Obsessive Compulsive Disorder (Issue-Evham-Cleanliness-Obsession Disease)

It is a common disorder in psychiatry that results in involuntary thoughts (obsessions) that disturb us, even though we know that they are not absurd or true, and behaviors (compulsions) to make these thoughts go away.


n A. There are obsessions or compulsions:

Obsessions are defined by the following (1), (2), (3), (4):

n (1) Recurrent and persistent thoughts, impulses, or phantasies that are sometimes involuntary and inappropriate during this disorder and that cause marked anxiety or distress

n (2) Thoughts, urges, or fantasies are not just extreme sadness about real-life problems.

n (3) The person tries to ignore or suppress these thoughts, impulses, or phantasies, or to neutralize them with some other thought or action.

n (4) The person sees his obsessive thoughts, impulses, or phantasies as a product of his own mind (not as in thought insertion).

n Compulsions are defined by (1) and (2) of the following:

n (1) Repetitive behaviors (e.g., handwashing, ordering, checking) or mental acts (e.g. praying, counting, a set of tasks) that the person is unable to stop doing in response to the obsession or according to rules that must be strictly enforced. don’t keep saying the words silently)

n (2) Behaviors or mental acts are aimed at relieving or reducing distress or avoiding the event or situation that causes fear; however, these behaviors or mental acts are either not realistically related to what they are designed to neutralize or protect, or are clearly too extreme

The most common situation is contamination obsessions (the thought that one’s hand or body is contaminated with germs, dirt, blood, semen, urine) followed by washing and cleaning obsessions and compulsive avoidance of the contaminated object.

The second most common condition is obsessions of suspicion (did I turn off the stove?, did I lock the door?) and subsequent checking compulsions (checking the stove, light switches, or locks multiple times or even returning home for it).

Example: I touched the door handle- I have to wash my hands 5 times, if I don’t put the glasses in order, my child will have an accident, if I cut bread with a knife, I will hurt my relatives. I shouldn’t use a knife for him, I didn’t have an ablution, such as making ablution several times with the thought of dirty water splashing or taking a ghusl that lasts for 3 hours… …

Some people may say that this is my habit, but if it takes up most of our time, disrupts daily work, and disrupts human relations, we now call it a disease.

Etiology: Genetics – upbringing (strict discipline around 2 years old, toilet training) and disruption of serotonin mechanism in one part of the brain. The brain produces delusions involuntarily.

Treatment: Psychotherapy and drug therapy. There is no unilateral treatment. Chemical disorders are not disrupted by therapy alone, and habitual behaviors are not disrupted by medication alone.

Both treatments should be done professionally by specialist physicians. It is a long-term treatment. About 2 years on average. However, if the patient is willing, the improvement can be advanced.

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