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OCD Volume 1, Issue 1

Human Issues

Department of Education

What is OCD?

Learn About OCD , ADHD, Touretts and more.

Obsessive compulsive disorder is an anxiety disorder with intruding thoughts that produce uneasiness, apprehension, fear, or worry, by repetitive behaviours aimed at reducing anxiety, or by a combination of such thoughts (obsessions) and behaviours (compulsions). Symptoms may include repetitive hand washing; extensive hoarding; obsession to odd numbers; and nervous habits, such as opening a door and closing it a certain number of times before one enters or leaves a room. These symptoms can be alienating and time-consuming, and often cause severe emotional and financial situations. The acts of those who have OCD may appear paranoid and come across to others as psychotic. However, OCD sufferers generally recognize their thoughts and actions as normal. OCD is the fourth-most-common mental disorder, and is diagnosed nearly as often as asthma and diabetes.

Obsession or Compulsion Obsessions are thoughts that reoccur despite efforts to ignore them. Some obsessions concern the possibility that someone or something other than themselves such as God, the Devil, or disease will harm either the person with OCD or the people or things that the person cares about. Some people with OCD perform compulsive rituals because they inexplicably feel they have to. Some common compulsions include counting specific things (such as footsteps) or in specific ways (for instance, by intervals of two) and doing other repetitive actions, often with atypical sensitivity to numbers or patterns. People might repeatedly wash their hands or clear their throats, make sure certain items are in a straight line, repeatedly check

that their parked cars have been

locked before leaving them.


Page 2

OCD

Effects

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Obsessive compulsive disorder has many effects on the person them self and the people that live around them. People with obsessive compulsive disorder tend to hurt the people around them if they try to interfere with their obsession. People with OCD tend to turn away from their family and friends

and focus more on their obsession or compulsion.

Management

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According to a team of Duke Universityled psychiatrists, behavioral therapy (BT), cognitive behavioral therapy (CBT), and medications should be regarded as first-line treatments for OCD. Psychodynamic psy-

chotherapy may help in managing some aspects of the disorder. The American Psychiatric Association notes a lack of controlled demonstrations that psychoanalysis or dynamic psychotherapy is effective "in dealing

with the core symptoms of OCD.


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