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Help With Obsessive-Compulsive Disorder

Curated and updated for the community by APA

Obsessive-compulsive disorder (OCD) is an anxiety disorder in which people have recurring, unwanted thoughts, ideas or sensations (obsessions) that make them feel driven to do something repetitively (compulsions). The repetitive behaviors, such as hand washing, checking on things, or cleaning, can significantly interfere with a person’s daily activities and social interactions.

See definition, symptoms, & treatment

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People casually talk about being “obsessed” or even use the term “OCD” in a casual context. What is the distinction between normal, or even “quirky,” behavior, such as liking a very clean house, and the disorder?

The often off-hand or casual way OCD is referred to in the media or in everyday conversion may make it seem that the obsessions or compulsions are just something annoying or amusing that a person could “get over.” But for people with OCD it’s not a simple annoyance, it is all-consuming anxiety associated with the obsessive thoughts.

Many people will at times have concerning thoughts or prefer a clear routine and structure. But for people with OCD, the thoughts become overwhelming and create a great deal of anxiety. Compulsions associated with OCD disrupt normal daily activities. A diagnosis of OCD requires that the obsession or compulsions take more than 1 hour a day and cause major distress or cause problems at home, work or other function.

I have OCD, any suggestions on how to talk to family and friends about it?

Talking about your ODC and deciding who to tell are personal decisions. Family and friends can be an important source of support and understanding. They may have noticed changes in your behavior and talking about it could provide them with a better understanding and the ability to be more supportive.

In addition to the basic information on this help page, suggestions for other sources of information of basic information include the National Institute on Mental Health – NIMH-OCD page, the International OCD Foundation, and NAMI’s OCD page.

Personal stories of people living with OCD can also be very useful in helping someone understand what it is like. Some examples include:

Will OCD symptoms typically get worse over time if a person does not get treated?

Some people with mild OCD improve without treatment. More moderate or severe OCD usually requires treatment. However, there are often periods of time when the symptoms get better. There may also be times when symptoms get worse, such as when a person is stressed or depressed.

Allen's Story


Allen, a 22-year old gay man, came to a mental health clinic for treatment of anxiety. He worked full-time as a janitor and engaged in a very few activities outside of work. When asked about anxiety, Allen said he was worried about contracting diseases such as HIV. More

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