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Obsessions/Compulsions
Obsession
Compulsive Disorder (OCD) is an anxiety disorder where a
person has recurrent and unwanted ideas or impulses (called
obsessions) and an urge or compulsion to do something to
relieve the discomfort.
Common obsessions include persistent fears that harm may
come to self or a loved one, an unreasonable concern with
becoming contaminated, or an excessive need to do things
correctly or perfectly. Again and again, the individual
experiences a disturbing thought, such as, "My hands
may be contaminated -- I must wash them" or "I
may have left the gas on" or "I am going to injure
my child." These thoughts tend to be intrusive, unpleasant,
and produce a high degree of anxiety. Sometimes the obsessions
are of a violent or a sexual nature, or concern illness.
Compulsive persons resort to repetitive behaviors called
compulsions. The most common of these are washing and checking
(e.g., making sure the gas is off for the oven). Other compulsive
behaviors include counting (often while performing another
compulsive action such as hand washing), repeating, hoarding,
and endlessly rearranging objects in an effort to keep them
in precise alignment with each other. Cognitive problems,
such as mentally repeating phrases, listmaking, are also
common. Some people with OCD have regimented rituals while
others have rituals that are complex and changing. Performing
rituals may give the person with OCD some relief from anxiety,
but it is only temporary.
Obsessive-compulsive disorder is commonly treated with behaviorally-oriented
psychotherapy. Occasionally psychotropic medications are
also used.
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Individual
And Family Therapy
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