Obsessive-compulsive disorder (OCD)

Anxiety disorder characterized by recurrent, persistent obsessions or compulsions: obsessions are the intrusive ideas, thoughts, or images that are experienced as senseless or repugnant; compulsions are repetitive and seemingly purposeful behavior which the individual generally recognizes as senseless and from which the individual does not derive pleasure although it may provide a release from tension.

  1. Intrusive, distressing thoughts, impulses, or images that are recurrent and persistent
  2. Obsessions are not related to real-life problems
  3. Attempts to ignore, suppress or neutralize Obsessions (often with compulsions)
  4. Recognition that¬†Obsessions are product of one’s own mind
  5. Examples
    1. Contamination (50%)
      1. Worry about infection from others (e.g. shaking hands)
      2. Associated compulsions: Hand washing, cleaning
    2. Pathologic doubt (42%)
      1. Persistent worrying about doing things incorrectly and negatively impacting others
      2. Examples: An unlocked door, or oven left on
      3. Associated compulsions: Excessive checking, Performing tasks in a strict order
    3. Somatic (33%)
    4. Need for symmetry or Order (32%)
      1. Needs to perform tasks in a balanced, exact manner
      2. Associated compulsions: ordering, arranging
    5. Aggressive (31%)
      1. Intrusive images of hurting another person
      2. Experiences recurrent violent images
      3. Associated compulsions: Needs reassurance of being a good person
    6. Sexual (24%)
      1. Intrusive pornographic images (sexually deviant, pedophilia)
      2. Acting in a sexually inappropriate way toward others
      3. Associated compulsions: Follow mental rituals to counter intrusive thoughts
    7. Religious
      1. Worry about unknowingly commiting a sin (immoral, eternal damnation)
      2. Associated compulsions: Asking for forgiveness, praying
    8. Superstition
      1. Afraid of bad numbers or colors
      2. Associated compulsions: Counting

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