Which comes first? Factually speaking the obsession comes first and is followed by compulsions. It's easy to know this to be true when not caught in an ocd loop, but when in the loop it can be hard to remember. What's in our control is not the obsession but the action, mental or physical, to act on a compulsion. We can't stop thoughts, and that's exactly what an obsession is. The compulsion may appear to be a thought, but it's a thought masquerading as a mental behavior. You may likely know all of this already - I'm writing this more to remind myself than anything else. So if the obsession comes first, is beyond our control, and is followed by compulsions what's a person to do? The answer is to stop doing the compulsion - often much easier said than done, but still very much possible. The perfectionist in those of us with ocd may attempt or try to stop all compulsions but I think this ends up putting more pressure on us than anything else. Do your best ...
A very personal blog about how I've used mindfulness to treat my OCD.