Obsessive Compulsive Disorder (OCD)
Obsessive -Compulsive Disorder is a severe psychiatric condition characterized by a pattern of senseless, repeated thoughts/feelings (Obsessions) and acts (Compulsions) which tend to go beyond control. The person is usually aware that these thoughts and actions are irrational but is yet unable to stop or control them.
Obsession tend to increase anxiety but the movement the compulsive act is performed the anxiety levels go down. Therefore if a person is unable to act as per his obsession it tends to aggravate the anxiety all the more.
- Repeated acts of hand washing, checking and rechecking, praying excessively, counting and recounting are some of the common instances of compulsive acts.
Management is by use of behavioral therapy, antidepressant drugs (commonly fluoxetine), Chlomipramine. Resistant cases may respond to surgery (Cingulotomy).