For some individuals, OCD may involve a fear of saying the wrong thing, which can cause significant distress and interfere with daily functioning.

Individuals with this type of OCD may experience intrusive thoughts or images about saying something inappropriate, offensive, or embarrassing. These thoughts can cause intense anxiety and shame, leading individuals to engage in compulsive behaviors aimed at reducing their anxiety, such as seeking reassurance from others, avoiding social situations, or excessively self-censoring their speech.