OCD & Checking: Part 2 (Mental Checking)
Behavioral Checking (Overt Checking) Many examples of compulsive checking rituals in OCD involve direct inspection of a target stimulus by sight, sound, or feel. Common OCD checking behaviors include relocking doors, visually examining the position of one’s parking brake, or holding one’s hands above stove burners in order to detect warmth. Behavioral checking is often accompanied by the thought, “Did I do it the right way?” These checking behaviors are often referred to as behavioral checks, manual checks, or overt checks. Overt rituals (by definition) are visible behaviors that can be perceived by external observers. However, in some cases, overt rituals may be subtle or purposefully hidden in order to avoid embarrassment. Mental Checking (Covert Checking) In contrast, other compulsive checking rituals can only be perceived by the individual engaging in the behavior. These types of OCD rituals are...
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Checking & OCD: Part 1 (Checking for Safety)
Compulsive checking often begins innocently enough. One check here, two checks there… But OCD’s greed knows no bounds. What starts out as a simple check “just to make sure” eventually spirals into disabling OCD doubt that can come to predominate innumerable situations and scenarios. Checking behaviors often emerge in situations in which “being irresponsible” might result in catastrophic outcomes, guilt, anxiety, or regret. OCD-related checking is usually driven by a need to obtain absolute certainty that nothing bad will happen. Compulsive checking is typically harder to control in “high stakes” scenarios and in situations in which you perceive that you have personal responsibility for the outcome. Unfortunately, at least some degree of personal responsibility is present in most situations. Moreover, many people with OCD often feel that safety is tenuous or that disasters are lurking just one mistake away....
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HOCD: Homosexual OCD & Sexual Orientation OCD
Fear of Being Gay (Homosexual OCD / HOCD) Emerging sexuality can be confusing for any teen or young adult, and gay teens face a variety of unique challenges over the course of adolescence. In addition to learning to understand their own sexuality, gay teens must navigate complex situations and pressures that may not be relevant for straight teens. They must also deal with opinionated parents, friends, and others who sometimes hold differing views about sexuality. Anxiety, distress, and confusion are often part of this process. This post is not about the anxiety associated with being gay or with “coming out” but instead discusses homosexual OCD (“HOCD”), an anxiety disorder that affects a small number of individuals. HOCD is not unique to teens but can occur at any age. What is HOCD? Homosexual OCD (“HOCD”) is a specific subtype of...
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Sexual Obsessions in OCD (Obsessive-Compulsive Disorder)
Sexual obsessions in OCD are recurrent unwanted sexual thoughts, such as the fear of being attracted to something unwanted, taboo, or morally “unacceptable” based on one’s particular worldview. Although all forms of OCD can be debilitating, sexual obsessions can be especially confusing and disabling for sufferers because sexual obsessions target one’s fundamental identity as a social being. In addition to anxiety, which characterizes most obsessions, individuals with sexual obsessions often experience extreme guilt, shame, hopelessness, and depression. Individuals with OCD with sexual symptoms often mistakenly consider themselves deviant, disgusting, or evil. Moreover, incorrect assumptions about the true causes of their unwanted sexual thoughts make them less likely to seek treatment or to share their symptoms with others. In my Palm Beach County, South Florida psychological practice, I treat many individuals who have lived with sexual obsessions for many years...
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Hit-and-Run OCD
“Hit and run” OCD involves the fear of accidentally hitting a pedestrian while driving. In most cases of hit-and-run obsessive-compulsive disorder, fears focus on unintentionally killing, injuring, or maiming a victim. Other individuals worry about causing car accidents or causing other vehicles to swerve and hit pedestrians. Fear of Driving Hit-and-run OCD, or motor vehicle accident OCD, is distinct from other syndromes that involve anxiety about driving or the fear of car accidents. Hit and run OCD differs from panic– or agoraphobia-related driving avoidance, in which individuals fear driving due to the possibility of having a panic attack while in the car. Diagnosis of hit and run OCD is slightly more complicated in cases in which one fears “losing control” while driving, as this symptom can reflect either panic or OCD. In the case of panic, this fear is...
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Dr. Steven Seay is a licensed psychologist in Florida & Missouri. He is the Director of the Center for Psychological & Behavioral Science and provides treatment & therapy throughout South Florida, including Palm Beach Gardens, Jupiter, West Palm Beach, Boca Raton, Boynton Beach, Fort Lauderdale, & Miami.
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