Obsessive–compulsive
disorder (OCD)
is an anxiety disorder characterized by intrusive thoughts that
produce uneasiness, apprehension, fear, or worry; by repetitive behaviors aimed
at reducing the associated anxiety; or by a combination of such obsessions
and compulsions. Symptoms of the disorder include excessive washing or
cleaning; repeated checking; extreme hoarding; preoccupation
with sexual, violent or religious thoughts;relationship-related
obsessions; aversion to particular numbers; and nervous rituals, such as
opening and closing a door a certain number of times before entering or leaving
a room. These symptoms can be alienating and time-consuming, and
often cause severe emotional and financial distress. The acts of those who have
OCD may appear paranoid and potentially psychotic. However, OCD
sufferers generally recognize their obsessions and compulsions as irrational
and may become further distressed by this realization.
Obsessive–compulsive disorder affects children and adolescents, as well as
adults. Roughly one third to one half of adults with OCD report a childhood
onset of the disorder, suggesting the continuum of anxiety disorders across the
life span.
The phrase obsessive–compulsive has
become part of the English lexicon, and is often used in an informal or
caricatured manner to describe someone who is excessively
meticulous, perfectionistic, absorbed, or otherwise fixated. Although
these signs are present in OCD, a person who exhibits them does not necessarily
have OCD, but may instead have obsessive–compulsive personality disorder (OCPD),
an autism spectrum disorder, disorders where perseveration is a
possible feature (ADHD, PTSD, bodily disorders or habit problems), or
no clinical condition.
Despite the
irrational behaviour, OCD is sometimes associated with above-average
intelligence. Its sufferers commonly share personality traits such as high
attention to detail, avoidance of risk, careful planning, exaggerated sense of
responsibility and a tendency to take time in making decisions. Multiple
psychological and biological factors may be involved in causing
obsessive–compulsive syndromes. Standardized rating scales such
as Yale–Brown Obsessive Compulsive Scale can be used to assess the
severity of OCD symptoms.
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