DSM-5 recognises OCD as
characterised either by obsessions
and/or compulsion.
Behavioural
Compulsions are repetitive
People with OCD feel compelled to repeat a
behaviour, common ones include hand washing,
praying or ordering groups of objects.
Compulsions reduce anxiety
Around 10% of people with OCD show compulsive
behaviour alone, without obsessions but only a sense of
irrational anxiety. These compulsive behaviours are
performed in order to manage the anxiety.
Avoidance
Tend to try to manage their OCD by avoiding situations which
may trigger anxiety. This avoidance could lead to people
avoiding everyday ordinary activities.
Emotional
Anxiety and distress
Regarded as an unpleasant emotional experience
because of the overpowering anxiety that
accompanies obsessions and compulsions. The
urge to repeat a behaviour creates anxiety.
Accompanying depression
Accompanied by depression, so anxiety can be joined by low mood and
lack of enjoyment. Compulsions tend to bring some relief.
Guilt and disgust
May be accompanied by irrational guilt over for
example minor moral issues, or disgust.
Cognitive
Obsessive thoughts
For around 90% of people with OCD, the main
cognitive feature is obsessive thoughts.
Cognitive coping strategies
People respond to obsessive thoughts by adopting
cognitive coping strategies, for example a person
tormented by religious guilt may respond by praying.
Insight into excessive anxiety
They are aware that these obsessions and compulsions are
irrational, in fact being self aware is KEY in diagnosis.