Obsessive-Compulsive Disorder (OCD) is a condition that affects many people, and it follows a challenging cycle. It starts with obsessional thoughts—these are intrusive, unwanted thoughts that can cause significant distress. These thoughts can be about anything, and they often focus on fears of harm, contamination, or making mistakes. Because these thoughts are so distressing, individuals may feel compelled to do something to neutralise or counteract them. This leads to what we call compulsions.
Compulsions are behaviours or mental acts that a person feels driven to perform in response to their obsessional thoughts. These actions are intended to reduce the anxiety or discomfort caused by the obsessions, but the relief they provide is only temporary. The cycle then begins again, with the distressing thoughts returning, often more intensely, leading to more compulsive behaviours.
Compulsions can manifest in many different ways. Some of the most commonly recognised compulsions include checking behaviours, such as repeatedly ensuring that doors are locked or appliances are turned off. Washing and cleaning behaviours are also common, driven by fears of contamination. Others might engage in ordering or arranging things until they feel "just right." But compulsions aren’t always visible to others. Some people engage in mental compulsions, such as repeating certain phrases in their minds, counting, or silently praying.
This cycle of obsessions and compulsions can take up a significant amount of time and mental energy, often leading to ongoing distress. It’s not uncommon for individuals with OCD to spend hours each day dealing with these intrusive thoughts and the resulting compulsions. This can interfere with daily life, relationships, and overall well-being.
Many people with OCD find it difficult to reach out for help. There’s often a sense of embarrassment or shame associated with their thoughts or behaviours. They may feel as though their obsessional thoughts are silly, irrational, or too confronting to share with someone else. This fear of being judged can prevent them from seeking the support they need.
However, it’s important to know that professionals provide a non-judgemental space to explore these intrusive thoughts and compulsions. As a psychologist, I can assure you that you’re not alone. If you’re struggling with OCD, reaching out to a professional can be the first step towards managing the cycle of obsessions and compulsions. Support is available, and there are effective treatments that can help you regain control over your thoughts and behaviours. Remember, you don’t have to face this alone.