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  • Shannon Kelly



Obsessive Compulsive Disorder is a mental health condition characterized by recurrent, intrusive, and distressing thoughts, images, or impulses (obsessions) that often lead to repetitive behaviors or mental acts (compulsions). The compulsive behavior is performed in an attempt to reduce the anxiety caused by the obsessive thoughts, but it typically provides only temporary relief and may interfere with normal daily activities. Examples of common obsessions include fear of contamination, intrusive thoughts about harm to oneself or others, excessive doubts about one's own memory or perceptions, and a need for symmetry or exactness. Common compulsions include excessive hand washing, counting, ordering, checking, and repeating words, phrases, or prayers. OCD can be a debilitating condition, but effective treatments are available, including medication and psychotherapy. If you or someone you know is struggling with OCD, it is important to seek help from a mental health professional.

There are several subtypes of OCD that are based on the specific themes or content of the obsessions and compulsions experienced by individuals with the disorder. Some of the most commonly recognized subtypes of OCD include:

1. Contamination Obsessions: This subtype is characterized by excessive fears of contamination by germs, dirt, chemicals, or other substances.

2. Harm Obsessions: This subtype is characterized by intrusive thoughts or images about causing harm to oneself or others, and often leads to compulsive checking behaviors to ensure no harm has been done.

3. Symmetry and Ordering Obsessions: This subtype is characterized by an excessive need for symmetry, exactness, and order in one's environment or in one's own behavior.

4. Hoarding Obsessions: This subtype is characterized by an excessive attachment to possessions, difficulty discarding items, and an accumulation of clutter that interferes with normal daily activities.

5. Sexual/Religious Obsessions: This subtype is characterized by intrusive and distressing thoughts or images related to sexual or religious content that are not in line with one's own beliefs or values.

It is important to note that individuals with OCD can have symptoms from more than one subtype, and the specific subtype or subtypes experienced can vary over time. Additionally, these subtypes are not formally recognized by all mental health professionals, and some may use different categorizations or labels.

Understanding the specific themes or content of one's obsessions and compulsions can be helpful in developing effective treatment plans and in improving communication with mental health professionals.


OCD is typically treated using a combination of medication and psychotherapy. The most effective treatment approach for each individual may vary, and the specific treatment plan should be tailored to meet the needs and preferences of the patient.

1. Medications: Antidepressant medications, such as selective serotonin reuptake inhibitors (SSRIs), are often used to treat OCD. These medications are thought to work by increasing levels of serotonin, a neurotransmitter that is involved in regulating mood and anxiety.

2. Psychotherapy: Cognitive-behavioral therapy (CBT) is the most widely used psychotherapy for OCD. CBT helps individuals identify and challenge their obsessive thoughts and compulsive behaviors, and teaches new coping strategies to manage symptoms. One specific type of CBT for OCD is called exposure and response prevention (ERP), which involves gradually exposing the individual to their fears and teaching them to resist performing compulsive behaviors.

3. Other therapies: In some cases, other forms of therapy, such as mindfulness-based therapies, family therapy, or group therapy, may be used in combination with medication and/or psychotherapy to treat OCD.

It is important to develop a treatment plan that is most effective for each individual. It is also important to remember that recovery from OCD is a gradual process, and it may take time and patience to see significant improvement. With the appropriate treatment, individuals with OCD often experience significant reduction in symptoms and improvement in their overall quality of life.

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