If you have OCD, you'll usually experience frequent obsessive thoughts and compulsive behaviours. An obsession is an unwanted and unpleasant thought, image or urge that repeatedly enters your mind, causing feelings of anxiety, disgust or unease.
repeating words in their head. thinking "neutralising" thoughts to counter the obsessive thoughts. avoiding places and situations that could trigger obsessive thoughts.
Constantly seeking approval or reassurance. Rituals related to numbers, such as counting, repeating, excessively preferencing or avoiding certain numbers. People with OCD may also avoid certain people, places, or situations that cause them distress and trigger obsessions and/or compulsions.
Experts aren't sure of the exact cause of OCD. Genetics, brain abnormalities, and the environment are thought to play a role. It often starts in the teens or early adulthood. But, it can also start in childhood.
Patients with obsessive-compulsive disorder (OCD) often experience aversive emotions such as anxiety, fear and disgust in response to obsessive thoughts, urges or images.
Signs and symptoms of OCD
Obsessive thoughts: These obsession symptoms typically intrude other thoughts when you're trying to do or think about other things and may include: Fear of being contaminated by germs or dirt. Intrusive sexually explicit or violent thoughts. Fear of having a serious illness.
There are, however, some little known signs or symptoms that are also a part of dealing with OCD. These can include body hyperawareness, fear of emotional contamination, perfectionism, obsession with morality, and fear of harming others. Most believe that these obsessions stem from anxiety.
The most commonly misdiagnosed vignettes described obsessions around sexuality: 85% of doctors randomly presented with vignettes on sexual orientation OCD did not associate the ruminations with OCD.
Hoarding or collecting things. Having the need for order, symmetry or perfection. Worrying about a serious disease despite medical reassurances. Compulsively cleaning/washing, checking, repeating or counting things.
Common obsessive thoughts in OCD include:
Fear of losing control and harming yourself or others. Intrusive sexually explicit or violent thoughts and images. Excessive focus on religious or moral ideas. Fear of losing or not having things you might need.
Trauma, stress, and abuse all can be a cause of OCD getting worse. OCD causes intense urges to complete a task or perform a ritual. For those who have the condition, obsessions and compulsions can begin to rule their life.
Obsessive-compulsive disorder is a mental illness. It's made up of two parts: obsessions and compulsions. People may experience obsessions, compulsions, or both, and they cause a lot of distress. Obsessions are unwanted and repetitive thoughts, urges, or images that don't go away.
OCD was one of the first psychiatric disorders in brain scans showed evidence of abnormal brain activity in specific regions.
OCD patients appear to be particularly prone to renal damage and hyperlipidaemia, which may be related to their tendency to restrict fluids and eat erratically. Further studies examining the physical status of less severely ill patients with OCD are indicated.
Aside from the obvious compulsive behaviors a person with OCD displays, there are no physical signs of this disorder; however, a person with OCD can develop physical problems. For example, a person with a germ obsession may wash their hands so much that the skin on them becomes red, raw and painful.
It can be difficult, demanding and exhausting to live with a person who has OCD. Family members and friends may become deeply involved in the person's rituals and may have to assume responsibility and care for many daily activities that the person with OCD is unable to undertake.
People with OCD tend to have distressing thoughts that won't go away. They might act on their compulsions for temporary relief, even when they don't really want to. OCD can feel like a roadblock, and asking for help can be difficult.
You should visit your GP if you think you may have OCD. Initially, they will probably ask a number of questions about your symptoms and how they affect you. If your GP suspects OCD, you may need to be referred to a specialist for an assessment and appropriate treatment. Read more about diagnosing OCD.
Psychiatrists can: make a diagnosis of OCD. diagnose and treat any depression or anxiety, which are common in people with OCD. provide treatments – ERP, other types of talking therapy and medication.
Diagnosis and Tests
There's no test for OCD. A healthcare provider makes the diagnosis after asking you about your symptoms and medical and mental health history. Providers use criteria explained in the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-V) to diagnose OCD.