I feel shame to. I am bipolar too, and have mostly Pure-O.

It's funny because when I'm manic, I'll do a lot of stuff that's sort of embarrassing like driving with a little of alcohol in my brain or being too talkative, talking down to people in small ways. AND I FEEL LESS ASHAMED OF THAT THAN MY PURE-O THOUGHTS.

It's funny because my Pure-O thoughts are not something I would ever do, and I too know it's just a mess in brain circuits. I still am afraid to mention the specific content of my OCD - like I can say to my mom: "I have obsessions now" but wouldn't like to say what they're about.

I think you have to systematically cut them off from your self-perception, each time they arrive say: "That thought is just OCD, it has nothing to do with me and I would never act upon it".

I think in a way Pure-O is more invisible than the form with compulsions - when I had compulsions I did them secretly, but still some people show their washing compulsions etc. to the people around. It's even harder to get help for something that just goes on in your mind.