Is It OCD? Bathing Rituals and Hoarding Behavior

Could it be obsessive-compulsive disorder (OCD)?

Hello Doctor: I would like to ask if not showering for half a month but taking over two hours for each shower, along with the excessive collection of old newspapers that are not being read, could be considered a symptom of obsessive-compulsive disorder (OCD)? Thank you for your response!

Wunai, 40~49 year old female. Ask Date: 2016/02/25

Dr. Ding Shuyan reply Psychiatry

Hello, the symptoms described in your question do not clearly indicate obsessive-compulsive disorder (OCD).
Some cases of schizophrenia may also present similarly! I personally recommend that you consult a psychiatrist or a psychosomatic specialist, as it seems to exceed what is generally acceptable for most individuals.
Wishing you all the best, Dr.
Ding Shuo-Yan.

Reply Date: 2016/02/25

More Info

Based on the symptoms you described, it is possible that you may be experiencing obsessive-compulsive disorder (OCD) tendencies, particularly related to your bathing rituals and hoarding behavior. OCD is characterized by the presence of obsessions (intrusive thoughts that cause anxiety) and compulsions (repetitive behaviors performed to alleviate that anxiety).
In your case, the fact that you can go for extended periods without bathing, yet feel compelled to spend a significant amount of time bathing when you do, suggests a possible ritualistic behavior. This could be an attempt to manage anxiety or discomfort associated with cleanliness or personal hygiene. The excessive time spent bathing might indicate a compulsion to ensure that you feel "clean" or to alleviate anxiety related to not bathing for a while.

Hoarding behavior, such as collecting old newspapers that you do not read, can also be associated with OCD. Individuals with hoarding tendencies often struggle to discard items due to emotional attachments or fears of needing them in the future. This behavior can lead to clutter and distress, impacting daily functioning and living conditions.

It is important to note that while these behaviors can be indicative of OCD, a formal diagnosis should be made by a qualified mental health professional. They will conduct a thorough assessment, which may include interviews and standardized questionnaires, to determine if your symptoms meet the criteria for OCD or another related disorder.

If you are concerned about these behaviors and how they affect your daily life, I recommend seeking help from a mental health professional. They can provide you with a proper diagnosis and discuss potential treatment options, which may include cognitive-behavioral therapy (CBT), exposure and response prevention (ERP), and possibly medication if deemed appropriate.

In summary, while your bathing rituals and hoarding behavior may suggest OCD tendencies, a professional evaluation is necessary for an accurate diagnosis and effective treatment plan. It is commendable that you are seeking information and considering the possibility of a mental health condition, as this is the first step toward understanding and addressing your concerns.

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