Obsession is the obsession, compulsion is the behavior that relieves the obsession. In obsessive-compulsive disorder, the person continues to do the behavior even though he knows it is absurd. The person constantly repeats the same behavior. For example, the person feels dirty and wants to wash his hands. Obsessions are thoughts that constantly recur in the mind, these thoughts are strict, harsh, imperative thoughts that say "your hands are dirty, your hands are dirty, wash your hands." Compulsions are behaviors that a person does to relieve the emotion caused by this thought. Obsession is one of the defense mechanisms used by our mind, that is, it occurs when we are psychologically stressed, restless and helpless. For this reason, the onset time of the obsession is very important. A change in a person's life, a separation, or a death may cause obsessive thoughts to begin or increase.
In obsessive-compulsive disorder, the person initially has a belief that he can cope with these problems on his own. Self-coping methods are compulsions. In order to relieve the obsessive thoughts that come to his mind, he washes his hands, cleans the house, checks the stove, checks whether the door is locked, counts, does not eat out, does not allow guests into the house, stays in the bathroom for hours, prays constantly, comes home. When he arrives, he takes off all his clothes and washes them. The actions provided provide relief for the person for a short time. Over time, the duration of behaviors used to relax begins to lengthen. In the process, these behaviors create fatigue and weariness in the person, the people around them begin to gradually drift away, their social relationships deteriorate, their relationship with their spouse becomes estranged, and after a while, they feel that they cannot cope with these behaviors and seek professional support.
OBSESSION WITH ORDER
People who are obsessed with order; He tries to resolve his mental confusion through objects. Obsession with order, also known as symmetry disease, is a person's attempt to relieve himself by arranging things because he cannot tolerate the confusion and disorder in his inner world. These people cannot tolerate inconsistency in clothes, crooked curtains in the room, or asymmetry on the desk. He wants things to be orderly, symmetrical and harmonious. Try to categorize everything around you r.For example, he can divide clothes into 10 different categories to wash them according to their colors, and organize the books in his study according to their size, author, and color. The reason why this is an obsession is because the person has little or no tolerance for any disorder. For example; He can't stand the clock being asymmetrical and wants to fix it immediately.
OBSESSION WITH CLEANING
Cleaning obsession is one of the most common obsessions we encounter culturally. It is mostly seen in women, its incidence in men is low. These people are extremely preoccupied with dust, germs, urine and dirt. Hands are the most common things that people who are obsessed with cleanliness think about as dirty; other than that, remote controls, door handles, handrails on the bus, bathrooms and toilets are the places that these people see as dirty the most. While people who are obsessed with cleaning can initially relax with a few hours of cleaning at home, after a while they begin to be unable to relax even if they spend hours cleaning. The details of the cleaning constantly increase. While he initially spends an hour a day washing hands, this increases two to three times in the process. He washes his hands until they are covered in wounds, but he still thinks his hands are dirty. These people may avoid eating or drinking outside, wash the vegetables and fruits they buy for a very long time to kill the germs, take off and wash all their clothes when they enter the house, and wash all the items used by the guest after they come home. People who are obsessed with cleanliness feel spiritually dirty, and the actions they take to get rid of the spiritual feeling of being unclean and filthy relieve the person for a short time. After a while, they find themselves doing the same behavior over and over again. The lives of these people are very tiring. Even though they are aware that their behavior is ridiculous, they cannot stop themselves from doing that behavior.
SEXUAL OBSESSIONS
People with sexual obsessions are disturbed by all kinds of issues related to sexuality. She thinks her sexual organs, vagina or penis are dirty. She may be extremely preoccupied with cleaning her genitals, for example, she may think that her vagina is not cleaned with water and use vaginal cleaners. He can wash his penis many times. He may spend hours cleaning his penis or vagina, especially after sexual intercourse. He cannot wait after sexual intercourse, thinks that his vagina or penis is dirty, and wants to take a bath immediately.
RELIGIOUS OBSESSIONS
People with religious obsessions are the quickest to seek therapy. . Religious obsessions create very high emotions in the person. Emotions related to belief greatly increase the firing of the amygdala, so emotions related to belief even lead to thoughts of killing oneself. The obsessive thoughts seen in these people are in the form of the desire to curse while praying, the desire to curse in the mosque, the desire to curse while reading the Quran. It can be much more diverse depending on the person's childhood experience. These people become unable to worship in order to get rid of these obsessions. Or, while praying, he constantly thinks that his prayer is broken and starts praying again, and the same feeling comes again. He cannot finish the prayer for hours. He does not want to go to the mosque so that these feelings do not come to him. These people may be interested in spiritual issues, think that the demons will harm them, or think that the demons are raping them. These people usually have someone who is interested in jinn in their childhood, it could be an aunt, it could be a grandfather, it could be a mother. The child's mind tends to confuse reality with fantasy. Especially between the ages of 0-6, the child thinks that the things in his mind are real. If one of the caregivers is very busy with the demons during this period, the child's mind thinks that this is real. The obsession that applies is disease obsession. It is also known as hypochondria among the public. A person thinks he has cancer and has a film taken, but the film comes out clean. But the person cannot be convinced that he does not have cancer. He makes a movie again. Or the person gets a headache, thinks he has a brain hemorrhage, takes an X-ray, and the film comes back clean, or thinks he has AIDS, takes a test, and the test comes back clean, but he is never convinced. He gets blood tests done many times. Having a film taken or a blood test relieves the person for a short time, but after a while the feeling comes back. What if I have cancer, AIDS, or a brain hemorrhage? These thoughts constantly gnaw at the person's brain.
AUTHORITARIAN FATHER, CONTROLLING MOTHER, OR PERFECTIONIST FAMILIES IT IS SEEN IN CHILDREN
The most important emotion underlying OCD is the feeling of control. The inner voice of people with this disease is normative, authoritarian, strict and disciplined. A person's inner voice is the voice of a parent he internalized in his childhood. In the family, the mother may be very meticulous and a perfectionist, or the father may be very strict and disciplined. The child internalizes the parent who oppresses, imposes rules, and tortures him.
When adults put pressure on the child to obey the rules they set and to acquire their own habits, when the intensity of this pressure reaches tormenting levels on the child, it causes psychological damage. The person develops obsession in order to withstand the negative emotions he experiences.
OBSESSIVE COMPULSIVE DISORDER TREATMENT
Order, cleanliness and frugality are characteristics that are approved within certain limits in social life, inspire respect and ensure success. In obsessional disease, these features become extreme, make life difficult, and gain controlling and torturous dimensions. As a person puts pressure on himself and his environment, his social relationships deteriorate, he becomes lonely, and his life turns into torture.
Our mind wants clarity and has difficulty tolerating ambiguity. This is a common feature of all of us. In obsession, there is almost no tolerance for uncertainty. The most important reason for this is the person's sense of control.
In fact, obsession is an extreme state of emotions that we all have. The person's functionality is impaired in obsession. His business life is disrupted, his relationship with his family is disrupted, he becomes unable to spare time for his children, and his friendship relations deteriorate. Although drug treatment temporarily alleviates the obsessions of these people, when they stop taking the drug, the symptoms return with the same intensity. Psychodynamic therapy technique is used in the treatment of these people. It is a disease that responds positively to dynamic therapy. Since these people are quite resistant, their therapy may take a long time.
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