This constant counting is a common compulsion of Obsessive Compulsive Disorder (OCD). Counting may be done mentally or out loud. Individuals with OCD may count things that don't really need to be counted or make decisions by counting. Sometimes the person counts because it feels “right”.
Counting OCD is a common form of Obsessive-Compulsive Disorder, characterized by a strong urge to engage in repetitive and ritualistic counting behaviors.. People with Counting OCD may count to achieve a state of feeling “right” or “good” and to avoid the anxiety of something feeling “wrong” or “off.”
While someone experiencing Pure O may not engage in obvious behaviors related to their intrusive thoughts, such as counting, arranging, or hand-washing, the disorder is instead accompanied by hidden mental rituals. Pure O is sometimes mistakenly seen as a “less severe” form of OCD.
Although both OCD and ASD have similar symptoms, they are different conditions. OCD is a mental health disorder, whereas ASD is a developmental condition. ASD is a condition that a person is born with. OCD can develop during a person's lifetime.
Attention deficit hyperactivity disorder (ADHD) and obsessive-compulsive disorder (OCD) are two different mental health conditions. OCD involves obsessive thoughts while ADHD makes it hard to focus and involves hyperactivity and impulsivity.
Genetically, dopaminergic genes are implicated in ADHD, while OCD is linked to serotonergic genes. The two disorders are also heritable. Family history studies show an OCD-ADHD association – compared to an individual without ADHD, an individual with ADHD is more likely to have someone in their family with OCD.
Presentation. Primarily obsessional OCD has been called "one of the most distressing and challenging forms of OCD."
Doubting and having difficulty tolerating uncertainty. Needing things orderly and symmetrical. Aggressive or horrific thoughts about losing control and harming yourself or others. Unwanted thoughts, including aggression, or sexual or religious subjects.
The bottom line
OCD can manifest in four main ways: contamination/washing, doubt/checking, ordering/arranging, and unacceptable/taboo thoughts. Obsessions and compulsions that revolve about contamination and germs are the most common type of OCD, but OCD can cover a wide range of topics.
These obsessions and compulsions can range in severity, but what causes OCD to get worse over time is not properly managing the condition earlier on. Stress, trauma, avoidance, or even something as seemingly innocuous as a change in routine can all contribute to the worsening of OCD.
OCD is viewed as neurodiverse in origin because it satisfies the primary criteria of a neurodivergent disorder – people with OCD have a brain that processes and behaves differently from what is considered typical.
Ongoing anxiety or stress, or being part of a stressful event like a car accident or starting a new job, could trigger OCD or make it worse. Pregnancy or giving birth can sometimes trigger perinatal OCD.
Many gifted people suffer from some form of Obsessive Compulsive Disorder or OCD, most notably, perfectionism. Gifted students are often overwhelmed by the proclamation; they can achieve anything.
By saying that OCD is all in their head, you are sending the message that OCD is not a legitimate disorder and that they are making it up. Or if they just demonstrated enough willpower, they could get over it. As a result, the person may doubt whether they have a disability and avoid seeking treatment.
People with OCD often fear they will forget something important, so they may make excessive lists to remind them to do daily routine activities (i.e. brush teeth, make breakfast, etc.)
Common themes of intrusive thoughts, also called “spikes,” include violent, taboo, or outright terrifying intrusive scenarios. The graphic nature of these thoughts and their intensity can make life unbearable for those who suffer. As with all forms of OCD, the thoughts are uncontrollable.
The main symptoms of OCD are obsessions and compulsions that interfere with normal activities. For example, symptoms may often prevent you from getting to work on time. Or you may have trouble getting ready for bed in a reasonable amount of time.
The type of abnormal activity, though, is quite different: those with OCD exhibit significantly higher levels of activity in this system, while those with ADHD exhibit significantly lower levels of activity in it.
Harm OCD. This subtype of OCD involves intrusive thoughts of harming others or committing some sort of violent act. Someone who suffers from these types of thoughts experiences significant distress, because thoughts of harming others are inconsistent with their values and who they are.
OCPD is a personality disorder. It looks and feels different than OCD. People with OCPD are strongly focused on—even obsessed with—a goal of perfection for themselves and others.
The researchers found that adolescent patients with OCD had impairments in all learning and memory tasks. The study also demonstrated for the first time impaired goal-directed control and lack of cognitive plasticity early in the development of OCD.
The obsessive–compulsive spectrum is a model of medical classification where various psychiatric, neurological and/or medical conditions are described as existing on a spectrum of conditions related to obsessive–compulsive disorder (OCD).