Errmm I have meh - WHICH ONES in WHICH Particular AREAS huh - pray tell the psychology expert here
What professional qualifications do you have in psychology here ???
Some people with OCD perform compulsive rituals because they inexplicably feel they have to, others act compulsively so as to mitigate the anxiety that stems from particular obsessive thoughts. The person might feel that these actions somehow either will prevent a dreaded event from occurring, or will push the event from their thoughts. In any case, the individual's reasoning is soidiosyncratic*or distorted that it results in significant distress for the individual with OCD or for those around them. Excessive skin picking (i.e.,*dermatillomania) or hair plucking (i.e.,*trichotillomania) and nail biting (i.e.,onychophagia) are all on the Obsessive-Compulsive Spectrum. Individuals with OCD are aware that their thoughts and behavior are not rational,[20]*but they feel bound to comply with them to fend off feelings of panic or dread.Some common compulsions include counting specific things (such as footsteps) or in specific ways (for instance, by intervals of two), and doing other repetitive actions, often with atypical sensitivity to numbers or patterns. People might repeatedly wash their hands[21]*or clear their throats, make sure certain items are in a straight line, repeatedly check that their parked cars have been locked before leaving them, constantly organize in a certain way, turn lights on and off, keep doors closed at all times, touch objects a certain number of times before exiting a room, walk in a certain routine way like only stepping on a certain color of tile, or have a routine for using stairs, such as always finishing a flight on the same foot.The compulsions of OCD must be distinguished from*tics; movements of othermovement disorders*such as*chorea,dystonia,*myoclonus; movements exhibited instereotypic movement disorder*or some people with*autism; and the movements ofseizure*activity.[22]*There may exist a notable rate of comorbidity between OCD and tic-related disorders.[22]People rely on compulsions as an escape from their obsessive thoughts; however, they are aware that the relief is only temporary, that the intrusive thoughts will soon return. Some people use compulsions to avoid situations that may trigger their obsessions. Although some people do certain things over and over again, they do not necessarily perform these actions compulsively. For example, bedtime routines, learning a new skill, and religious practices are not compulsions. Whether or not behaviors are compulsions or mere habit depends on the context in which the behaviors are performed. For example, arranging and ordering DVDs for eight hours a day would be expected of one who works in a video store, but would seem abnormal in other situations. In other words, habits tend to bring efficiency to one's life, while compulsions tend to disrupt it.[23]In addition to the anxiety and fear that typically accompanies OCD, sufferers may spend hours performing such compulsions every day. In such situations, it can be hard for the person to fulfill their work, family, or social roles. In some cases, these behaviors can also cause adverse physical symptoms. For example, people who obsessively wash their hands with*antibacterial soap*and hot water can make their skin red and raw withdermatitis.[24]People with OCD can use rationalizations to explain their behavior; however, these rationalizations do not apply to the overall behavior but to each instance individually. For example, a person compulsively checking the front door may argue that the time taken and stress caused by one more check of the front door is much less than the time and stress associated with being robbed, and thus checking is the better option. In practice, after that check, the person is*still*not sure and deems it is*still*better to perform one more check, and this reasoning can continue as long as necessary.
Overvalued ideas
Some OCD sufferers exhibit what is known asovervalued ideas. In such cases, the person with OCD will truly be uncertain whether the fears that cause them to perform their compulsions are irrational or not. After some discussion, it is possible to convince the individual that their fears may be unfounded. It may be more difficult to do*ERP therapy*on such patients because they may be unwilling to cooperate, at least initially. There are severe cases in which the sufferer has an unshakeable belief in the context of OCD that is difficult to differentiate from*psychosis.
