Hello.
I have what used to be termed pure 'O' but they now think that the thoughts can also be compulsions. Unfortunately, I also seek assurance from others as an overt compulsion. It is usually in relation to me somehow thinking I've hurt someone else's feelings, I've made them angry, I've not done my job, etc. It can be so debilitation.

I have had a therapist for over 3 years now. What I used to think was an attachment issue I now know is OCD. I must have always been seeking his reassurance compulsively. I guess now I have to stop this. Ugh. The thought is just too much to handle.

I wish you the best.