Obsessive-compulsive disorder (OCD) is characterized by a pattern of repetitive and intrusive
thoughts (obsessions) that cause you to engage in repetitive actions (compulsions). Obsessions
and
compulsions create severe anguish and lead to impaired routine tasks.
You cannot simply ignore or control your obsessions as they cause anxiety which compels you to
engage
in obsessive behaviours to relieve your tension. Despite attempts to ignore or eliminate
troublesome
thoughts or impulses, they persist. This feeds into the OCD's vicious circle of repetitive
activity.
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What are the symptoms of obsessive behavior?
Obsessions with OCD are intrusive, recurring, and unwelcome thoughts, urges, or visions that
create anxiety. This might be followed by attempts to ignore them or doing a compulsive activity
or ritual to get rid of them. Obsessions may have specific cues or triggers.
Contamination or dirt
Not having closed doors ,locks or stove (pathological doubts)
Symmetry
Harm to self or others
Blurting something embarrassing or bad
Unwarranted thoughts around subjects such as violence, sex, or religion.
Understanding OCD
Obsessive-Compulsive Disorder (OCD) is a mental health condition where individuals experience persistent, unwanted thoughts (obsessions) and feel compelled to perform repetitive behaviors or mental acts (compulsions) to reduce anxiety.
OCD can affect daily life, work, school, and relationships. Early recognition and treatment are essential. Dr. Tulika Shukla provides personalized, evidence-based care to help patients manage symptoms, regain control, and improve quality of life.
Common Issues We Address
Repeated hand washing, cleaning, or checking behaviors
Intrusive or disturbing thoughts that are difficult to ignore
Compulsions aimed at neutralizing anxiety or preventing harm
Excessive orderliness, symmetry, or perfectionism
Ritualistic routines that interfere with daily life
Avoidance of situations that trigger obsessions
Emotional distress, guilt, or frustration due to compulsions
Tips for People with OCD
Recognize and track triggers for obsessions and compulsions
Gradually face anxiety-inducing situations with guidance (ERP techniques)
Use mindfulness and relaxation techniques to manage stress
Set realistic goals and celebrate small progress
How to Support Someone with OCD
Provide understanding, patience, and consistent encouragement
Avoid enabling compulsive behaviors, while offering gentle guidance
Maintain structured routines and predictability to reduce stress
Collaborate with therapists to reinforce strategies at home
Monitor for signs of increased anxiety or frustration
Compulsions are repeated activities that you feel compelled to do because of OCD. These are
intended to alleviate anxiety caused by your obsessions.
Compulsions are generally around the folllowing:
Cleaning and washing
Checking
Counting
Orderliness and arranging
Requiring assurance over and over
OCD usually develops in adolescence or early adulthood, but it can sometimes begin in
childhood as well. Symptoms typically appear gradually and progress in intensity over
time. Obsessions and compulsions can vary over time, and so can the varieties of
obsessions and compulsions you have. When you are under a lot of stress, your symptoms
usually worsen. OCD, commonly seen as a lifelong condition, can manifest itself in mild
to moderate symptoms or it can be so serious that it becomes incapacitating.
OCD has a prevalence of 2 to 3 %. It can affect people of all ages, including adults,
adolescents, and children. Boys have a younger onset than girls and there is a slight
higher preponderance in men. The causes of OCD are unknown, although there are some risk
factors to consider:
Genetics: According to several studies, those with first-degree family members with
OCD (Like a parent or a sibling) are more likely to develop the disorder themselves.
Environment: Some research has discovered a link between early psychological trauma
and obsessive-compulsive symptoms. More research is warranted to understand this
link. Moreover, kids can develop OCD or OCD symptoms after a streptococcal
infection, known as Pediatric Autoimmune Neuropsychiatric Disorders Associated with
Streptococcal Infections.
We should not confuse a perfectionist with OCD—a perfectionist demands immaculate
results or productivity or desires to keep things neat or organized in a particular way.
However, consult your doctor or seek a mental health expert/psychiatrist’s help if your
obsessions and compulsions are harming your general wellbeing.
Treatment for OCD usually involves a combination of psychotherapy and medication.
Cognitive Behavioral Therapy (CBT), particularly Exposure and Response Prevention (ERP),
is highly effective. Medications such as Selective Serotonin Reuptake Inhibitors (SSRIs) are also commonly
prescribed to help reduce symptoms. In severe cases, advanced treatments like Deep Brain Stimulation (DBS)
may be considered.
OCD can significantly interfere with work, school, and relationships. Time-consuming rituals and
anxiety may lead to delays, avoidance of responsibilities, or strained interactions with loved ones.
With proper treatment, however, individuals can manage symptoms and maintain a productive daily life.
When life gets messy, Reaching out for help is brave