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DALL·E 2024-12-18 10.17.04 - A realistic illustration representing compulsion as a clockwo
Compulsion
 

What is Compulsion?

A compulsion is a repetitive behavior or mental act that an individual feels driven to perform in response to an obsession or according to rigid rules. Compulsions are often aimed at reducing distress or preventing a feared event, even though they may not logically relate to the feared outcomes.

 

DSM-5 Criteria for Compulsions

Compulsions are defined as:

  1. Repetitive Behaviors or Mental Acts: These include actions such as hand-washing, ordering, checking, praying, counting, or silently repeating words.

  2. Driven Response to an Obsession: The individual feels compelled to perform these acts due to a persistent urge or obsession.

  3. Attempt to Reduce Distress or Prevent an Event: The compulsions are aimed at reducing anxiety or preventing a perceived threat, but they are not connected in a realistic way to the event or are clearly excessive.

 

Types of Compulsions

  1. Cleaning/Contamination-Related Compulsions: Excessive handwashing, cleaning, or sanitizing.

  2. Checking Compulsions: Repeatedly checking locks, appliances, or personal belongings.

  3. Counting or Repeating Actions: Counting steps, touching objects a certain number of times, or repeating words.

  4. Orderliness and Symmetry Compulsions: Arranging items in a specific way or ensuring symmetry.

  5. Mental Rituals: Silent counting, praying, or reviewing events mentally.

  6. Hoarding Compulsions: Difficulty discarding items, even those of no value.

 

Case Study to Understand Compulsion

Case:
A 28-year-old woman, Riya, reports spending over three hours daily cleaning her home. She feels that if she doesn't sanitize every surface multiple times, her family might fall ill. Despite reassurance from her doctor and no evidence of illness, she cannot resist these cleaning urges, even when they interfere with her work and relationships.

Analysis:

  • Obsession: Fear of contamination causing harm to loved ones.

  • Compulsion: Excessive cleaning and sanitizing.

  • Impact: Disruption in daily functioning and increased distress.
    Treatment: Cognitive-Behavioral Therapy (CBT), particularly Exposure and Response Prevention (ERP), can be effective.

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Self-Help Tips for Managing Compulsions

  1. Practice Mindfulness: Use grounding techniques to focus on the present.

  2. Delay the Compulsion: Gradually increase the time before acting on the compulsion.

  3. Challenge Your Thoughts: Rationalize the fear behind the compulsion.

  4. Seek Professional Help: Therapies like CBT and ERP are effective.

  5. Limit Reassurance-Seeking: Avoid asking others for reassurance about your compulsions.

  6. Engage in Healthy Activities: Exercise, journaling, or hobbies to divert attention.

  7. Stay Educated: Learn about OCD and its management strategies.

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How can SEVEE help?

Struggling with repetitive thoughts or actions that interfere with your life? SEVEE Care Pvt. Ltd. is here to help you take charge of your mental well-being. Book a session with one of our experienced therapists today to regain control and find peace.
👉 Visit www.sevee.care or call us at +91 9712777330 to schedule your session.

Your story matters, and together, we’ll write a new chapter.

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