OCD has no age recognition; trauma and severe grief can trigger the disorder at any age. Although it appears that the fears, obsession, and compulsions can be "learned" by children and teens in the household of a person who suffers from OCD.
In fact, one study found that out of 1,000 OCD patients, only 5 had their initial symptoms develop later in life. “The onset of obsessive-compulsive disorder (OCD) after age 50 is rare and generally related to an organic etiology.”
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.
Around the ages of 10 to 12 years, the first peak of OCD cases occur. This time frequently coincides with increasing school and performance pressures, in addition to biologic changes of brain and body that accompany puberty.
OCD is due to genetic and hereditary factors. Chemical, structural and functional abnormalities in the brain are the cause. Distorted beliefs reinforce and maintain symptoms associated with OCD.
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.
Of 10 155 persons with OCD (5935 women and 4220 men with a mean [SD] age of 29.1 [11.3] years who contributed a total of 54 937 person-years of observation), 110 (1.1%) died during the average follow-up of 9.7 years.
Obsessive–compulsive disorder (OCD) is generally believed to follow a chronic waxing and waning course. The onset of illness has a bimodal peak – in early adolescence and in early adulthood. Consultation and initiation of treatment are often delayed for several years.
Older patterns take more time to undo. It can be done though it feels overwhelming.” Essentially, OCD symptoms can worsen over the years when obsessive compulsions and obsessions are left unchecked. Ultimately, thoughts and behaviors worsen as they form a loop that repeats and repeats.
The onset of OCD is not limited to the original meaning of trauma; rather, traumatic experiences such as unexpected exposure to contaminants or various stressful life events often cause the onset of OCD.
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.
Unfortunately, OCD doesn't just go away. There is no “cure” for the condition. Thoughts are intrusive by nature, and it's not possible to eliminate them entirely. However, people with OCD can learn to acknowledge their obsessions and find relief without acting on their compulsions.
Twin and family studies have shown that people with first-degree relatives (such as a parent, sibling, or child) who have OCD are at a higher risk for developing OCD themselves. The risk is higher if the first-degree relative developed OCD as a child or teen.
OCD is most commonly triggered in older teens or young adults. Studies indicate that late adolescence is a period of increased vulnerability for the development of OCD. Boys are more likely to experience the onset of OCD prior to puberty and those who have a family member with OCD or Tourette Syndrome are most at risk.
OCD obsessions are repeated, persistent and unwanted thoughts, urges or images that are intrusive and cause distress or anxiety. You might try to ignore them or get rid of them by performing a compulsive behavior or ritual. These obsessions typically intrude when you're trying to think of or do other things.
Total severity scores are usually assumed to indicate the following levels of OCD: subclinical (0–7), mild (8–15), moderate (16–23), severe (24–31) and extremely severe (32–40).
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.
Jill Fenske, M.D. explains in Physician's Weekly, OCD is so often underdiagnosed and undertreated not only because people with OCD are often secretive about their symptoms, but also because “a lack of recognition of OCD symptoms by physicians often leads to a long delay in diagnosis and treatment.”
It's unlikely that OCD can actually cause schizophrenia to develop. But while OCD doesn't necessarily cause schizophrenia, it can come with higher chances of experiencing it than people without OCD.
One of the most common complaints from my patients was boredom. They just didn't have enough to do. When someone with OCD has too little stimulation in their lives, OCD typically spikes.