OCD genetically inherited and runs in families - genetic vulnerability passed on not certainty - diathesis stress model, certain genes leave people more likely to suffer mental disorder not certain, some environmental stress needed to trigger condition - researchers identified genes create vulnerability called candidate genes (e.g. gene 9) - OCD polygenic - estimated as many as 230 different genes could be involved - different types of OCD caused by different combinations - family studies, higher percentage of 1st degree relatives have disorder (10%), prevalence rate (2%)