From the inside, though, they definitely do not feel voluntary and often cause great deals of distress and impairment. A compulsion is something that you feel like you have to do to escape intense distress or prevent a feared outcome from occurring. Some compulsion might be visible but many of these compulsions are internal; mental.
I can practically see it. That raw chicken we cut up yesterday is still there. If you experience compulsions, be compassionate with yourself. You feel tired; you drink coffee; you feel less tired. The next morning when you feel tired, you reach for the coffee, and you feel less tired again. The same mental process is responsible for the compulsion. Obsessive-compulsive disorder OCD is a disorder in which people have recurring, unwanted thoughts, ideas or sensations obsessions that make them feel driven to do something repetitively compulsions.
Many people without OCD have distressing thoughts or repetitive behaviors. However, these thoughts and behaviors do not typically disrupt daily life. For people with OCD, thoughts are persistent, and behaviors are rigid. Not performing the behaviors commonly causes great distress. Many people with OCD know or suspect their obsessions are not realistic; others may think they could be true known as limited insight.
Even if they know their obsessions are not realistic, people with OCD have difficulty disengaging from the obsessive thoughts or stopping the compulsive actions. OCD often begins in childhood, adolescence, or early adulthood; the average age symptoms appear is 19 years old. Obsessions are recurrent and persistent thoughts, impulses, or images that cause distressing emotions such as anxiety or disgust. Many people with OCD recognize that the thoughts, impulses, or images are a product of their mind and are excessive or unreasonable.
However, the distress caused by these intrusive thoughts cannot be resolved by logic or reasoning. Most people with OCD try to ease the distress of the obsessions with compulsions, ignore or suppress the obsessions, or distract themselves with other activities. For example, washing to remove germs, praying to counter blasphemous or sacrilegious thoughts that could result in going to hell, checking for assurances that doors are locked or people are OK, putting things in order arranging , repeating other behaviors to get rid of a thought turning a light off and on until a bad thought goes away.
There are thousands of forms of OCD, as unique as each individual. They are not limited to the ones you see on TV with themes of checking, germaphobic cleaning, ordering, perfectionism, hoarding, and hypochondriasis, etc. OCD can even take a nonsense form, with unanswerable metaphysical questions, a song that sticks in your mind, thinking about one's swallowing or blinking, etc.
Common obsessions include fears about contamination, worries about having left appliances on or doors unlocked, fear of acting in shameful or humiliating ways, discomfort about things being out of order, extreme concerns about superstitions such as unlucky numbers or colors, and excessive worries about keeping objects of all kinds. Common compulsions include excessive cleaning and hand washing; repeatedly checking doors, locks, appliances, and such; rituals designed to ward off contact with superstitious objects; using prayers or chants to prevent bad things from happening; arranging and rearranging objects; and hoarding huge numbers of ordinary objects.
Some common obsessions have to do with becoming contaminated, being or becoming too aggressive, having persistent sexual thoughts, being susceptible to injury or disease. There is also religious scrupulosity, where a person has unwanted, blasphemous thoughts that she must work hard to keep under control, and out of her mind, so she doesn't just blurt them out - which is what makes her so anxious. Behaviors depend on the context. In most cases, individuals with OCD feel driven to engage in compulsive behavior and would rather not have to do these time consuming and many times torturous acts.
In OCD, compulsive behavior is done with the intention of trying to escape or reduce anxiety or the presence of obsessions. Who Gets OCD? What Causes OCD? How is OCD Diagnosed? How is OCD Treated?
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