Obsessive-Compulsive and Related Disorders
Obsessive-Compulsive and Related Disorders (OCRDs) are a group of mental health conditions that are characterized by the presence of recurrent, unwanted thoughts, images, or impulses (obsessions) and/or repetitive behaviors or mental acts (compulsions) that are performed in response to these obsessions.

What are Obsessive-Compulsive and Related Disorders?
Obsessive-Compulsive and Related Disorders (OCRDs) are a group of mental health conditions that are characterized by the presence of recurrent, unwanted thoughts, images, or impulses (obsessions) and/or repetitive behaviors or mental acts (compulsions) that are performed in response to these obsessions.
These disorders include:
Obsessive-Compulsive Disorder (OCD): characterized by persistent, intrusive, and distressing obsessions and/or compulsions that significantly interfere with daily functioning and cause significant distress.
Body Dysmorphic Disorder (BDD): characterized by a preoccupation with a perceived flaw in one's appearance that causes significant distress or impairment in daily functioning.
Hoarding Disorder: characterized by persistent difficulty discarding or parting with possessions, regardless of their actual value, due to a perceived need to save them and a fear of losing them.
Trichotillomania (Hair-Pulling Disorder): characterized by the recurrent pulling out of one's hair, resulting in hair loss and significant distress or impairment in daily functioning.
Excoriation (Skin-Picking) Disorder: characterized by recurrent and compulsive picking of one's skin, resulting in skin damage and significant distress or impairment in daily functioning.
Other Specified OCRDs and Unspecified OCRDs: disorders that meet some but not all of the diagnostic criteria for the specific OCRDs listed above.
These disorders can significantly impair an individual's daily functioning, relationships, and quality of life. Treatment typically involves a combination of medication, psychotherapy, and lifestyle changes.
Who is affected by Obsessive-Compulsive and Related Disorders?
Obsessive-Compulsive and Related Disorders (OCRDs) can affect people of all ages, genders, and backgrounds. According to the American Psychiatric Association, approximately 1-2% of the general population in the United States is affected by OCD, and the prevalence of other OCRDs is estimated to be lower. However, the exact prevalence of these disorders is difficult to determine because many people with OCRDs do not seek professional help or are misdiagnosed.
Some research suggests that OCD may be slightly more common in women than in men, and onset typically occurs in late adolescence or early adulthood, although the disorder can also develop in childhood. The onset of other OCRDs can vary, but typically occurs during adolescence or early adulthood.
People with OCRDs may experience a range of symptoms and severity, with some individuals experiencing only mild symptoms that do not significantly impact their daily lives, while others may experience severe symptoms that significantly impair their functioning and quality of life.
It's worth noting that people with OCRDs may also experience additional mental health conditions, such as depression, anxiety disorders, and substance abuse, which can further complicate diagnosis and treatment. Effective treatment for OCRDs typically involves a combination of medication, psychotherapy, and lifestyle changes.
What are the symptoms of Obsessive-Compulsive and Related Disorders?
Obsessive-Compulsive and Related Disorders (OCRDs) are a group of mental health conditions that share certain features, such as the presence of recurrent, unwanted thoughts, images, or impulses (obsessions) and/or repetitive behaviors or mental acts (compulsions) that are performed in response to these obsessions. The specific symptoms of each OCRD can vary, but some common symptoms of OCD, the most well-known OCRD, include:
Obsessions: intrusive, recurrent, and persistent thoughts, images, or impulses that are distressing or unwanted. Examples may include fear of contamination, harm, or making a mistake.
Compulsions: repetitive behaviors or mental acts that are performed to reduce anxiety or prevent harm. Examples may include excessive washing, checking, counting, or repeating certain phrases or prayers.
Avoidance behaviors: avoiding situations or objects that trigger obsessions or compulsions, such as avoiding shaking hands or using public restrooms.
Time-consuming: obsessions and compulsions take up a significant amount of time and interfere with daily activities, such as work, school, or socializing.
Interference with daily life: obsessions and compulsions cause significant distress, anxiety, or impairment in social, occupational, or other areas of functioning.
Symptoms of other OCRDs can vary depending on the specific disorder. For example, individuals with Body Dysmorphic Disorder (BDD) may experience preoccupation with perceived defects in their physical appearance and may engage in repetitive behaviors such as checking their appearance or seeking reassurance from others. Individuals with Hoarding Disorder may have difficulty discarding items regardless of their value, resulting in significant clutter and impairment in daily functioning.
It's worth noting that the presence of these symptoms alone does not necessarily indicate an OCRD, and a proper diagnosis requires an evaluation by a qualified mental health professional. Effective treatment for OCRDs typically involves a combination of medication, psychotherapy, and lifestyle changes.
How are Obsessive-Compulsive and Related Disorders diagnosed?
The diagnostic criteria for Obsessive-Compulsive and Related Disorders (OCRDs) are outlined in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), which is the standard diagnostic manual used by mental health professionals in the United States. The specific criteria for each OCRD can vary, but some common criteria for OCD, the most well-known OCRD, include:
Presence of obsessions, compulsions, or both
The obsessions or compulsions are time-consuming (e.g., take more than 1 hour per day) or cause significant distress or impairment in social, occupational, or other areas of functioning
The obsessions or compulsions are not better accounted for by another mental disorder, such as body dysmorphic disorder or hoarding disorder.
For Body Dysmorphic Disorder (BDD), diagnostic criteria may include:
Preoccupation with one or more perceived defects or flaws in physical appearance that are not observable or appear slight to others
Repetitive behaviors or mental acts in response to the appearance concerns, such as checking one's appearance or seeking reassurance from others
Significant distress or impairment in social, occupational, or other areas of functioning due to the appearance concerns
Not better accounted for by an eating disorder
For Hoarding Disorder, diagnostic criteria may include:
Difficulty discarding or parting with possessions, regardless of their actual value, due to a perceived need to save them and a fear of losing them
Significant clutter in living spaces that interferes with their intended use
Significant distress or impairment in social, occupational, or other areas of functioning due to the hoarding behaviors
Not better accounted for by another mental disorder or a general medical condition
It's important to note that a proper diagnosis of an OCRD requires a comprehensive evaluation by a qualified mental health professional, as the symptoms of OCRDs can overlap with other mental health conditions.
What are strategies and therapies for overcoming Obsessive-Compulsive and Related Disorders?
Obsessive-Compulsive and Related Disorders (OCRDs) are typically treated using a combination of medication, psychotherapy, and lifestyle changes. Here are some strategies and treatments that may be used to overcome OCRDs:
Cognitive-behavioral therapy (CBT): CBT is a type of psychotherapy that focuses on changing negative thought patterns and behaviors. For OCRDs, CBT may involve exposure and response prevention (ERP), which involves gradually exposing the person to the feared object or situation and preventing them from engaging in their usual compulsive behavior. This process can help the person learn that their anxiety decreases over time and that they can tolerate the anxiety without performing their compulsions.
Medication: Antidepressants, particularly selective serotonin reuptake inhibitors (SSRIs), are often used to treat OCRDs, as they can help reduce anxiety and obsessive thoughts. Other medications, such as antipsychotics or benzodiazepines, may also be used in some cases.
Mindfulness: Mindfulness techniques, such as meditation and deep breathing, can help individuals with OCRDs become more aware of their thoughts and feelings and develop a greater sense of control over their responses to them.
Lifestyle changes: Regular exercise, a healthy diet, and adequate sleep can help improve overall mental health and reduce anxiety and stress.
Support groups: Joining a support group for individuals with OCD or other OCRDs can provide a sense of community and support and may help reduce feelings of isolation and shame.
It's worth noting that treatment for OCRDs can be complex and may require a tailored approach based on the individual's specific symptoms and needs. A mental health professional with experience treating OCRDs can help develop an effective treatment plan.
This content is provided for informational and entertainment value only. It is not a replacement for a trained professional's diagnosis or for the treatment of any illness. If you feel like you are struggling with this condition, it is important to seek help from a mental health professional. With the right treatment and support, individuals with this condition can learn to manage their symptoms and lead fulfilling lives. BetterPsych provides full psychological services via telehealth and offers a 100% satisfaction guarantee on our services. For more information and to find a therapist specializing in this disorder, please call (833) 496-5011, or visit https://www.betterpsych.com.