Obsessive Compulsive Disorder (OCD)
Obsessive compulsive disorder is sometimes called OCD. The symptoms can include obsessions, compulsions, or both.
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Obsessions. These are frequent upsetting thoughts, impulses, or images. They happen over and over even if you try to ignore them. They are not wanted, so they cause anxiety and stress.
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Compulsions. These are repeating behaviors or thoughts that use certain rules or rituals every time. The purpose is an attempt to make the obsessions go away and stop the anxiety and stress.
Some examples include:
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Feeling the need to repeat certain actions over and over, such as handwashing, saying the same words, or counting items.
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Rechecking actions many times, such as checking many times to make sure the stove is turned off or that the door is locked.
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Not being able to take your attention off of disturbing thoughts that repeat over and over.
OCD usually does not go away on its own. It can prevent you from doing well at work and in relationships. People with OCD often hide their symptoms because of fear or embarrassment. Some people use alcohol or drugs to try to control the symptoms. Without treatment, relationships often deteriorate. Performance in school or at work may decline. Medicine and psychotherapy may help a great deal. Many people get better and are able to return to their usual activities.
What causes OCD?
The cause of OCD is unknown. It can be a combination of genes and environment. OCD tends to run in families.
Home care
These tips for taking care of yourself at home may help:
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Ongoing care and support helps people manage this disease. Find a doctor and therapist who understand OCD and can meet your needs. Get help when you feel like your symptoms are getting worse.
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If you have been given medicine, take it as directed. Don't share your medicines or take another person’s medicines. Talk with your doctor before increasing, decreasing, or stopping your medicine.
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Tell all your health care providers about all the prescription and over-the-counter medicines, vitamins, and supplements you take. Certain supplements interact with medicines. They can result in dangerous side effects. Ask your pharmacist about possible medicine interactions before using any new medicines.
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Get support from trusted friends or family by talking about your feelings and thoughts.
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Ask your therapist about peer support groups for people with OCD.
Follow-up care
Follow up with your therapist and doctor, or as advised.
Crisis care
If you are in a crisis or have thoughts of suicide or self-harm, call or text 988 right away. This is the 988 Suicide & Crisis Lifeline . You will be connected to a trained counselor you can talk to. There's also an online chat option. You can also call Lifeline at 800-273-TALK (800-273-8255). The 988 Lifeline is free and available 24/7.
When to contact your doctor
Contact your therapist or doctor right away if:
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Your OCD symptoms get worse
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Your depression or anxiety get worse.
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You are feeling out of control.
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You have thoughts of harming yourself or another.
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You are unable to care for yourself.
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Your family or friends are asking you to get help for symptoms that have gotten worse.
Online Medical Reviewer:
Daphne Pierce-Smith RN MSN
Online Medical Reviewer:
Lalitha Kadali
Online Medical Reviewer:
Michelle Anderson DNP
Date Last Reviewed:
5/1/2025
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