OCD also involves thoughts. For some people with OCD their obsessions and compulsions are more in their heads than in their guts. Consider a woman who feels a compulsive urge to arrange her canned goods in a “certain, perfect” order. She doesn’t report feeling particularly anxious at all. It’s just that she feels things aren’t “right” if she doesn’t have everything in a just so order.
OCD can also show up primarily in behaviors. For example, a man might feel a driven need to go through doorways in a particular manner. Until he gets it “right,” he can’t let himself continue on his way. He can’t come up with any particular thoughts about why he needs to go through doors in this way; he just feels he must.
As these examples illustrate, OCD manifests itself in many widely differing forms. The prominent feature(s) may involve anxiety, thoughts, behaviors, urges, or distress. Although OCD is currently considered a type of Anxiety Disorder, many professionals believe it deserves its own separate diagnostic category.
The take home message is that this is a fascinating, yet quite complex disorder. If you “think” you may have it, consider seeking professional consultation. This is one problem that you don’t want to self diagnose. The good news is that usually treatments work very well for OCD.
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