Detecting OCD |
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Posted Date: 6/30/2009 |
Blog by: poost |
Viewed: 134
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Category: Mental Health Disorders » Obsessive Compulsive Disorder/OCD |
Obsessive compulsive disorder is characterized by obsessional ruminations and compulsive rituals. It is particularly associated with or secondary to both depressive illness and Gilles de la Tourette syndrome. It is quite commonly present in the general population although it is probably undiagnosed. There is an equal distribution by gender and between ages of 20 to 40 years. These obsessions and compulsions are so persistent and intrusive that they greatly impede a person’s functioning and cause considerable distress. There is a constant and to check that things have been done correctly and no amount of reassurance can remove the small amount of doubt that persists. Some rituals are derived from superstitious such as actions repeated a fixed number of times with the need to start again if interrupted. When severe and primary, OCD can last for many years and is resistant to treatment. However, obsessional symptoms commonly occur in other disorders as well, like most notably general anxiety, depressive illness and schizophrenia and disappear with the resolution of the primary disorder. Minor degrees of obsessional symptoms and compulsive rituals or superstitions are common in people who are not ill or in need of treatment especially in times of stress. The mildest grade is that of obsessional personality traits such as over conscientiousness, tidiness, punctuality and other attitudes and behaviors indicting a strong tendency towards conformity and inflexibility. Such individuals are perfectionists who are intolerant of short comings in themselves and others and take pride in their high standards. When such traits are so marked that they dominate other aspects of their personality, it is called OCD. An example is repeated hand washing because of thoughts of contaminations. It should however be differentiated from normal checking and from delusional beliefs. Sometimes, the person deals with anxienty often aroused by fear of his own feeling of aggression, wish for power or independence by an attempt at control. A ritual action or a repetitive thought is performed over and over again in the magical hope that this will keep the person safe from imagined danger. The person knows that it is absurd and thus his insight and is not psychotic. He tries to resist but still has to wash in a particular way every morning to feel safe to start the day. Individuals with this disorder are pre-occupied with details and lose a sense of overall goals. The interpersonal relationships are formalized and lack warmth or humor. There is extreme sensitivity to social and frequent feeling of failure and depression.
This disorder comprises of deeply ingrained and enduring patterns of behavior which manifest themselves as inflexible responses to a broad range of personal and social situations. These individuals are also called to be suffering from anakastic disorder. They have feelings of excessive doubts and caution, preoccupation with rules, details lists, order, scrupulousness, excessive pedantry, rigidity and stubbornness and intrusion of unwelcome thoughts or impulses. By keeping all these points in our mind, we can decide and detect whether a person is suffering from obsessive-compulsive disorder or not. By keeping our eyes open and being we observant we can notice many individuals in our surroundings who in one way or the other suffer from disorder. However these ruminations and rituals may be entirely harmless. But sometimes they may be exaggerated to such levels that they create interpersonal difficulties. So for the sake of these social mayhems, these people should be immediately detected and helped.
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