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OCD: unwanted thoughts and the urge to put them right

Obsessive-compulsive disorder (OCD) involves unwanted, distressing thoughts, images or urges (obsessions) and things a person feels they must do to ease the distress (compulsions). It is not about being tidy, and the thoughts do not reflect who someone is.

Someone writing in a notebook with a cup of coffee beside them

How it can feel

  • Repeated unwanted thoughts that cause strong anxiety
  • Checking, washing, counting or repeating to feel safe
  • Needing things to feel exactly right
  • Seeking reassurance again and again
  • Spending a lot of time on these each day

What can help

  • Knowing the thoughts are a symptom, not your character
  • A specialist talking therapy called exposure and response prevention (ERP)
  • Support from family who understand OCD
  • Medicine for some people, decided with a doctor

When to get help

OCD rarely improves by itself and responds well to specialist help. A psychologist or psychiatrist can assess it properly.

Written by the PodHub team from widely used public health guidance. Waiting for review by our founding clinical lead. General information, not a diagnosis or advice for your situation.

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