OCD

DSM-5-TR categories of OCD

OCD - characterised by either obsessions (recurring thoughts) or compulsion (repetitive behaviours like handwashing). Most have both obsessions and compulsions.

Trichotillomania - compulsive hair-pulling

Hoarding disorder - the compulsive gathering of possessions and the inability to part with anything, regardless of its value

Excoriation disorder - compulsive skin-picking

Behavioural characteristics of OCD

Compulsions are repetitive - feel compelled to repeat a behaviour like handwashing

Compulsions reduce anxiety - irrational anxiety

Avoidance - keep away from situations to reduce anxiety

Emotional characteristics of OCD

Anxiety and distress - Obsessive thoughts can be unpleasant and frightening

Accompanying depression - OCD is often accompanied by depression, so anxiety can be accompanied by low mood. Compulsive behaviour tends to bring some relief from anxiety but this is temporary

Guilt and disgust

Cognitive characteristics of OCD

Obsessive thoughts

Cognitive coping strategies

Insight into excessive anxiety