Obsessive compulsive disorder

By | 22 April 2021

Obsessive-compulsive disorder

Obsessive-compulsive disorder is a common psychiatric disorder with obsessive thoughts and/or behavior (ie obsessions and compulsions). OCD is a disease that affects millions of people around the world. The obsessive disease is a disease known in the medical literature as an obsessive-compulsive disorder. Obsession (obsession) and / or compulsions (compulsions) occur in this disease. As a result of these, it causes distress in the person, disrupts functionality and if not treated, it appears as a long-lasting psychiatric disease.

According to the current epidemiological study findings, OCD was found to be the fourth most common mental illness. It ranks fourth after phobias, substance use disorder, and depression in the ranking. Its incidence in the community is rough as the prevalence of asthma and diabetes.

WHAT IS Obsessive-compulsive disorder?

Obsessions are thoughts, impulses, or images that spontaneously enter the mind, are repetitive, know that the person is meaningless and wrong, but cannot stop thinking and cannot be removed from the mind with conscious effort. These thoughts seem to attack the mind of the person. The person does not want to think about them, but they cannot take them away from his mind. It is like an unwanted and insistent guest. As expected, these unwanted thoughts, impulses, or images increase one’s distress. The person wants this situation to pass, but cannot provide it because it is a situation that he does not have.

WHAT IS THE MOST COMMON OBSESSIONObsessive compulsive disorder?

The most common is COMMUNICATION, POLLUTION OBSESSION, and associated cleaning compulsion. One of the most common obsessions is the contamination obsession with germs, infections, contamination of various contaminated materials, and/or contamination to others. The person becomes intensely preoccupied with the thought that something is contaminated and contaminated or polluted. He cannot get this out of his mind and shows intense washing and cleaning compulsions to get rid of the distress caused by this situation. Contagion obsessions can be in the form of contamination of what the person sees as harmful or the person himself is infected. In particular, it may be related to getting a germ disease by shaking hands or touching a place, where urine may be splashed. The person exhibits the behavior of avoiding contact with the source that they think will be contaminated.

WHAT ARE OTHER TYPES OF OBSESSIONObsessive compulsive disorder?

One of the other common obsessions is that it WILL HARM a person, be violent, or hurt themselves. Compulsive behaviors such as dealing with this intense thought, asking for assurance by asking questions about being a good person to relax, and following crime news are displayed. Aggressive obsessions are repetitive thoughts about killing or harming others. The person avoids sharp objects such as knives, scissors and being alone with that person. Sometimes this obsession can be directed at the people themselves. In other words, the person thinks iteratively that he will hurt himself. He has many thoughts that he throws himself out of the window and in front of the car, and he has the avoidance of these.

Another obsession is not being sure about whether something has been done, that is, the DOUBT OBSESSION. One cannot be sure if the stove is covered or not, it may be various examples such as windows, doors, tubes, or cannot be sure whether it has taken its wallet. He can’t be sure his phone is in his back pocket. He can’t be sure that he shut down his computer when leaving work. He cannot be sure that the bathroom is thoroughly cleaned and cleaned. He cannot be sure that the fruits are thoroughly cleaned. To overcome the troubles brought about by this, the person frequently checks, does things in a certain order to be sure, and frequently questions the people around him whether there is any. In doubting obsessions, there is a situation of not being sure that an action has been done or that it has been done properly. The person cannot be sure whether the door, window, the tube is open or unplugging the iron, they need to check and control compulsions develop.

Another obsession is SEXUAL OBSESSION. The person thinks repetitively about sexual thoughts that he/she thinks to be perverted. Again, he’s uncomfortable thinking about these things, but he can’t get them away in his head. He worries that another person is capable of doing these deviant sexual acts.

In another type of obsession, the person thinks that they will LOSE CONTROL and may engage in inappropriate behavior, and therefore tries to avoid social situations as much as possible.

In SYMMETRY OBSESSION, there are repetitive thoughts that need to do something in a balanced, orderly way, and there is regulation as a compulsion. Obsessions with the need for symmetry and precision are characterized by the fact that objects and events must be in a certain order or that things must be in complete symmetry and bring order.

RELIGIOUS OBSESSIONS is the repetitive thought of several thoughts that are contrary to their religious beliefs, usually in people with strong religious beliefs.

When we look at the types of COMPULSION, there are sometimes repeated cleaning compulsions such as washing things for hours, bathing, washing hands. A person’s belongings exhibit this behavior to deal with the obsession that he or she is dirty.

Checking gas, doors, wallets, and the like about insecurity or ensuring security emerges in the form of control compulsions. These are more related to doubt obsessions.

Trying to keep things to provide symmetry, order, and balance are regulatory compulsions.

Counting compulsions are mental compulsions that occur with behaviors such as automobile plates, road stones, and counting apartment floors.

There are compulsions of accumulation in the form of not being able to throw things out and/or not to throw more than what is needed.

Repetition compulsion is the case of repeating certain behaviors for a certain number of times until the person feels confident.


The lifetime prevalence of OCD is 2-3%. 10 OCD mostly starts in late adolescence or early adulthood. The average age of onset is 19.5. There are cases of OCD that rarely develop over the age of 30. Often a subgroup of female OCD patients has an early onset, such as before the age of 10.

These unwanted thoughts, called obsessions, can sometimes be in the form of images or images. Obsessions, whether in the form of thoughts or visual images, increase the person’s distress in all circumstances. The person tries to control these thoughts to reduce boredom. However, as the person tries to control and stop these involuntary thoughts, it causes the thoughts to increase, and thus anxiety and distress increase. The person resorts to compulsive behaviors and/or avoidance behaviors to reduce the distress caused by obsessions. For example, a person who thinks that his / her hand is infected with germs and that he/she will get sick starts to wash his / her hands continue to get rid of the distress caused by this situation, in other words, he develops cleaning compulsion. This first reduces short-term distress, but then increases the obsession and inversely increases distress. In other words, the coping strategy to reduce distress becomes a situation that increases the disease. Another example is that the person thinks intensely that it will harm his children, he knows that this is not true, but he cannot convince himself and this creates intense distress for the person. To get rid of this trouble, he throws all knives, scissors, etc. from the house and frequently asks his wife if he has done anything to the children. However, throwing knives, constantly asking your spouse if I did something to the children, becomes a factor that increases the obsession itself after a short-term relief.

Sometimes these thoughts can cause depression by holding oneself responsible for how I think that way.

Is OCD Disease?

OCD is a brain disease that a person does not have. OCD is a medical condition that a person does not have, just like diabetes. This is a brain disease. Studies on some neuronal networks in the brain as the cause of the disease are increasing gradually.

Not every obsessive thought is a disease. In OCD, these unwanted thoughts or images require the presence of obsessions and/or compulsions that take time (more than an hour a day), cause great distress, and disrupt work, social, or other important functions.

A number of diseases involving obsessive thoughts and behaviors are called OCD-related diseases. It is considered to be similar to these diseases as it involves unwanted thoughts and behaviors. It should be considered as OCD in this disease group. Obsessive-Compulsive Related Diseases include:

Body Dysmorphic Disorder

Trichotillomania (Hair Pulling Disorder)

• Excitation Disorder

• Stacking Disorder

1.Body dysmorphic disorder: Body dysmorphic disorder (BDD) is a situation where a person is overly dealing with a body defect that he thinks is not actually present, or exaggerates even if he has a body defect. The focus of concern is usually on the face and head. For a pimple that may occur on the face, they can spend their days looking in the mirror or visit the doctor or doctor for this. In the same way, they can be stuck with the curvature of their nose and can have permanent plastic surgery. BDD is considered to be in the same category of conditions as OCD by mental health professionals due to its similarities. As in OCD, if they get reassurance from people around them that my nose is crooked or my acne looks like, and they experience short-term relief, then serious concerns about this issue arise.

2. Trichotillomania: It is a hair plucking disease. The person’s involuntary plucking of his / her hair continuously causes even baldness as a result. Apart from the scalp, more rarely, eyebrows, eyelashes, and other body hair can also be plucked. The urge to pull can be so strong that it feels impossible to resist at times. Then a short-term relief occurs. The inability to relieve the plucking obsession without plucking has been compared to OCD. Many people wear wigs, hats, or scarves to hide their scalp, while others may use makeup or false eyelashes on other areas for hair loss. The repetitive nature of attraction is similar to the imperatives in OCD.

3. Skin picking disease: Skin picking is excessive and repetitive skin picking that causes damage to the skin tissue. It can cause serious damage to the skin, even life-threatening consequences. At first, small acne or blackheads on the skin begin to repeat, and when these behaviors that do not seem like a big problem at first become a disease, pins or sharp tools can be used. This behavior can lead to embarrassment, guilt, and introversion.

4. Hoarding disease (Hoarding): It is defined as the accumulation of necessary or unnecessary items. At the expense of restricting their own living spaces, everywhere is filled with waste items, and the house is almost turned into garbage house. As in OCD, there is relief with the urge to hide things and the behavior of collecting inability to stop this thought.


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