Hi CharcoalGray, I have the exact same problem with double entendres. I pause on even benign words like you described as well. Stress from work and personal life combined triggered this kind of OCD for me last year. Before that I struggled with social anxiety and difficulty making eye contact. Some things that have helped me so far:
- I'm taking a mixture of buspar (30mg) and lexapro (5mg)
- I have been working on using exposure & response prevention therapy where I allow myself to have the fear and even welcome the intrusive thoughts. I read that when you fight OCD thoughts or take corrective action (be it thoughts or physical compulsion) it only makes it worse
- I have been practicing "mindfulness" meditation techniques so that I can keep myself calm so I don't get to the heightened state where I experience OCD
- Finding ways to reduce stress and increase positivity overall