OCD Subtype:
Accidental & Purposeful Harm
This subtype centers around doubt and fear that you could possibly harm someone, either on purpose or accidentally. The specific thoughts can differ from person to person, the underlying fear remains the same: That you could cause harm. These thoughts feel overwhelming and real, even though you know deep down you would never want to harm anyone. It’s not a reflection of your character or your intentions—it’s a trick your OCD is playing on you. These thoughts lead to a cycle where the more you try to counteract the disturbing thoughts, the more intrusive they become, reinforcing the obsession.
Accidental Harm can sound like:
Maybe I accidentally hit someone with my car and didn’t realize.
What if I forgot to lock the door and someone gets in and harms my family.
Maybe when I held my dog, I hugged them too tight and hurt them without knowing.
What if I bumped into someone and injured them without realizing it?
Purposeful Harm can sound like:
What if I lose control and do something violent?
Maybe there’s a hidden part of me that could hurt someone and I just don’t know it yet.
What if thinking these things means I really am dangerous?
Distressing images of violence.
Seemingly real urges to engage in harmful behavior.
Common Obsessions in Harm OCD
Fear of being a sociopath or having an undiscovered violent impulse.
Fear of being responsible for a tragedy or accident.
Fear that thinking violent thoughts means you're dangerous or secretly want to cause harm.
Fear of poisoning someone by mistake (e.g., through contaminated food or poor hygiene).
Fear of losing control and violently attacking someone.
Fear of accidentally injuring or killing someone (e.g., while driving, cooking, or handling objects).
Common Compulsions in Harm OCD
Asking others if they think you are a bad person or if they think you could ever hurt someone.
Avoiding weapons or sharp objects.
Not driving because of hit-and-run obsessions.
Checking for signs that you have or haven’t harmed someone or yourself.
Replaying a fight in your head you had with someone to determine if you caused any harm.
Seeking reassurance online through articles, quizzes and social media.
Begin Your Healing JourneyToday
Harm obsessions do not mean you are dangerous or are going to hurt anyone. They are ego-dystonic—meaning they don’t fit your self concept or values. The thoughts are not a reflection of your character.
With the right type of treatment, you can learn to break free from the doubts and live a rich, purposeful life.