Do you wash or clean a lot? Do you check things a lot? Are you concerned about orderliness or symmetry? Are you bothered by thoughts that do not make sense and keep coming back to you even when you try not to have them? Is there anything that you do over and over again and cannot resist doing such as repeatedly washing your hands, counting up to a certain number or checking something several times to make sure you have done it right?
If you answered "yes" to a number of these questions, you may be one of the 4% of people who have Obsessive Compulsive Disorder or OCD.
The cause of Obsessive Compulsive Disorder is mostly genetic; it runs in families.
The condition usually starts showing around the ages of 10-24. First the person gets obsessions, which are distressing unwanted ideas, images, or impulses that enter the person's mind. Then the compulsion follows. This is a repetitive, stereotyped behaviour or mental acts that are driven by rules that must be rigidly applied. They are needed to relieve the anxiety created by the obsession.
Here is an example: Every night, a woman sufferer needs to check that she has locked the back door – about hundred times, because she is just not satisfied. Or a school boy needs to count every piece of wood in any picket fences as he walks home from school.
Essentially, the anxiety created by the obsessional thought is relieved by the compulsive behaviour, so the behaviour must occur.
|Fear of contamination||Washing, cleaning|
|Need for symmetry, precise arranging||Ordering, arranging, balancing, straightening until it is "just right"|
|Unwanted sexual or aggressive thoughts or images||Checking, praying "undoing" actions, asking for reassurance|
|Doubts, e.g. are the gas jets off and doors locked||Repeated checking behaviours|
|Concern about throwing something valuable away||Hoarding|
|Other concerns||List making, touching or tapping objects|
Obsessive Compulsive Disorder is often accompanied by other mental health conditions. The most common are:
Other related conditions are:
In children, more males and can have ADHD and Tourettes associated with it.
What is important about all of this is that because sufferers and their families don't know that they have OCD, there is a great delay in getting help.
A psychiatrist should be involved in the treatment of OCD. Treatment can include medicine such as Prozac as well as cognitive behaviour therapy.
Sufferers also have a support group in New Zealand – www.ocd.org.nz
Obsessive Compulsive Disorder PDF (180KB)
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