That's not even.. what's going on (re the last tweet). People with ocd aren't contemplating sexually abusing kids, they're afraid they might sexually harm a child by mistake, or be a pedophile without realising, or any number of similar anxieties, but the point is that it becomes an anxious fixation because the person finds it so repellant. It's such an incredibly common ocd symptom, but most people are understandably terrified to talk about it
I remember reading a study where a therapist was helping people with similar anxieties - though not involving children - work through them. One client said she was afraid she was going to murder the therapist, not that she wanted to but that she'd somehow lose control of herself or an accident would happen. The solution? The therapist brought a kitchen knife to an appointment (with the patients consent), handed it to her and basically said "okay, what now?" Turns out nothing now, nothing happened, and it helped the client deal with the phobia
Obviously that approach isn't workable with something like pedophilia/csa anxiety but I think it highlights the true nature of what the anxiety actually is. It's irrational anxiety that comes from a deep fear and disgust of csa, not a desire to perpetrate it
OCD-haver: “I have ridiculous irrational fear disease, it causes me to have ridiculous irrational fears”
Enlightened normal-brainer: “that is ridiculous and irrational, clearly you’re worried because it’s secretly true”
OCD-Haver: [tired stare at camera]