There are six manifestations of obsessive-compulsive disorder. Come and see if you have been tricked.

Many people in life say that they have obsessive-compulsive disorder.

Let's watch a wave of obsessive-compulsive disorder series #-

If you are afraid that you can't stand it, you can pull it directly to the text.

You can't leave little red dot on your mobile phone page.

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Toilet paper should also be torn into perfect shapes.

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Everything must be strictly classified and placed.

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You must make up 9 pictures to send a circle of friends.

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Or laugh at yourself or ridicule, obsessive-compulsive disorder sometimes sounds like a joke.

But you know what?

People with real obsessive-compulsive disorder

This is more devastating than we thought.

A movie released some time ago-a warm hug. Although it is a funny film, it also makes many people pay attention to obsessive-compulsive disorder.

The actor baby with obsessive-compulsive disorder and cleanliness addiction in the film is a person with extraordinary obsession with neatness and planning. No matter the big or small things in life, he needs to make plans and carry out his life in strict accordance with the implementation plan. Even death should be done at the time you plan.

The whole movie portrays obsessive-compulsive disorder patients vividly. Although some behaviors are exaggerated, from another perspective, in fact, people with obsessive-compulsive disorder are very poor. This forced action or behavior is not recognized by them and is out of their control.

Today, Xiao Bojun invited Dr. Guo from Beijing Anding Hospital affiliated to Capital Medical University to explain what real obsessive-compulsive disorder is.

To what extent is obsessive-compulsive disorder?

Obsessive-compulsive disorder (OCD) is an anxiety disorder.

Mental illness caused by biological, social and psychological factors. Known as "psychological cancer", together with depression, anxiety and schizophrenia, it is listed as one of the four mental disorders that seriously affect people's quality of life.

In recent years, the prevalence rate of obsessive-compulsive disorder is on the rise, and the lifetime prevalence rate of the general population is 1% ~ 2%, which has increased by dozens of times.

Obsessive-compulsive disorder patients suffer from serious anxiety and fear, and often "overreact" in behavior, repeatedly. They think it is unnecessary intellectually, but they can't control it in their hearts, and they are extremely painful. This kind of psychological conflict is fierce, sharp and lasting, and they live "on thin ice", which is difficult for ordinary people to understand.

What are the symptoms of obsessive-compulsive disorder?

The types of obsessive-compulsive disorder are mainly divided into two categories-compulsive thinking and compulsive behavior.

Forced thinking refers to ideas that have no practical significance or are unnecessary. For example, when you hear thunder, you can't help but wonder why it rains when it thunders, and you have to take an umbrella when it rains.

Compulsive behavior refers to the behavior that you know it is unreasonable but have to do it. If you don't do it, you will lose sleep, such as forced hand washing and forced tidying.

There are many manifestations of compulsive thinking and compulsive behavior, among which four kinds of behaviors are the most common:

★ Mandatory inspection

It is often manifested by repeatedly checking whether the doors and windows, gas are closed, whether the power plug is unplugged, and whether the accounts are wrong. And even if you check it dozens of times, you are not at ease.

★ Forced counting

Uncontrolled counting of steps, telephone poles, doors and windows, floor tiles, etc. And do certain actions a certain number of times, otherwise you will feel uneasy. If the middle number is wrong, continue to start from the beginning.

★ Forced washing

Most of them are due to the compulsive concept of "fear of pollution", which is manifested in repeated cleaning of the body, washing clothes and disinfecting furniture.

★ Forced ritual action

Do a set of programmed actions before daily activities. For example, before going to bed, you should take off your shoes according to certain procedures and place them according to fixed rules, otherwise you will feel anxious. You should dress neatly again and take them off according to procedures before you can sleep peacefully.

The most common manifestation of adults is compulsive examination, followed by compulsive washing, counting and ritual behavior. The most common manifestation of children is forced washing, followed by ritualized behavior.

Why do you get obsessive-compulsive disorder?

The etiology of obsessive-compulsive disorder is complex and inconclusive. At present, it is mainly related to social psychology, personality, heredity and neuroendocrine factors.

1. Genetic factors

If immediate family members have obsessive-compulsive disorder, the probability of getting sick will be higher.

2. Psychological factors

Obsessive-compulsive disorder (OCD) is likely to occur if things are excessively perfect, cautious and rigid.

3. Individual biological basis

Such as abnormal secretion of neurotransmitter, abnormal expression of transmitter receptor and abnormal conduction of brain nerve circuit.

4. Environmental factors

Such as indifference, parents or others ask too much of themselves or expect too much.

How to treat obsessive-compulsive disorder?

1. drug therapy

At present, antidepressants are the main drugs to treat obsessive-compulsive disorder. Commonly used drugs for the treatment of obsessive-compulsive disorder are fluvoxamine, paroxetine, sertraline, fluoxetine, citalopram, clomipramine and so on.

These drugs can improve the symptoms of obsessive-compulsive disorder by regulating neurotransmitters such as serotonin in the brain.

2. Psychotherapy

There are four kinds commonly used in clinic: psychodynamic therapy, cognitive behavioral therapy, supportive psychotherapy and Morita therapy.

Among them, behavioral therapy is the most commonly used, and the simple and rude explanation is to fight poison with poison and break the jar. It mainly includes thinking blocking method and exposure reaction prevention.

Thinking blocking method is to interrupt compulsive behavior with another more annoying stimulus, such as noise, when people have compulsive behavior or thinking.

Preventing exposure reaction means forcing patients not to do such behavior, so as to control obsessive-compulsive symptoms.

Cognitive behavioral therapy is simple and rude. If time permits, Morita therapy can also be used.

The core idea of Morita therapy is "follow one's inclinations". Simply put, do what you should do seriously, such as eating, sleeping, chatting and studying.

3. Surgical therapy

Neurosurgical treatment is the last choice. Including bilateral cingulate gyrus resection, marginal white matter resection, internal capsule forelimb resection and caudate subfascotomy. It may have a certain curative effect.

Among them, drug combined with psychotherapy is the main treatment. Under the relatively standardized treatment, basically more than 60% patients with obsessive-compulsive disorder can get effective treatment.

However, 10%~20% of patients are refractory obsessive-compulsive disorder, and it is suggested that surgery should be considered after adequate and full course of drug treatment and psychotherapy fail.

Judge whether you are obsessive-compulsive disorder?

The following is a simple version of the obsessive-compulsive disorder self-test table:

1 Do you wash your hands or wash them repeatedly?

Do you often check (doors and windows, water and electricity, etc.)? ) repeatedly?

Are there always some ideas that bother you, but you want to block them but you can't?

Do your daily activities take a long time? (eg preparing for school or going out)

Do you put things in a fixed order or position and feel uncomfortable with clutter?

Do these questions bother you?

If the above six questions are affirmative and last for more than one hour every day, which obviously affects your work, study and life, it is possible that obsessive-compulsive disorder is very close to you! I suggest seeing a psychiatrist.

If you only have one or a few problems and your life and work are not affected, it's just a little obsessive-compulsive disorder, which is far from obsessive-compulsive disorder.

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In patients with obsessive-compulsive disorder

Often too perfect.

So preventing obsessive-compulsive disorder

Start by accepting your imperfections.