![]() ![]() People with OCD may also avoid people, places, or things that may trigger obsessions and compulsions. ![]() Compulsions may temporarily relieve feelings that stem from an obsession, including anxiety, distress, or the sense that something is not right. They can also include mental acts that are not outwardly observable. In response to their obsessions, most people with OCD resort to compulsions, which may include behaviors such as washing rearranging or counting objects seeking reassurance or checking (to see if an oven is turned off or a door is locked, for example). The specific details of obsessions can vary widely: They may include thoughts about contamination, a desire for order, or taboo thoughts related to sex, religion, and harm to oneself or others. For a diagnosis of OCD, they must not be better explained by the effects of a substance or by another mental disorder or medical condition. These obsessions or compulsions take up more than one hour a day or cause clinically significant distress or impairment for the individual. They are meant to counter anxiety or distress or to prevent a feared event or situation, but they are not realistically connected to these outcomes, or they are excessive. Compulsions are repetitive behaviors or mental acts that one feels compelled to do in response to an obsession or based on strict rules.The individual tries to ignore them, suppress them, or neutralize them with a different thought or action. Obsessions are recurring thoughts, urges, or images that are experienced as intrusive and unwanted and, for most people, cause anxiety or distress. ![]() The DSM-5 diagnostic criteria for obsessive-compulsive disorder include the presence of obsessions, compulsions, or both, where: ![]()
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