OCD symptoms can fluctuate and may evolve over time. Many people find that stress worsens their symptoms. Obsessions and compulsions usually follow a theme. Common examples include:

Obsessions may include:

• Fear of contamination or germs

• Fear of harming yourself or others

• Fear of making a mistake or behaving inappropriately

• Needing things to be symmetrical or in exact order

• Persistent, unwanted religious or sexual thoughts

Compulsions may include:

 Excessive hand washing or cleaning

• Repeated checking (doors, appliances, locks)

• Arranging items in a particular order

• Counting or repeating phrases silently

• Seeking constant reassurance from others

These actions are not simply habits—they’re often driven by fear or anxiety and may take up significant time each day.

When Should I Seek Help?

OCD often begins in childhood, adolescence, or early adulthood. You may recognize that your thoughts or behaviors are irrational but still feel powerless to stop them. If your symptoms interfere with your quality of life or daily responsibilities, it’s time to seek support.