Obsessive-Compulsive-Disorder (OCD)

Obsessive-compulsive disorder is characterised by unreasonable thoughts and fears (obsessions) that lead to compulsive behaviours.


Obsessive-Compulsive-Disorder involves unwanted and disturbing thoughts, images, or urges (obsessions) that intrude into a child/teen's mind and cause a great deal of anxiety or discomfort, which the child/teen then tries to reduce by engaging in repetitive behaviors or mental acts (compulsions). Compulsions are learned behaviours, which become repetitive and habitual when they are associated with relief from anxiety. 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.

Symptoms of Obsessive-Compulsive-Disorder (OCD)

Obsessions and compulsions can involve many different things, like a need for order or cleanness, hoarding, and intrusive thoughts about sex, religion, violence, and body parts.

Obsessive thoughts can include:

  • Fear of germs or getting dirty
  • Worries about getting hurt or others being hurt
  • Need for things to be placed in an exact order
  • Belief that certain numbers or colors are “good” or “bad”
  • Constant awareness of blinking, breathing, or other body sensations
  • Unfounded suspicion that a partner is unfaithful

Compulsive habits can include:

  • Washing hands many times in a row
  • Doing tasks in a specific order every time, or a certain “good” number of times
  • Repetitive checking on a locked door, light switch, and other things
  • Need to count things, like steps or bottles
  • Putting items in an exact order, like cans with labels facing front
  • Fear of touching doorknobs, using public toilets, or shaking hands


  • MEDICATIONS : Medications helps 6-7 out of the 10 with OCD. Anti obsession medications help to prevent OCD coming back as long as it is taken.
  • THERAPY : Exposure and response prevention : A therapy to stop compulsive behavior and anxieties from strengthening each other.
  • COGNITIVE THERAPY: Psychological treatment which helps to change the reaction of its thoughts instead of trying to get rid of them.

Helping Self

  • Record the thoughts and listen or read them everyday regularly for half an hour until anxiety reduces
  • Resist compulsive behavior but not obsessional thoughts
  • Do not get into Alcohol / self medications. It does not help
  • Seeking professional help

Thoughts creating Anxiety (obsession)

  • THOUGHTS: Word or phrase or rhymes that are unpleasant, shocking or blasphemous. Things are contaminated with germs
  • PICTURES: Visualization of somebody being dead , being violent , being abused
  • DOUBTS: Wondering for hours that the person might have caused an accident /misinformed somebody
  • RUMINATIONS: Endlessly arguing with self to do this or that. "indecisiveness"
  • PERFECTIONISM: Extreme botheration about putting things in order

Intriguing facts

  • He is obsessed with food, He is compulsive eater, Are misleading as the compulsive in OCD never give pleasure
  • People with OCD know well that thoughts creating anxiety are not true but are unable to control them which is the hallmark of OCD

Things done to reduce Anxiety (compulsion)

  • CORRECTION OBSESSION THOUGHTS: By praying or chanting etc
  • RITUALS: Doing thighs slowly, clearly, repeatedly, in a particular way preventing them from doing productive and fruitful work.
  • AVOIDANCE: Avoiding things creating anxiety
  • HOARDING: Hoarding even useless and worn out possessions
  • REASSURANCE:Repeatedly asking other’s to confirm things are alright for reassurance