Overcoming Obsessive Cleanliness: A Teen's Guide to Managing Germ Anxiety - Psychiatry

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Obsessive-Compulsive Disorder (OCD) related to cleanliness?


Hello Doctor, I am currently a high school student.
Whenever something falls on the floor at school, I constantly feel that it is contaminated with bacteria and I want to clean it.
Also, I am afraid to touch the faucet in the restroom because I think it has a lot of E.
coli and I am worried it will cause stomach pain.
Since there is no soap available at school, I am unable to wash my hands, which makes me hesitant to touch many things.
What should I do? Should I try to ignore these bacteria? Please help me with your advice.
Thank you.

Xiao Jun, 10~19 year old female. Ask Date: 2020/09/22

Dr. Li Zhengfeng reply Psychiatry


Hello: Based on the information provided in your letter, it may be symptoms of obsessive-compulsive disorder (OCD).
It is recommended to consult a psychiatrist, and medication treatment may be necessary.
This could significantly reduce the interference of symptoms.
Wishing you all the best.
Thank you.

Reply Date: 2020/09/22

More Info


Dealing with obsessive cleanliness and germ anxiety, especially as a high school student, can be quite challenging. It's important to understand that while maintaining hygiene is essential, excessive worry about germs can lead to significant distress and interfere with daily life. Here are some strategies to help you manage your anxiety regarding cleanliness and germs.


Understanding Your Anxiety
Firstly, it's crucial to recognize that your feelings of anxiety about germs and cleanliness are not uncommon. Many people experience similar fears, especially in environments like schools where cleanliness may not always meet personal standards. The fear of germs, particularly when it comes to touching surfaces or objects that may be contaminated, can trigger a cycle of obsessive thoughts and compulsive behaviors, such as excessive handwashing or avoiding certain places altogether.


Strategies for Managing Germ Anxiety
1. Educate Yourself About Germs: Understanding that not all germs are harmful can be empowering. Most bacteria and viruses do not pose a significant risk to healthy individuals. In fact, exposure to some germs can help strengthen your immune system. Learning about the difference between harmful and harmless bacteria can help reduce your anxiety.

2. Set Realistic Hygiene Standards: Instead of striving for perfection in cleanliness, aim for a balanced approach. For instance, washing your hands after using the restroom or before eating is essential, but you don't need to wash your hands every time you touch a surface. Try to establish a routine that includes washing your hands at key times rather than constantly.

3. Gradual Exposure: Gradually expose yourself to situations that trigger your anxiety. For example, if you feel anxious about touching a doorknob, try touching it without immediately washing your hands afterward. Start with small steps and gradually increase your exposure to situations that make you uncomfortable.

4. Mindfulness and Relaxation Techniques: Practicing mindfulness can help you stay grounded in the present moment rather than getting caught up in anxious thoughts. Techniques such as deep breathing, meditation, or yoga can help reduce anxiety levels. When you feel the urge to wash your hands or avoid touching something, take a moment to breathe deeply and remind yourself that it’s okay to feel uncomfortable.

5. Limit Access to Sanitizers: While hand sanitizers can be helpful, having them readily available may reinforce your compulsive behaviors. Try to limit your use of sanitizers and focus on washing your hands with soap and water when possible.

6. Talk About Your Feelings: Sharing your concerns with a trusted friend, family member, or school counselor can provide relief. They can offer support and help you challenge your anxious thoughts. Sometimes, just talking about your fears can lessen their power.

7. Seek Professional Help: If your anxiety about germs significantly impacts your daily life, consider seeking help from a mental health professional. Cognitive-behavioral therapy (CBT) is particularly effective for treating obsessive-compulsive behaviors and anxiety disorders. A therapist can help you develop coping strategies and challenge irrational thoughts.


Conclusion
It's essential to remember that overcoming obsessive cleanliness and germ anxiety is a process that takes time and patience. By gradually exposing yourself to your fears, educating yourself about germs, and practicing mindfulness, you can reduce your anxiety and improve your quality of life. If you find that your anxiety is overwhelming or persistent, don't hesitate to reach out for professional support. You deserve to feel comfortable and confident in your environment.

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