Okr point of view. OCD: obsessive compulsive disorder, obsession and disease symptoms. Social and psychological factors

Obsessive-compulsive mental disorder (also called obsessive-compulsive disorder) can significantly worsen the quality of life. Despite this, many of those who notice alarming symptoms in themselves do not rush to see a doctor, explaining this with prejudice, a sense of false shame and other reasons.

Obsessive-compulsive disorder: what is it in simple words

Obsessive-compulsive disorder (OCD) is a neurotic pathology that is characterized by the appearance of restless thoughts that provoke the performance of actions that have the meaning of a ritual for the patient. In this way, a person manages to reduce the level of anxiety for some time.

Symptoms of OCD include:

• obsessions - obsessive thoughts, images or urges to action that the patient receives in the form of stereotypes;
• compulsions - repeated actions caused by worries and fears. They serve as “magical” rituals that can protect from harm or prevent an undesirable event.

Psychologists consider a striking example of OCD:

• nosophobia - pathological fear of incurable conditions;
• mania to constantly wash your hands for fear of catching an infection.

It is noteworthy that people suffering from OCD, as a rule, have a high intellectual level, are punctual, conscientious and neat.

Causes

The reasons for the development of OCD have not been precisely established, but there are various hypotheses about this.

Symptoms and treatment of Bipolar affective disorder:

1. Biological. She considers the following as causative factors:
   • brain pathologies, including those resulting from birth injuries;
   • functional anatomical anomalies;
   • features of the work of the autonomic part of the central nervous system;
   • hormonal disorders.
2. Genetic, which does not exclude the development of OCD in the presence of a hereditary predisposition.
3. Psychological theories, including:
   • psychoanalytic, which explains obsessive states by saying that they are a tool for reducing anxiety in cases where it, together with aggression, is directed at another person;
   • exogenous-psychotraumatic, which as a cause puts forward a theory about the impact of severe stressful situations associated with family, work, various types sexual relations.
4. Sociological theories explain OCD by saying that it is a pathological reaction of the body to traumatic situations.

Mechanism of disease formation

As mentioned above, there are different explanations for the formation of obsessive-compulsive disorder. Currently, the neurotransmitter theory, which is part of the biological one, is considered a priority. Its essence is that the cause of OCD lies in incorrect communications between individual parts of the cerebral cortex and a complex of subcortical neural nodes.

The interaction of these structures is ensured by serotonin. Scientists have concluded that in obsessive-compulsive disorder, there is a deficiency of this hormone caused by increased reuptake, which interferes with the transmission of impulses to the next neuron.

To summarize, we can state that the pathogenesis of OCD is quite complex and has not been sufficiently studied.

OCD in men, women and children – differences in manifestation

Obsessive-compulsive disorder affects many people, with approximately the same number of men and women. As for age indicators, it is believed that symptoms appear more often in adults, but there is information that up to 4% of children and adolescents suffer from OCD to one degree or another. Among older people there are also a considerable number of those who suffer from obsessive disorders. The statistics provided contain information about the number of people who sought help.

Manifestations of pathology in men and women have much in common, in particular:

• always manifests itself first with obsessive thoughts;
• a restless stream of consciousness creates anxiety;
• against the backdrop of fears, actions are born that relieve nervous tension and, in the patient’s opinion, can prevent terrible consequences.

For men, the source of anxiety is:

• work activity;
• career and business development;
• the desire to preserve and increase what has been acquired.

For example, a man is worried that he may be fired from his job and left without a livelihood. Against the background of anxiety, anxiety is born, and therefore a person begins to compulsively: pray or perform other rituals (actions), which, as it seems to him, will miraculously help avoid troubles.

Women's anxieties are largely due to:

• worry about the health of family members;
• fear of the possibility of divorce;
• pathological fear of loneliness.

There is a special thing - postpartum OCD, when the mother worries about the health and life of her newborn baby so much that it takes on the character of a pathology. She is tormented by the thought that he might:

• suddenly fall ill and die;
• fall and get injured;
• stop breathing in your sleep.

This leads to the fact that a significant part of the time is devoted to experiences and behavior dictated by OCD.

Obsessive-compulsive disorder in older people is associated with such phenomena as:

• loneliness, without prospects to change anything;
• inactive lifestyle;
• worries about the health and well-being of younger relatives;
• deterioration in quality of life;
• development of ailments leading to physical limitations.

Elderly people stop sleeping at night and start calling their grandchildren and children frequently to make sure they are alive and well. Inexplicable rituals are born along the way - for everything to go well, you need to:

• take a swim;
• rearrange things in the closet;
• swap flowers on the windowsill;
• perform other actions.

In children, it occurs, for the most part, due to genetic reasons or because of problems at school, at home, or among friends. Children often suffer due to:

• poor academic performance;
• quarrels and loneliness;
• violent acts of a physical and psychological nature.

Like adults, against the background of increased anxiety, they begin to perform certain rituals.

Types and types of obsessive-compulsive disorder and their distinctive features

It has been noted that OCD can occur in a chronic, progressive or episodic form:

1. A chronic condition indicates that the disorder is constantly present, stable, and unchanging.
2. A progressive condition means that the patient is experiencing a chronic process, the symptoms of which intensify, which is dangerous.
3. Episodic is characterized by the fact that symptoms appear from time to time. There are cyclic, conditional and mixed types of episodic forms of the disorder, with:
   • cyclical states depend on the body’s biorhythms;
   • conditional ones manifest themselves under the influence of traumatic circumstances, which include a sharp change in the usual lifestyle, the impact of psycho-emotional stress, various pathologies of the body;
   • mixed represent a combination of biorhythmic and conditional factors.

Depending on the degree of predominance of the main symptoms, several types of OCD are classified:

1. Mixed, including both compulsions and obsessions;
2. “Pure” types are obsessive and compulsive.

It is noteworthy that in single-component types, upon closer examination, one way or another, the influence of the pair component can be traced.

For example, a person leisurely placing objects on a table in a certain order (compulsion). He performs these actions in order to suppress the feeling of anxiety (obsession) that inevitably manifests itself from the contemplation of disorder.

Compulsions can be expressed:

• external actions (counting stripes on trousers, rearranging small objects, frequent hand washing, and so on);

Obsessions are present in the form of:

• annoying thoughts (for example, about one’s own professional incompetence);
• groundless fears;
• doubts about the impeccability of one’s own actions and reasoning;
• obsessive anxiety about personal relationships;
• exciting memories relating to the distant past;
• pathological fear of doing something wrong or discovering signs (character, appearance, lifestyle) that are condemned and ridiculed in society;
• obsessive feeling of physical discomfort.
• a feeling of anxiety that occurs suddenly and prompts you to perform a certain action.

Signs and symptoms

Symptoms of obsessive-compulsive disorder include:

• a person worries about order, small, unimportant details, imaginary dangers so much that many truly important points lives fade into the background;
• perfectionism does not allow you to complete the work you started due to endless rework caused by doubts and worries about insufficient quality;
• All the time and attention is devoted to working for the sake of high results. At the same time, a person sacrifices rest, friendship, interesting leisure, although objectively “the game is not worth the candle,” that is, the sacrifices are not comparable to the reward for the results of labor;
• those suffering from OCD are distinguished by a pathologically high level of consciousness and responsibility, are meticulous and completely inflexible in matters of morality and ethics;
• a person experiences real suffering when it is necessary to throw away damaged and unnecessary things;
• Difficulties arise whenever it comes to the need to share at least a small part of one’s powers with other people. If this happens, it is only on the condition that the work will be carried out according to already existing rules;
• People with OCD are strong-willed and stubborn. In addition, they are extremely economical and reluctant to spend money, because in the future there may be difficulties, tragedies and disasters that will require financial expenses,

If someone has discovered 4 or more of the signs listed above in themselves or a loved one, there is a possibility that these are symptoms of the development of obsessive-compulsive personality disorder.

Treatment options

Treatment for obsessive-compulsive disorder includes medication and psychotherapy as essential elements.

Psychotherapy

It involves the use of such treatment methods as:

1. Cognitive-behavioral correction, which was developed by the American psychiatrist D. Schwartz. The technique gives the patient the opportunity to resist the influence of the disorder by changing the order of ritual actions, simplifying them, in order to gradually reduce them to a minimum. The method is based on a person’s conscious attitude towards his mental problem and gradual resistance to its symptoms.
2. “4 Steps” is another technique developed by the same specialist in the field of psychiatry. Its action is based on what the doctor explains to the patient:
   • which of his fears are justified and which are provoked by the influence of OCD and therefore make no sense;
   • how, if found in a particular situation, a healthy person would act;
   • How can you stop obsessive thoughts?
3. Exposure and prevention are one of the most effective forms of behavior correction for OCD sufferers. In this case, exposure consists of immersing the patient in conditions that provoke discomfort due to obsessions. The therapist instructs how to resist urges to perform compulsive actions, forming a warning for a pathological response. According to statistics, the vast majority of those who have undergone such treatment achieve lasting improvement in their condition. The effect of psychotherapy can last for many months.

Other types of psychocorrection are also used in the treatment of OCD:

• group and family,
• rational and aversive:
• other types.

Drug therapy with psychotropic drugs

Antidepressants have shown maximum effectiveness for OCD. When anxiety increases in the first stages of treatment, they are supplemented with tranquilizers. In chronic cases of OCD, when serotonin reuptake inhibitor antidepressants are ineffective, atypical antipsychotic drugs are increasingly prescribed.

It is impossible and unacceptable to treat the disease at home.

How to live with OCD and is it possible to get rid of it completely?

There is no universal answer to this question, since it all depends on:

• severity of the disorder;
• characteristics of a particular person;
• presence of motivation to overcome the problem.

The latter is extremely important, since it would be wrong to accept the situation and adapt to the standards of the disorder. In order for life to be long, happy, rich and interesting, you must recognize the problem and take measures to solve it. Of course, it is better to consult a doctor immediately. Many people try to cope with the disease on their own, but in the absence of special knowledge and skills, this can lead to wasted time and increasing symptoms.

To change your life for the better, it is important:

• Get as much information as possible about obsessive-compulsive disorder. New knowledge will provide an understanding of where obsessive states come from and how to manage them;
• be open to positive changes, no matter how unrealistic they may seem;
• understand that the healing process requires time, persistence and patience;
• communicate with other people suffering from OCD. There are similar communities on the Internet. They are useful not only as an opportunity to talk, but also as a chance to receive new, useful information.

OCD, which lasts for years, is exhausting, takes a lot of energy and time, brings discomfort into life, but has been successfully treated for a long time.

Every person at least once in his life has experienced a “visit” of unpleasant thoughts that frightened him, leading him to a terrible state. Fortunately, for the most part, a person can not concentrate his attention on them and, easily brushing them aside, move on with his life, enjoying life. But, unfortunately, there are people who cannot do this. They cannot let go of an unpleasant thought, but begin to dig around and look for the reason for the appearance of such thoughts and fears. Such people come up with specific actions for themselves, performing which they can calm down for a while. This phenomenon is called OCD.

And in today’s article we will talk about such a personality disorder as OCD (Obsessive-Compulsive Disorder).

Obsessions are thoughts, images and even impulses that frighten the patient and do not let him go. Compulsions are specific actions that a person performs in order to eliminate these thoughts and calm down.

In a patient, this condition may progress, and in this case the person has to commit more compulsions in order to calm down.

OCD itself can be chronic or episodic. More importantly, this condition causes real inconvenience to a person, affecting all areas of his life.

Top common obsessive thoughts

A lot of research has been conducted on this issue, which has helped to identify which obsessive thoughts are most often found in people.

Of course, in reality there are a lot of obsessions, different people Those suffering from this disorder are visited by a variety of thoughts and fears. But above we have listed the most common ones today.

How does the disease manifest itself?

The most characteristic symptoms of this disease are the following:

• When a thought appears in the patient, he is perceived not as the voice of another from the outside, but as his own.
• The patient himself understands that this is not normal and makes efforts to resist them: he fights these thoughts, tries to switch his attention to other things, but all to no avail.
• A person constantly experiences feelings of guilt and fear because his fantasies and thoughts can come true.
• Obsessions are permanent and can be repeated very often.
• After all, this tension leads a person to loss of strength, and subsequently the person becomes inactive and fearful, closing off from the outside world.

Unfortunately, not knowing or not fully understanding the complexity of this disorder, others do not understand that the person has a real problem. For many people who do not know about obsessive-compulsive disorder, these symptoms can only cause laughter or misunderstanding. However, OCD is a serious personality disorder that affects all areas of a person's life.

Pure OCD

In this disorder, there is a predominance of either compulsion or obsession. However, pure OCD can also occur. In this case, the person understands that he has this disorder. Understands that there are intrusive thoughts that do not correspond to one’s values ​​and beliefs. But they are confident that they do not have compulsive manifestations, in other words, they do not perform any rituals to free themselves from frightening thoughts.

In fact, this is not entirely true, because in this version of OCD a person may not knock on wood, may not pull pens and all that, but at the same time he can convince himself for a long time, sometimes for hours, that there is no need to pay attention to these thoughts or fears.

And they themselves do certain actions. These actions may not be visible to others, but still, even in this type of obsessive-compulsive disorder, a person gets rid of emotional stress thanks to certain actions: this could be a quiet prayer, counting to 10, shaking the head, stepping from one foot to the other and the like.

All this may go unnoticed by others, and even by the patients themselves. However, no matter what the type of OCD, it is still accompanied by some kind of compulsions: it does not matter whether these actions are conscious or unconscious.

What causes OCD?

Just like any other problem, disease or disorder. and OCD has reasons for its manifestation. And to understand the full picture of the problems, you need to start by studying exactly the cause.

To date, researchers of this problem have come to the conclusion that obsessive-compulsive disorder is caused by a combination of three factors: social, psychological and biological.

Thanks to the latest technologies Scientists can already study the anatomy and physiology of the human brain. And studies of the brains of OCD patients have shown that there are some significant differences in the way the brains work in these people. Basically, there are differences in different regions, such as the anterior frontal lobe, thalamus and striatum of the anterior cingulate cortex.

Research has also shown that patients have certain abnormalities that are associated with nerve impulses between neuron synapses.

In addition, a mutation of genes that are responsible for the transfer of serotonin and glutamate was identified. All these anomalies lead to the fact that a person processes neurotransmitters before he is able to transmit an impulse to the next neuron.

Most scientists, when talking about the causes of OCD, insist on genetics. Since more than 90% of patients with this disorder also have sick relatives. Although this may be controversial, since in these cases the child, living with a mother who has OCD, may simply take this disorder for granted and apply it in his life.

Group A streptococcal infection can also be cited as a cause.

As for the psychological reasons, experts in this field assure that people who are predisposed to OCD have a peculiarity in their thinking:

• Overcontrol - such people believe that they have the power to control everything, including their own thoughts.
• Super-responsibility - such people are confident that every person is responsible not only for their actions, but also for their thoughts.
• Materiality of thoughts - the entire psychology of such people is built on the belief that thought is material. They firmly believe that if a person can imagine something, then it will happen. It is for this reason that they believe that they are capable of bringing trouble upon themselves.
• Perfectionists - those with OCD - are the most ardent representatives of perfectionism; they are confident that a person should not make mistakes and should be perfect in everything.

This disorder is often found in those people who were raised in strict families, where parents controlled all the child’s steps and set high standards and goals. And the child wants in vain to meet these requirements.

And in this case: that is, if a person has peculiarities of thinking (mentioned above) and supercontrol of parents in childhood, the appearance of obsessive-compulsive disorder is only a matter of time. And just one, the slightest push, a stressful situation (divorce, death of a loved one, moving, job loss, etc.), fatigue, prolonged stress, or the use of large quantities of psychotropic substances can cause OCD to appear.

Nature of the disorder

This disorder is mostly cyclical in nature, and the patient’s actions themselves occur in cycles. At first, a person has a thought that frightens him. Then, as this thought grows, he begins to feel shame, guilt, and anxiety. Afterwards, the person, not wanting this, concentrates his attention more and more on the thought that frightens him. And all this time, tension, anxiety and a feeling of fear are growing.

Naturally, in such conditions, the human psyche cannot remain in a helpless state for long, and ultimately he finds how to calm down: by doing certain actions and rituals. After performing stereotypical actions, a person feels relief for some time.

But this is only for a short time, since the person understands that something is wrong with him and these sensations force him to return to strange and frightening thoughts again and again. And then the whole cycle begins to repeat itself again.

Many people naively believe that these ritual actions of patients are harmless, but in fact, over time, the patient begins to become dependent on these actions. It's like drugs, the more you try, the harder it is to quit. In fact, ritual actions increasingly perpetuate this disorder and lead the person to avoid certain situations that cause obsession.

As a result, it turns out that a person avoids dangerous moments and begins to convince himself that he has no problems. And this leads to the fact that he does not take measures for treatment, which ultimately worsens the situation even more.

Meanwhile, the problem is getting worse, since the patient hears reproaches from his relatives, they take him for a madman and begin to forbid him to do the rituals that are familiar and soothing to the patient. In these cases, the patient cannot calm down and all this leads the person to various difficult situations.

Although, in some cases, it also happens that relatives encourage these rituals, which ultimately leads to the patient beginning to believe in their necessity.

How to diagnose and treat this disease?

Diagnosing OCD in a person is a difficult task for a specialist, since its symptoms are very similar to those of schizophrenia.

It is for this reason that in most cases a differential diagnosis is made (especially in cases where the patient’s obsessive thoughts are too unusual, and the manifestations of compulsion are clearly eccentric).
For diagnosis, it is also important to understand how the patient perceives incoming thoughts: as his own or as imposed from the outside.

One more thing to remember important nuance: Depression itself is often accompanied by OCD.
And in order for a specialist to be able to determine the level of severity of this disorder, an OCD test or the Yale-Brown scale is used. The scale has two parts, each with 5 questions. The first part of the questions helps to understand the frequency of occurrence of obsessive thoughts and determines whether they correspond to OCD, and the second part of the questions makes it possible to analyze the patient’s compulsions.

In cases where this disorder is not so severe, a person is able to cope with the disease himself. To do this, it will be enough not to get hung up on these thoughts and turn your attention to other things. You can, for example, start reading, or watch a good and interesting film, call a friend, etc.

If you have a desire or need to perform a ritual action, try to delay performing it for 5 minutes, and then gradually increase the time and reduce the performance of these actions more and more. This will make it possible to understand that you yourself can calm down without any stereotypical actions.

And in cases where a person has this disorder of moderate severity or higher, then the help of a specialist is needed: a psychiatrist, psychologist or psychotherapist.

In the most severe cases, the psychiatrist prescribes medication. But, unfortunately, medications do not always help treat this disorder, and their effect is not permanent. So, after the course of drugs ends, the disorder returns again.

It is for this reason that psychotherapy has become widespread. Thanks to her, about 75% of OCD patients have recovered to date. The psychotherapist’s tools can be very different: cognitive behavioral psychotherapy, exposure or hypnosis. The most important thing is that they all provide good assistance and help achieve good results.

The best results are obtained using the exposure technique. Its essence is that the patient is “forced” to face his fears in situations where he controls the situation. For example, a person who is afraid of germs is “forced” to poke the elevator button with his finger and not immediately run to wash his hands. And so the requirements become more complicated each time, and as a result the person understands that it is not so dangerous and it becomes habitual for him to do things that previously frightened him.

One last thing

It is important to understand and accept the fact that OCD is as serious a personality disorder as any other disorder. That is why the attitude and understanding of family and friends is very important for patients. Otherwise, hearing ridicule, curses and not receiving understanding, a person may close down even more, and this will lead to an increase in tension, which will bring a bunch of new problems.

To do this, we recommend that you do not seek help from a psychologist alone. Family therapy will help family members understand not only the patient, but also understand the reasons of this disease. Thanks to this therapy, relatives will understand how to behave correctly with the patient and how to help them.

It is also important for every person to understand that in order to prevent obsessive-compulsive syndrome, you need to follow simple preventive tips:

• Don't get overtired:
• Don't forget about rest;
• Apply techniques to combat stress;
• Resolve intrapersonal conflicts in a timely manner.

Remember, OCD is not a mental illness, but a neurotic disorder and does not lead a person to personal changes. The most important thing is that it is reversible and with the right approach you can easily overcome OCD. Be healthy and enjoy life.

Obsessive-compulsive syndrome, obsessive-compulsive disorder (OCD) is a psychoneurotic disorder manifested by obsessive thoughts and actions of the patient. The concept of “obsession” is translated from Latin as siege or blockade, and “compulsion” is coercion. Healthy people have no problem brushing aside unpleasant or frightening thoughts, images, or impulses. People with OCD cannot do this. They constantly think about such thoughts and get rid of them only after performing certain actions. Gradually, obsessive thoughts begin to conflict with the patient’s subconscious. They become a source of depression and anxiety, and rituals and repetitive movements cease to have the expected effect.

The very name of the pathology contains the answer to the question: what is OCD? Obsession is a medical term for obsessive, disturbing or frightening thoughts, while compulsion is a compulsive action or ritual. It is possible to develop local disorders - only obsessive with a predominance of emotional experiences, or only compulsive, manifested by restless actions. The disease is a reversible neurotic process: after psychotherapeutic and drug treatment his symptoms disappear completely.

Obsessive Obsessive Disorder occurs in all socioeconomic levels. Under the age of 65, it affects mostly men. At older ages, the disease is diagnosed in women. The first signs of pathology appear in patients by the age of ten. Various phobias and obsessive states arise that do not require immediate treatment and are adequately perceived by the person. Thirty-year-old patients develop a pronounced clinical picture of the syndrome. At the same time, they cease to perceive their fears. They require qualified medical care in a hospital setting.

Patients with OCD are tormented by thoughts of countless bacteria, and they wash their hands a hundred times a day. They are not sure whether the iron is turned off, and they return home from the street several times to check it. Patients are confident that they are capable of harming loved ones. To prevent this from happening, they hide dangerous objects and avoid casual communication. Patients will double-check several times whether they forgot to put all the necessary things in their pocket or bag. Most of them carefully monitor the order in the room. If things are out of place, emotional tension arises. Such processes lead to decreased ability to work and poor perception of new information. The personal life of such patients usually does not work out: they either do not create families, or their families quickly fall apart.

Tormenting obsessive thoughts and similar actions lead to depression, reduce the quality of life of patients and require special treatment.

Etiology and pathogenesis

The causes of obsessive-compulsive disorder currently remain unclear. There are several hypotheses regarding the origin of this disease.

Provoking factors include biological, psychological and social.

Biological factors in the development of the syndrome:

• acute infectious diseases - meningitis, encephalitis,
• autoimmune diseases - group A hemolytic streptococcus causes inflammation of the basal ganglia,
• hereditary predisposition,
• alcohol and drug addiction,
• neurological diseases,
• metabolic disorders of neurotransmitters - serotonin, dopamine, norepinephrine.

Psychological or social factors of pathology:

1. special religious beliefs,
2. strained relationships at home and at work,
3. excessive parental control of all areas of the child’s life,
4. severe stress, psycho-emotional surge, shock,
5. long-term use of psychostimulants,
6. experienced fear due to the loss of a loved one,
7. avoidant behavior and misinterpretation of one's thoughts,
8. psychological trauma or depression after childbirth.

Panic and fear can be imposed by society. When the news reports about an attack by robbers on the street, this causes anxiety, which can be dealt with by special actions - constant looking around on the street. These compulsions help patients only to the extent initial stage mental disorders. In the absence of psychotherapeutic treatment, the syndrome suppresses the human psyche and turns into paranoia.

Pathogenetic links of the syndrome:

• the emergence of thoughts that frighten and torment patients,
• concentration on this thought against desire,
• mental stress and increasing anxiety,
• performing stereotypical actions that bring only short-term relief,
• return of obsessive thoughts.

These are stages of one cyclic process leading to the development of neurosis. Patients become dependent on ritual actions that have a narcotic effect on them. The more patients think about the current situation, the more they become convinced of their inferiority. This leads to an increase in anxiety and a deterioration in general condition.

Obsessive-compulsive disorder can be passed down through generations. This disease is considered moderately hereditary. However, the gene that causes this condition has not been identified. In some cases, it is not the neurosis itself that is inherited, but a genetic predisposition to it. Clinical signs of pathology arise under the influence of negative conditions. Proper upbringing and a favorable atmosphere in the family will help avoid the development of the disease.

Symptoms

Clinical signs of pathology in adults:

1. Thoughts about sexual perversion, death, violence, intrusive memories, fear of harming someone, getting sick or infected, worry about material loss, blasphemy and sacrilege, fixation on purity, pedantry. In relation to moral and ethical principles, unbearable and irresistible attractions are contradictory and unacceptable. Patients are aware of this, often resist and are very worried. Gradually, a feeling of fear arises.
2. Anxiety that follows obsessive, recurring thoughts. Such thoughts cause panic and horror in the patient. He realizes the groundlessness of his ideas, but is unable to control superstition or fear.
3. Stereotypical actions - counting steps on the stairs, washing hands frequently, arranging books “correctly”, double-checking turned off electrical appliances or closed taps, symmetrically ordering objects on the table, repeating words, counting. These actions are a ritual that supposedly relieves obsessive thoughts. Some patients are helped to get rid of tension by reading a prayer, cracking their joints, or biting their lips. Compulsions are a complex and confusing system, and when it is destroyed, the patient carries it out again. The ritual is performed slowly. The patient seems to be stalling for time, fearing that this system will not help, and that internal fears will intensify.
4. Panic attacks and nervousness in a crowd are associated with the risk of contact with the “dirty” clothes of surrounding people, the presence of “strange” smells and sounds, “sideways” glances, and the possibility of losing your things. Patients avoid crowded places.
5. Obsessive-compulsive syndrome is accompanied by apathy, depression, tics, dermatitis or alopecia of unknown origin, and excessive preoccupation with one’s appearance. In the absence of treatment, patients develop alcoholism, isolation, rapid fatigue, thoughts of suicide, mood swings, quality of life decreases, conflict increases, disorders of the gastrointestinal tract, irritability, concentration decreases, and abuse of sleeping pills and sedatives occurs.

In children, the signs of pathology are less pronounced and occur somewhat less frequently. Sick children are afraid of getting lost in the crowd and constantly hold adults’ hands, tightly clasping their fingers. They often ask their parents if they love them because they are afraid of ending up in an orphanage. Having lost a notebook at school one day, they experience severe stress, forcing them to count the school supplies in their briefcase several times a day. The dismissive attitude of classmates leads to the formation of complexes in the child and skipping classes. Sick children are usually sullen, unsociable, suffer from frequent nightmares and complain of poor appetite. Child psychologist will help stop the further development of the syndrome and rid the child of it.

OCD in pregnant women has its own characteristics. It develops in the last trimester of pregnancy or 2-3 months after birth. The mother's obsessive thoughts are the fear of harming her baby: she thinks she is dropping the child; she is visited by thoughts of sexual attraction to him; She has difficulty making decisions about vaccinations and choosing a feeding method. To get rid of obsessive and frightening thoughts, a woman hides objects with which she can harm the child; constantly washes bottles and diapers; guards the baby's sleep, fearing that he will stop breathing; examines him for certain symptoms of the disease. Relatives of women with similar symptoms should encourage her to see a doctor for treatment.

Video: analysis of OCD manifestations using the example of Sheldon Cooper

Diagnostic measures

The diagnosis and treatment of the syndrome is carried out by specialists in the field of psychiatry. Specific signs of pathology are obsessions - obsessive thoughts with persistent, regular and annoying repetitions. They cause worry, anxiety, fear and suffering in the patient, are practically not suppressed or ignored by other thoughts, and are psychologically incompatible and irrational.

For doctors, compulsions that cause fatigue and suffering in patients are important. Patients understand that compulsions are not interrelated and excessive. What is important for specialists is the fact that manifestations of the syndrome last more than an hour a day, make it difficult for patients to live in society, interfere with work and study, and disrupt their physical and social activity.

Many people with the syndrome often do not understand or perceive their problem. Psychiatrists advise patients to undergo a full diagnosis and then begin treatment. This is especially true when obsessive thoughts interfere with life. After a psychodiagnostic conversation and differentiation of pathology from similar mental disorders, specialists prescribe a course of treatment.

Treatment

Treatment for obsessive-compulsive disorder should begin immediately after the first symptoms appear. Complex therapy is carried out, consisting of psychiatric and medicinal effects.

Psychotherapy

Psychotherapeutic sessions for obsessive-compulsive syndrome are considered more effective than drug treatment. Psychotherapy gradually cures neurosis.

The following techniques can help get rid of this disease:

• Cognitive behavioral therapy – resistance to the syndrome, in which compulsions are minimized or completely eliminated. During treatment, patients begin to understand their disorder, which helps them get rid of it forever.
• “Thought stopping” is a psychotherapeutic technique that involves stopping memories of the most vivid situations, which manifests itself as an obsessive state. Patients are asked a series of questions. To answer them, patients must view the situation from all angles, as if in slow motion. This technique makes it easier to face fears and control them.
• Method of exposure and prevention - the patient is created with conditions that provoke discomfort and cause obsessions. Before this, the patient is counseled on how to resist compulsive rituals. This form of therapy achieves lasting clinical improvement.

The effect of psychotherapy lasts much longer than that of medication. Patients are advised to correct behavior under stress, learn various relaxation techniques, healthy image life, proper nutrition, combating smoking and alcoholism, hardening, water procedures, breathing exercises.

Currently, group, rational, psychoeducational, aversive, family and some other types of psychotherapy are used to treat the disease. Non-drug therapy is preferable to drug therapy, since the syndrome can be easily corrected without drugs. Psychotherapy has no side effects on the body and has a more lasting therapeutic effect.

Drug treatment

Treatment light form syndrome is carried out on an outpatient basis. Patients are given a course of psychotherapy. Doctors find out the causes of pathology and try to establish trusting relationships with patients. Complicated forms are treated using medications and psychological correction sessions.

Patients are prescribed the following groups of drugs:

1. antidepressants – “Amitriptyline”, “Doxepin”, “Amizol”,
2. neuroleptics – “Aminazin”, “Sonapax”,
3. mood-timing drugs – “Cyclodol”, “Depakine Chrono”,
4. tranquilizers – “Phenozepam”, “Clonazepam”.

It is impossible to cope with the syndrome on your own without the help of a specialist. Any attempts to control your consciousness and defeat the disease lead to a worsening of the condition. At the same time, the patient’s psyche is destroyed even more.

Compulsive-obsessive syndrome is not a mental illness because it does not lead to personality changes or disorders. This is a neurotic disorder that is reversible with proper treatment. Mild forms of the syndrome respond well to therapy, and after 6-12 months its main symptoms disappear. Residual effects of pathology are expressed in a mild form and do not interfere ordinary life patients. Severe cases of the disease are treated for an average of 5 years. Approximately 70% of patients report improvement and are clinically cured. Since the disease is chronic, relapses and exacerbations occur after drug withdrawal or under the influence of new stress. Cases of complete recovery are very rare, but possible.

Preventive actions

Prevention of the syndrome consists of preventing stress, conflict situations, creating a favorable environment in the family, and eliminating mental trauma at work. It is necessary to raise a child correctly, not to create feelings of fear in him, not to instill in him thoughts of his inferiority.

Secondary psychoprophylaxis is aimed at preventing relapses. It consists of regular medical examination of patients, conversations with them, suggestions, and timely treatment of the syndrome. For preventive purposes, light therapy is carried out, since light promotes the production of serotonin; restorative treatment; vitamin therapy. Experts recommend that patients get enough sleep, follow a diet, give up bad habits, and timely treatment of concomitant somatic diseases.

Forecast

Obsessive-compulsive syndrome is characterized by a chronic process. Complete recovery of the pathology is quite rare. Relapses usually occur. During the treatment process, symptoms gradually disappear and social adaptation occurs.

Without treatment, the symptoms of the syndrome progress, affecting the patient’s ability to work and the ability to be in society. Some patients commit suicide. But in most cases, OCD has a favorable course.

OCD is essentially a neurosis that does not lead to temporary disability. If necessary, patients are transferred to easier work. Advanced cases of the syndrome are examined by VTEK specialists, who determine disability group III. Patients are given a certificate for light work, excluding night shifts, business trips, irregular work work time, direct impact of harmful factors on the body.

Adequate treatment guarantees patients stabilization of symptoms and relief of severe manifestations of the syndrome. Timely diagnosis of the disease and treatment increase patients’ chances of success.

Video: about obsessive-compulsive disorders

Are you still carrying hand sanitizer? Is your wardrobe organized on shelves? Such habits may be a reflection of a person's character or beliefs. Sometimes they cross an invisible line and become obsessive-compulsive disorders (OCD). Let's look at the main reasons for their appearance and the treatment methods offered by doctors.

Description of the disease

OCD is a mental disorder that affects a person's quality of life. Experts classify it as a phobia. If the latter include only obsessions, then compulsions are added to OCD.

The name of the disease comes from two English words: obsessio and compulsio. The first means "obsession with an idea", and the second can be interpreted as "compulsion". These two words were chosen successfully and succinctly, since they reflect the entire essence of the disease. People suffering from OCD are considered disabled in some countries. Most of them spend a lot of time mindlessly due to compulsions. Obsessions are often expressed as phobias, which also negatively affects the patient’s quality of life.

How does the disease begin?

According to medical statistics, obsessive-compulsive disorder develops between 10 and 30 years. Regardless of when exactly its first symptoms appeared, patients turn to the doctor between 27 and 35 years of age. This means that several years pass from the development of the disease to the start of treatment. Obsessive-compulsive personality disorder affects one in three adults. There are far fewer small children among the patients. This diagnosis is confirmed in every second child out of 500.

At the initial stage, the symptoms of the disease manifest themselves in the form of obsessive states and various phobias. During this period, a person may still be aware of their irrationality. Over time, in the absence of medication and psychological help, the disorder worsens. The patient loses the ability to adequately evaluate his fears. In advanced cases, treatment involves hospitalization with the use of serious medications.

Main reasons

Scientists still cannot list the main factors contributing to the occurrence of mental illness. However, there are a large number of theories. According to one of them, among the biological factors, obsessive-compulsive disorder has the following causes:

• metabolic disorder;
• head injuries and injuries;
• hereditary predisposition;
• complicated course of infectious diseases;
• deviations at the level of the autonomic nervous system.

Doctors propose to include social causes of the disorder in a separate group. Among them, the most common are the following:

• upbringing in a strict religious family;
• At work;
• frequent stress.

The inherent nature of this mental illness may be based on personal experience or imposed by society. A striking example of the consequences of such a disorder is viewing crime news. A person tries to overcome emerging fears with actions that convince them of the opposite. He can double-check a locked machine or count banknotes several times. Such actions bring only short-term relief. It is unlikely that you will be able to get rid of it on your own. In this case, the help of a specialist is required. Otherwise, the disease will completely consume the human psyche.

Both adults and children are susceptible to this disease. However, children are less likely to suffer from its manifestations. Symptoms of the disorder may vary depending on the patient's age.

How does the disease manifest in adults?

Obsessive-compulsive disorder, the symptoms of which will be presented to your attention below, has approximately the same clinical picture in all adults. First of all, the disease manifests itself in the form of obsessive, painful thoughts. These may include fantasies about sexual violence or death. A person is constantly haunted by the idea of ​​imminent death, loss of financial well-being. Such thoughts terrify the OCD sufferer. He clearly understands their groundlessness. However, he cannot independently cope with fears and superstitions that all his fantasies will one day come true.

The disorder also has external symptoms that are expressed in the form of repetitive movements. For example, such a person can constantly count the steps and wash his hands several times a day. Manifestations of the disease are often noted by colleagues and co-workers. People suffering from OCD always have perfect order on their desks, with all objects arranged symmetrically. Books on the shelves are arranged either alphabetically or by color.

Obsessive-compulsive disorder is characterized by a tendency to worsen in crowded places. The patient may experience increased panic attacks even in a crowd. Most often, they are caused by the fear of catching a dangerous virus or losing personal belongings, becoming another victim of pickpockets. Therefore, such people tend to avoid public places.

Sometimes the syndrome is accompanied by a decrease in self-esteem. OCD is a disorder that is especially susceptible to suspicious individuals. They have a habit of controlling everything, from things at work to the diet of their pets. A decrease in self-esteem occurs due to awareness of the changes taking place and the inability to fight them.

Symptoms in children

OCD is less common in young patients than in adults. The symptoms of the disorder have many similarities. Let's look at a few examples.

1. Even quite old children are often haunted by the fear of getting lost among a large number of people on the street. He forces the children to hold their parents' hands tightly and periodically check whether their fingers are clasped tightly.
2. Many children are scared by older brothers and sisters of being sent to an orphanage. The fear of ending up in this institution forces the child to constantly ask whether his parents love him.
3. Almost all of us have lost personal belongings at least once in our lives. However, not everyone’s worries about this pass without leaving a trace. Panic over a lost notebook often leads to manic counting of school supplies. Teenagers may even wake up at night to double-check all their personal belongings.

Obsessive-compulsive disorder in children is often accompanied by bad mood, gloominess, and increased tearfulness. Some people lose their appetite, others are tormented by terrible nightmares at night. If within several weeks all attempts by parents to help their child are unsuccessful, a consultation with a child psychologist is needed.

Diagnostic methods

If you experience symptoms that indicate anxiety obsessive-compulsive disorder, you should seek help from a professional in the field. mental health. Often people with OCD are unaware of their problems. In this case, close relatives or friends should very carefully hint at this diagnosis. This disease does not go away on its own.

Its diagnosis can only be made by a psychiatrist who has the appropriate qualifications and experience in this field. Usually the doctor pays attention to three things:

1. The person has pronounced obsessive obsessions.
2. There is compulsive behavior that he wants to hide in any way.
3. OCD interferes with the usual rhythm of life, communication with friends and work.

To be medically significant, symptoms must recur on at least 50% of days within two weeks.

There are special rating scales (for example, Yale-Brown) to determine the severity of OCD. They are also used in practice to track the dynamics of therapy.

Based on the tests performed and a conversation with the patient, the doctor can confirm the final diagnosis. Typically, during a consultation, psychotherapists explain what obsessive-compulsive disorder is and what manifestations it has. Examples of patients with this disease from show business help to understand that the disease is not so dangerous, it needs to be fought. Also during the consultation, the doctor talks about treatment tactics and when to expect the first positive results.

Can a person help himself?

OCD is a fairly common pathology. It can occur periodically in any person, including absolutely healthy mentally. It is very important to be able to recognize the first symptoms of the disorder and seek qualified help. If this is not possible, you should try to analyze the problem and choose a specific tactic to combat it. Doctors offer several options for self-treatment.

Step 1: Learn what obsessive-compulsive disorder is. Obsessive-compulsive disorder is described in detail in the specialized literature. Therefore, anyone can easily find out its main causes and symptoms. After studying the information, you need to write down all the symptoms that have recently caused concern. Opposite each disorder, you need to leave space for drawing up a detailed plan on how to overcome it.

Step 2. Third party help. If you suspect OCD, it is better to contact a qualified specialist. Sometimes the first visit to the doctor is difficult. In such a situation, you can ask a friend or relative to confirm the previously written symptoms or add others.

Step 3. Look your fears in the eye. People with obsessive-compulsive disorder usually understand that all fears are imaginary. Every time you feel the urge to double-check a locked door or wash your hands, you need to remind yourself of this fact.

Step 4. Reward yourself. Psychologists advise constantly marking steps on the path to success, even the most insignificant ones. You need to praise yourself for the changes you have made and the skills you have acquired.

Psychotherapy methods

OCD is not a death sentence. The disorder responds well to treatment through psychotherapeutic sessions. Modern psychology offers several effective techniques. Let's look at each of them in more detail.

1. The author of this technique belongs to Jeffrey Schwartz. Its essence boils down to resistance to neurosis. A person first realizes the presence of a disorder, and then gradually tries to fight it. Therapy involves acquiring skills that allow you to independently stop obsessions.
2. “Thought stopping” technique. It was developed by Joseph Volpe. The psychotherapist proposed treatment based on the patient's assessment of the situation. To do this, Wolpe recommends that the person remember one of the recent attacks of the disorder. Using leading questions, he helps the patient assess the significance of the symptoms and their impact on daily life. The psychotherapist gradually leads to the realization that fears are unrealistic. This technique allows you to completely overcome the disorder.

The given therapeutic techniques are not the only ones of their kind. However, they are considered the most effective.

Drug treatment

In advanced cases of obsessive-compulsive disorder, drug intervention is required. How to treat obsessive-compulsive disorder in this case? The main drugs to combat the disease are serotonin reuptake inhibitors:

• "Fluvoxamine."
• Tricyclic antidepressants.
• "Paroxetine."

Scientists from all over the world continue to actively study obsessive-compulsive disorders (OCD). Relatively recently, they were able to discover therapeutic opportunities in agents that are responsible for the release of the neurotransmitter glutamate. They can significantly mitigate the manifestations of neurosis, but do not help get rid of the problem forever. The following drugs fit this description: Memantine (Riluzole), Lamotrigine (Gabapentin).

Well-known antidepressants for this disorder are used only as a means of eliminating neurosis and stress that arise against the background of obsessive states.

It is worth noting that those listed in the article medicines Available from pharmacies only with a prescription. The choice of a specific medication for treatment is made by the doctor, taking into account the patient’s condition. The duration of the syndrome plays an important role in this matter. Therefore, the doctor must know how long ago the obsessive-compulsive disorder appeared.

Treatment at home

OCD belongs to the group mental illness. Therefore, it is unlikely that it will be possible to cure the disorder without outside support. However, therapy with folk remedies always helps to calm down. For this purpose, healers advise preparing herbal decoctions with sedative properties. These include the following plants: lemon balm, motherwort, valerian.

Method breathing exercises cannot be considered folk, but it can be successfully used at home. This treatment does not require a prescription or outside specialist support. Therapy by changing the force of breathing allows you to restore your emotional state. As a result, a person can soberly assess everything that happens in his life.

Rehabilitation

After the course of treatment, the patient needs social rehabilitation. Only in case of successful adaptation to society will the symptoms of the disorder not return again. Supportive therapeutic activities are aimed at teaching productive contact with society and relatives. At the rehabilitation stage, help from relatives and friends is of paramount importance.

Symptoms of obsessive-compulsive disorder

Once symptoms of obsessive-compulsive disorder appear, life will never be the same. Once broken, the brain seems to lose its adequacy and forces it to perform abnormal actions. Thoughts and actions seem to lose consistency with reality. Why does this happen?

Often, along with obsessive-compulsive personality disorder, a person experiences hypochondria, anxiety, panic and other neurotic disorders. What are the causes of obsessive-compulsive disorder and how to get rid of it yourself, read this article.

Obsessive-compulsive personality disorder: what is it?

Obsessive-compulsive personality disorder, or obsessive-compulsive disorder, is a neurotic disease that includes obsessions and compulsions. If there are no compulsions, they talk about obsessive-phobic disorder.

Constant uncontrollable thoughts and rituals take away normal life. A person does not get enough sleep, he does not have enough time for everyday activities. Can't study or work. He is busy endlessly cleaning, washing his hands, organizing objects, checking his safety, and accounting. It becomes difficult to be around him. The patient himself understands this and also suffers from forced social isolation.

Signs of obsessive-compulsive disorder

Obsessions: Recurrent unwanted thoughts, ideas, or images that cause severe anxiety and cannot be stopped.

Compulsions: forced, repetitive actions designed to reduce internal tension that cannot be eliminated.

Obsessive-compulsive personality disorder is characterized by a chronic process. Symptoms may subside and return with stress, overwork, or lack of sleep. One obsessive action is joined by another, fears grow and multiply. The question arises: “Why me?” It's scary not to control your brain. Why did I develop symptoms of obsessive-compulsive disorder? “System-vector psychology” by Yuri Burlan will help you figure it out.

Causes of obsessive-compulsive disorder

The psyche of an individual person is made up of vectors. A vector is a part of the psyche with its characteristic desires. Opportunities are also given to achieve them. The realization of desires gives a person a feeling of happiness, non-realization - suffering. But in a state of non-realization, the vector will strive to “get its own” in any way. Will express itself in unhealthy ways.

Each vector has its own desires, its own characteristics and characteristics, unlike others. There are eight vectors in total, modern man maybe 3-5 vectors. Symptoms of obsessive-compulsive disorder occur in a person in various combinations of skin, anal, visual or sound vectors during overstress, prolonged non-realization of properties, or in the case of psychological trauma of the vector in childhood. The symptoms depend on the vector of the cause. Let's look at the most common examples of obsessive-compulsive disorder.

Obsessive-compulsive disorder: examples

• The skin vector is the desire for property and social superiority.

A person with is endowed with the ability to self-discipline, self-control and self-restraint. Its properties: logical thinking, quick counting, saving time, resources and space, creating reserves for a rainy day, ambition and competition, careerism. People with the skin vector find themselves in trade, business, organization and management, lawmaking, engineering, and design. Wherever the use of developed vector qualities is required. Without achieving property acquisitions, career growth and status, he experiences stress. Also severe stress for him is financial collapse, dismissal, robbery, loss of valuables. An innate fear is infection of the skin by microbes. When the properties of the vector are not applied in the social sphere, they may begin to manifest themselves with the following symptoms of obsessive-compulsive disorder:

Mysophobia - fear of infection and hand washing.

Arithmomania - obsessive counting.

Obsessive adherence to daily routine, diet and drinking.

Obsessive fear of failure or loss of things, robbery.

Intrusive security checks - closing doors, checking keys, whether the iron is turned off, etc.

• The anal vector is the desire to learn, to pass on experience and knowledge to the younger generation.

Properties are opposite to those of the skin. If the skin one is fast and dexterous, then the anal one is slow and diligent. When both vectors are combined, contradictions may arise. A person with an anal vector is tenacious to details, doubtful, thorough, rigid, gets things done to the end and is prone to perfectionism. Purification, the desire for purity, is a key aspect in the anal vector. His value is his family and children; they are excellent husbands and wives, fathers and mothers. People with the anal vector become professionals in their field, the best artisans, teachers, and historians. The innate fear is to disgrace yourself, to make a mistake. Super stress is the betrayal of a spouse, loss of respect, shame, rapid changes (change of job, place of residence, etc.). In this case, the following symptoms of obsessive-compulsive disorder may occur:

Obsessive perfectionism.

Obsessive adherence to order - arranging, sorting objects.

Obsessive cleaning and cleansing.

An obsessive fear of harming loved ones or oneself.

The presence of both anal and cutaneous vectors gives combined symptoms of obsessive-compulsive disorder.

• The visual vector is the desire to experience vivid emotions.

People with are very emotional, impressionable, suspicious, suggestible and self-hypnosis, have a developed imagination, appreciate beauty, enjoy brightness and color. All people are afraid of death, but for a visual person, the fear of death is an innate emotion, the first and very strong. Such people may develop phobias of all types and stripes, anxiety states, and panic attacks. An anxious background in the visual vector increases stress in the skin and anal vectors and is a factor in reduced stress resistance in general. For example, thoughts of death arise due to contamination of the hands, and the ritual of hand washing temporarily reduces anxiety in the visual vector. Phobophobia (fear of fear) may appear in the structure of obsessive-compulsive personality disorder.

• The sound vector is the desire to understand the root cause, the meaning of life and oneself.

A person with abstract intelligence is a thinker, philosopher, ideologist. A closed introvert who looks inward. The sound vector is dominant. Due to the peculiarities of perception of the sound vector, symptoms of obsessive-compulsive disorder often take on the character of paralogical judgments and conclusions, overvalued and delusional ideas.

There may be other symptoms of an unrealized sound vector: depression, a feeling of meaninglessness in life, insomnia or excessive drowsiness, . Sound people are particularly troubled by symptoms of obsessive-compulsive disorder due to an innate fear of going crazy.

Treatment of obsessive-compulsive disorder

Drug treatment of obsessive-compulsive disorder and psychotherapy do not return a person to a normal life, but only help reduce symptoms. During the course of the disease there may be periods of improvement. They are associated with the emergence of vector implementation and a decrease in stress levels. The disorder returns along the beaten path, acquiring new symptoms, like a snowball. After all, the personality structure and type of reaction have not changed.

Anyone who suffers from obsessive-compulsive disorder knows that it is not normal, but there is nothing they can do. He is, as if programmed, drawn to perform these actions, think these thoughts and be afraid. The unconscious cannot be controlled by willpower; on the contrary, it controls a person. A person with a disorder feels this more than others. The struggle takes years of life, but complete recovery does not occur. And the person talks about the disease calmly, accepting that it is absolutely impossible to influence it.

The diagnosis of obsessive-compulsive disorder combines different symptoms. System-vector psychology explains how such heterogeneous symptoms are placed into one diagnosis. With the help of knowledge of vectors, it is possible to sort everything into pieces, clearly knowing where each symptom came from. Only in this way does it become possible to talk about the problem not speculatively, but by understanding its causes.

Why does training relieve obsessive-compulsive disorder? It's not just a matter of a person understanding his vector set. Each vector is the very essence of the psyche, hidden in the unconscious. Disclosure of this part of the psyche provides a deep understanding of the causes of the disease in a particular case. The conscious can already be controlled, and for this you do not have to make volitional efforts. After all, looking into the darkness, we don’t know what’s there, right? Having illuminated this place with a flashlight, we can already see what’s what. You can equip yourself with a flashlight with the help of training, and then you will never have to wander around in the semi-dark again.

Symptoms of obsessive-compulsive disorder arise due to stress, non-realization of properties and psychological trauma of vectors. Which program failed - we need to figure it out. Who am I, what is the state of my psyche, what is happening in my vectors that I behave this way? Disclosure of the essence of vectors at the training “System-vector psychology of Yuri Burlan” allows you to deeply understand the cause of obsessive-compulsive disorder in each individual case. Having become conscious, part of the unconscious becomes part of consciousness and loses its power over a person - this is how psychoanalysis works. A person begins to behave normally in a natural way, on his own. Stress resistance increases, anxiety and fears go away. This is a chance to get rid of obsessive-compulsive disorder on your own, without pills and doctors.

For free lectures “System-vector psychology by Yuri Burlan.” You will learn more about the features of the skin and anal vectors.