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Obsessive-​​Compulsive Disorder: When thinking or doing it once is not enough

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Aside from being mega-​​rich and famous, what do David Beckham and Leonardo di Caprio have in common? Both suffer from Obsessive-​​Compulsive Disorder (OCD),  Obsessive-​​Compulsive Disorder is an anxiety disorder that is char­ac­terized by an obsessive or dis­tressing thought.  It may also involve com­pulsions or “rituals.”   It is such a serious concern that event the World Health Organ­ization has labeled OCD as among the top 10 most dis­abling ill­nesses faced by society today.   In the United States alone, it is estimated that 3.3 million people are suf­fering from OCD.

The football superstar David Beckham once said in an interview that he had been struggling for years with OCD. He said that he was obsessed with getting everything in a straight line or having objects in pairs.  He revealed that every time he went to a hotel, he had to keep all leaflets and books inside a cabinet before he can relax.   The multi-​​awarded actor, Leonardo di Caprio said that there was a time that he avoided stepping on cracks and other very specific things.

It is true that most people can’t stand living in an untidy house, which is quite normal.   But what if you had to repeatedly align all the chairs and tables?  What if you had to make sure that there were exactly seven cups in a row in the cupboard?  Or you insist on making the middle part of the sofa per­fectly squared towards the tele­vision?  Others “obsess” on other things like checking if the lights were turned off, which is done not once, but several times throughout the day.  There are indi­viduals who actually worry about having knives and other sharp objects at home, thinking that they might hurt someone with these instruments.  Even more dis­tracting to the daily routine is the obsession with cleaning one’s hands.  Somehow, some people can’t stop them­selves from rushing to the bathroom to wash their hands over, and over, and over again.  These types of behavior or symptoms of anxiety have been called a lot of names but none seems to fit the bill.  People have called it depression, phobia, over-​​worrying, or panic.  More that just being symptoms of stress and anxiety, these actu­ations point out to a more serious psy­chiatric con­dition Obsessive-​​Compulsive Disorder, or OCD.

It is true that a little anxiety doesn’t hurt.  Anxiety is what some sci­entists call an “evol­u­tionary survival mechanism.”   There is a big dif­ference between just knowing that a hungry tiger is outside your tent and having enough anxiety to prompt you to flee the potential danger.  But how do you know when your stress and anxiety over objects, thoughts, situ­ations, or events are serious enough to be con­sidered as OCD?  When a reaction is recurrent, per­sistent or repetitive — it may be signs of OCD.   It is also important to define if a person’s reactions are obsessive or com­pulsive. An obsession is a recurrent or per­sistent thought that may not even be related to real-​​life problems or situ­ations.  The obsessive thoughts are intrusive and cause distress on a person. On the other hand, a com­pulsion is a repetitive behavior that drives a person to act in response to an obsession.  These repe­titious acts are done by the person to control or manage the stress or per­ceived danger brought about by the obsession.   Clearly, when an obsession or com­pulsion disturbs a person’s life, causes distress, and takes up ore than an hour per day —- these may be clas­sified under OCD.

In the 14th to 16th cen­turies, the obsessive-​​compulsive behavior was actually believed to have been caused by the devil.  Recurring sexual, blas­phemous and other obsessive thoughts were con­sidered to be the “work of the devil” and, thus, needed to be cured through exorcism.  While many today consider OCD as a psy­cho­logical disorder, there are sci­entists who believe that abnor­malities in the brain or a strep­to­coccal infection may cause the disorder.

People suf­fering from OCD have sought anxiety relief by using anti­de­pressant pre­scriptions. These med­ic­ations help make serotonin more available in some parts of the brain.  Serotonin is a sub­stance inside the brain that helps regulate anger, aggressions, mood, anxiety, and even sexual desire and appetite for food.   Fluoxetine, usually sold under the brand name Prozac, has become one of the most commonly pre­scribed med­ic­ations for OCD suf­ferers.  For some patients, drugs are needed because of the severity of the con­dition which is both time-​​consuming and emo­tionally draining.   Other means of anxiety disorder treatment include beha­vioral therapy and cog­nitive therapy, which includes exposure and ritual pre­vention or ERP.

Indeed, people with obsessive-​​compulsive disorder cannot ignore or even act their way out of it, even if they are as good as Di Caprio.   But with a little attention and pro­fes­sional health care, a OCD sufferer can slowly but surely address this con­dition and kick off those obsessions and com­pulsions like Beckham.

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This article was ori­ginally pub­lished on www.HypnotherapyClinic.info by Con­sultant Clinical Hyp­no­therapist & Pys­cho­therapist Noel Bradford

Ori­ginally posted 2009-​​03-​​24 13:11:56.

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