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Thoughts are Good but Need Control

This paper explained what OCD is and how it affects people all over the world. It revealed that the symptoms of repeated obsessions can cause a lot of anxiety and discomfort.  Furthermore, the causes of obsessive-compulsive disorder (OCD), such as inherited genes and environmental influences, were investigated. Biological and social ramifications of a person were examined and clarified, which has to do with a person's thought process and attempting to find answers. As previously stated, a look at the prevalence, age of onset, and gender differences, as well as how this affects both genders, was conducted.


Obsessive-Compulsive Disorder (OCD) is a serious anxiety-related condition in which a person has frequent intrusive and unwanted obsessional thoughts, also known as "obsessions."

Obsessions are extremely distressing and cause a person to engage in repetitive behaviours or rituals in order to avoid a perceived harm or worry that previous obsessions have focused their attention on. Avoidance of people, places, or objects, as well as constant reassurance seeking, are examples of such behaviours. Internal mental counting, checking of body parts, or blinking are examples of compulsions.

The mental health condition known as obsessive-compulsive disorder (OCD) is characterized by persistent, bothersome, and unwanted thoughts, images, or impulses (obsessions) that cause a great deal of anxiety and repetitive behaviors or mental acts (compulsions) that people feel compelled to carry out to get rid of that anxiety.

People with OCD frequently feel they are forced to do particular rituals or routines to lessen their anxiety. Still, these behaviors and habits can interfere with day-to-day activities, employment, and interpersonal interactions.

Cognitive-behavioral therapy (CBT) and exposure and response prevention (ERP) therapy, which have been demonstrated to be successful in controlling symptoms, are common forms of psychotherapy used in treating OCD.

  • It is crucial to get treatment from a mental health expert if you believe you may have OCD. They can identify your illness and create a successful treatment strategy to help you manage your symptoms and enhance your quality of life.

  • Symptoms: OCD sufferers may also exhibit avoidance behaviors, excessive doubting, hoarding, and difficulties making decisions, in addition to their obsessions and compulsive activities.

  • Causes: Although the precise etiology of OCD is unknown, research indicates that several genetic, neurological, and environmental variables may contribute to the disorder's emergence. Brain imaging studies have revealed that individuals with OCD had more significant activity in particular brain regions, including the orbitofrontal cortex and basal ganglia.

  • A family history of OCD, traumatic life experiences, and other mental illnesses, including anxiety, depression, or tic disorders, are all risk factors for the disease.

  • A mental health professional may identify OCD through a clinical evaluation that includes a detailed analysis of symptoms, a person's medical background, and family history. OCD cannot be diagnosed using lab or imaging testing, although it can be used to rule out other diseases.

  • Treatment: Other methods for treating OCD, such as mindfulness practices, mindfulness-based cognitive behavioral therapy (MCBT), and behavior modification, may be as beneficial as previously described drugs and psychotherapies.

  • While managing symptoms and enhancing the quality of life can be difficult for those with OCD, there are actions they can take. These include learning constructive coping skills, practicing self-care, getting help from friends and family, and, when required, seeing a professional.

  • It's critical to remember that OCD is curable, and many sufferers may lead happy, fruitful lives with the correct care and support.

  • OCD and comorbid conditions: Psychiatric diseases, including depression, anxiety, eating disorders, and drug abuse disorders, can co-exist with OCD. People with OCD must have a thorough assessment and treatment plan that considers all their mental health requirements.

  • Misconceptions: There are many misconceptions about OCD, such as that it's a quirky personality trait or that people with OCD choose to have it. In reality, OCD is a severe mental health condition that can be debilitating. People with OCD do not choose to have the need and often experience significant distress and impairment.

  • Impact on daily life: OCD can profoundly affect everyday life, causing individuals to spend excessive time on their obsessions and compulsive behaviors and interfering with work, school, and personal relationships.

  • Seeking help: If you or someone you know is struggling with OCD, it's essential to seek help from a mental health professional. With the proper treatment, individuals with OCD can learn to manage their symptoms and improve their quality of life.


A 12-year-old boy studying in the 8th grade was brought to the Psychiatry Outpatient Department with complaints of academic decline. Upon exploration, the boy reported two years of symptoms characterized by intrusive, unpleasant, and repetitive gory images of people engaged in violence or soaked in blood that interfered with his ability to study. He would have distressing palpitations, tremors, and fearfulness simultaneously when he experienced these images and stated that they were contrary to his innate “peaceful nature” and “habitual thinking patterns.” He recognized these as absurd and irrational but claimed to be powerless to stop them. Techniques to counter them, like chanting hymns, did not provide tangible relief. Other repetitive behaviors like putting on switches repeatedly and counting objects in sets of five were being done by him as it “just didn’t feel right otherwise.” Of these, he identified the repeated occurrence of the unpleasant images as the one that distressed him the most. When he presented to us, his academic performance declined, leading to strained relations with his parents. Initial explanations by the patient that he was “unable to concentrate” cut no ice with his family. It was only when the child mustered enough courage to tell his mother the details about the repeated images that his parents decided to seek help for him. The child was developmentally normal. Physical examination was unremarkable. Screening for organicity was negative. We made a diagnosis of OCD, and he was started on 50 mg of fluvoxamine which was subsequently hiked to 100 mg. In addition, 0.5 mg of clonazepam was added to control the anxiety symptoms. Psychoeducation was given to the parents and child to alleviate their distress and reduce critical/hostile comments by the family. With this regimen, the patient reports 50% improvement, and his school performance has improved to their subjective satisfaction.

It's also important to understand that recovery from OCD is possible, and many people with the condition can lead fulfilling and productive lives with the proper support and treatment. If you or someone you know is struggling with OCD, don't hesitate to seek help.



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