Is This Obsessive-Compulsive Behavior? Your Concerns - Psychiatry

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Is this obsessive-compulsive disorder?


Doctor, when I need to throw something away, like product boxes or packaging, I find myself overly concerned about the printed production dates, expiration dates, batch numbers, or barcodes.
I often feel compelled to memorize these numbers, fearing that I might forget them.
So, before I actually take the items out to the trash, I check them two or three times, repeating the numbers in my mind.
For instance, with drink cups that are labeled 1/6, 2/6, etc., I feel the need to remember which cup I’m discarding.
I even check the numbers printed on the bottom of the cups, like 27 for 1/6 and 28 for 2/6.
Sometimes, I worry I won't remember, so I write them down on paper.
Once the garbage truck takes the trash, I stop thinking about it.
Although this behavior doesn’t happen often and only takes a few minutes, I find myself doing this when it comes to throwing things away.
I also pay attention to the serial numbers on paper money.
When I plan to spend cash, I initially wrote down the numbers on paper and checked them against the bills two or three times before going out.
Since time is limited, I eventually started arranging the bills and taking a photo of them.
At first, I would double-check the serial numbers one or two times after taking the photo, but now I don’t check anymore because I trust that the photo won’t be incorrect.
However, I must take a photo of the bills before I leave; otherwise, I hesitate to spend them.
Sometimes I leave the house first, but when it’s time to spend the money, I still take a photo.
If I don’t take a picture, I feel anxious, fearing that I might need to recall something later and won’t be able to.
Once the money is spent, I don’t think about it anymore.
I’ve also looked at the years printed on coins, writing them down one by one to see how many 1-dollar, 5-dollar, 10-dollar, and 50-dollar coins from 1981 and 1982 I have.
Additionally, if I have a bag of recyclables, I count how many plastic bottles and cans are in it.
Again, this doesn’t take long, and I don’t do it dozens of times or for hours like someone with obsessive-compulsive disorder, but this behavior does occur.
Recently, when I go shopping, I feel a sense of losing something when I’m about to leave the store.
I check the floor a few times or walk around the area to ensure nothing has fallen before I leave.
This only takes a few minutes, but as soon as I enter the next store, the feeling returns, and I find myself circling the floor again to confirm that nothing is lost before I can leave.

Tsai, 20~29 year old female. Ask Date: 2020/10/23

Dr. Lin Mianzhang reply Psychiatry


Hello Tsai: It seems that you have many symptoms similar to obsessive-compulsive disorder (OCD).
To differentiate whether it is OCD, the most important factor is how you feel when performing these actions.
Do you ever feel "forced" to do these actions while checking? Do you feel that your behavior is somewhat excessive? If so, it is more likely to be OCD; if not, the likelihood is lower.
However, to confirm a diagnosis, many physiological and psychological factors need to be considered.
I recommend that you seek help from a mental health professional to obtain a definitive answer.
Wishing you peace and health!

Reply Date: 2020/10/23

More Info


Your concerns about obsessive-compulsive behavior are valid and reflect a common struggle many individuals face when dealing with intrusive thoughts and compulsive actions. Based on your description, it seems you exhibit behaviors that may align with obsessive-compulsive tendencies, particularly in how you feel compelled to remember or check specific details before discarding items or spending money.

Obsessive-Compulsive Disorder (OCD) is characterized by the presence of obsessions (intrusive thoughts that cause anxiety) and compulsions (repetitive behaviors or mental acts performed to reduce the anxiety associated with the obsessions). In your case, the need to remember production dates, batch numbers, or the specific identifiers on items before discarding them suggests an underlying anxiety about forgetting important information. This anxiety drives you to engage in repetitive checking or memorizing behaviors, which can be time-consuming and distressing.

It's important to recognize that while your behaviors may not be extreme or time-consuming, they still indicate a level of anxiety that could benefit from exploration. The fact that you feel compelled to check and memorize these details before discarding items or spending money suggests that these actions serve as a coping mechanism to alleviate the anxiety associated with the fear of forgetting or losing important information. This is a common experience for individuals with OCD, where the compulsive behaviors are performed to prevent a perceived negative outcome.

In terms of coping strategies, it may be helpful to consider the following approaches:
1. Cognitive Behavioral Therapy (CBT): This is a highly effective treatment for OCD. CBT focuses on identifying and challenging irrational thoughts and beliefs that contribute to anxiety. A specific type of CBT called Exposure and Response Prevention (ERP) is particularly effective for OCD. It involves gradually exposing yourself to the sources of your anxiety (e.g., discarding items without checking) while refraining from the compulsive behaviors (e.g., memorizing details).

2. Mindfulness and Relaxation Techniques: Practicing mindfulness can help you become more aware of your thoughts and feelings without judgment. Techniques such as deep breathing, progressive muscle relaxation, or guided imagery can help reduce overall anxiety levels and improve your ability to cope with intrusive thoughts.

3. Journaling: Keeping a journal of your thoughts and feelings can provide insight into your triggers and patterns of behavior. Writing about your experiences can also serve as a form of emotional release, helping you process your feelings and reduce anxiety.

4. Limit Checking Behaviors: Gradually reduce the frequency of your checking behaviors. For example, you might start by allowing yourself to check only once before discarding an item, then gradually decrease that to once every few times. This can help you build tolerance to the anxiety associated with not checking.

5. Seek Professional Help: If your behaviors are causing significant distress or impairment in your daily life, it may be beneficial to consult with a mental health professional. They can provide a comprehensive assessment and develop a tailored treatment plan to address your specific concerns.

In conclusion, while your behaviors may not fit the classic definition of OCD, they do indicate a level of anxiety that warrants attention. Understanding the underlying causes of your compulsive behaviors and seeking appropriate support can help you manage your anxiety more effectively. Remember, you are not alone in this struggle, and there are effective strategies and treatments available to help you find relief.

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