Friday, September 7, 2012

Obsessive Compulsive Disorder: Neat Freak


-Ask the Expert-

Question:

Hygiene, ocd, anxiety disorder, ritualsHi, I live with people affected by what I think is a real sickness: the obsession for cleanliness and hygiene. They are neat freaks!

Where does this mania come from? Why these people have the need of live in excessively clean places? 

I really want to understand it, because their behavior is extremely annoying, for them it is not enough to live with this obsession, but they want to transmit it to others in any way possible! 

What is the mechanism that creates these obsessions? What drives them to give importance to things that are objectively not important? What there is behind all this hygiene need? Thanks for the answer!

Answer:

According to classic psychiatry it is Obsessive Compulsive Disorder. The affected subject tries to keep anxiety under control by setting in motion rituals that, by being repeated in time, give him the illusion of having everything under control. Obsessive cleanliness and hygiene fulfill the same need.

The one for cleanliness is one of the most common obsessions of OCD subjects, even though it is not the only one. It represents a serious problem of contact and relation with the world and with other human beings, a problem that involves the sphere of affections and sexuality. 

OCD, anxiety disorder, anxiety, ritualsThe symptoms increase when the subject’s anxiety increase (the symptoms are the way the subject cope with anxiety.)

The anxiety/fear typically related to the Obsessive Compulsive Disorder makes the subject think to be so fragile that any external agent, which is perceived as dangerous, might damage/kill him. Filth may cause sickness, who is affected by OCD is almost sure that they will get those sicknesses.

The “need to transmit” these obsessions is a secondary fact: if others do not follow the ritual, they might damage its efficacy. The fact that they “give importance to things objectively not important” is irrelevant, since subjectively they are of VITAL importance.

Answer:
Sergio Scialanca, Psychologist
Question:
Mirko, 40 years old
Publication Date: 03/27/2007

Check out the original article here

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