It is a common disease in psychiatry, characterized by involuntary thoughts that disturb us (obsession), even though we know that they are absurd or not true, and behaviors to make these thoughts go away (compulsion).
n DIAGNOSIS CRITERIA FOR OBSESSIVE COMPULSIVE DISORDER
n A. Obsessions or compulsions are present:
Obsessions are defined by (1), (2), (3), (4):
n (1) Recurrent and persistent thoughts, urges, or fantasies that are sometimes involuntary and experienced inappropriately during this disorder and cause marked anxiety or distress
n (2) Thoughts, impulses, or fantasies are not just excessive distress about real life problems.
n (3) The person experiences these thoughts, He tries to ignore or suppress his urges or fantasies, or tries to neutralize them with another thought or action.
n (4) The person tries to suppress his obsessional thoughts sees his/her impulses or fantasies as a product of his/her own mind (as opposed to thought insertion).
n Compulsions are defined by (1) and (2) of the following :
n (1)Repetitive behaviors that the person cannot stop himself from doing as a reaction to obsession or according to rules that must be strictly applied (e.g. washing hands, putting in order, checking) or mental actions (e.g. praying, counting, reciting words silently)
n (2)Behaviors or mental actions are aimed at getting rid of distress or reducing existing distress or creating fear. n is aimed at protection from an event or situation; but these behaviors or mental acts are either not realistically related to what they are designed to neutralize or protect, or are clearly too extreme
- The most common situation is contamination obsessions (the thought that one's hand or body is contaminated with germs, dirt, blood, semen, urine) followed by washing and cleaning obsessions and contamination It is compulsive avoidance of the object that is held.
- The second most common condition is doubt obsessions. (did I turn off the stove? Did I lock the door?) followed by checking compulsions (checking the stove, light switches or locks over and over again, or even returning home to do it).
Example: I touched the door handle- 5 I have to wash my hands several times, if I don't put the glasses in a row, my child will have an accident, if I cut bread with a knife, I will harm my relatives, that's why I shouldn't use a knife, I couldn't ablution, I didn't have ablution, I had to perform ablution several times with the thought of dirty water splashing, or I had to perform a ghusl that lasted for 3 hours……
Some people may say that this is my habit and it is normal, but if it takes up most of our time, disrupts daily work, and disrupts human relations, we call it a disease.
Etiology: Genetics - upbringing (strict discipline, toilet training around the age of 2) and disruption of the serotonin mechanism in a region of the brain. The brain produces involuntary delusions.
Treatment: Psychotherapy and medication. There is no one-sided treatment. Chemical disorder does not occur with therapy alone, and habitual behavior does not deteriorate with medication alone.
&n bsp; Both treatments must be performed professionally by specialist physicians. It is a long-term treatment. About 2 years on average. However, if the patient is willing, the improvement can be advanced.
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