OCD: Rituals and Superstitions Affecting Work Success

Not doing anything will lead to bad luck and misfortune?

Hello, doctor.
I am unsure if my behaviors could be classified as obsessive-compulsive disorder (OCD).
Every day at work, I must wear the same color and style of underwear and clothing.
If my clothes or underwear become damaged to a certain extent, I feel anxious and irritable.
Before work, I check to ensure the refrigerator door is closed, the power strip is turned off, and the door is locked.
During my commute, I recite the Heart Sutra, and I have a rule to recite it at least once even when I am not working.
After work, I must take a shower, and I also shower after meals and again before going to bed.
If I have a night shift or a swing shift, I must shower before going to work.
If I do not adhere to these routines, I feel that something will go wrong at work or that things will not go smoothly.
Sometimes, I silently negotiate with the universe; for instance, if work goes well, I will buy something or do a specific activity.
If I successfully complete my work but do not fulfill the promise I made at that moment, I feel that I will face repercussions for not keeping my vow.
Occasionally, when I return to my hometown, I wear certain pieces of clothing, believing that wearing something else will bring bad luck.
I am unsure if this qualifies as OCD.
Thank you, doctor, for your patience in reading this.
Thank you.

Niming, 20~29 year old female. Ask Date: 2023/01/31

Dr. Wu Enliang reply Psychiatry

Hello, if you are feeling very troubled in your life, it is indeed possible that you may be experiencing obsessive-compulsive disorder (OCD).
Dr.
Wu En-Liang.

Reply Date: 2023/01/31

More Info

Your behaviors and rituals, as described, do exhibit characteristics commonly associated with Obsessive-Compulsive Disorder (OCD). OCD is a mental health condition characterized by persistent, unwanted thoughts (obsessions) and repetitive behaviors or mental acts (compulsions) that an individual feels driven to perform in response to the obsessions.
In your case, the need to wear specific colors or styles of clothing, the compulsive checking of locks and appliances, and the ritualistic recitation of a mantra (in this case, the Heart Sutra) before and after work are all indicative of compulsive behaviors. These actions seem to provide you with a sense of control or relief from anxiety, particularly the fear that something bad might happen if you do not perform these rituals.
The anxiety you feel when your clothing is damaged or when you do not follow your routines suggests that these behaviors are not merely habits but are tied to deeper fears and beliefs about safety and success in your work. The notion that failing to perform these rituals could lead to negative outcomes at work, or that you must "exchange conditions" with the universe for good fortune, further illustrates the compulsive nature of your thoughts and actions.

It's important to understand that while many people have superstitions or routines that they follow, OCD is defined by the degree to which these behaviors interfere with daily life. If your rituals are causing significant distress, taking up a considerable amount of time, or impacting your ability to function effectively at work or in other areas of your life, it may be beneficial to seek professional help.

Cognitive Behavioral Therapy (CBT), particularly Exposure and Response Prevention (ERP), is a highly effective treatment for OCD. This approach involves gradually exposing you to the sources of your anxiety while helping you refrain from performing the compulsive behaviors. Over time, this can help reduce the anxiety associated with the obsessions and diminish the compulsive behaviors.

Additionally, medication, such as selective serotonin reuptake inhibitors (SSRIs), can also be effective in managing OCD symptoms. A mental health professional can help determine the best course of action based on your specific situation.

It's commendable that you are seeking to understand your behaviors better. Recognizing that these rituals may be linked to OCD is a significant first step. I encourage you to reach out to a mental health professional who can provide a comprehensive evaluation and support you in developing effective coping strategies. Remember, you are not alone in this, and help is available.

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