The Psychotherapist’s Essential Guide To The Brain Part 4 - Neural Underpinnings of OCD

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Obsessive–compulsive disorder (OCD) is a common anxiety condition characterised by recurring, upsetting thoughts (obsessions) that are typically along themes of contamination, doubts, the need to order things, impending doom, or aggression, just to name a few. These obsessions are managed by ritualistic actions (compulsions) such as hand washing, checking, ordering, counting, praying, and other sequences of action or thought. People who suffer from OCD feel driven to perform specific compulsions to mitigate the anxiety generated by the obsessive thoughts. One of the more common OCD experiences is that of feeling contaminated and being compelled to wash the hands or the entire body to be clean again. The feeling of being clean either never happens or is fleeting, despite excessive efforts to wash. Another typical example is persistent doubt upon leaving the house that the house is locked and windows closed or that the oven has been turned off, and such persistent thoughts lead to compulsive checking of things (like the locks and windows)—a distressing state that intrudes on the harmonious flow of life and torments the sufferer when they are not in a position to do the checking…

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