MBSR) and Acceptance and Commitment Therapy (ACT), can complement traditional treatments. These practices help individuals cultivate a non-judgmental awareness of bodily sensations, allowing them to better manage distress.


Sensorimotor OCD can be a challenging subtype of OCD, but with the right understanding and evidence-based interventions, you can learn to manage and overcome its complexities. By employing treatments like CBT and mindfulness-based approaches, you can regain control of your lives and find relief from the persistent preoccupations with bodily sensations.


  • Abramowitz, J. S., Taylor, S., & McKay, D. (2009). Obsessive-compulsive disorder. The Lancet, 374(9688), 491-499.
  • Houghton, S., Saxon, D., Bradburn, M., Ricketts, T., & Hardy, G. E. (2010). Piloting a mindfulness-based group intervention for individuals with distressing obsessive–compulsive disorder: a feasibility study. Behavioural and Cognitive Psychotherapy, 38(3), 327-337.

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