Symptoms
Obsessive-compulsive disorder symptoms usually include both
obsessions and compulsions. But it's also possible to have only obsession
symptoms or only compulsion symptoms. About one-third of people with OCD also
have a disorder that includes sudden, brief, intermittent movements or sounds
(tics).
Obsession symptoms
OCD obsessions are repeated,
persistent and unwanted urges or images that cause distress or anxiety. You
might try to get rid of them by performing a compulsion or ritual. These
obsessions typically intrude when you're trying to think of or do other things.
Obsessions often have themes to
them, such as:
·
Fear of contamination or
dirt
·
Having things orderly and
symmetrical
·
Aggressive or horrific
thoughts about harming yourself or others
·
Unwanted thoughts,
including aggression, or sexual or religious subjects
Examples of obsession signs and
symptoms include:
·
Fear of being contaminated by shaking hands or by touching
objects others have touched
·
Doubts that you've locked the door or turned off the stove
·
Intense stress when
objects aren't orderly or facing a certain way
·
Images of hurting yourself or someone else
·
Thoughts about shouting
obscenities or acting inappropriately
·
Avoidance of situations
that can trigger obsessions, such as shaking hands
·
Distress about unpleasant sexual images repeating in your mind
Compulsion symptoms
OCD compulsions are repetitive
behaviors that you feel driven to perform. These repetitive behaviors are meant
to prevent or reduce anxiety related to your obsessions or prevent something
bad from happening. However, engaging in the compulsions brings no pleasure and
may offer only a temporary relief from anxiety.
You may also make up rules or
rituals to follow that help control your anxiety when you're having obsessive
thoughts. These compulsions are often not rationally connected to preventing
the feared event.
As with obsessions, compulsions
typically have themes, such as:
·
Washing and cleaning
·
Counting
·
Checking
·
Demanding reassurances
·
Following a strict routine
·
Orderliness
Examples of compulsion signs and
symptoms include:
·
Hand-washing until your skin becomes raw
·
Checking doors repeatedly to make sure they're locked
·
Checking the stove repeatedly to make sure it's off
·
Counting in certain patterns
·
Silently repeating a prayer, word or phrase
·
Arranging your canned
goods to face the same way
Symptoms usually begin gradually
and tend to vary in severity throughout your life. Symptoms generally worsen
when you're experiencing more stress. OCD, considered a lifelong disorder, can
be so severe and time-consuming that it becomes disabling.
Most adults recognize that their
obsessions and compulsions don't make sense, but that's not always the case.
Children may not understand what's wrong.
Reference
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