Obsessive Compulsive Disorder

Overview

OCD involves unwanted, intrusive thoughts (obsessions) and repeated behaviours (compulsions) performed to reduce anxiety.

Key Features

  1. Obsessions (Intrusive Thoughts)
    • Fear of contamination (germs, dirt).
    • Doubts (e.g., “Did I lock the door? Turn off the stove?”).
    • Intrusive aggressive, sexual, or blasphemous thoughts (which cause guilt/shame).
    • Needing things to feel “just right.”
  2. Compulsions (Repetitive Behaviours)
    • Excessive handwashing, cleaning.
    • Repeated checking (locks, appliances, personal safety).
    • Counting, repeating words, or arranging things in a specific order.
    • Mental rituals (praying, reviewing events, seeking reassurance).

Causes & Risk Factors

  • Imbalance in brain chemistry (serotonin pathways).
  • Family history/genetic vulnerability.
  • Stressful life events or trauma.
  • Often overlaps with conditions like anxiety, depression, or tic disorders.

We can help you

  • Provide clear, specialist diagnosis
  • Offer therapy such as Exposure and Response Prevention (ERP)
  • Consider medication alongside therapy

Aisha’s Journey

In school, Aisha checked her bag five times before leaving class, convinced she’d missed something crucial. At home, she lined up toiletries “just right” to mute a prickle of dread. As an adult, she lost hours rereading emails in case a stray phrase caused harm, and she circled back to check the cooker despite photos proving it was off. She knew the thoughts were irrational, but they felt urgent.

An assessment identified OCD. With exposure and response prevention (ERP), she practised letting the doubt sit while resisting rituals: send the email once, leave the house without the extra loop. It was uncomfortable and working. The thoughts still knocked, but she no longer rolled out a red carpet. Time came back. So did trust in herself.