It's worth noting that when you initially begin therapy, your OCD symptoms may appear to worsen. When you start cognitive-behavioral treatment (CBT), it's not uncommon to feel more anxious at first than you were before you started. This is normal, and it's the consequence of actually confronting several of the frightening ideas, objects, or actions you've avoided in the past. Do not let concern you or stop you from getting the therapy you need. Do not give up because your symptoms are likely to get better as treatment progresses. Make sure to communicate honestly and openly with your psychotherapist or mental health expert so that your therapy can be personalized as much as possible to your specific needs.