Obsessions are persistent and intrusive thoughts. They may be inappropriate ideas which aren’t based on reality e.g. convinced germs are everywhere
Compulsions are repetitive behaviours carried out to reduce the distress caused by the obsessive thoughts e.g. hand washing
OCD - key facts
Occurs in about 2% of the population.
Equal in men and women.
In men, tends to begin earlier (often in childhood), with a gradual onset and more severe symptoms.
In women, tends to have a later but more sudden onset, with fewer severe symptoms.
OCD diagnosis
Obsessions and/or compulsions must be present on most days for at least 2 successive weeks
This must be a source of distress for the sufferer and interfere with daily activities.
the cycle of OCD
Obsessive thoughts are unpleasant and create anxiety
The anxiety can be reduced by carrying out certain (compulsive) behaviours e.g. repetitive hand washing
This is carried out as a response to the obsessive thought e.g. fear of germs
The compulsion is a short term solution which offers relief but does not reduce the intrusive thoughts
Sufferers feel they must perform the compulsion otherwise something dreadful will happen to them. This creates anxiety.
Compulsive behaviours are repetitive and may be mental acts e.g. counting
Compulsive behaviours are performed to reduce the anxiety created by the obsessive thoughts.
emotional characteristics of OCD
Sufferers are aware that their behaviour is excessive and this causes them embarrassment and shame
Obsessive thoughts can often make the sufferer feel disgust e.g. obsessive concerns about germs
Obsessive thoughts are unpleasant and frightening and the anxiety that goes with these can be overwhelming
cognitive characteristics of OCD
Obsessions are recurrent and intrusive thoughts that may be seen as inappropriate.
Obsessions are uncontrollable and the nature of them vary from person to person
The sufferer recognises that these thoughts are a product of their own mind (rather than thoughts being inserted by someone else, which can be the case in schizophrenia)