OCD Glossary

This glossary index provides a comprehensive overview of the various types and symptoms of OCD, as well as related therapeutic terms and concepts.

Types of OCD

Checking OCD

Involves repeated checking behaviors to prevent perceived dangers or harm. Common checks include locks, appliances, and safety equipment.

Rechecking
Safety
Locks
Appliances

Contamination OCD

Characterized by an intense fear of germs, dirt, or contamination. Individuals may excessively wash hands, clean surfaces, or avoid situations perceived as dirty.

Germaphobia
Hand Washing
Cleanliness
Contamination Fear

Emotional Contamination OCD

Fear of being contaminated by negative emotions or thoughts from others or oneself, leading to avoidance or ritualistic behaviors to 'cleanse' these emotions.

Emotional Contamination
Negative Emotions
Cleansing Rituals
Avoidance

Emetophobia

 Intense fear of vomiting or seeing others vomit. Individuals may avoid certain foods, places, or situations where vomiting might occur.

Vomiting Fear
Avoidance
Food Phobia
Nausea Anxiety

Existential OCD

Obsessive questioning about the meaning of life, existence, and reality, leading to distress and compulsive seeking of answers.

Existential Questions
Meaning of Life
Reality Doubts
Obsessive Questioning

False Memory OCD

Obsessive fear of having committed an unremembered harmful act, leading to distress and compulsive checking of memories.

False Memories
Harm Fear
Memory Checking
Doubt

Harm OCD

Fear of causing harm to oneself or others, either intentionally or accidentally, leading to compulsive behaviors to prevent harm.

Harm Fear
Self-harm
Accidental Harm
Prevention Rituals

Health Concern OCD

Excessive worry about having or developing serious health conditions, leading to frequent medical checks and reassurance-seeking.

Health Anxiety
Medical Checking
Illness Fear

Intrusive Thoughts OCD

Involves unwanted, distressing thoughts or mental images, often of a violent, sexual, or blasphemous nature. Compulsions may include mental rituals or avoidance.

Intrusive Thoughts
Mental Images
Distressing
Mental Rituals

Just Right OCD

The need for things to feel 'just right' or done in a specific way, leading to repetitive behaviors and rituals to achieve this feeling.

Just Right
Perfectionism
Specific Way
Rituals

Magical Thinking OCD

Belief that certain thoughts or actions can cause or prevent unrelated events, leading to ritualistic behaviors.

Magical Thinking
Superstition
Rituals
Unrelated Events

Postpartum and Perinatal OCD

Obsessions and compulsions related to the well-being of a baby, occurring during pregnancy or after childbirth.

Postpartum
Perinatal
Baby Safety
Motherhood Anxiety

Pure Obsessional OCD (Pure O)

Characterized by obsessive thoughts without visible compulsions. Individuals may engage in mental rituals or reassurance-seeking.

Pure O
Mental Rituals
Reassurance
Obsessions

Relationship OCD (ROCD)

Obsessive doubts and fears about the quality or nature of relationships, leading to compulsive reassurance-seeking and checking behaviors.

Relationship Doubts
ROCD
Partner Reassurance
Relationship Checking

Scrupulosity OCD

Obsessive concern with religious, moral, or ethical issues, leading to excessive confession, prayer, or ritualistic behaviors to alleviate guilt.

Religious Obsessions
Moral Doubts
Scrupulosity
Guilt Rituals

Sensorimotor/Somatic OCD

Obsessive focus on bodily sensations or processes, such as breathing, blinking, or swallowing, leading to heightened awareness and distress.

Sensorimotor Obsessions
Bodily Focus
Somatic
Heightened Awareness

Sexual Intrusive Thoughts OCD

Disturbing sexual thoughts or images, often involving inappropriate or taboo subjects, leading to significant distress and avoidance behaviors.

Sexual Thoughts
Intrusive Images
Distressing
Avoidance

Sexual Orientation OC

Obsessive fear about one's sexual orientation, often with intrusive thoughts and doubts about your sexual orientation.

Sexual Orientation
Intrusive Thoughts
Sexual Doubts

Symmetry and Ordering OCD

Obsession with symmetry, order, and exactness. Compulsions include arranging items in a specific way or ensuring objects are aligned perfectly.

Symmetry
Order
Arranging
Exactness

Symptoms of OCD

Anxiety

Anxiety is a persistent feeling of worry, nervousness, or unease about obsessive thoughts or compulsive behaviors. It often involves an exaggerated response to perceived threats or fears, leading to physical symptoms such as increased heart rate, sweating, and trembling.

Worry
Nervousness
Obsessions
Stress

Avoidance

Steering clear of situations, places, or objects that trigger obsessions or compulsions.

Avoidance
Triggers
Situations
Places

Compulsions

Repetitive behaviors or mental acts performed in response to obsessions or according to rigid rules. Compulsions are aimed at reducing anxiety or preventing a feared event.

Repetitive Behaviors
Rituals
Anxiety Reduction
Feared Event Prevention

Doubt and Uncertainty

Persistent feelings of doubt and uncertainty about everyday actions and decisions, often leading to repetitive checking or reassurance-seeking.

Doubt
Uncertainty
Checking
Reassurance-seeking

Guilt

Guilt is an emotional experience arising from obsessive thoughts about having violated a moral standard or committed a wrongdoing. This guilt often leads to compulsive behaviors aimed at alleviating the remorse and regret associated with these thoughts.

Remorse
Regret
Wrongdoing
Blame

Hyper-responsibility

Excessive sense of responsibility for preventing harm or making sure everything is 'right.'

Hyper-responsibility
Preventing Harm
Correctness
Excessive Duty

Obsessions

Recurrent, persistent, and unwanted thoughts, urges, or images that cause significant anxiety or distress.

Recurrent Thoughts
Persistent
Anxiety
Distress

Perfectionism

The need for things to be perfect or done in a particular way, often leading to significant distress and time-consuming rituals.

Perfectionism
Exactness
Distress
Time-consuming Rituals

Shame

Shame is a painful feeling resulting from the awareness of one's obsessive thoughts or compulsive behaviors, which are perceived as dishonorable or improper. This shame often leads to a sense of worthlessness and fear of being negatively judged by others.

Worthlessness
Embarrassment
Humiliation
Disgrace

Worry/Fear

Worry is a state of anxiety and uncertainty about obsessive thoughts and potential outcomes of not performing compulsive behaviors. Fear is an emotional response to these obsessive thoughts and the perceived danger or harm that may result from not engaging in compulsions, leading to a fight-or-flight reaction.

Anxiety
Threat
Obsessions
Harm

Available Treatments

Exposure and Response Prevention (ERP)

A type of cognitive-behavioral therapy (CBT) that involves exposing individuals to their fears and preventing the usual compulsive response.

ERP
CBT
Exposure
Response Prevention

Cognitive-Behavioral Therapy (CBT)

A form of psychotherapy that focuses on changing unhelpful cognitive distortions and behaviors, improving emotional regulation, and developing personal coping strategies.

Perfectionism
Exactness
Distress
Time-consuming Rituals

Acceptance and Commitment Therapy

A form of cognitive-behavioral therapy that helps individuals accept their thoughts and feelings rather than fighting or feeling guilty for them. ACT encourages patients to embrace their thoughts and emotions as they come, promoting psychological flexibility. The therapy focuses on six core principles: cognitive defusion, acceptance, contact with the present moment, observing the self, values, and committed action.

Acceptance
Psychological Flexibility
Cognitive Defusion
Mindfulness
Values
Committed Action

Mindfulness-Based Therapy

A therapeutic approach that incorporates mindfulness practices, such as meditation and breathing exercises, to help individuals focus on the present moment. This therapy aims to reduce stress and anxiety by promoting a non-judgmental awareness of thoughts and feelings.

Mindfulness
Meditation
Present Moment
Non-judgmental Awareness
Stress Reduction

Inference-Based Cognitive Behavioral Therapy (ICBT)

A specific type of cognitive-behavioral therapy that focuses on addressing inferential confusion, a cognitive distortion where individuals misinterpret reality based on intrusive thoughts. ICBT helps patients differentiate between what is imagined and what is real, reducing the power of obsessive thoughts.

Inference
Cognitive Distortion
Reality Interpretation
Obsessive Thoughts
Inferential Confusion

Dialectical Behavioral Therapy (DBT)

A type of cognitive-behavioral therapy that emphasizes balancing acceptance and change. DBT incorporates strategies like mindfulness, distress tolerance, emotional regulation, and interpersonal effectiveness. Originally developed for borderline personality disorder, it has been adapted for other mental health conditions, including OCD.

Acceptance
Change
Mindfulness
Distress Tolerance
Emotional Regulation
Interpersonal Effectiveness

SPACE Training

Stands for Supportive Parenting for Anxious Childhood Emotions, an evidence-based parenting program to aid parents of children and adolescents with anxiety, OCD, and related issues.

SPACE
Parenting Program
Anxious Children
Evidence-based
Values
Committed Action

This glossary index provides a comprehensive overview of the various types and symptoms of OCD, as well as related therapeutic treatments, terms, and concepts.

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