Carrie Fick Therapy
Integrated Therapist
Obsessions and Compulsions
Obsessive-Compulsive Disorder (OCD) is more than just a habit or a quirk—it’s a deeply distressing condition that can take over a person’s life. It creates a cycle of intrusive thoughts (obsessions) and repetitive behaviors (compulsions) that can feel impossible to break. Many people suffer in silence, feeling ashamed or helpless, but OCD is both common and treatable. Understanding the nature of this disorder is the first step toward regaining control and finding lasting relief.
What is Obsessive-Compulsive Disorder?
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Obsessive-Compulsive Disorder (OCD) is a serious anxiety-related condition that can affect anyone, regardless of age, gender, or background. Often referred to as the "secret illness," many sufferers go undiagnosed for years due to a lack of awareness and the feelings of shame, guilt, or embarrassment that frequently accompany it.
OCD can have a devastating impact on a person’s work, social life, and relationships. The World Health Organization (WHO) ranks it among the top ten most disabling conditions regarding lost earnings and reduced quality of life. Many individuals with OCD are fully aware that their thoughts and behaviors are irrational. Yet, they feel powerless to stop them—leading to frustration, self-doubt, and a decline in confidence and self-esteem.
Understanding Obsessions and Compulsions
Obsessions are intrusive, unwanted thoughts that persist despite efforts to ignore or suppress them. They can range from fears of contamination to intrusive thoughts about harm or even obsessive fixations on a person or idea. Compulsions, on the other hand, are repetitive behaviors or rituals performed in an attempt to relieve anxiety or regain a sense of control—such as excessive handwashing, checking, counting, or even engaging in self-destructive behaviors.
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While many people experience occasional obsessive thoughts or compulsive behaviors, OCD occurs when these patterns become overwhelming and interfere with daily life. The urge to engage in compulsions is often strongest during times of stress or anxiety, creating a cycle that can be difficult to break.
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Related Compulsive Behaviors
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In addition to traditional OCD symptoms, compulsive behaviors can take many forms, including:
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Binge behaviors – such as overeating, excessive drinking, or gambling as a means of temporary escape
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Self-harm – including cutting, scratching, hair-pulling (trichotillomania), or hitting oneself
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Risk-taking behaviors – such as reckless drinking, drug use, or other dangerous activities
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Though self-harm is more commonly associated with teenagers, adults can also struggle with compulsive self-destructive behaviors. These actions often serve as coping mechanisms for more profound emotional distress and, over time, can become ingrained patterns that feel impossible to control.​​
Effective Treatment for OCD
The good news is that OCD and related compulsive behaviors can be effectively treated. With the right approach, individuals can learn to break free from obsessive thought patterns, regain control over their actions, and significantly improve their quality of life. Change is possible—no matter how long you’ve been struggling.