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Obsessions and Compulsions

Obsessions and compulsions are commonly grouped together and better known as OCD or Obsessive Compulsive Disorder.

Obsessive Thoughts

Obsessions tend to come in the form of involuntary thoughts, feeling or impulses which take many forms. These are automatic and frequent responses which the individual finds difficult to control.

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Symptoms include:

Checking or counting rituals
Certain ‘magical beliefs’ or rituals that have to be performed
Negative thoughts
Concern with hygiene, dirt and the possibility of contamination
Chronic insomnia
Persistent jealous thoughts
Excessive Sexual Thoughts
Fear that things are not safe
Excessive concern with routine and safety
Other daily rituals

Compulsive Behaviours

Compulsions allow an individual to cope with the anxiety which arises spontaneously from obsessions. Examples include: excessive washing and cleaning, over checking, emotional/comfort eating, excessive gambling, drinking alcohol to excess, repeating certain words and phrases, counting and touching objects, hoarding, ritualistic behaviour, wearing only certain colours and many more.

The main features of compulsions are that they are repetitive and stereotypical actions. The person feels compelled to repeat these automatically, without conscious thought.

 
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Obsessive Compulsive Disorder (OCD)

Obsessive–compulsive disorder (OCD) is characterized by intrusive thoughts that create anxiety, by repetitive behaviors aimed at reducing anxiety, or by a combination of such thoughts (obsessions) and behaviors (compulsions).

The features of this anxiety disorder may include repetitive hand-washing; extensive hoarding; preoccupation with sexual or aggressive impulses, or with particular religious beliefs; aversion to odd numbers; and nervous habits, such as opening a door and closing it a certain number of times before entering or leaves a room.

Such symptoms can be time-consuming and can cause severe emotional and economic effects. The acts of those who have OCD may appear paranoid, even psychotic, but in fact OCD sufferers generally recognize their thoughts and actions as irrational. Nonetheless, they continue to follow these rituals as an anxiety displacement or coping strategy.

In the UK it is estimated that one person in about 70 (almost one million people) have diagnosable Obsessive Compulsive Disorder.

 

 


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