OCD + psilocybin — has anyone had meaningful experiences with their OCD specifically?

I have contamination OCD. Three years ago I did a guided session at 3.5g. The OCD-specific thing that happened: during peak I encountered my contamination fear directly but from a perspective that felt completely outside of it — like I was watching the fear from a distance that made it small. For about 6 weeks after that session my rituals dropped significantly. I used that window intensively in ERP with my therapist. The rituals came back but to a baseline that's lower than before.

The SSRI interaction is a real obstacle for people with OCD. Most of us are on high-dose SSRIs because OCD requires higher doses than depression. Coming off SSRIs to try psilocybin means risking OCD rebound. My prescriber and I tried a partial taper and even reduced dose produced noticeable effects. The clinical trials are working out this dosing problem — I'd wait for the Yale results before making a decision about tapering.

Something nobody warns you about: OCD can incorporate the psilocybin experience itself as intrusive content. I had session content that my OCD latched onto as new material for obsessions. I wasn't prepared for that. Make sure your therapist has OCD-specific training and explicitly plans for this possibility in integration.