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Introduction "He's an obsessive football fan" - "she's obsessive about shoes" - "he's a compulsive liar". We use these expressions when we talk about people who do something again and again, even when others can't see any reason for it. It isn't usually a problem and, in some lines of work, can even be helpful. However, the urge to do or think certain things repeatedly can dominate your life unhelpfully. So, if: you get awful thoughts coming into your mind, even when you try to keep them out or you have to touch or count things or repeat the same action like washing over and over you could have Obsessive Compulsive Disorder OCD. What is it like to have OCD? I spend hours bleaching all the surfaces in my house to stop the germs, and wash my hands many times each day. I try not to go out of the house if possible. When my husband and children come back home, I ask them in great detail where they have been, in case they have visited somewhere dangerous, like a hospital. I also make them take off all their clothes, and wash themselves thoroughly. Part of me realises these fears are stupid.

No - but you may be reluctant to seek help if you think that that others will think you are mad.

Although you may worry that you will lose control, we know that people with OCD don't. Other conditions similar to OCD Body dysmorphic disorder, or 'the distress of imagined ugliness'. You become convinced that part of your face or body is the wrong shape, and spend hours in front of a mirror checking and trying to cover it up.

You may even stop going out in public.

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An urge to pluck your hair or eyebrows Trichotillomania A fear of suffering from a serious physical illness, such as cancer Hypochondriasis People with Tourette's syndrome where a sufferer may shout out suddenly, or jerk uncontrollably often have OCD as well.

Children with some forms of autism, like Asperger's syndrome, can appear to have OCD because they like things to be the same, and may like to do the same thing over and over again, to help them feel less anxious. When does OCD begin? Many children have mild compulsions.

They organise their toys very precisely, or avoid stepping on cracks in the pavement. This usually goes away as they grow older.

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Adult OCD usually begins in the teens or early twenties. Symptoms can come and go with time, but sufferers often don't seek help until they have had OCD for many years. What is the outlook without help or treatment? Many people with mild OCD improve without treatment. Some will slowly get worse, for others the symptoms get worse when they are stressed or depressed. Treatment will usually help. What causes OCD? Genes: OCD is sometimes inherited, so can occasionally run in the family.

Stress: Stressful life events bring it on in about one out of three cases. Life changes: Times where someone suddenly has to take on more responsibility — for example, puberty, the birth of a child or a new job. Brain changes: We don't know for certain, but if you have the symptoms of OCD for more than a short time, researchers think that an imbalance of a chemical called serotonin also known as 5HT develops in the brain.

Personality: If you are a neat, meticulous, methodical person with high standards you may be more likely to develop OCD. These qualities are normally helpful, but can slip into OCD if they become too extreme.

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Ways of thinking: Nearly all of us have odd or distressing thoughts or pictures in our minds at times - "what if I stepped out in front of that car? Most of us quickly dismiss these ideas and get on with our lives. But, if you have particularly high standards of morality and responsibility, you may feel that it's terrible to even have these thoughts.

So, you are more likely to watch out for them coming back — which makes it more likely that they will.

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What keeps OCD going? Surprisingly, some of the ways in which you help yourself can actually keep it going: Trying to push unpleasant thoughts out of your mind - this usually only makes the thoughts return. Try not to think of a pink elephant for the next minute — you will probably find it difficult to think of anything else.

Rituals, checking, avoiding and seeking reassurance will all make you less anxious for a short time - especially if you feel that this might prevent something dreadful from happening.

But, every time you do them, you strengthen your belief that they stop bad things from happening. And so you feel more pressure to do them Thinking neutralising thoughts — if you spend time 'putting right' a disturbing thought with another thought for example, counting to ten or picture for example, seeing a person alive and well — then stop it, and wait until your anxiety goes away.

Helping yourself Expose yourself to your troubling thoughts It sounds odd, but it's a way of getting more control of them. You record them and listen back to them, or write them down and re-read them. You need to do this regularly for around half an hour every day until your anxiety reduces.

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