Types of Obsessions
Expert Help for Obsessive-Compulsive Disorder
Louisville OCD Clinic
Monnica Williams, Ph.D.
Offering expert treatment for all types of OCD, including sexual obsesions. Our OCD treatment program is typically 20 sessions. We offer twice-weekly sessions and intensive programs. Intensive program can be in person or combined with Skype. State of the art medication management is also an option. Low cost options. [More.]
Sexual Thoughts in OCD
Sexuality Concerns in Obsessive-Compulsive Disorder (OCD)
Many people with obsessive-compulsive disorder (OCD) have sexual obsessions, or unwanted sexual thoughts. This may include sexual orientation fears, which is sometimes referred to as sexual orientation OCD (SO-OCD) or HOCD. Theses are not the same as fantasies or being homophobic.
Sexual thoughts in OCD may include the following:
- the obsessive fear of being or becoming LGBTQ
- intrusive, unwanted mental images of upsetting sexual behaviors
- the fear that one may become a pedophile
- the fear of becoming sexually aggressive
If you have unwanted sexual thoughts, please contact us to participate in a study so that we can learn more about this issue.
The Worst Kind of OCD
Although people with OCD may obsess over any number of concerns, one of the most upsetting types of OCD involves worries about causing sexual harm to a child, sometimes called pedophile OCD or POCD. Although this type of OCD typically receives little attention from the media, the Power to Change recently aired the story of a man whose POCD was so severe he contemplated suicide before he was treated by Dr. Monnica Williams. Hear his story online and learn about OCD treatments from Dr. L. Kevin Chapman. Read his story or watch it now.
OCD Therapy Going Nowhere?
Although any medical doctor can take your blood pressure, only a few can do heart surgery. Likewise, any therapist can help someone who is feeling a bit blue, but only a few can effectively treat OCD. OCD treatment is a type of therapy that requires a specialized protocol called Exposure and Ritual Prevention (ERP or EX/RP). Learn about the Top Mistakes Made by OCD Therapists.
Top Seven Myths About OCD
One stereotype is that people with OCD are neat and tidy to a fault. Actually, nothing could be further from the truth. Although many people with OCD wash because they are concerned about dirt and germs, being tidy is actually not a typical symptom of the disorder. Almost two-thirds of people with OCD are also hoarders... Learn more about the Top Myths about OCD.
Take The OCD Self Test
The OCI-R is a short, reliable, scientific test of common obsessive-compulsive symptoms. This measure was developed by OCD experts. Take our OCD Self Test.
About Obsessive-Compulsive Disorder
Compulsive counting is a common symptom of obsessive-compulsive disorder. People with counting compulsions may count because they feel that certain numbers have a special significance, and therefore specific actions must be performed a certain number of times. For example many people with OCD feel that the number four is especially significant, and will therefore do things in sets of fours. For example if they smoke one cigarette, they may feel a sense of incompleteness unless they smoke three more. So they will count the number of cigarettes to be sure they have met the numerical goal.
People with counting compulsions may also count without thinking about a specific number. They might count their steps when walking, count tiles on the ceiling, or count cars driving past. The counting may be mental or aloud.
People with counting obsessions do not always have a reason for counting. Even though someone who has contamination fears often knows their washing concerns are overboard, they feel usually feel there is a chance the fear is somewhat based on reality. With numbers, the OCD does not always activate because it is worried about a certain outcome. Often taking 4 steps within say one block on the sidewalk, or looking away from a clock at a certain number may just feel right, rather than be driven by fear. Often people with OCD will have a primary subtype, i.e. sexual obsessions, but will have the numbers as more of a secondary problem. In cases like this, it is not as stressful or intrusive.
Even though OCD is often illogical, many fears seem very logical in the mind of the sufferer, with seemingly very clear events leading straight to why a fear is valid and true. Unless very severe, adults with numerical obsessions usually realize there is no basis to the number fears (unless perhaps driven by religious fears over evil numbers, e.g. 666). Nonetheless, number fears can enter the mind and say “look away from the clock at 12:11 or your family will die of cancer.” Maybe the mind said 12:11 because when you add the numbers it comes out to 4 and just feels right. In a case like this, the OCD sufferer will say to themselves, “that it’s ridiculous,” but then the OCD will say “yes, but just in case look away at this time.” If the person looks away at a bad time, the OCD may pester to keep looking until an acceptable number is found. The person may even have to make a choice. The OCD can say, look away at 12:56 and your family will die of cancer, but look away at 1:07 and you will go blind. One may then choose the 1:07 time just in case, to protect ones family, but will still be dealing with the fear of going blind. In this case they might take the blind sacrifice for their family, or spend a lot of time looking until a suitable look away number can be found.
Although a person with OCD may realize this is just the OCD, they continue to count or heed specific special numbers “just in case” and why tempt karma. These cases add up greatly with OCD, and reinforcing the checking just makes the OCD stronger. Which is why a sufferer may eventually become severe and consumed with counting rituals all day. If numbers are secondary to other OCD concerns, these fears atop of a brain that already is overtaxed can be the final straw.
Typical types of counting
- Counting steps
- Counting items
- Counting aloud
- Mental counting
- Counting numbers on devices (i.e. on a digital clock, the run time on the DVD player while trying to watch a movie, etc.)