Obsessive-compulsive disorder (OCD)

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Definition

By Mayo Clinic staff

Obsessive-compulsive disorder (OCD) is an anxiety disorder characterized by unreasonable thoughts and fears (obsessions) that lead you to do repetitive behaviors (compulsions). With obsessive-compulsive disorder, you may realize that your obsessions aren't reasonable, and you may try to ignore them or stop them. But that only increases your distress and anxiety. Ultimately, you feel driven to perform compulsive acts in an effort to ease your stressful feelings.

Obsessive-compulsive disorder often centers around themes, such as a fear of getting contaminated by germs. To ease your contamination fears, you may compulsively wash your hands until they're sore and chapped. Despite your efforts, thoughts of obsessive-compulsive behavior keep coming back. This leads to more ritualistic behavior — and a vicious cycle that's characteristic of obsessive-compulsive disorder.

References
  1. Obsessive-compulsive disorder. In: Diagnostic and Statistical Manual of Mental Disorders DSM-IV-TR. 4th ed. Arlington, Va.: American Psychiatric Association; 2000. http://www.psychiatryonline.com. Accessed Oct. 4, 2010.
  2. Ciechanowski P, et al. Overview of obsessive-compulsive disorder. http://www.uptodate.com/home/index.html. Accessed Sept. 29, 2010.
  3. Hewlett WA. Obsessive-compulsive disorder. In: Ebert MH, et al. Current Diagnosis & Treatment: Psychiatry. 2nd ed. New York, N.Y.: McGraw Hill Companies, Inc.; 2008. http://www.accessmedicine.com/content.aspx?aID=3286970. Accessed Oct. 4, 2010.
  4. Practice guideline for the treatment of patients with obsessive-compulsive disorder. Arlington, Va.: American Psychiatric Association. http://www.psych.org/psych_pract/treatg/pg/prac_guide.cfm. Accessed Oct. 5, 2010.
  5. Stein DJ, et al. Obsessive-compulsive disorder: Diagnostic and treatment issues. Psychiatric Clinics of North America. 2009;32:665.
  6. Ward HE, et al. Update on deep brain stimulation for neuropsychiatric disorders. Neurobiology of Disease. 2010;38:346.
DS00189 Dec. 15, 2010

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