because OCD is polygenic, it may be the case that its difficult to conclusively link OCD to genetics
environmental factors have also been seen to play a role in OCD Cromer et al found that over half of OCD patients in a sample had a traumatic event in their past, and OCD seemed to be worse in those who had more than one trauma
higher concordance may be due to nurture
genes only create vulernability, not a direct cause
diathesis stress model - not all develop it - a trigger is needed