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It is characterized by fear of getting contaminated with something and compulsive behaviors that are performed to eliminate the. This could include talking with your loved ones about your symptoms and feelings. In some cases, family members have been drawn into the sufferers web of compulsions. Contamination Someone may fear coming into contact with bodily fluids, such as urine or feces; germs or diseases, such as HIV; or environmental contaminants, such as asbestos, radiation, or household chemicals. In the end, only acceptance of some level of uncertainty will allow the OCD to be diminished. You experience obsessions or compulsions that cause significant distress or affect your day-to-day functioning. Studies conducted in 2018 and 2019 reached the same conclusion. Alcohol preps and disinfectant hand wipes are also popular. Use this brief screening measure to help you determine if you might need to see a mental health professional for diagnosis and treatment of OCD, Can Stanley Cup-Winning Goaltenders Have Anxiety and OCD? hospitals), Avoidance of intimacy and sexual behavior for fear of catching or spreading blood-borne diseases, Excessive avoidance of sharp objects, Band-Aids, or anything that could be perceived as causing or having come in contact with exposed blood, Excessive washing to ensure there is no blood on the skin or clothes, Excessive cleaning of items feared to have come in contact with blood (i.e. OCD involves obsessions, which are unwanted, upsetting, intrusive thoughts and images, and compulsions, which are behaviors and rituals used to get rid of the obsessions or neutralize the anxiety (temporarily). Your doctor may prescribe an antidepressant to reduce your OCD symptoms. The answer is a combination of cognitive and behavioral treatment strategies that together define cognitive behavioral therapy (CBT). What this means is that when you have a cut on your arm, for example, the blood is pushed out of the cut pushing whatever might have fallen onto the cut away from the opening. There is also a whole category of fears of contamination of a stranger and more magical type, which could include: Obviously, logic has little to do with these fears. Exposure and response prevention for obsessive-compulsive disorder: A review and new directions. The process depletes the immune system, resulting in a gradual deterioration of health, the final stages of which is called Acquired Immune Deficiency Syndrome (AIDS). People with mysophobia may also suffer from obsessive-compulsive disorder (OCD). These emotions and behaviors evolved over geological ages as a vital survival systemand while it functions differently, this underlying machinery is the same in OCD suffers and non-sufferers alike. Obsessions are persistent, distressing thoughts or images. Genetics of obsessive-compulsive disorder. While OCD isnt curable, it is treatable. I believe I have non-violent harm OCD. So, having something get on a cut is not the threat your OCD is telling you it is. Washing may in some cases be strongly ritualized. Take time to decompress and reach out for help if you need it. Two of these symptom dimensions have a clear link to cleaning tasks: contamination and cleaning as well as symmetry and ordering. Mayo Clinic staff. If your loved one lives with OCD, remember to take care of yourself, too. It is not a suction cup pulling contaminants into the body. For example, 2015 study involving 22,084 Swedish twins indicates that two kinds of childhood trauma are particularly likely to lead to symptoms of OCD: abuse and family disruption. People with contamination OCD may fear getting diseases, touching bodily fluids, spreading germs, and more. Williams MT, et al. This is especially true when a family member is seen as the source of contamination. This doubt can be hurtful, but there are ways around it. One kind of medication that is commonly prescribed for OCD is selective serotonin reuptake inhibitors (SSRIs). or call 410-927-5462. Saying special words or prayers, thinking opposing or good thoughts to cancel out bad thoughts, and doing actions in reverse, are just some of the compulsions that can be seen. Common Obsessions in OCD. The gut microbiome and inflammation in obsessive-compulsive disorder patients compared to age- and sex-matched controls: a pilot study. People commonly associate fears of germs and contamination with Obsessive-Compulsive Disorder (OCD), often with images of someone feverishly using hand sanitizer and Lysol to quell their fears. 10.4103/psychiatry.IndianJPsychiatry_516_18, ncbi.nlm.nih.gov/books/NBK519704/table/ch3.t13/, mayoclinic.org/diseases-conditions/obsessive-compulsive-disorder/diagnosis-treatment/drc-20354438, nimh.nih.gov/health/topics/obsessive-compulsive-disorder-ocd/index.shtml, ghr.nlm.nih.gov/condition/obsessive-compulsive-disorder, 10.4103/psychiatry.IndianJPsychiatry_518_18, 10.4103/psychiatry.IndianJPsychiatry_521_18, ncbi.nlm.nih.gov/pmc/articles/PMC4331096/, How to Manage and Treat Real Event Obsessive Compulsive Disorder (OCD), Understanding the Impact of Severe Obsessive-Compulsive Disorder (OCD), No, Youre Not So OCD for Washing Your Hands More Often Now, Understanding the Connection Between Depression and OCD, Everything You Need to Know About Obsessive-Compulsive Disorder, Glycemic Index: What It Is and How to Use It, feel disgust or fear over certain objects or substances, including dirt, illness, body secretions, trash, or chemicals, believe you or others can be contaminated by magical or spiritual means such as by saying certain names or numbers, have a strong urge to wash your hands or shower frequently, use a very specific process or ritual for washing yourself or your surroundings, avoid places or people that may have been infected, refuse to allow others into your safe spaces, damage your skin or body through excessive cleaning, experience serious anxiety if certain things are not arranged just right, feel an urge to repeat what happens to one side of your body on the other side of your body, fear that if something is unbalanced or uneven, a catastrophe could happen. If you help them carry out their compulsions, it reinforces the idea that everything needs to be clean in order for them to feel safe. The belief here is that these names, images, concepts, or the characteristics of certain people can be magically transferred, simply by thinking about them or by coming into casual contact with them. Cleaning is a. OCD can affect your time management by making you overthink, strive for perfection, or have trouble focusing. American Psychiatric Association. Heres a brief look at the symptom dimensions as currently described in scientific literature: Some people have an extreme fear of becoming contaminated by germs, bodily fluids, or other substances including abstract contaminants like evil or bad luck. Contamination OCD, as with other forms of OCD, is treatable. If I say dont think about blood, it will have the same effect as me saying not to think about a tap-dancing giraffe! Sufferers will sometimes repeatedly ask others to check parts of themselves they cannot reach or see, or things they cannot go near. Let us first examine the nature of obsessive contamination fears. These feelings result in compulsive and repetitive behaviors that provide some relief. To establish that the product manufacturers addressed safety and efficacy standards, we: We do the research so you can find trusted products for your health and wellness. Generally, contamination OCD is associated with things like dirt, bacteria, or viruses, but any substance can become the focus of contamination fearsincluding bodily fluids, chemicals, or other . Diagnostic and statistical manual of mental disorders (5th ed.). Many people with OCD have obsessions with germs and dirt. Its not considered a separate disorder or diagnosis. Contamination obsessive-compulsive disorder (OCD) is one of the most well-known types of OCD. If you're curious about what OCD is or how it's treated, you can learn more with these frequently asked OCD questions. Some will go as far as to make lists of things they believe may have happened in the past, so as not forget this vital information. Wouldnt you wash your hands just one more time to keep a family member from dying a horrible death and blaming you for it? Counting may also be part of a washing ritual to ensure that it has been done long enough period, or a certain number of times. It involves a sometimes debilitating and distressing need to clean and reclean specific areas or items. Similar to symmetry and order compulsions, checking compulsions have been associated with anger and trauma. I have even worked with several people who poured straight bleach on their hands and bodies, resulting in chemical burns. There are also some that suffer from both types of fears at the same time. Psych Central only shows you brands and products that we stand behind. One unusual belief sufferers have is that very small amounts of contaminants can cover very large areas. After all, dirt, germs, washing what could be simpler? Contamination OCD is a common OCD subtype in which a person obsesses over contracting an illness or spreading germs. OCD is chronic. You could also join a support group for the loved ones of people with OCD try the IOCDF OCD in-person support groups list or the IOCDF online or telephone support groups list. Compulsions are the usual responses of sufferers to these fears. Symptom dimensions in obsessive-compulsive disorder: Phenomenology and treatment outcomes with exposure and ritual prevention. Its an inconvenient behavior, so it must be important, right? blood semen garbage household chemicals radioactivity broken glass It is not unusual for them to wash their hands fifty or more times per day. Eventually, your anxiety will decrease. Emotions Revealed: Recognizing Faces and Feelings to Improve Communication and Emotional Life. Concurrent with exposures that may involve touching triggering items, interacting with triggering people, or visiting triggering locations, the person working to overcome their fear would work on resisting washing, reassurance seeking, checking, and other neutralizing rituals. But what do these look like, and how are they related? Ekman, Paul. People fear blood because they associate it with being sick, contagious, unlovable, incapable of being around others, ashamed and rejected from society. You experience obsessions, compulsions, or both. doctors, hairdressers, homeless people, gay people), Avoidance of contact with people in general (i.e. Living with OCD comes with a range of daily challenges. This can also be called bathroom OCD. This can involve fearing that youll urinate or have diarrhea in public. It spirals out of control pretty easily, with each new avoidance sending the message to the brain that death was narrowly escaped, prompting further, more indirect reasons for avoidance. Arlington, VA: American Psychiatric Association. Your personal temperament can also be a contributing factor for developing OCD. What is most interesting about the obsessive fear of HIV is that for all the handwashing and avoiding, HIV is not an environmental contaminant. Inside the body, very cool stuff indeed. And so, over generations, our ancestors adapted to such unusual threats with a very particular set of responseswhat psychologists call the disgust affect. spending a significant proportion of your day cleaning, washing your hands or showering in excess, worrying excessively about illness, germs, or dirt, experiencing intrusive thoughts about becoming ill or getting dirty, throwing away items that you think are contaminated or dirty, engaging in specific washing rituals (e.g. Perhaps the most visible of all OCD symptoms are those related to the fear of disease. If I get this disease, I may give it to my child (or partner or other loved one). A 2021 study looked at the link between irritable bowel syndrome (IBS) and OCD. If you are diagnosed early and you participate in a treatment program consistently, its possible youll be able have a good quality of life. Finding a therapist can be a great first step in learning to manage your symptoms. Contamination OCD: . Some people fear that these substances may cause harm or even death. (n.d.). The main family of medicines used to treat OCD is known as SSRIs (Serotonin Specific Reuptake Inhibitors). With the right treatment for your OCD, you can reclaim the funny, the interesting, and the beautiful parts of life while mastering your discomfort with the dangerous. Mindfulness practice would entail noticing the feeling of contamination and allowing it to be there, as a feeling, without making compulsive attempt to eliminate it. How do we develop a capacity for uncertainty tolerance when the OCD makes it seem impossible? Turna J, et al. The trick is that, while these are all good strategies for preventing disease, they dont solve the fundamental problem of diagnosing the cause. When a person comes in contact with something they feel is contaminated, they have an opportunity to stop and take a look at what is going on inside. Facts about obsessive-compulsive disorder. Bathroom OCD can also refer to an obsession with pooping. bottom of shoes), Avoidance of people associated (accurately or inaccurately) with blood contact or blood-related illnesses (i.e. You like your kitchen sink to shine, and your stove can never be clean enough. With ERP, youll be exposed to the things that trigger your obsessions without being allowed to engage in your compulsions. It's not considered a separate disorder or diagnosis. You experience obsessions, compulsions, or both. But that doesnt mean youre crazy. It means that, biologically and psychologically, youre a human being. . If I am not certain, then I may have gotten some blood on me and it may give me a terrible disease. One kind of cognitive-behavioral therapy (CBT), called exposure and response prevention (ERP), is particularly effective. Antibacterial soaps, peroxide, and disinfectants, such as Lysol, can be used to excess by some, causing further skin damage. For example, they may believe that a drop of blood or urine can somehow be spread to coat entire rooms, or even everything they own. Individuals with OCD experience persistent intrusive thoughts and a compulsion to carry out certain ritualistic behaviors. Sometimes the usual washing or showering may even be part of the magical ritual. People with OCD will fear infection or disease from certain triggers. By trying to eliminate risk, they come to see that along with it they will eliminate their ability to function. The prevalence of obsessivecompulsive disorder in patients with irritable bowel syndrome: A cross-sectional study. This involves a gradual process of identifying with your therapist what your triggers and compulsions are, then working to overcome each one from the easiest up to the hardest. Its not a thing. Does that mean you have obsessive-compulsive disorder (OCD)? Some people with OCD benefit from using medication, but some do not. They could also include doubt about whether something is really clean. The internal voice that says ewww is also saying run away. Normally, this would not pose much of a problem, unless you felt you needed certainty that you were far enough away. (2019). Research from 2017 noted the symptoms of OCD can be managed effectively. For some people, contamination is a theme. Turna J, et al. Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5), selective serotonin reuptake inhibitors (SSRIs), Getting Over OCD: A 10- Step Workbook for Taking Back Your Life, jamanetwork.com/journals/jama/article-abstract/2614194, ncbi.nlm.nih.gov/pmc/articles/PMC7691644/, sciencedirect.com/science/article/abs/pii/S0005789418301345, nimh.nih.gov/health/publications/obsessive-compulsive-disorder-when-unwanted-thoughts-take-over/index.shtml, Symptoms of Obsessive-Compulsive Disorder (OCD), Why Cleanliness Is Not Always an OCD Symptom, When You Fear Manifesting Negative Thoughts, Obsessive-Compulsive Disorder (OCD) Screening Quiz, Podcast: NHL Goalie with OCD & Anxiety Featuring Corey Hirsch, OCD and Multiple Sclerosis (MS): What to Know, avoiding things you perceive to be dirty or contaminated, seeking reassurance from others to ensure youre not contaminated, constantly checking food and items for dirt. And it only takes one bad experience to leave you permanently disgusted by somethinga phenomenon Kelly calls one-shot learning. Finally, once weve established a trigger for disgust, its very easy for that disgust to transfer to other objects, through physical contact, or even just thinking about it. A study of psychiatric comorbidities in irritable bowel syndrome. Contamination OCD involves a lot more than simply being diligent about cleaning, and the symptoms can differ from person to person. 2005-2023 Psych Central a Red Ventures Company. First, our ancestors learned to recognize clues to the presence of contagions, obvious ones like bodily fluids, excrement, and corpses, but also subtler signals like the skin discoloration or subdued behavior of the infected. All rights reserved. (2017). Over time, through a process called habituation, this practice of resisting compulsions becomes more automatic and the brain is forced to release its association between the thoughts and the responses that make them seem so important. ), Checking, reassurance seeking, or analysis of items that may or may not be blood (i.e. You explain what you fear will happen if you dont follow through with a behavior or rituals. Cognitive behavioral therapy (CBT) is an effective treatment for many people dealing with OCD. Many people also develop OCD around bowel movements or urination. Childhood trauma isn't thought to cause OCD, but it can trigger its onset or worsen symptoms. Finding support can also be helpful. Magnetic fields interact with nerve cells in your brain in an attempt to lessen your OCD symptoms. Just to be sure? (2019). Challenging distorted beliefs and ideas about blood can help reduce the reliance on compulsions, so long as these challenges are not used as a ritualized form of a reassurance. SSRIs would have to be prescribed by a doctor or psychiatrist. Are stressful life events causally related to the severity of obsessive-compulsive symptoms? A major clue is how much of your life you are willing to sacrifice for your fear. People with OCD take comfort in repetitive, irrational thoughts and urges. (2017). DOI: Whats the connection between cleaning and OCD? Melli G. (2019). Contamination- or health-related OCD is associated with persistent worries about one's health or the health of loved ones. avoiding handshakes in case someone has a cut on their finger), Avoidance of things that could be confused with blood (red paint, etc. Microphobia: Fear of small things. Members of this drug family include Lexapro, Prozac, Celexa, Paxil, Luvox, and Zoloft. Knowing what you value will help you build the most meaningful life possible. Some of the more common medications prescribed for OCD are: If you take one of these medications to treat OCD, its important to talk to your doctor before you change your dose. This means that there is no cure. The causes of contamination OCD are the same as the causes of any other type of OCD. Common obsessions in contamination-related OCD include the fear of getting sick with a serious illness like rabies, ebola, H1N1 (swine flu), Creutzfeldt-Jakob disease, mad cow disease, hepatitis, or avian influenza. (n.d.). You can resist washing in the presence of a blood-related thought (you can also presumably resist putting tap shoes on a giraffe). It may even extend to having a dirty car to be driven only when contaminated. However, contamination OCD can be a bit more complex than that. Obsessive-compulsive disorder is a mental health issue in which the person suffering from it experiences unwanted intrusive thoughts and engages in repeated behaviors aimed at getting certainty that the thoughts won't come true. In this series on Contamination OCD, I will attempt to break down the symptoms and treatment for obsessive fear of contamination from three common triggers. Contact Us. Compulsive showering and washing are really quite futile, as the relief from anxiety only lasts until the washer contacts something else that is seen as contaminated. Clothes that are considered contaminated must be worn when living in this zone. The symptoms of OCD, as defined by the DSM-5, are obsessions and compulsions. Contamination OCD is simply one kind of OCD. Use this brief screening measure to help you determine if you might need to see a mental health professional for diagnosis and treatment of OCD. a red mark on a wall), Checking for blood or for cuts in the skin (on self or others), Reassurance seeking online (or elsewhere) regarding blood-borne illnesses and how they are contracted, Reassurance seeking from others that they have not come in contact with blood, Mental rituals, such as mentally retracing what could have touched what or mentally repeating reassuring statements, Scrutinizing the behavior of dentists, doctors or any other professionals who may be exposed to blood (yours or others), There are no documented cases of contracting HIV through environmental contact (i.e., touching infected blood), There are essentially only two ways to get HIV the use of shared hypodermic needles in which blood from one person is literally extracted and put into the bloodstream of another person, and unprotected sex with an infected person in which semen or vaginal secretions are essentially pushed into the bloodstream of another person through tears in the skin of the mouth, vagina, anus, or penis (other ways of contracting it include transmission from pregnant mother to fetus and transfusions of infected blood [which is no longer an issue due to testing standards]).