OCD

Obsessive-compulsive disorder usually includes both obsessions and compulsions. But it’s also possible to have only obsession symptoms or only compulsion symptoms, as detailed below:²⁹

Obsessions often have themes to them, such as:

• Fear of contamination or dirt
• Doubting and having difficulty tolerating uncertainty
• Needing things orderly and symmetrical
• Aggressive or horrific thoughts about losing control and 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 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 driving your car into a crowd of people
• Thoughts about shouting obscenities or acting inappropriately in public
• Unpleasant sexual images
• Avoidance of situations that can trigger obsessions, such as shaking hands

As with obsessions, compulsions typically have themes, such as:

• Washing and cleaning
• Checking
• Counting
• Orderliness
• Following a strict routine
• Demanding reassurance

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

OCD is diagnosed during a physical and psychiatric exam when obsessions and compulsions:³⁰

• Take up at least one hour each day
• Are distressing
• Interfere with daily life

Always see your healthcare provider for a diagnosis.