Types of Obsessive Compulsive Disorder (OCD)

There are many types of obsessive compulsive disorders (OCD). Types are classified according to the symptoms of the disease. Although this disorder takes various forms, they all reflect different aspects of the same disorder.

Obsessions and compulsions can vary from country to country, culture to culture, society to society. The types of obsessions and compulsions that are common in our country and all over the world can be listed as follows by giving examples below.

Contamination or Contamination Obsession and Cleaning Compulsion

It is popularly known as the cleaning disease. Factors such as dirt, microbes, dust of the person’s body-body and clothes; It is the belief that it will be contaminated or contaminated by chemicals, detergents, poisons, urine, stool and other bodily secretions, and the obsessions related to this and the cleaning behaviors that are constantly performed to relieve the anxiety, fear and distress caused by these obsessions.

A male client was washing his hands at least 3 times, for 2 minutes each time, for fear of catching a germ after wandering outside and coming home.

A male client never went to the toilet outside of the home environment, and always changed his socks and trousers at home with obsessive thoughts that urine splashed every time he went to the toilet.

A female client had changed all the slippers in the house to washable slippers due to her obsessions that the guests coming to the house would carry germs with her from outside, and she washed them in the washing machine after the guests left.

In these examples, the thought that different substances will contaminate people’s bodies and clothes constitutes the obsession of contamination, and the compulsion to perform cleaning and washing behaviors to eliminate the problem.

Doubt-Doubt Obsession and Control Compulsion

It is one of the most common obsessions and compulsions. Since objects such as gas stove, door, lock may be left open, the person should not use an iron, etc. He suspects that the plugs of electrical appliances may be stuck in the socket, he suspects (Doubtful obsession) as a result of this, he worries, worries and needs to check the worried objects repeatedly in order to relax and be sure (Control compulsion). These doubts and controls can manifest themselves in many areas of life.

A female client would get out of bed and check the door every evening to see if the door of the house was locked.

A male client passes by the police at an intersection with his car every morning, after driving away a little, “I wonder if I hit the police with the left mirror of the car and injured me?” He went back to work after making sure that the policeman was healthy.

Every evening, when a male client returned home from work, he was not sure that he had locked the car door after he parked his car and entered his house, and went out to the street to check the car doors, sometimes two or three times.

Obsessions to Harm Others, to Behave involuntarily Aggressively

Sometimes, clients may have obsessions that they will involuntarily cause discomfort or harm to others, that they will utter unwelcome words, and that they will harm the people around them uncontrollably.

A male client, while sitting at home with his family, did not pick up sharp/penetrating tools such as scissors/knife in the presence of his family members because of his thoughts such as “Will I lose my control and have an accident and harm my wife and child”.

A young postpartum mother had obsessive thoughts while nursing her baby or cleaning her diaper, which she couldn’t help but think, “I’ll lose control and I’ll kill my baby.”

Sexual Obsessions

From time to time, clients with OCD have obsessions that occur when the person has thoughts or images of an embarrassing or unacceptable nature that are not appropriate for their age or place in society. The person has a serious difficulty in removing these thoughts and obsessions from his mind and mind, and he fears and worries about misunderstood behaviors towards other people. To feel that you are interested in both their genders and to dream. An example is not being able to get rid of these thoughts, even if he is disturbed by them.

A female client couldn’t help but have sexual dreams about the men around her, couldn’t get these dreams off her mind, and felt very uncomfortable.

A male client asked, “Do I lose control and involuntarily molest my female teachers and girlfriends or engage in misunderstood behavior?” He had sexual obsessions.

Religious Obsessions

It is a common type of obsession, especially in the segments of society that live their religious beliefs very intensely. A person cannot stop himself from thinking obsessive thoughts with religious content in a way that is completely opposite to his beliefs and views and that causes intense distress. For example, a very religious person may think about things that contradict his religious beliefs, such as doubting the existence of Allah.

A male client complained that when he placed his head in prostration during the prayer, obsessive thoughts such as “doubting the existence of Allah” came.

Symmetry/Order Obsessions and Compulsions

The need for symmetry and obsession with order are also common symptoms. The need for symmetry and orderliness prevails throughout one’s entire life. Examples can be given such as constantly correcting the painting on the wall or allocating hours to the table setting while preparing the table, making millimetric arrangements.

A female client was careful to keep the covers on the coffee tables in the middle of the coffee table, and if there were any upside-down ones on the eaves of the carpet, she couldn’t help but fix it.

A male client was spending a large part of his daily work in order to arrange the books on the shelves in a certain order, from large to small, from thick to thin hardcover, in the library where he worked, disrupting other tasks that he had to do.

Touch Compulsions

From time to time, some OCD clients feel the need to touch an item they care about before they do certain behaviors. For example, he is overly attached to a favorite toy and cannot sleep without touching it.

A male client was worried that if he went to work in the morning without touching the key chain box with a picture of a happy family hanging next to the cloakroom, he might face an adverse event involving his family, and he sometimes felt the need to go back and touch it again.

Counting Compulsions

Some clients with OCD engage in counting behavior if they do any daily activity without counting to a certain number, thinking that their work will not go unnoticed. Examples include counting pavements, passing cars, or building floors, counting steps, items, or words in an order appropriate to certain numbers.

A female client was worried that something bad would happen to her if she didn’t say “goodbye” three times in the morning while sending her child to school.

A male client could not start eating without uttering basmala 10 times.

A female client would open and close the lock three times before locking the door, or fall asleep after knocking on the door 4 times.

Collection and Storage Compulsions

It is one of the most common types of compulsions. The person may accumulate / store even the items that will not be necessary with the thought of “may be necessary in the future”. Examples include collecting excessive money or unnecessary items, buying 10 of the same clothes or items, buying and storing baby items with the thought that they will be needed one day even if there is no baby at home.

A male client had been keeping the newspapers that he had bought regularly for many years by packing them regularly and in chronological order, with the thought that “the information in them may be necessary for my children in the future”.

Superstitions, Lucky and Unlucky Numbers and Colors

Many people may have certain beliefs, behaviors, numbers and colors that they consider auspicious or unlucky as part of their cultural characteristics. Examples include not going under the stairs, not being able to leave the house if the slippers are turned upside down, not jumping over the children, leaving the house with the right foot, not getting up from the left side of the bed, being afraid of seeing a black cat.

If such beliefs are so frequent and intense that they prevent activities of daily living or limit our daily functions, then they can be evaluated at the level of illness.

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