Patient education/Obsessive-compulsive disorder

08 · Obsessions and compulsions

Obsessive-compulsive disorder

OCD involves unwanted thoughts, images, or urges and behaviors or mental rituals performed to reduce anxiety.

  • Knowing a fear may not make sense but still being unable to dismiss it
  • Checking, washing, arranging, counting, repeating, reviewing, or confessing
  • Seeking reassurance that only helps briefly
  • Avoiding people, objects, places, or responsibilities that trigger the cycle

A clinician considers time consumed, distress, avoidance, insight, functional impact, tics, depression, anxiety, and whether a belief is an intrusive fear or a fixed conviction.

Notice the obsession-anxiety-ritual-relief loop, avoid adding new reassurance rituals, and seek a clinician trained in exposure and response prevention.

Screening approach under review