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Obsessive-compulsive disorder consists of two components. First: obsession. And Second: Compulsion. Obsession is, Intrusive, persistent unwanted thoughts, that generate feelings of anxiety, disgust, or discomfort. The most common example of obsession is: Fear of contamination. Fear of dirt, germs and infection. This fear and thoughts are persistent and disturbing. The person is trying to compensate and do something, in response to this fear. For example: he starts excessive handwashing in response to contamination obsession. Such repetitive thoughts and behaviors; obsessions and compulsions represent vicious cycle which creates distress in person’s life. Common examples of obsessive-compulsive disorder include: Obsession: Forbidden, Unwanted Sexual thoughts about strangers, family members or friends. Compulsion: Performing mental rituals such as Pray. Or Avoiding situations where they may interact or encounter a subject of their intrusive thoughts. Another example of obsession: Fear might harm self or others. At this case compulsion can be: Check to make sure that you have not caused accident. Examining for injuries. Interestingly there are thoughts and repetitive behaviors which may looks like obsessive-compulsive disorder but it is not. For example: Perfectionism is considered a personality trait and is not considered a personality disorder of its own. Perfectionists may obsessively trying to organize everything in their life. But it doesn’t mean that they have OCD. But perfectionism is a trait often seen in obsessive-compulsive personality disorder. This disorder looks like obsessive compulsive disorder but there is small difference. For people with OCD, these behaviors are egodystonic which means, unwanted and involuntary. On the other hand, for people with obsessive-compulsive personality disorder, they are egosyntonic; which means the person perceives these thoughts as rational and wanted. So, people who have obsessive compulsive disorder say, that they don’t want such thoughts. And people with obsessive-compulsive personality disorder say, that they want what they are doing. And the thoughts are acceptable and wanted for them. To make diagnose of obsessive-compulsive disorder, These obsessions should be recurrent and persistent thoughts, impulses, or images that are experienced as intrusive and that cause marked anxiety or distress. These thoughts, impulses, or images are of a degree or type that lies outside the normal range of worries about conventional problems. The cause of OCD is unknown. Both environmental and genetic factors are believed to play a role. Risk factors include a history of child abuse or other stress-inducing event. Treatment: The mainstay of obsessive-compulsive disorder treatment is SSRIs and cognitive behavioral therapy; with exposure and response prevention (ERP) which involves teaching the person to deliberately come into contact with situations, that trigger obsessive thoughts and fears (exposure) without carrying out the usual compulsive acts associated with the obsession (response prevention). SSRIs are antidepressants, selective serotonin reuptake inhibitors. FDA-approved SSRIs include fluoxetine, fluvoxamine, paroxetine, and sertraline. SSRIs are prescribed at much higher doses than used to treat anxiety or depression.