The Many Forms of OCD
Obsessive Compulsive Disorder affects 1.2% of the population – roughly 12 out of every 1000 people have OCD. One of the most common forms of OCD is excessive doubt that causes repeated, often irrational, checking. Most people with OCD have a self-imposed sense of responsibility to prevent harm and an exaggerated perception of the threats that their intrusive thoughts indicate. A quarter of OCD sufferers have an uncontrollable fear of getting a disease through contamination, which causes them to repeatedly wash and refuse to touch certain objects that are perceived as dirty. Some people with OCD worry about religious matters, inappropriate sexual thoughts, and attraction to members of the same sex. People with another form of OCD may have thoughts of harming themselves and others.
Pure O OCD and its subtypes
Many of the most distressing forms of OCD fall under Pure O (Purely Obsessional) OCD, in which the obsessions are experienced largely as intrusive thoughts and the compulsions are mental rather than visible. Pure O often centers on taboo, frightening, or unanswerable themes — which is exactly why it’s so often misunderstood and under-treated. We specialize in the following Pure O subtypes:
- POCD (pedophilia-themed OCD) – unwanted, distressing intrusive thoughts about children
- HOCD / Sexual Orientation OCD – intrusive doubt about one’s sexual orientation
- ROCD (Relationship OCD) – persistent doubts and fears about a relationship or partner
- Existential OCD – intrusive, looping questions about meaning, reality, and existence
- Harm OCD – intrusive fears of harming oneself or others, against one’s true intentions
- Scrupulosity / Religious OCD – obsessive fears about morality, sin, or religious failing
We also treat Just Right OCD, where the drive is a need for things to feel “just right” rather than fear of a specific outcome. If you’re unsure which type fits your experience, a consultation can help clarify it.
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Dr. Henry Srednicki
