Obsessive-compulsive disorder (OCD)

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Causes

By Mayo Clinic staff

The cause of obsessive-compulsive disorder isn't fully understood. Main theories include:

  • Biology. OCD may be a result of changes in your body's own natural chemistry or brain functions. OCD also may have a genetic component, but specific genes have yet to be identified.
  • Environment. OCD may stem from behavior-related habits that you learned over time.
  • Insufficient serotonin. An insufficient level of serotonin, one of your brain's chemical messengers, may contribute to obsessive-compulsive disorder. In addition, people with obsessive-compulsive disorder who take medications that improve the action of serotonin often have fewer OCD symptoms.
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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