Good morning,

    You explained your experiences so clearly and I hope, if nothing else, describing your thoughts in this way helped a little.

    My daughter has OCD and ADHD, and is also diagnosed with autism – she ruminates a great deal at bedtime, dwelling mainly on life and death. She has seen a psychologist through CAMHS for a couple of years, focusing on CBT and ERP (sadly, with minimal effects). As she has just turned eighteen, she is being discharged from CAMHS and feels completely abandoned. I am going to look at Acceptance and Commitment Therapy with her (ACT) – have you heard of it? It looks quite interesting and sounds as though it can help with ERP as well – here is some information on how it might be useful with existential thoughts: Existential OCD (

    Very best wishes!