There is always obsessive-compulsive disorder around: all kinds of obsessive-compulsive manifestations

Concept of compulsion

It is defined as invasive ideas, appearances or impulses that repeatedly enter the patient’s mind in a rigid form. These compulsive ideas often make people very painful. Patients know that these are unreasonable and unnecessary, but they cannot control and get rid of them.

1. Compulsive suspicion: Uncertainty about the reliability of what has been completed, for example, are the doors and windows really closed?

2. Forced recall: involuntarily recalling past things over and over again, even though some small things are not worth recalling, they still linger.

3. Compulsive exhaustion: Think over and over again about useless or irrelevant things, such as why eyebrows grow above the eyes instead of below?

4. Compulsive worry: An unnecessary worry, such as whether you will be hit by a car when you go out?

Although these ideas seem absurd to ordinary people and patients also know that these ideas are unnecessary, they cannot get rid of them and are still caught in the struggle between compulsion and anti-compulsion. Some patients relieve the confrontation between compulsion and anti-compulsion through behaviors, thus relieving the anxiety and other emotions brought about.


It is a conscious action or behavior driven by the obsessive-compulsive concept in the mind and generally taken to reduce the pain accompanied by the obsessive-compulsive concept. It is manifested in a way that reduces the obsessive-compulsive concept, which can be explicit or implicit.

Some explicit behaviors can be observed by others, such as repeatedly checking whether doors and windows are closed properly; Some implicit behavior, For example, repeating a certain word, counting or praying in one’s mind is beyond the observation of others. Compared with explicit compulsive behaviors, individuals with implicit compulsive behaviors are often difficult to resist and monitor the occurrence of these behaviors, because these implicit compulsive behaviors are more likely to occur and are not easy to detect.

1. Compulsive examination: It may be due to the patient’s compulsive suspicion or compulsive worry. Repeatedly check whether doors and windows are locked, whether natural gas or water are closed, and whether what is done is accurate and perfect.

2. Compulsive washing: Patients always feel dirty about themselves or the things around them, and repeatedly wash their hands, clothes or furniture, etc., washing several times or more, often taking several hours, thus affecting normal life and work, and patients are also miserable.

For example, Leonardo plays the documentary “Flyer”, which won five major awards including Best Supporting Actress and Best Photography at the 77th Academy Awards. Howard Hughes is also an obsessive-compulsive disorder patient, typically manifested as fear of dirt and forced hand washing.

3. Compulsive counting: The patient cannot control the counting, such as the number of floors, steps and floor tiles. Only after reaching the desired value or number of times can he start to do other things. Once disturbed or unable to complete, the patient will feel anxious.

4. Compulsive ritual actions: The meaning of compulsive actions is similar to that of compulsive actions, but it is usually related to the performance of actions and behaviors. Compulsive actions include explicit and implicit. Patients must follow their own unique order or pattern of actions. Once disturbed, they must do it again.

Another example is Miranda Bailey, a general surgeon in the 10th season of the American TV series “Grey’s Anatomy”. Surgical instruments must be placed in their own way. Once disturbed or disturbed, they must be replaced, otherwise they will be anxious and unable to proceed to the next step.

Coercion intention

Patients feel that there is a strong internal drive to do something against their will. For example, some patients have an impulse to jump down when standing on the balcony. Or some patients holding their babies, there is an impulse to fall to the ground. Although the patient will not really do it, also know that this idea is irrational, but this impulse cannot be controlled, can’t help thinking, even stirring to want to implement.

[Thinking Ruminant] In patients with obsessive-compulsive disorder, it is manifested as endless repetitive thinking in response to some invasive thoughts or doubts. [Pure O] is often used to describe a kind of obsessive-compulsive disorder patients who have thinking ruminant but no explicit obsessive-compulsive behavior, that is to say, such obsessive-compulsive disorder patients do not have obsessive-compulsive examination, obsessive-compulsive washing and other behaviors.

However, when an individual encounters negative life events such as examination failure and loss, his thinking stays under the influence of life events and constantly thinks about [why this kind of thing happened to me], etc., that is, he repeatedly thinks about the causes, consequences and feelings of the events.

In general, For patients with obsessive-compulsive disorder, When carrying out these behaviors, you are also [forced], and the consciousness of unwilling behaviors is often called [anti-compulsion]. Although you know these are incorrect ideas and concepts, you cannot get rid of these obsessive-compulsive concepts. Therefore, as a reader, if you doubt whether you are obsessive-compulsive disorder, if there is no anti-compulsive disorder, you can be initially excluded as obsessive-compulsive disorder.

Fundamentally speaking, these behaviors can neither give patients pleasure nor help to complete meaningful tasks. The most common obsessive-compulsive actions or behaviors are obsessive washing/examination, obsessive-compulsive counting and obsessive-compulsive ritual behaviors to relieve the distress caused by obsessive-compulsive concepts such as fear of dirt or pollution and suspicion.