OCD

What is OCD?

Obsessive-compulsive disorder (OCD) has two main parts: obsessions and compulsions.

  • Obsessions are unwelcome thoughts, images, urges, worries or doubts that repeatedly appear in your mind. They can make you feel very anxious (although some people describe it as ‘mental discomfort’ rather than anxiety). You can read more about obsessions here.
  • Compulsions are repetitive activities that you do to reduce the anxiety caused by the obsession. It could be something like repeatedly checking a door is locked, repeating a specific phrase in your head or checking how your body feels. You can read more about compulsions here.
It’s not about being tidy, it’s about having no control over your negative thoughts. It’s about being afraid not doing things a certain way will cause harm.

You might find that sometimes your obsessions and compulsions are manageable, and at other times they may make your day-to-day life really difficult. They may be more severe when you are stressed about other things, like life changes, health, money, work or relationships.

What’s it like to live with OCD?

Although many people experience minor obsessions (such as worrying about leaving the gas on, or if the door is locked) and compulsions (such as avoiding the cracks in the pavement), these don’t significantly interfere with daily life, or are short-lived.

If you experience OCD, it’s likely that your obsessions and compulsions will have a big impact on how you live your life:

  • Disruption to your day-to-day life. Repeating compulsions can take up a lot of time, and you might avoid certain situations that trigger your OCD. This can mean that you’re not able to go to work, see family and friends, eat out or even go outside.Obsessive thoughts can make it hard to concentrate and leave you feeling exhausted.
  • Impact on your relationships. You may feel that you have to hide your OCD from people close to you – or your doubts and anxieties about a relationship may make it too difficult to continue.
  • Feeling ashamed or lonely. You may feel ashamed of your obsessive thoughts, or worry that they can’t be treated. You might want to hide this part of you from other people, and find it hard to be around people or to go outside. This can make you feel isolated and lonely.
  • Feeling anxious. You may find that your obsessions and compulsions are making you feel anxious and stressed. For example, some people feel that they become slaves to their compulsions and have to carry them out so frequently that they have little control over them.

Further help: Derisley, J., Heyman, I., Robinson, S. & Turner, C. (2008). Breaking Free from OCD: A CBT Guide for Young People and Their Families. Jessica Kingsley Publishers Ltd