When my clients first arrive for therapy I’m under no illusion. At that stage they don’t really want therapy, coping skills or even their life to be more functional. What they would really like from me is certainty. So they say things like, ‘If only I could trust my mind………’, ‘I used to be certain and I don’t understand how that changed.’ And ‘I need to know this is OCD.’. This initial therapy phase is very predictable and reliable, unlike certainty. To be honest, I don’t even like that word and it’s generally associated with things that aren’t always pleasant, like death, DNA tests and doomsayer predictions. I also don’t like it because the apparent lack of it drives OCD forward to much bigger and more ominous things. I say apparent, because there is no such thing as certainty and therein lies the illusion of OCD.