What Are The Symptoms Of Obsessive-Compulsive Disorder?

Obsessive-compulsive disorder (OCD) is a mental health disorder that occurs when individuals have irrational patterns of uncontrollable fears and thoughts that lead to engaging in compulsive behavior. The obsessions and compulsions both interfere with a patient's day-to-day functioning and lead to significant emotional or physical distress. When someone with OCD tries to stop their thought spirals or resist compulsions, it can lead to more anxiety and stress.

Not every case of obsessive-compulsive disorder presents the same way. Though the better-known manifestation of OCD involves an obsession with cleanliness and fear of germs, this condition can develop around any theme. It's important to note while obsessive-compulsive disorder can sometimes seem uncontrollable, there are multiple treatment methods available. A combination of medication and psychotherapy is often effective at helping OCD patients.

Intrusive and Repetitive Thoughts

Stress. Photo Credit: Dreamstime @Dreamz

Obsessive-compulsive disorder presents with intrusive and repetitive thoughts that often follow patterns. These thoughts may then lead to the need to act out compulsions to lessen them. The most common media portrayals of OCD tend to show affected individuals struggling with obsessive thought spirals about cleanliness and purity, along with fear of germs and contamination. Though this is one of the main ways OCD can manifest, there are other forms intrusive thoughts can take. Oftentimes, intrusive thoughts can be violent and extremely upsetting.

It's normal to have occasional thoughts like, 'I could drive my car into oncoming traffic or hit a pedestrian and harm people.' With a neurotypical brain, these thoughts can be put aside. Someone with obsessive-compulsive disorder, on the other hand, will obsess about them and may even feel like they've committed the violent act just by thinking about it. Even if OCD obsessions center around immoral or violent thoughts, affected individuals are not more likely to actually commit these acts than the general population. They find these thoughts extremely upsetting and suffer from them.

Compulsions Toward Certain Activities

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The other hallmark symptom of OCD is compulsions toward certain activities. With obsessive-compulsive disorder, patients feel like they need to complete a particular behavior to make their fears stop. Some of these compulsions may follow a fairly standard thought process. For example, if an affected individual has an obsessive fear of being contaminated by germs, they may need to wash their hands a certain number of times or wipe their hands off after they touch others.

However, some of the compulsions may follow a phenomenon called 'magical thinking.' This occurs when the patient with OCD constructs rituals and behaviors with rules that don't make sense. One example would be responding to a fear of a pet dying by spinning around a certain number of times or clapping a certain number of times. Regardless of how the compulsions start, they cause significant distress, and trying to stop following them leads to increased stress and continued obsessive thinking.

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