People are unable to control either the thoughts or the activities for more than a short period of time. Common activities include hand washing, counting of things, and checking to see if a door is locked. Some may have ocd treatment manual pdf throwing things out.
These activities occur to such a degree that the person’s daily life is negatively affected. Often they take up more than an hour a day.
Most adults realize that the behaviors do not make sense. The condition is associated with tics, anxiety disorder, and an increased risk of suicide. There appear to be some genetic components with both identical twins more often affected than both non-identical twins.
Risk factors include a history of child abuse or other stress inducing event. Some cases have been documented to occur following infections. The diagnosis is based on the symptoms and requires ruling out other drug related or medical causes.
Brown Obsessive Compulsive Scale can be used to assess the severity. CBT for OCD involves increasing exposure to what causes the problems while not allowing the repetitive behavior to occur. While clomipramine appears to work as well as SSRIs, it has greater side effects.